pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_a_last_data_entry_date	pbpver	pbp_a_ready_for_upload_date_tm	pbp_a_BPT_MA_date_time	pbp_a_BPT_PD_date_time	pbp_a_BPT_MSA_date_time	pbp_a_upload_date_time	pbp_a_org_name	pbp_a_org_marketing_name	pbp_a_org_website	pbp_a_plan_name	pbp_a_org_type	pbp_a_plan_type	pbp_a_network_flag	pbp_a_ben_cov	pbp_a_hospice_care_yn	pbp_a_service_area	pbp_a_contract_number	pbp_a_plan_identifier	pbp_a_segment_id	pbp_a_contract_period	pbp_a_plan_geog_name	pbp_a_segment_name	pbp_a_eghp_yn	pbp_a_est_memb	pbp_a_continue_yn	pbp_a_continue_costshare_yn	pbp_a_platino_flag	pbp_a_platino_yn	pbp_a_special_need_flag	pbp_a_special_need_plan_type	pbp_a_snp_institutional_type	pbp_a_snp_pct	pbp_a_snp_pop	pbp_a_snp_cond	pbp_a_opd_web_addr	pbp_a_formulary_web_addr	pbp_a_curmbr_phone	pbp_a_curmbr_phone_ext	pbp_a_curmbr_loc_phone	pbp_a_curmbr_loc_phone_ext	pbp_a_prombr_phone	pbp_a_prombr_phone_ext	pbp_a_prombr_loc_phone	pbp_a_prombr_loc_phone_ext	pbp_a_pd_curmbr_phone	pbp_a_pd_curmbr_phone_ext	pbp_a_pd_curmbr_loc_phone	pbp_a_pd_curmbr_loc_phone_ext	pbp_a_pd_prombr_phone	pbp_a_pd_prombr_phone_ext	pbp_a_pd_prombr_loc_phone	pbp_a_pd_prombr_loc_phone_ext	pbp_a_ttytdd_curmbr_phone	pbp_a_ttytdd_curmbr_phone_ext	pbp_a_ttytdd_cur_loc_phone	pbp_a_ttytdd_cur_loc_phone_ext	pbp_a_ttytdd_prombr_phone	pbp_a_ttytdd_prombr_phone_ext	pbp_a_ttytdd_pro_loc_phone	pbp_a_ttytdd_pro_loc_phone_ext	pbp_a_pd_ttytdd_curmbr_phone	pbp_a_pd_ttytdd_curmbr_phn_ext	pbp_a_pd_ttytdd_cur_loc_phone	pbp_a_pd_ttytdd_cur_loc_phn_ex	pbp_a_pd_ttytdd_prombr_phone	pbp_a_pd_ttytdd_prombr_phn_ext	pbp_a_pd_ttytdd_pro_loc_phone	pbp_a_pd_ttytdd_pro_loc_phn_ex	pbp_a_contract_partd_flag		
E0654	801	0		30	13	E0654_801_0	1	05/11/2009	2010.01	05/11/2009 03:38:13 PM Eastern Daylight Time				05/18/2009 01:01:56 PM Eastern Daylight Time	IBT VOLUNTARY EMPLOYEE BENEFITS TRUST	TEAMStar Medicare Part D Prescription Drug Program	www.teamstarpartd.com	IBT VEBA (Employer PDP)	13	30					E0654	801	0	2010	National		1						2							http://www.rxsolutions.com/pdpclientformulary/formulary.asp?var=IBTPDPGOLDinfoid=IBT									(866)-524-4173		(866)-524-4173		(866)-524-4173		(866)-524-4173										(866)-524-4174				(866)-524-4174				1		
E2332	801	0		30	13	E2332_801_0	1	05/29/2009	2010.02	05/29/2009 05:40:35 PM Eastern Daylight Time				05/29/2009 05:40:54 PM Eastern Daylight Time	NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION	National Rural Electric Cooperative Association	www.nreca.coop	NRECA Medicare Part D Plan (Employer PDP)	13	30					E2332	801	0	2010	NRECA Medicare Part D Plan-Nationwide		1						2							http://nreca.medicareplanrx.com									(866)-586-7322		(866)-586-7322		(866)-673-2299		(866)-673-2299																		1		
E2630	801	0		30	13	E2630_801_0	1	05/26/2009	2010.02	05/26/2009 01:45:09 PM Eastern Daylight Time				05/26/2009 03:23:24 PM Eastern Daylight Time	C AND O EMPLOYEES HOSPITAL ASSOCIATION	C and O Employees Hospital Association	www.coeha.com	C and O Employees Hospital Association (Employer PDP)	13	30					E2630	801	0	2010	Virginia, West VA, Kentucky, Ohio, Indiana		1						2							http://www.coeha.com									(800)-679-9135		(540)-862-5728		(800)-679-9135		(540)-862-5728																		1		
E2868	801	0		30	13	E2868_801_0	2	05/29/2009	2010.02	05/29/2009 01:51:42 PM Central Daylight Time				05/29/2009 01:52:23 PM Central Daylight Time	CARPENTER'S HEALTH  AND WELFARE TRUST FUND OF STL	Carpenters' District Council of Greater St. Louis	http://www.carpdc.org/	Carpenters' 2010 Plan (Employer PDP)	13	30					E2868	801	0	2010	National		1						2							http://www.medcohealth.com									(800)-301-3002		(314)-644-4802		(800)-301-3002		(314)-644-4802																		1		
E3014	801	0		30	13	E3014_801_0	1	05/18/2009	2010.02	05/18/2009 08:50:16 AM Eastern Daylight Time				05/18/2009 12:24:46 PM Eastern Daylight Time	PSERS HOP PROGRAM	Pennsylvania Public School Employees Retirement Sy	http://www.psers.state.pa.us/hop/hop.htm	PSERS HOP (Employer PDP)	13	30					E3014	801	0	2010	National		1						2							http://www.hopbenefits.com/medicareRx/drugData/									(888)-239-1301		(888)-239-1301		(888)-239-1301		(888)-239-1301										(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
E4744	801	0		30	13	E4744_801_0	1	05/20/2009	2010.02	05/20/2009 02:47:22 PM Central Daylight Time				05/20/2009 02:47:34 PM Central Daylight Time	MO DOT AND MSHP MEDICAL AND LIFE INS PLAN	MISSOURI DEPARTMENT OF TRANSPORTATION	http://www.modot.state.mo.us/	MODOT's 2010 Plan (Employer PDP)	13	30					E4744	801	0	2010	National		1						2							http://www.wellpointrx.com/									(800)-601-3002		(573)-751-2551		(800)-601-3002		(573)-751-2551																		1		
E5088	801	0	1	40	14	E5088_801_0	3	06/01/2009	2010.02	06/01/2009 12:38:06 PM Mountain Daylight Time	06/02/2009 12:09:29 AM Mountain Daylight Time			06/02/2009 12:14:51 AM Mountain Daylight Time	DESERET HEALTHCARE EMPLOYEE BENEFITS TRUST	Deseret Mutual	www.dmba.com	Deseret Secure (Employer PFFS)	14	40	2	1			E5088	801	0	2010	National Area		1	11500	1	1			2								(800)-777-3622		(801)-578-5600		(800)-777-3622		(801)-578-5600										(800)-333-9715		(801)-578-5655		(800)-333-9715		(801)-578-5655										2		
E6036	801	0	1	40	14	E6036_801_0	2	06/01/2009	2010.02	06/01/2009 05:33:33 PM Eastern Daylight Time	06/01/2009 03:13:06 PM Eastern Daylight Time			06/01/2009 05:35:34 PM Eastern Daylight Time	ASOCIACION DE MAESTROS DE PUERTO RICO	PROSSAM Plus	www.prossamplus.com	PROSSAM Plus (Employer PFFS)	14	40	2	1			E6036	801	0	2010	Commonwealth of Puerto Rico		1	2250	2				2							www.amprnet.org	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391			(866)-690-7771				(866)-690-7771										1		
E6322	801	0		30	13	E6322_801_0	1	05/28/2009	2010.02	05/28/2009 01:39:11 PM Eastern Daylight Time				05/28/2009 01:39:19 PM Eastern Daylight Time	KENTUCKY RETIREMENT SYSTEM	Kentucky Retirement Systems	https://www.kyret.com	Kentucky Retirement Systems (Employer PDP)	13	30					E6322	801	0	2010	Kentucky Retirement Systems		1						2							https://www.walgreenshealth.com/common/pdf/PreferredMedicationListCategory2006.pdf									(800)-928-4646		(502)-696-8800		(800)-928-4646		(502)-696-8800																		1		
E7316	801	0		30	13	E7316_801_0	6	05/19/2009	2010.02	05/19/2009 10:54:55 AM Eastern Daylight Time				05/19/2009 12:14:57 PM Eastern Daylight Time	UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS	Union Pacific Railroad  Employes Health Systems	www.uphealth.com	The UPREHS Prime Medicare Plan (Employer PDP)	13	30					E7316	801	0	2010	National		1						2							https://www.uphealth.com/medicare/formularies.shtml									(800)-547-0421		(801)-595-4300		(800)-547-0421		(801)-595-4300																		1		
E7848	801	0		30	13	E7848_801_0	1	05/29/2009	2010.02	05/29/2009 01:36:21 PM Central Daylight Time				05/29/2009 01:37:01 PM Central Daylight Time	OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARD	HealthChoice	www.sib.ok.gov	OK State and Education Emp Group Ins Board (Employer PDP)	13	30					E7848	801	0	2010	State of Oklahoma		1						2							www.sib.ok.gov									(800)-865-5142		(405)-717-8699		(800)-865-5142		(405)-717-8699										(866)-447-0436		(405)-949-2281		(866)-447-0436		(405)-949-2281		1		
H0084	001	0	1	04	01	H0084_001_0	10	09/15/2009	2010.02	09/15/2009 10:01:48 AM Eastern Daylight Time	08/18/2009 12:46:48 PM Eastern Daylight Time	08/14/2009 10:04:54 AM Eastern Daylight Time		09/15/2009 11:16:28 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement PPO	http://www.careimprovementppo.com	Care Improvement PPO (PPO)	01	04		1			H0084	001	0	2010	Texas		2	500	2				2						http://www.careimprovementppo.com	http://www.careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(866)-460-9028		(866)-460-9028		(866)-460-9026		(866)-460-9026		(866)-460-9157		(866)-460-9157		(866)-460-9026		(866)-460-9026		(866)-460-9127		(866)-460-9127		(866)-460-9127		(866)-460-9127		(866)-460-9158		(866)-460-9158		(866)-460-9127		(866)-460-9127		1		
H0104	002	0	1	04	01	H0104_002_0	5	08/20/2009	2010.02	08/20/2009 10:50:46 AM Central Daylight Time	08/18/2009 10:07:48 AM Central Daylight Time	08/17/2009 09:18:50 PM Central Daylight Time		08/20/2009 10:59:28 AM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Value (PPO)	01	04		1			H0104	002	0	2010	State of Alabama		2	7351	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0104	004	0	1	04	01	H0104_004_0	5	08/04/2009	2010.02	08/04/2009 02:19:16 PM Central Daylight Time	08/18/2009 10:09:16 AM Central Daylight Time	08/17/2009 09:18:56 PM Central Daylight Time		08/20/2009 11:04:07 AM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Plus (PPO)	01	04		1			H0104	004	0	2010	State of Alabama		2	20281	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0104	006	0	1	04	01	H0104_006_0	3	08/17/2009	2010.02	08/17/2009 05:54:50 PM Central Daylight Time	08/19/2009 09:34:48 AM Central Daylight Time	08/17/2009 09:19:04 PM Central Daylight Time		08/20/2009 11:06:57 AM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Special Needs Plan (PPO)	01	04		1			H0104	006	0	2010	State of Alabama		2	6119	2		2		1	3		1	2		www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0104	008	0	1	04	01	H0104_008_0	6	08/20/2009	2010.02	08/20/2009 02:24:56 PM Central Daylight Time	08/18/2009 11:19:02 AM Central Daylight Time	08/17/2009 09:19:12 PM Central Daylight Time		08/20/2009 02:26:21 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Preferred (PPO)	01	04		1			H0104	008	0	2010	State of Alabama		2	44639	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0104	801	0	1	04	01	H0104_801_0	3	07/06/2009	2010.02	07/06/2009 03:05:52 PM Central Daylight Time	05/30/2009 03:01:59 PM Central Daylight Time			07/06/2009 03:07:04 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 801 (PPO)	01	04		1			H0104	801	0	2010	State of Alabama		1	100	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707										(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384										1		
H0104	802	0	1	04	01	H0104_802_0	3	07/06/2009	2010.02	07/06/2009 10:24:10 AM Central Daylight Time	05/30/2009 03:02:18 PM Central Daylight Time			07/06/2009 03:16:03 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 802 (PPO)	01	04		1			H0104	802	0	2010	State of Alabama		1	15700	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0104	804	0	1	04	01	H0104_804_0	4	07/06/2009	2010.02	07/06/2009 10:25:29 AM Central Daylight Time	08/03/2009 02:50:08 PM Central Daylight Time			08/04/2009 02:52:20 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 804 (PPO)	01	04		1			H0104	804	0	2010	State of Alabama		1	15000	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/2010/tools	(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(888)-234-8266		(888)-234-8266		(888)-873-4707		(888)-873-4707		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
H0105	001	0	1	20	08	H0105_001_0	4	05/19/2009	2010.02	05/19/2009 10:48:22 AM Eastern Daylight Time		10/14/2009 10:51:00 AM Eastern Daylight Time		10/14/2009 11:27:45 AM Eastern Daylight Time	THE METHODIST OAKS	The Methodist Oaks d.b.a. The Oaks PACE	www.theoakssc.com	The Methodist Oaks d.b.a. The Oaks PACE (PACE)	08	20		1			H0105	001	0	2010	Rural South Carolina		2		2				2							www.groveparkpharmacy.com									(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300																		1		
H0105	002	0	1	20	08	H0105_002_0	4	05/18/2009	2010.02	05/18/2009 02:13:14 PM Eastern Daylight Time		10/14/2009 10:51:00 AM Eastern Daylight Time		10/14/2009 11:27:45 AM Eastern Daylight Time	THE METHODIST OAKS	The Methodist Oaks d.b.a. The Oaks PACE	www.theoakssc.com	The Methodist Oaks d.b.a. The Oaks PACE (PACE)	08	20		1			H0105	002	0	2010	Rural South Carolina		2		2				2							www.groveparkpharmacy.com									(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300																		1		
H0108	004	0	1	01	01	H0108_004_0	6	08/19/2009	2010.02	08/19/2009 02:09:10 PM Eastern Daylight Time	08/18/2009 05:01:30 PM Eastern Daylight Time	08/19/2009 10:16:05 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-004 (HMO)	01	01		1			H0108	004	0	2010	Fresno County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0108	005	0	1	01	01	H0108_005_0	5	08/19/2009	2010.02	08/19/2009 02:14:35 PM Eastern Daylight Time	08/18/2009 05:07:44 PM Eastern Daylight Time	08/19/2009 10:16:15 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-005 (HMO)	01	01		1			H0108	005	0	2010	Riverside and San Bernardino Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0108	006	0	1	02	01	H0108_006_0	4	07/22/2009	2010.02	07/22/2009 01:50:46 PM Eastern Daylight Time	08/18/2009 05:01:00 PM Eastern Daylight Time	08/19/2009 10:16:30 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-006 (HMO-POS)	01	02		1			H0108	006	0	2010	Riverside and San Bernardino		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0108	801	0	1	01	01	H0108_801_0	5	05/26/2009	2010.02	05/26/2009 03:53:21 PM Eastern Daylight Time	07/21/2009 03:33:08 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0108	801	0	2010	Central California Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0108	802	0	1	01	01	H0108_802_0	3	05/26/2009	2010.02	05/26/2009 03:53:48 PM Eastern Daylight Time	07/21/2009 04:02:12 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0108	802	0	2010	Central California Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0108	803	0	1	01	01	H0108_803_0	3	05/26/2009	2010.02	05/26/2009 03:54:12 PM Eastern Daylight Time	07/21/2009 04:02:34 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H0108	803	0	2010	Central California Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0117	005	0	1	01	01	H0117_005_0	5	07/23/2009	2010.02	07/23/2009 05:55:18 PM Eastern Daylight Time	08/18/2009 02:08:55 PM Eastern Daylight Time	08/17/2009 11:02:51 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF OHIO, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H0117	005	0	2010	Cleveland, Columbus, and Cincinnati Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	(866)-687-8815		(866)-687-8815		(866)-360-8153		(866)-360-8153		(866)-687-8815		(866)-687-8815		(866)-360-8153		(866)-360-8153		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0117	007	0	1	01	01	H0117_007_0	5	08/20/2009	2010.02	08/20/2009 02:16:04 PM Eastern Daylight Time	08/18/2009 02:09:14 PM Eastern Daylight Time	08/17/2009 11:03:05 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF OHIO, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H0117	007	0	2010	Cleveland, Columbus, and Cincinnati Metro Areas		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	(866)-530-9487		(866)-530-9487		(866)-360-8153		(866)-360-8153		(866)-530-9487		(866)-530-9487		(866)-360-8153		(866)-360-8153		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0141	001	0	1	01	01	H0141_001_0	8	08/06/2009	2010.02	08/06/2009 01:21:35 PM Eastern Daylight Time	08/18/2009 07:18:34 AM Eastern Daylight Time	08/18/2009 07:15:44 AM Eastern Daylight Time		08/18/2009 07:37:55 AM Eastern Daylight Time	CARESOURCE MICHIGAN	CareSource	www.caresourceadvantage.com	CareSource Advantage (HMO)	01	01		1			H0141	001	0	2010	SW, NE and Middle Michigan		2	263	2		2		1	3		1	3		www.caresourceadvantage.com	www.caresourceadvantage.com	(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1		
H0150	001	0	1	01	01	H0150_001_0	7	08/20/2009	2010.02	08/20/2009 04:43:24 PM Central Daylight Time	08/19/2009 05:51:30 PM Central Daylight Time	08/24/2009 01:41:48 PM Central Daylight Time		08/25/2009 08:55:53 AM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Plus (HMO)	01	01		1			H0150	001	0	2010	Alabama		2	11440	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0150	007	0	1	01	01	H0150_007_0	9	08/20/2009	2010.02	08/20/2009 10:50:36 AM Central Daylight Time	08/27/2009 11:24:05 AM Central Daylight Time	08/24/2009 01:41:48 PM Central Daylight Time		08/27/2009 12:28:43 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H0150	007	0	2010	Alabama		2	15814	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0150	010	0	1	01	01	H0150_010_0	5	08/20/2009	2010.02	08/20/2009 10:51:50 AM Central Daylight Time	08/19/2009 05:51:18 PM Central Daylight Time	08/19/2009 10:09:47 AM Central Daylight Time		08/20/2009 04:22:27 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Select (HMO)	01	01		1			H0150	010	0	2010	Alabama		2	172	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0150	012	0	1	01	01	H0150_012_0	4	07/24/2009	2010.02	07/24/2009 11:20:30 AM Central Daylight Time	07/24/2009 11:19:20 AM Central Daylight Time			07/27/2009 08:21:07 AM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage (HMO)	01	01		1			H0150	012	0	2010	Alabama		2	330	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1		
H0150	019	0	1	01	01	H0150_019_0	8	08/20/2009	2010.02	08/20/2009 12:03:46 PM Central Daylight Time	08/19/2009 05:51:12 PM Central Daylight Time	08/19/2009 10:09:50 AM Central Daylight Time		08/20/2009 04:22:27 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring OptimaCare (HMO)	01	01		1			H0150	019	0	2010	Alabama		2	746	2				1	4		1		000000100000000	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0150	021	0	1	01	01	H0150_021_0	6	08/20/2009	2010.02	08/20/2009 11:45:51 AM Central Daylight Time	08/19/2009 05:51:06 PM Central Daylight Time	08/19/2009 10:09:53 AM Central Daylight Time		08/20/2009 04:22:27 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring HealthyLiving Premier (HMO)	01	01		1			H0150	021	0	2010	Alabama		2	134	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0150	802	0	1	01	01	H0150_802_0	1	05/30/2009	2010.02	05/30/2009 03:28:29 PM Central Daylight Time	05/31/2009 09:21:10 AM Central Daylight Time			05/31/2009 11:23:06 AM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring Retiree Advantage (HMO)	01	01		1			H0150	802	0	2010	Alabama		1	159	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1		
H0150	804	0	1	01	01	H0150_804_0	1	05/30/2009	2010.02	05/30/2009 05:13:22 PM Central Daylight Time	05/31/2009 09:21:10 AM Central Daylight Time			05/31/2009 11:23:06 AM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthSpring Retiree Advantage Plus (HMO)	01	01		1			H0150	804	0	2010	Alabama		1	159	2				2						www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H0151	001	0	1	01	01	H0151_001_0	3	07/22/2009	2010.02	07/22/2009 01:48:54 PM Central Daylight Time	08/17/2009 09:34:04 AM Central Daylight Time	08/13/2009 05:39:50 PM Central Daylight Time		08/18/2009 01:55:49 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0151	001	0	2010	Central Alabama and Mobile and Baldwin Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0151	015	0	1	01	01	H0151_015_0	3	07/23/2009	2010.02	07/23/2009 01:13:36 PM Central Daylight Time	08/17/2009 09:34:29 AM Central Daylight Time	08/13/2009 05:39:56 PM Central Daylight Time		08/18/2009 01:55:49 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete (HMO)	01	01		1			H0151	015	0	2010	Central Alabama and Mobile and Baldwin Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0151	023	0	1	01	01	H0151_023_0	3	07/20/2009	2010.02	07/20/2009 08:46:03 AM Central Daylight Time	08/17/2009 09:34:53 AM Central Daylight Time	08/13/2009 05:40:02 PM Central Daylight Time		08/18/2009 01:55:49 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0151	023	0	2010	Central Alabama and Mobile and Baldwin Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0151	801	0	1	01	01	H0151_801_0	2	05/29/2009	2010.02	05/29/2009 06:38:19 PM Central Daylight Time	07/21/2009 09:51:25 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	801	0	2010	Select Counties in Alabama		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0151	804	0	1	01	01	H0151_804_0	2	05/26/2009	2010.02	05/28/2009 04:19:48 AM Central Daylight Time	07/21/2009 09:51:42 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	804	0	2010	Select Counties in AL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0151	805	0	1	01	01	H0151_805_0	2	05/26/2009	2010.02	05/28/2009 04:20:01 AM Central Daylight Time	07/21/2009 09:51:59 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	805	0	2010	Select counties in AL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H0154	001	0	1	01	01	H0154_001_0	5	08/19/2009	2010.02	08/19/2009 02:25:49 PM Central Daylight Time	08/18/2009 09:46:00 AM Central Daylight Time	08/18/2009 09:36:00 AM Central Daylight Time		08/19/2009 02:53:19 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx (HMO)	01	01		1			H0154	001	0	2010	Central Alabama		2	21579	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	008	0	1	01	01	H0154_008_0	4	07/14/2009	2010.02	07/14/2009 07:16:28 AM Central Daylight Time	07/21/2009 12:36:49 PM Central Daylight Time			07/21/2009 03:12:57 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Select (HMO)	01	01		1			H0154	008	0	2010	Central Alabama		2	1248	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482										(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546										1		
H0154	010	0	1	01	01	H0154_010_0	8	05/29/2009	2010.02	05/29/2009 11:36:10 AM Central Daylight Time	07/24/2009 03:39:32 PM Central Daylight Time	07/24/2009 03:42:13 PM Central Daylight Time		07/24/2009 03:42:54 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Extra Care (HMO)	01	01		1			H0154	010	0	2010	Central Alabama		2	1883	2		2		1	3		1	2		www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	011	0	1	01	01	H0154_011_0	5	08/19/2009	2010.02	08/19/2009 01:06:45 PM Central Daylight Time	08/18/2009 09:47:00 AM Central Daylight Time	08/18/2009 09:37:00 AM Central Daylight Time		08/19/2009 02:53:19 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Premier (HMO)	01	01		1			H0154	011	0	2010	Central Alabama		2	1389	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	012	0	1	01	01	H0154_012_0	4	05/29/2009	2010.02	05/29/2009 01:22:11 PM Central Daylight Time	08/18/2009 09:48:00 AM Central Daylight Time	08/18/2009 09:38:00 AM Central Daylight Time		08/19/2009 02:53:19 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Extra Value (HMO)	01	01		1			H0154	012	0	2010	Central Alabama		2	2677	2		2		1	3		1	5		www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	013	0	1	01	01	H0154_013_0	4	07/14/2009	2010.02	07/14/2009 04:45:02 PM Central Daylight Time	08/18/2009 09:49:00 AM Central Daylight Time	08/18/2009 09:38:00 AM Central Daylight Time		08/19/2009 02:53:19 PM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Gold (HMO)	01	01		1			H0154	013	0	2010	Central Alabama		2	683	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	801	0	1	01	01	H0154_801_0	2	05/30/2009	2010.02	05/30/2009 11:57:43 AM Central Daylight Time	05/30/2009 09:02:00 PM Central Daylight Time			06/01/2009 07:50:42 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Rx Group Plan (HMO)	01	01		1			H0154	801	0	2010	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0154	802	0	1	01	01	H0154_802_0	2	05/30/2009	2010.02	05/30/2009 12:00:27 PM Central Daylight Time	05/30/2009 09:03:00 PM Central Daylight Time			06/01/2009 07:50:42 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Select Group Plan (HMO)	01	01		1			H0154	802	0	2010	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482										(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546										1		
H0154	803	0	1	01	01	H0154_803_0	2	05/30/2009	2010.02	05/30/2009 11:59:26 AM Central Daylight Time	05/30/2009 09:04:00 PM Central Daylight Time			06/01/2009 07:50:42 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Rx Group Plan (not CY) (HMO)	01	01		1			H0154	803	0	2010	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1		
H0248	001	0	1	04	01	H0248_001_0	7	08/19/2009	2010.02	08/19/2009 02:59:31 PM Eastern Daylight Time	08/18/2009 04:59:30 PM Eastern Daylight Time	08/19/2009 10:16:41 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0248-001 (PPO)	01	04		1			H0248	001	0	2010	Honolulu County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0248	002	0	1	04	01	H0248_002_0	6	07/22/2009	2010.02	07/22/2009 02:24:00 PM Eastern Daylight Time	08/18/2009 05:06:44 PM Eastern Daylight Time	08/19/2009 10:16:56 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0248-002 (PPO)	01	04		1			H0248	002	0	2010	Honolulu		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0248	003	0	1	04	01	H0248_003_0	5	07/20/2009	2010.02	07/20/2009 11:41:06 AM Eastern Daylight Time	07/10/2009 05:06:48 PM Eastern Daylight Time			07/28/2009 10:08:29 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0248-003 (PPO)	01	04		1			H0248	003	0	2010	Honolulu		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0248	801	0	1	04	01	H0248_801_0	5	07/10/2009	2010.02	07/16/2009 07:55:16 AM Eastern Daylight Time	07/21/2009 03:37:08 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0248	801	0	2010	Honolulu County		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0248	802	0	1	04	01	H0248_802_0	5	07/10/2009	2010.02	07/16/2009 07:55:41 AM Eastern Daylight Time	07/21/2009 04:27:02 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0248	802	0	2010	Honolulu County		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0248	803	0	1	04	01	H0248_803_0	5	07/10/2009	2010.02	07/16/2009 07:56:04 AM Eastern Daylight Time	07/21/2009 04:27:16 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H0248	803	0	2010	Honolulu County		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0251	001	0	1	01	01	H0251_001_0	6	08/19/2009	2010.02	08/19/2009 09:32:50 AM Central Daylight Time	08/19/2009 06:28:28 PM Central Daylight Time	08/18/2009 08:41:55 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	AmeriChoice Secure Plus Complete	https://www.uhcrivervalley.com/	AmeriChoice Secure Plus Complete (HMO)	01	01		1			H0251	001	0	2010	East and Middle Tennessee		2		2		2		1	3		1	3		https://www.uhcrivervalley.com/	https://www.uhcrivervalley.com/SecurePlusComplete	(800)-690-1606		(800)-690-1606		(888)-267-6061		(888)-267-6061		(800)-690-1606		(800)-690-1606		(888)-267-6061		(888)-267-6061		(800)-884-4327		(800)-884-4327		(800)-387-1074		(800)-387-1074		(800)-884-4327		(800)-884-4327		(800)-387-1074		(800)-387-1074		1		
H0251	002	0	1	01	01	H0251_002_0	6	08/19/2009	2010.02	08/19/2009 09:33:20 AM Central Daylight Time	08/19/2009 06:27:13 PM Central Daylight Time	08/18/2009 08:38:41 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	AmeriChoice Secure Plus Complete	https://www.uhcrivervalley.com/	AmeriChoice Secure Plus Complete (HMO)	01	01		1			H0251	002	0	2010	Tennessee Counties		2		2		2		1	3		1	5		https://www.uhcrivervalley.com/	https://www.uhcrivervalley.com/SecurePlusComplete	(800)-690-1606		(800)-690-1606		(888)-267-6061		(888)-267-6061		(800)-690-1606		(800)-690-1606		(888)-267-6061		(888)-267-6061		(800)-884-4327		(800)-884-4327		(800)-387-1074		(800)-387-1074		(800)-884-4327		(800)-884-4327		(800)-387-1074		(800)-387-1074		1		
H0302	001	0	1	01	01	H0302_001_0	7	08/20/2009	2010.02	08/20/2009 09:47:23 AM US Mountain Standard Time	08/20/2009 04:29:04 PM US Mountain Standard Time	08/20/2009 09:57:56 AM US Mountain Standard Time		08/20/2009 03:37:22 PM US Mountain Standard Time	BANNER MEDISUN, INC.	MediSunONE	www.medisun.com	MediSunONE Plus (HMO)	01	01		1			H0302	001	0	2010	MediSunONE, Maricopa  County		2	15563	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		1		
H0302	004	0	1	01	01	H0302_004_0	6	08/20/2009	2010.02	08/20/2009 09:48:30 AM US Mountain Standard Time	08/20/2009 04:32:20 PM US Mountain Standard Time	08/20/2009 09:58:46 AM US Mountain Standard Time		08/20/2009 03:46:03 PM US Mountain Standard Time	BANNER MEDISUN, INC.	MediSunONE	www.medisun.com	MediSunONE HeartSmart (HMO)	01	01		1			H0302	004	0	2010	MediSunONE HeartSmart, Maricopa County		2	640	2				1	4		1		000110000000000	www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		1		
H0302	006	0	1	01	01	H0302_006_0	5	08/20/2009	2010.02	08/20/2009 09:49:37 AM US Mountain Standard Time	08/20/2009 04:33:30 PM US Mountain Standard Time	08/20/2009 09:59:08 AM US Mountain Standard Time		08/20/2009 03:51:10 PM US Mountain Standard Time	BANNER MEDISUN, INC.	MediSunONE	www.medisun.com	MediSunONE Classic (HMO)	01	01		1			H0302	006	0	2010	Maricopa County		2	4150	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		1		
H0302	007	0	1	01	01	H0302_007_0	6	08/20/2009	2010.02	08/20/2009 09:51:25 AM US Mountain Standard Time	08/20/2009 04:34:52 PM US Mountain Standard Time	08/20/2009 09:59:36 AM US Mountain Standard Time		08/20/2009 03:56:23 PM US Mountain Standard Time	BANNER MEDISUN, INC.	MediSunONE	www.medisun.com	MediSunONE Premier (HMO)	01	01		1			H0302	007	0	2010	Maricopa County		2	1037	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		(866)-331-2188		(623)-974-7440		1		
H0303	013	0	1	01	01	H0303_013_0	6	09/22/2009	2010.02	09/22/2009 04:08:16 PM Central Daylight Time	08/17/2009 10:50:16 AM Central Daylight Time	08/13/2009 05:40:07 PM Central Daylight Time		09/23/2009 08:47:04 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0303	013	0	2010	Pima		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0303	015	0	1	01	01	H0303_015_0	4	09/22/2009	2010.02	09/22/2009 04:13:28 PM Central Daylight Time	08/17/2009 10:50:31 AM Central Daylight Time	08/13/2009 05:40:11 PM Central Daylight Time		09/23/2009 08:47:04 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0303	015	0	2010	Maricopa and Pinal Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0303	034	0	1	01	01	H0303_034_0	3	07/15/2009	2010.02	07/15/2009 04:43:45 PM Central Daylight Time	08/17/2009 10:50:46 AM Central Daylight Time	08/13/2009 05:40:15 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0303	034	0	2010	Maricopa, Pima, and part of Pinal counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0303	039	0	1	01	01	H0303_039_0	4	09/22/2009	2010.02	09/22/2009 04:21:35 PM Central Daylight Time	08/17/2009 10:51:02 AM Central Daylight Time	08/13/2009 05:40:19 PM Central Daylight Time		09/23/2009 08:47:04 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0303	039	0	2010	Maricopa - Apache Junction		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0303	801	0	1	01	01	H0303_801_0	2	05/30/2009	2010.02	05/30/2009 12:57:11 PM Central Daylight Time	07/21/2009 11:03:47 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	801	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-347-8600		(800)-347-8600		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H0303	804	0	1	01	01	H0303_804_0	2	05/30/2009	2010.02	05/30/2009 04:02:38 PM Central Daylight Time	07/21/2009 11:47:33 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	804	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-347-8600		(800)-347-8600		(800)-698-0822		(800)-698-0822		(800)-347-8600		(800)-347-8600		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0303	805	0	1	01	01	H0303_805_0	2	05/30/2009	2010.02	05/30/2009 04:02:39 PM Central Daylight Time	07/21/2009 11:48:47 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	805	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-347-8600		(800)-347-8600		(800)-610-2660		(800)-610-2660		(800)-347-8600		(800)-347-8600		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0307	008	0	1	01	01	H0307_008_0	4	07/22/2009	2010.02	07/22/2009 12:27:38 PM Eastern Daylight Time	08/18/2009 05:03:00 PM Eastern Daylight Time	08/19/2009 10:17:14 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-008 (HMO)	01	01		1			H0307	008	0	2010	Maricopa and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	009	0	1	02	01	H0307_009_0	6	08/19/2009	2010.02	08/19/2009 02:16:02 PM Eastern Daylight Time	08/18/2009 04:58:30 PM Eastern Daylight Time	08/19/2009 10:17:23 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-009 (HMO-POS)	01	02		1			H0307	009	0	2010	Pima and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	010	0	1	02	01	H0307_010_0	3	07/22/2009	2010.02	07/22/2009 01:45:23 PM Eastern Daylight Time	08/18/2009 05:00:30 PM Eastern Daylight Time	08/19/2009 10:17:33 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-010 (HMO-POS)	01	02		1			H0307	010	0	2010	Maricopa and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	011	0	1	01	01	H0307_011_0	3	08/19/2009	2010.02	08/19/2009 02:16:30 PM Eastern Daylight Time	08/18/2009 05:06:14 PM Eastern Daylight Time	08/19/2009 10:17:42 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-011 (HMO)	01	01		1			H0307	011	0	2010	Maricopa and Pinal (partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	801	0	1	01	01	H0307_801_0	3	05/26/2009	2010.02	05/26/2009 03:54:36 PM Eastern Daylight Time	07/21/2009 03:25:32 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0307	801	0	2010	Maricopa and parts of Pinal		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	802	0	1	01	01	H0307_802_0	3	05/26/2009	2010.02	05/26/2009 03:55:04 PM Eastern Daylight Time	07/21/2009 04:10:08 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0307	802	0	2010	Maricopa and parts of Pinal		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0307	803	0	1	01	01	H0307_803_0	3	05/26/2009	2010.02	05/26/2009 03:55:28 PM Eastern Daylight Time	07/21/2009 04:10:26 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H0307	803	0	2010	Maricopa and Pinal Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	805	0	1	02	01	H0307_805_0	5	05/26/2009	2010.02	05/26/2009 04:14:49 PM Eastern Daylight Time	07/21/2009 05:16:54 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO-POS)	01	02		1			H0307	805	0	2010	Maricopa and Pinal Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0307	806	0	1	02	01	H0307_806_0	4	05/26/2009	2010.02	05/27/2009 02:58:25 PM Eastern Daylight Time	07/21/2009 05:17:50 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO-POS)	01	02		1			H0307	806	0	2010	Maricopa and Pinal Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0307	807	0	1	02	01	H0307_807_0	4	05/26/2009	2010.02	05/27/2009 02:58:47 PM Eastern Daylight Time	07/21/2009 05:18:46 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO-POS)	01	02		1			H0307	807	0	2010	Maricopa and Pinal Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0316	002	0	1	01	01	H0316_002_0	5	09/23/2009	2010.02	09/23/2009 02:04:32 PM Central Daylight Time	08/21/2009 03:11:08 PM Central Daylight Time	08/13/2009 05:40:23 PM Central Daylight Time		09/24/2009 01:56:26 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0316	002	0	2010	Pima, Cochise, Graham and Santa Cruz counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0316	013	0	1	01	01	H0316_013_0	3	07/20/2009	2010.02	07/20/2009 04:29:55 PM Central Daylight Time	08/14/2009 04:01:16 PM Central Daylight Time	08/13/2009 05:40:27 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0316	013	0	2010	Cochise, Graham, Santa Cruz Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0316	014	0	1	02	01	H0316_014_0	4	09/23/2009	2010.02	09/23/2009 02:15:19 PM Central Daylight Time	08/14/2009 04:01:50 PM Central Daylight Time	08/13/2009 05:40:31 PM Central Daylight Time		09/24/2009 01:56:26 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0316	014	0	2010	Yavapai		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0316	801	0	1	01	01	H0316_801_0	2	05/30/2009	2010.02	05/30/2009 01:36:27 PM Central Daylight Time	07/21/2009 01:09:05 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	801	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0316	804	0	1	01	01	H0316_804_0	2	05/30/2009	2010.02	05/30/2009 01:36:48 PM Central Daylight Time	07/21/2009 01:09:54 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	804	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0316	806	0	1	01	01	H0316_806_0	2	05/30/2009	2010.02	05/30/2009 01:37:16 PM Central Daylight Time	07/21/2009 01:10:37 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	806	0	2010	AZ Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H0317	001	0	1	04	01	H0317_001_0	4	07/27/2009	2010.02	07/27/2009 04:47:42 PM Eastern Daylight Time	08/18/2009 04:58:00 PM Eastern Daylight Time	08/19/2009 10:17:55 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-001 (PPO)	01	04		1			H0317	001	0	2010	Maricopa and Yavapai Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0317	002	0	1	04	01	H0317_002_0	3	08/20/2009	2010.02	08/20/2009 02:18:32 PM Eastern Daylight Time	08/18/2009 05:03:34 PM Eastern Daylight Time	08/19/2009 10:18:05 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-002 (PPO)	01	04		1			H0317	002	0	2010	Maricopa and Yavapai Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0317	004	0	1	04	01	H0317_004_0	3	08/20/2009	2010.02	08/20/2009 02:19:34 PM Eastern Daylight Time	08/18/2009 04:59:00 PM Eastern Daylight Time	08/19/2009 10:18:16 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-004 (PPO)	01	04		1			H0317	004	0	2010	Pima and Pinal Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0317	006	0	1	04	01	H0317_006_0	5	08/20/2009	2010.02	08/20/2009 10:22:14 AM Eastern Daylight Time	08/18/2009 05:05:42 PM Eastern Daylight Time	08/19/2009 10:18:24 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-006 (PPO)	01	04		1			H0317	006	0	2010	Yavapai County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0317	801	0	1	04	01	H0317_801_0	4	07/10/2009	2010.02	07/10/2009 03:39:16 PM Eastern Daylight Time	07/21/2009 03:38:08 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0317	801	0	2010	South Central Arizona		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0317	802	0	1	04	01	H0317_802_0	4	07/10/2009	2010.02	07/10/2009 03:45:29 PM Eastern Daylight Time	07/21/2009 04:27:30 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0317	802	0	2010	South Central Arizona		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0317	803	0	1	04	01	H0317_803_0	4	07/10/2009	2010.02	07/10/2009 03:45:40 PM Eastern Daylight Time	07/21/2009 04:27:48 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H0317	803	0	2010	South Central Arizona		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0318	002	0	1	01	01	H0318_002_0	4	08/20/2009	2010.02	08/20/2009 11:54:55 AM Eastern Daylight Time	08/18/2009 06:48:00 PM Eastern Daylight Time	08/17/2009 02:26:30 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0318	002	0	2010	Maricopa County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0318	801	0	1	01	01	H0318_801_0	1	05/19/2009	2010.02	05/19/2009 11:08:09 AM Eastern Daylight Time	05/29/2009 06:37:01 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0318	801	0	2010	Maricopa and Pinal Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H0318	802	0	1	01	01	H0318_802_0	1	05/19/2009	2010.02	05/19/2009 11:12:10 AM Eastern Daylight Time	05/29/2009 06:43:28 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0318	802	0	2010	Maricopa and Pinal Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0319	001	0	1	04	01	H0319_001_0	3	08/20/2009	2010.02	08/20/2009 02:28:53 PM Central Daylight Time	08/19/2009 11:53:22 AM Central Daylight Time	08/13/2009 05:40:35 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H0319	001	0	2010	Maricopa, Pima, and Pinal Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0319	004	0	1	04	01	H0319_004_0	4	07/20/2009	2010.02	07/20/2009 08:12:28 AM Central Daylight Time	08/19/2009 11:52:16 AM Central Daylight Time	08/13/2009 05:40:39 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H0319	004	0	2010	Maricopa and Pima Counties		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0320	001	0	1	01	01	H0320_001_0	10	08/20/2009	2010.02	08/20/2009 12:09:12 PM Pacific Daylight Time	08/20/2009 12:15:52 PM Pacific Daylight Time	08/20/2009 12:20:06 PM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care - Plus (HMO)	01	01		1			H0320	001	0	2010	Coconino		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H0320	005	0	1	01	01	H0320_005_0	6	08/20/2009	2010.02	08/20/2009 12:09:29 PM Pacific Daylight Time	08/19/2009 11:14:30 AM Pacific Daylight Time	08/19/2009 11:11:14 AM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care-Plus (HMO)	01	01		1			H0320	005	0	2010	Mohave		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H0320	006	0	1	01	01	H0320_006_0	5	08/20/2009	2010.02	08/20/2009 12:09:51 PM Pacific Daylight Time	08/20/2009 12:15:42 PM Pacific Daylight Time	08/20/2009 12:20:04 PM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care-Plus (HMO)	01	01		1			H0320	006	0	2010	Yavapai		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H0320	007	0	1	02	01	H0320_007_0	7	08/20/2009	2010.02	08/20/2009 01:48:41 PM Pacific Daylight Time	08/20/2009 12:15:28 PM Pacific Daylight Time	08/20/2009 12:20:00 PM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care - Plus Point (HMO-POS)	01	02		1			H0320	007	0	2010	Yavapai		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H0321	002	0	1	01	01	H0321_002_0	4	08/19/2009	2010.02	08/19/2009 09:33:45 AM Central Daylight Time	08/19/2009 06:33:14 PM Central Daylight Time	08/18/2009 08:27:44 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	ARIZONA PHYSICIANS IPA, INC.	APIPA Personal Care Plus	myapipa.com	APIPA Personal Care Plus (HMO)	01	01		1			H0321	002	0	2010	Maricopa, Pima, Yuma, Mohave and Related Counties		2		2		2		1	3		1	3		www.myapipa.com	www.myapipa.com	(877)-614-0623		(877)-614-0623		(877)-614-0621		(877)-614-0621		(877)-614-0623		(877)-614-0623		(877)-614-0621		(877)-614-0621		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		1		
H0332	001	0	1	01	01	H0332_001_0	5	07/13/2009	2010.02	07/13/2009 10:14:01 AM Central Daylight Time	06/01/2009 01:23:57 PM Central Daylight Time			07/16/2009 08:14:47 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential (HMO)	01	01		1			H0332	001	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		2	3879	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273										(866)-302-9336		(866)-302-9336		(866)-302-9336		(713)-442-9537										1		
H0332	002	0	1	01	01	H0332_002_0	6	08/25/2009	2010.02	08/25/2009 03:43:07 PM Central Daylight Time	08/25/2009 03:47:41 PM Central Daylight Time	08/20/2009 02:33:32 PM Central Daylight Time		08/26/2009 10:10:42 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx (HMO)	01	01		1			H0332	002	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		2	5897	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273		(866)-589-5222		(713)-442-5177		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0332	003	0	1	02	01	H0332_003_0	3	07/13/2009	2010.02	07/13/2009 10:15:58 AM Central Daylight Time	06/01/2009 01:34:25 PM Central Daylight Time			07/16/2009 08:14:47 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice (HMO-POS)	01	02		1			H0332	003	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		2	1998	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1		
H0332	004	0	1	02	01	H0332_004_0	5	08/25/2009	2010.02	08/25/2009 03:43:33 PM Central Daylight Time	08/25/2009 03:48:36 PM Central Daylight Time	08/20/2009 02:35:24 PM Central Daylight Time		08/26/2009 10:10:42 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice (HMO-POS)	01	02		1			H0332	004	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		2	965	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273		(866)-589-5222		(713)-442-5177		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0332	801	0	1	01	01	H0332_801_0	2	05/29/2009	2010.02	05/29/2009 02:53:37 PM Central Daylight Time	05/31/2009 06:50:01 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential Retiree (HMO)	01	01		1			H0332	801	0	2010	Texas		1	16	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1		
H0332	803	0	1	01	01	H0332_803_0	2	05/29/2009	2010.02	05/29/2009 02:54:52 PM Central Daylight Time	05/31/2009 07:04:47 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx Retiree (HMO)	01	01		1			H0332	803	0	2010	Texas		1	42	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0332	804	0	1	02	01	H0332_804_0	2	05/29/2009	2010.02	05/29/2009 03:05:48 PM Central Daylight Time	05/31/2009 07:02:07 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice Retiree (HMO-POS)	01	02		1			H0332	804	0	2010	Texas		1	17	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1		
H0332	805	0	1	02	01	H0332_805_0	2	05/29/2009	2010.02	05/29/2009 03:12:22 PM Central Daylight Time	05/31/2009 06:54:07 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice Retiree (HMO-POS)	01	02		1			H0332	805	0	2010	Texas		1	17	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0332	806	0	1	01	01	H0332_806_0	2	05/29/2009	2010.02	05/29/2009 03:15:31 PM Central Daylight Time	05/31/2009 07:06:42 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential Retiree (HMO)	01	01		1			H0332	806	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		1	30	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1		
H0332	807	0	1	01	01	H0332_807_0	2	05/29/2009	2010.02	05/29/2009 03:16:06 PM Central Daylight Time	05/31/2009 06:56:02 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx Retiree (HMO)	01	01		1			H0332	807	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		1	43	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0332	808	0	1	02	01	H0332_808_0	2	05/29/2009	2010.02	05/29/2009 03:32:32 PM Central Daylight Time	05/31/2009 07:08:28 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice Retiree (HMO-POS)	01	02		1			H0332	808	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		1	30	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1		
H0332	809	0	1	02	01	H0332_809_0	2	05/29/2009	2010.02	05/29/2009 03:33:35 PM Central Daylight Time	05/31/2009 07:09:18 PM Central Daylight Time			05/31/2009 07:10:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice Retiree (HMO-POS)	01	02		1			H0332	809	0	2010	Harris, Ft Bend, Galveston and Montgomery counties		1	36	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-534-0554		(713)-442-9550		(866)-534-0554		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-589-5222		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1		
H0346	001	0	1	20	08	H0346_001_0	2	05/19/2009	2010.02	05/19/2009 12:39:30 PM Eastern Daylight Time		10/13/2009 04:24:12 PM Eastern Daylight Time		10/15/2009 12:11:31 PM Eastern Daylight Time	PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	PACE Vermont - Duals (PACE)	08	20		1			H0346	001	0	2010	Chittenden and Grand Isle Counties		2		2				2							www.pacevt.org									(888)-655-6708		(802)-655-6700		(888)-655-6708		(802)-655-6700																		1		
H0346	002	0	1	20	08	H0346_002_0	2	05/19/2009	2010.02	05/19/2009 12:39:40 PM Eastern Daylight Time		10/13/2009 04:24:12 PM Eastern Daylight Time		10/15/2009 12:11:31 PM Eastern Daylight Time	PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	PACE Vermont (PACE)	08	20		1			H0346	002	0	2010	Rutland and Bennington Counties		2		2				2							www.pacevt.org									(888)-655-6708		(802)-776-2900		(888)-655-6708		(802)-655-6700																		1		
H0351	014	0	1	01	01	H0351_014_0	4	07/23/2009	2010.02	07/23/2009 11:43:05 AM Pacific Daylight Time	08/20/2009 09:31:00 AM Pacific Daylight Time	08/14/2009 06:25:00 PM Pacific Daylight Time		08/20/2009 03:00:14 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 1 (HMO)	01	01		1			H0351	014	0	2010	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	029	0	1	01	01	H0351_029_0	4	08/18/2009	2010.02	08/18/2009 06:11:23 PM US Mountain Standard Time	08/20/2009 09:32:00 AM Pacific Daylight Time	08/14/2009 06:25:00 PM Pacific Daylight Time		08/20/2009 03:00:14 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Amber (HMO)	01	01		1			H0351	029	0	2010	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	030	0	1	01	01	H0351_030_0	5	07/30/2009	2010.02	07/30/2009 07:58:03 AM US Mountain Standard Time	07/24/2009 01:39:00 PM Pacific Daylight Time			07/30/2009 03:14:20 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Green (HMO)	01	01		1			H0351	030	0	2010	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311										(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757										1		
H0351	034	0	1	01	01	H0351_034_0	3	08/20/2009	2010.02	08/20/2009 09:59:01 AM US Mountain Standard Time	08/20/2009 10:37:00 AM Pacific Daylight Time	08/14/2009 06:25:00 PM Pacific Daylight Time		08/20/2009 03:00:14 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 3 (HMO)	01	01		1			H0351	034	0	2010	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	035	0	1	01	01	H0351_035_0	3	08/18/2009	2010.02	08/18/2009 04:53:44 PM US Mountain Standard Time	08/20/2009 09:33:00 AM Pacific Daylight Time	08/14/2009 06:25:00 PM Pacific Daylight Time		08/20/2009 03:00:14 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 4 (HMO)	01	01		1			H0351	035	0	2010	Cochise, Pima, Santa Cruz		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	036	0	1	01	01	H0351_036_0	5	08/18/2009	2010.02	08/18/2009 04:50:01 PM US Mountain Standard Time	08/20/2009 09:33:00 AM Pacific Daylight Time	08/14/2009 06:26:00 PM Pacific Daylight Time		08/20/2009 03:00:14 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 4 (HMO)	01	01		1			H0351	036	0	2010	Maricopa, Pinal		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	801	0	1	01	01	H0351_801_0	4	07/28/2009	2010.02	07/28/2009 04:16:44 PM US Mountain Standard Time	07/20/2009 10:15:30 AM Pacific Daylight Time			08/05/2009 03:42:44 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	801	0	2010	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0351	803	0	1	01	01	H0351_803_0	4	07/28/2009	2010.02	07/28/2009 04:16:59 PM US Mountain Standard Time	07/20/2009 10:16:12 AM Pacific Daylight Time			08/05/2009 03:42:44 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	803	0	2010	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311										(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757										1		
H0351	804	0	1	01	01	H0351_804_0	4	07/28/2009	2010.02	07/28/2009 04:17:14 PM US Mountain Standard Time	07/20/2009 10:16:50 AM Pacific Daylight Time			08/05/2009 03:42:44 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	804	0	2010	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1		
H0354	001	0	1	01	01	H0354_001_0	9	08/18/2009	2010.02	08/18/2009 03:09:25 PM US Mountain Standard Time	08/14/2009 11:29:10 AM US Mountain Standard Time	08/14/2009 11:37:28 AM US Mountain Standard Time		08/18/2009 03:18:10 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA Medicare Select	www.cignamedicare.com	CIGNA Medicare Select Plus Rx (HMO)	01	01		1			H0354	001	0	2010	Maricopa County and the City of Apache Junction		2		2				2						www.cignamedicare.com	www.cignamedicare.com			(800)-627-7534				(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231				(800)-987-8816				(800)-987-8816		(800)-987-8816				(800)-987-8816				1		
H0354	012	0	1	01	01	H0354_012_0	10	08/18/2009	2010.02	08/18/2009 02:51:15 PM US Mountain Standard Time	08/19/2009 09:38:18 AM US Mountain Standard Time	08/19/2009 09:36:02 AM US Mountain Standard Time		08/19/2009 11:35:16 AM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA Medicare Select	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Dual (HMO)	01	01		1			H0354	012	0	2010	Maricopa County and the City of Apache Junction		2		2		2		1	3		1	2		www.cignamedicare.com	www.cignamedicare.com			(800)-627-7534				(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1		
H0354	801	0	1	01	01	H0354_801_0	4	08/06/2009	2010.02	08/06/2009 12:35:23 PM US Mountain Standard Time	07/31/2009 03:39:54 PM US Mountain Standard Time			08/06/2009 01:03:04 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA Medicare Select	www.cignamedicare.com	CIGNA Medicare Select-Employer (HMO)	01	01		1			H0354	801	0	2010	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com			(800)-627-7534				(800)-592-9231												(800)-987-8816				(800)-987-8816										1		
H0354	804	0	1	01	01	H0354_804_0	3	08/06/2009	2010.02	08/06/2009 12:35:33 PM US Mountain Standard Time	07/31/2009 03:13:48 PM US Mountain Standard Time			08/06/2009 01:03:04 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA Medicare Select	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Employer Calendar Yr (HMO)	01	01		1			H0354	804	0	2010	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com			(800)-627-7534				(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231				(800)-987-8816				(800)-987-8816		(800)-987-8816				(800)-987-8816				1		
H0354	805	0	1	01	01	H0354_805_0	4	08/06/2009	2010.02	08/06/2009 12:35:44 PM US Mountain Standard Time	07/31/2009 03:37:22 PM US Mountain Standard Time			08/06/2009 01:03:04 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA Medicare Select	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Employer NonCal Yr (HMO)	01	01		1			H0354	805	0	2010	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com			(800)-627-7534				(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231				(800)-987-8816				(800)-987-8816		(800)-987-8816				(800)-987-8816				1		
H0370	001	0	1	04	01	H0370_001_0	7	08/27/2009	2010.02	08/27/2009 02:42:05 PM Central Daylight Time	08/19/2009 04:12:23 PM Central Daylight Time	08/18/2009 08:52:28 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health and Life Insurance Company	www.ia.chcadvantra.com	Advantra Platinum PPO SD (PPO)	01	04		1			H0370	001	0	2010	Partial South Dakota		2	2090	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H0370	801	0	1	04	01	H0370_801_0	4	05/30/2009	2010.02	05/30/2009 07:02:12 PM Central Daylight Time	06/01/2009 02:48:12 PM Central Daylight Time			07/29/2009 03:02:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health and Life Insurance Company	www.advantraplans.com	SD/PPO-EmGp/NoRx/Cyear (PPO)	01	04		1			H0370	801	0	2010	South Dakota		1	404	2				2						http://www.ia.chcadvantra.com/framesetdef.asp?Community=Member	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010										1		
H0370	802	0	1	04	01	H0370_802_0	4	05/30/2009	2010.02	05/30/2009 05:49:50 PM Central Daylight Time	06/01/2009 02:53:05 PM Central Daylight Time			07/29/2009 03:02:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health and Life Insurance Company	www.advantraplans.com	SD/PPO-EmGp/Comm4/Cyear (PPO)	01	04		1			H0370	802	0	2010	South Dakota		1	404	2				2						http://www.ia.chcadvantra.com/framesetdef.asp?Community=Member	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(877)-215-4100		(877)-215-4100		1		
H0370	803	0	1	04	01	H0370_803_0	4	05/30/2009	2010.02	05/30/2009 05:49:50 PM Central Daylight Time	06/01/2009 03:38:31 PM Central Daylight Time			07/29/2009 03:02:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health and Life Insurance Company	www.advantraplans.com	SD/PPO-EmGp/Comm4/NonCyear (PPO)	01	04		1			H0370	803	0	2010	South Dakota		1	404	2				2						http://www.ia.chcadvantra.com/framesetdef.asp?Community=Member	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H0401	002	0	1	02	01	H0401_002_0	3	08/18/2009	2010.02	08/18/2009 10:32:11 AM Central Daylight Time	08/14/2009 01:50:43 PM Central Daylight Time	08/13/2009 05:40:42 PM Central Daylight Time		08/18/2009 01:55:49 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0401	002	0	2010	Select Counties in Arkansas		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0401	801	0	1	01	01	H0401_801_0	2	05/26/2009	2010.02	05/28/2009 04:21:38 AM Central Daylight Time	07/21/2009 09:22:57 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	801	0	2010	Benton and Washington Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0401	804	0	1	01	01	H0401_804_0	2	05/26/2009	2010.02	05/28/2009 04:21:53 AM Central Daylight Time	07/21/2009 09:23:11 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	804	0	2010	Benton and Washington Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H0401	805	0	1	01	01	H0401_805_0	2	05/26/2009	2010.02	05/28/2009 04:22:07 AM Central Daylight Time	07/21/2009 09:23:26 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	805	0	2010	Select Counites in AR		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(800)-854-4317		(800)-854-4317		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0408	002	0	1	02	01	H0408_002_0	3	08/20/2009	2010.02	08/20/2009 05:24:10 PM Central Daylight Time	08/19/2009 04:20:11 PM Central Daylight Time	08/13/2009 05:40:46 PM Central Daylight Time		08/20/2009 06:49:14 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H0408	002	0	2010	Anderson, Blount, Knox and Loudon Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0410	001	0	1	37	05	H0410_001_0	4	07/07/2009	2010.02	07/07/2009 09:28:55 AM Central Daylight Time	08/14/2009 10:36:40 AM Central Daylight Time	08/13/2009 05:40:50 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H0410	001	0	2010	Oakland and Wayne Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H0410	002	0	1	37	05	H0410_002_0	2	07/07/2009	2010.02	07/07/2009 09:28:38 AM Central Daylight Time	07/16/2009 06:34:30 PM Central Daylight Time			07/23/2009 02:42:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H0410	002	0	2010	Oakland and Wayne Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H0410	003	0	1	37	05	H0410_003_0	4	07/07/2009	2010.02	07/07/2009 09:29:10 AM Central Daylight Time	08/14/2009 10:37:21 AM Central Daylight Time	08/13/2009 05:40:54 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H0410	003	0	2010	Oakland and Wayne Counties		2		2				1	4		1		000110100000000	www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H0410	004	0	1	37	05	H0410_004_0	3	07/07/2009	2010.02	07/07/2009 09:29:25 AM Central Daylight Time	08/18/2009 02:31:08 PM Central Daylight Time	08/13/2009 05:40:58 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H0410	004	0	2010	Wayne and Oakland Counties		2		2				1	1	1	1			www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H0423	001	0	1	01	01	H0423_001_0	7	08/11/2009	2010.02	08/11/2009 08:12:11 PM Eastern Daylight Time	08/21/2009 02:45:58 PM Eastern Daylight Time	08/18/2009 04:40:24 PM Eastern Daylight Time		08/23/2009 06:54:04 AM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Advantage Plan (HMO)	01	01		1			H0423	001	0	2010	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2		2		1	3		1	2		www.metroplus.org	www.metroplus.org	(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1		
H0423	002	0	1	01	01	H0423_002_0	8	08/04/2009	2010.02	08/04/2009 12:30:01 PM Eastern Daylight Time	08/21/2009 02:46:28 PM Eastern Daylight Time	08/18/2009 04:41:22 PM Eastern Daylight Time		08/23/2009 06:54:04 AM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Partnership in Care Plan (HMO)	01	01		1			H0423	002	0	2010	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2				1	4		1		000000000010000	www.metroplus.org	www.metroplus.org	(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1		
H0423	003	0	1	01	01	H0423_003_0	7	07/17/2009	2010.02	07/17/2009 05:09:41 PM Eastern Daylight Time	08/21/2009 02:46:50 PM Eastern Daylight Time	08/18/2009 04:41:36 PM Eastern Daylight Time		08/23/2009 06:54:04 AM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Select Plan (HMO)	01	01		1			H0423	003	0	2010	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2		2		1	3		1	5		www.metroplus.org	www.metroplus.org	(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1		
H0423	004	0	1	01	01	H0423_004_0	7	08/23/2009	2010.02	08/23/2009 06:40:56 AM Eastern Daylight Time	08/21/2009 02:47:32 PM Eastern Daylight Time	08/18/2009 04:42:32 PM Eastern Daylight Time		08/23/2009 06:54:04 AM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Platinum (HMO)	01	01		1			H0423	004	0	2010	MetroPlus Platinum		2		2				2						www.metroplus.org	www.metroplus.org	(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-303-9626		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1		
H0474	001	0	1	01	01	H0474_001_0	6	08/19/2009	2010.01	08/19/2009 02:22:22 PM Central Daylight Time	08/19/2009 08:03:47 AM Central Daylight Time	08/19/2009 08:19:13 AM Central Daylight Time		08/19/2009 09:09:15 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H0474	001	0	2010	Greater Rochester Metropolitan Area		2	1946	2				2						www.essencehealthcare.com	www.essencehealthcare.com			(314)-851-3600				(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600				(314)-851-3601				(314)-851-3601				(314)-851-3601				(314)-851-3601		1		
H0474	002	0	1	01	01	H0474_002_0	5	05/24/2009	2010.01	05/24/2009 07:25:05 PM Central Daylight Time	08/19/2009 08:04:51 AM Central Daylight Time	08/19/2009 08:20:01 AM Central Daylight Time		08/19/2009 12:12:33 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H0474	002	0	2010	Greater Rochester Metropolitan Area		2	216	2				2						www.essencehealthcare.com	www.essencehealthcare.com			(314)-851-3600				(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600				(314)-851-3601				(314)-851-3601				(314)-851-3601				(314)-851-3601		1		
H0474	801	0	1	01	01	H0474_801_0	2	05/29/2009	2010.01	05/29/2009 04:57:40 PM Central Daylight Time	05/26/2009 08:08:23 AM Central Daylight Time			05/29/2009 05:13:04 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H0474	801	0	2010	Greater Rochester Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com			(314)-851-3600				(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600				(314)-851-3601				(314)-851-3601				(314)-851-3601				(314)-851-3601		1		
H0474	802	0	1	01	01	H0474_802_0	3	05/29/2009	2010.01	05/29/2009 04:59:04 PM Central Daylight Time	05/26/2009 08:12:16 AM Central Daylight Time			05/29/2009 05:19:19 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H0474	802	0	2010	Greater Rochester Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com			(314)-851-3600				(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600				(314)-851-3601				(314)-851-3601				(314)-851-3601				(314)-851-3601		1		
H0490	001	0	1	01	01	H0490_001_0	6	05/30/2009	2010.02	05/30/2009 01:52:02 PM Pacific Daylight Time	08/19/2009 12:56:38 PM Pacific Daylight Time	08/19/2009 12:55:53 PM Pacific Daylight Time		08/19/2009 05:29:13 PM Pacific Daylight Time	MOLINA HEALTHCARE OF OHIO	Molina Healthcare of Ohio	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H0490	001	0	2010	Ohio Urban Area		2	20	2				2						www.molinamedicare.com	www.molinahealthcare.com	(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H0490	004	0	1	01	01	H0490_004_0	5	06/01/2009	2010.02	06/01/2009 09:06:26 AM Pacific Daylight Time	08/19/2009 01:25:44 PM Pacific Daylight Time	08/19/2009 01:25:42 PM Pacific Daylight Time		08/19/2009 05:29:13 PM Pacific Daylight Time	MOLINA HEALTHCARE OF OHIO	Molina Healthcare of Ohio	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H0490	004	0	2010	Ohio Urban Area		2	1385	2		2		1	3		1	5		www.molinamedicare.com	www.molinahealthcare.com	(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(866)-472-4584		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H0496	801	0	1	09	04	H0496_801_0	4	06/18/2009	2010.02	06/18/2009 03:38:20 PM Eastern Daylight Time	07/20/2009 01:53:10 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMA INSURANCE COMPANY	SummaCare	www.summacare.com	SummaCare Secure Private Fee for Service- EGWP (PFFS)	04	09	2	1			H0496	801	0	2010	National		1	300	2				2							http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H0496	805	0	1	09	04	H0496_805_0	4	05/26/2009	2010.02	05/26/2009 08:45:11 AM Eastern Daylight Time	07/20/2009 01:53:10 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMA INSURANCE COMPANY	SummaCare	www.summacare.com	PFFS- EGWP- Without Part D (PFFS)	04	09	2	1			H0496	805	0	2010	National Plan		1	300	2				2							http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1		
H0504	015	0	1	01	01	H0504_015_0	4	08/19/2009	2010.02	08/19/2009 02:55:41 PM Pacific Daylight Time	08/19/2009 09:53:34 AM Pacific Daylight Time	08/19/2009 09:56:31 AM Pacific Daylight Time		08/20/2009 11:16:53 AM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	015	0	2010	Los Angeles (Partial)/Orange Counties		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	017	0	1	01	01	H0504_017_0	5	08/19/2009	2010.02	08/19/2009 02:47:04 PM Pacific Daylight Time	08/19/2009 10:15:34 AM Pacific Daylight Time	08/19/2009 11:11:15 AM Pacific Daylight Time		08/20/2009 11:20:25 AM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	017	0	2010	San Bernardino County (Partial)		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	021	0	1	01	01	H0504_021_0	7	08/19/2009	2010.02	08/19/2009 02:26:31 PM Pacific Daylight Time	08/19/2009 10:11:26 AM Pacific Daylight Time	08/19/2009 11:11:28 AM Pacific Daylight Time		08/20/2009 01:21:41 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus Choice Plan (HMO)	01	01		1			H0504	021	0	2010	Los Angeles/Orange Counties (Partial) Choice Plan		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	026	0	1	01	01	H0504_026_0	5	08/19/2009	2010.02	08/19/2009 02:49:20 PM Pacific Daylight Time	08/19/2009 10:51:17 AM Pacific Daylight Time	08/19/2009 11:11:40 AM Pacific Daylight Time		08/20/2009 01:25:45 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	026	0	2010	Riverside County (Partial)		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	803	0	1	01	01	H0504_803_0	4	08/19/2009	2010.02	08/19/2009 03:00:15 PM Pacific Daylight Time	07/30/2009 10:56:07 AM Pacific Daylight Time			08/19/2009 03:11:24 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	803	0	2010	MA-PD Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	804	0	1	01	01	H0504_804_0	4	08/19/2009	2010.02	08/19/2009 03:00:50 PM Pacific Daylight Time	07/30/2009 11:00:19 AM Pacific Daylight Time			08/19/2009 03:15:41 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	804	0	2010	MA-PD Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1		
H0504	805	0	1	01	01	H0504_805_0	6	08/19/2009	2010.02	08/19/2009 03:01:30 PM Pacific Daylight Time	07/28/2009 03:22:15 PM Pacific Daylight Time			08/19/2009 03:18:48 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	805	0	2010	MA-Only Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000										(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000										1		
H0523	002	0	1	01	01	H0523_002_0	5	08/19/2009	2010.02	08/19/2009 01:49:42 PM Eastern Daylight Time	08/19/2009 08:56:29 AM Eastern Daylight Time	08/17/2009 02:26:56 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	002	0	2010	Los Angeles, Orange and Ventura Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	022	0	1	01	01	H0523_022_0	5	08/19/2009	2010.02	08/19/2009 01:50:06 PM Eastern Daylight Time	08/19/2009 08:55:38 AM Eastern Daylight Time	08/17/2009 02:27:22 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	022	0	2010	Riverside and San Bernardino Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	031	0	1	01	01	H0523_031_0	7	08/19/2009	2010.02	08/19/2009 01:50:20 PM Eastern Daylight Time	08/20/2009 02:49:03 PM Eastern Daylight Time	08/24/2009 06:19:38 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	031	0	2010	Kern County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	032	0	1	01	01	H0523_032_0	5	08/19/2009	2010.02	08/19/2009 01:50:46 PM Eastern Daylight Time	08/19/2009 08:57:20 AM Eastern Daylight Time	08/17/2009 02:28:16 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	032	0	2010	Fresno County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	051	0	1	01	01	H0523_051_0	7	08/19/2009	2010.02	08/19/2009 01:51:01 PM Eastern Daylight Time	08/19/2009 09:07:05 AM Eastern Daylight Time	08/17/2009 02:28:44 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	051	0	2010	Kern County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	052	0	1	01	01	H0523_052_0	4	08/19/2009	2010.02	08/19/2009 01:51:31 PM Eastern Daylight Time	08/19/2009 09:08:16 AM Eastern Daylight Time	08/17/2009 02:29:12 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	052	0	2010	San Diego County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	054	0	1	01	01	H0523_054_0	4	08/20/2009	2010.02	08/20/2009 11:54:38 AM Eastern Daylight Time	08/19/2009 09:16:29 AM Eastern Daylight Time	08/17/2009 02:29:40 PM Eastern Daylight Time		08/20/2009 12:24:06 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	054	0	2010	San Diego County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0523	801	0	1	01	01	H0523_801_0	2	05/19/2009	2010.02	05/19/2009 11:14:02 AM Eastern Daylight Time	06/01/2009 11:25:53 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0523	801	0	2010	Fresno/Kern/LA/Orange/Riverside/San Bern/Ventura		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H0523	805	0	1	01	01	H0523_805_0	2	05/19/2009	2010.02	05/19/2009 11:24:47 AM Eastern Daylight Time	06/01/2009 11:27:19 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0523	805	0	2010	Fresno/Kern/LA/Orange/Riverside/San Bern/Ventura		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0524	002	0	2	01	01	H0524_002_0	8	08/28/2009	2010.02	08/28/2009 09:01:29 AM Pacific Daylight Time	08/28/2009 12:02:56 PM Pacific Daylight Time	08/14/2009 02:11:19 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage B Only South (HMO)	01	01		2	1		H0524	002	0	2010	Part B Only Southern California Area		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	003	0	1	01	01	H0524_003_0	6	08/28/2009	2010.02	08/28/2009 08:53:02 AM Pacific Daylight Time	08/28/2009 11:44:32 AM Pacific Daylight Time	08/14/2009 02:12:13 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)	01	01		1			H0524	003	0	2010	Los Angeles and Orange Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	008	0	1	01	01	H0524_008_0	6	08/28/2009	2010.02	08/28/2009 08:56:25 AM Pacific Daylight Time	08/28/2009 11:56:45 AM Pacific Daylight Time	08/14/2009 02:02:49 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Cntrl Vlly, Sol (HMO)	01	01		1			H0524	008	0	2010	Central Valley and Solano County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	010	0	2	01	01	H0524_010_0	8	08/28/2009	2010.02	08/28/2009 08:56:58 AM Pacific Daylight Time	08/28/2009 11:55:25 AM Pacific Daylight Time	08/14/2009 02:03:48 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage B Only North (HMO)	01	01		2	1		H0524	010	0	2010	Part B Only Northern California Area		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	013	0	1	01	01	H0524_013_0	5	08/28/2009	2010.02	08/28/2009 08:57:23 AM Pacific Daylight Time	08/28/2009 11:54:33 AM Pacific Daylight Time	08/14/2009 02:04:38 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Sac., Sonoma (HMO)	01	01		1			H0524	013	0	2010	Greater Sacramento and Sonoma County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	015	0	1	01	01	H0524_015_0	6	08/28/2009	2010.02	08/28/2009 08:53:41 AM Pacific Daylight Time	08/28/2009 11:45:27 AM Pacific Daylight Time	08/14/2009 02:13:02 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Inland Empire (HMO)	01	01		1			H0524	015	0	2010	Inland Empire Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	029	0	1	01	01	H0524_029_0	6	08/18/2009	2010.02	08/18/2009 08:14:18 AM Pacific Daylight Time	08/20/2009 07:38:30 AM Pacific Daylight Time	08/14/2009 02:13:44 PM Pacific Daylight Time		08/20/2009 04:06:16 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medi-Cal Plan South (HMO)	01	01		1			H0524	029	0	2010	Southern California Plan		2		2		2		1	3		1	3		kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	030	0	1	01	01	H0524_030_0	6	08/17/2009	2010.02	08/17/2009 01:09:22 PM Pacific Daylight Time	08/20/2009 07:17:43 AM Pacific Daylight Time	08/14/2009 02:05:28 PM Pacific Daylight Time		08/20/2009 04:06:16 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medi-Cal Plan North (HMO)	01	01		1			H0524	030	0	2010	Northern California Plan		2		2		2		1	3		1	3		kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	031	0	1	01	01	H0524_031_0	5	08/28/2009	2010.02	08/28/2009 08:57:58 AM Pacific Daylight Time	08/28/2009 11:52:43 AM Pacific Daylight Time	08/14/2009 02:06:15 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Marin San Mateo (HMO)	01	01		1			H0524	031	0	2010	Marin and San Mateo Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	032	0	1	01	01	H0524_032_0	5	08/28/2009	2010.02	08/28/2009 08:58:23 AM Pacific Daylight Time	08/28/2009 11:51:49 AM Pacific Daylight Time	08/14/2009 02:06:58 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)	01	01		1			H0524	032	0	2010	Alameda, Napa, and SF Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	033	0	1	01	01	H0524_033_0	5	08/28/2009	2010.02	08/28/2009 09:23:52 AM Pacific Daylight Time	08/28/2009 11:50:51 AM Pacific Daylight Time	08/14/2009 02:07:42 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Contra Costa (HMO)	01	01		1			H0524	033	0	2010	Contra Costa County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	034	0	1	01	01	H0524_034_0	5	08/28/2009	2010.02	08/28/2009 08:54:17 AM Pacific Daylight Time	08/28/2009 12:00:30 PM Pacific Daylight Time	08/14/2009 02:14:25 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Ventura (HMO)	01	01		1			H0524	034	0	2010	Ventura County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	035	0	1	01	01	H0524_035_0	7	08/28/2009	2010.02	08/28/2009 08:54:44 AM Pacific Daylight Time	08/28/2009 11:59:40 AM Pacific Daylight Time	08/14/2009 02:15:11 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced Kern (HMO)	01	01		1			H0524	035	0	2010	Kern County Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	036	0	1	01	01	H0524_036_0	7	08/28/2009	2010.02	08/28/2009 08:55:09 AM Pacific Daylight Time	08/28/2009 11:58:47 AM Pacific Daylight Time	08/14/2009 02:15:56 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic Kern (HMO)	01	01		1			H0524	036	0	2010	Kern County Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	037	0	1	01	01	H0524_037_0	5	08/28/2009	2010.02	08/28/2009 08:55:50 AM Pacific Daylight Time	08/28/2009 11:57:48 AM Pacific Daylight Time	08/14/2009 02:16:37 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage San Diego (HMO)	01	01		1			H0524	037	0	2010	San Diego County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	038	0	1	01	01	H0524_038_0	5	08/28/2009	2010.02	08/28/2009 08:58:51 AM Pacific Daylight Time	08/28/2009 11:49:56 AM Pacific Daylight Time	08/14/2009 02:08:21 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Fresno Area (HMO)	01	01		1			H0524	038	0	2010	Greater Fresno Area Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	039	0	1	01	01	H0524_039_0	5	08/28/2009	2010.02	08/28/2009 08:59:10 AM Pacific Daylight Time	08/28/2009 11:49:01 AM Pacific Daylight Time	08/14/2009 02:09:05 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Santa Clara (HMO)	01	01		1			H0524	039	0	2010	Santa Clara County Plan		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	040	0	1	01	01	H0524_040_0	7	08/28/2009	2010.02	08/28/2009 08:59:41 AM Pacific Daylight Time	08/28/2009 11:48:08 AM Pacific Daylight Time	08/14/2009 02:09:52 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)	01	01		1			H0524	040	0	2010	Stanislaus County Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	041	0	1	01	01	H0524_041_0	7	08/28/2009	2010.02	08/28/2009 09:22:25 AM Pacific Daylight Time	08/28/2009 11:47:15 AM Pacific Daylight Time	08/14/2009 02:10:33 PM Pacific Daylight Time		08/28/2009 04:13:00 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic Stanis (HMO)	01	01		1			H0524	041	0	2010	Stanislaus County Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	801	0	1	01	01	H0524_801_0	5	08/26/2009	2010.02	08/26/2009 02:32:25 PM Pacific Daylight Time	08/18/2009 12:26:50 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	801	0	2010	Southern California Group Part A B		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1		
H0524	802	0	1	01	01	H0524_802_0	4	08/26/2009	2010.02	08/26/2009 02:32:43 PM Pacific Daylight Time	08/18/2009 03:24:25 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	802	0	2010	Northern California Group Part A B		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1		
H0524	803	0	2	01	01	H0524_803_0	5	08/26/2009	2010.02	08/26/2009 02:32:55 PM Pacific Daylight Time	08/18/2009 12:27:47 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	803	0	2010	Southern California Group B Only		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1		
H0524	804	0	2	01	01	H0524_804_0	6	08/26/2009	2010.02	08/26/2009 02:33:08 PM Pacific Daylight Time	08/18/2009 03:25:19 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	804	0	2010	Northern California Group B Only		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1		
H0524	805	0	1	01	01	H0524_805_0	4	08/26/2009	2010.02	08/26/2009 02:33:19 PM Pacific Daylight Time	08/18/2009 12:30:27 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	805	0	2010	Southern California Group Part A B Part D		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	806	0	1	01	01	H0524_806_0	4	08/26/2009	2010.02	08/26/2009 02:33:29 PM Pacific Daylight Time	08/18/2009 03:26:27 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	806	0	2010	Northern California Group Part A B Part D		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	807	0	2	01	01	H0524_807_0	5	08/26/2009	2010.02	08/26/2009 02:33:41 PM Pacific Daylight Time	08/18/2009 01:49:56 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	807	0	2010	Southern California Group Part B only  Part D		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	808	0	2	01	01	H0524_808_0	6	08/26/2009	2010.02	08/26/2009 02:33:51 PM Pacific Daylight Time	08/18/2009 03:27:54 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	808	0	2010	Northern California Group Part B only Part D		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	809	0	1	01	01	H0524_809_0	5	08/26/2009	2010.02	08/26/2009 02:34:01 PM Pacific Daylight Time	08/18/2009 01:52:12 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB with D (HMO)	01	01		1			H0524	809	0	2010	Southern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	810	0	1	01	01	H0524_810_0	4	08/26/2009	2010.02	08/26/2009 02:34:11 PM Pacific Daylight Time	08/18/2009 03:29:40 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB with D (HMO)	01	01		1			H0524	810	0	2010	Northern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	811	0	2	01	01	H0524_811_0	8	08/26/2009	2010.02	08/26/2009 02:34:23 PM Pacific Daylight Time	08/18/2009 12:29:29 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part B Only with D (HMO)	01	01		2	1		H0524	811	0	2010	Southern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0524	812	0	2	01	01	H0524_812_0	6	08/26/2009	2010.02	08/26/2009 02:34:37 PM Pacific Daylight Time	08/18/2009 03:31:50 PM Pacific Daylight Time			08/26/2009 02:45:42 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part B Only with D (HMO)	01	01		2	1		H0524	812	0	2010	Northern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1		
H0532	001	0	1	01	01	H0532_001_0	4	07/23/2009	2010.02	07/23/2009 11:47:02 AM Pacific Daylight Time	08/18/2009 04:05:38 PM Pacific Daylight Time	08/18/2009 11:24:16 AM Pacific Daylight Time		08/19/2009 03:08:51 PM Pacific Daylight Time	WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	WHA Care+ (HMO)	01	01		1			H0532	001	0	2010	Placer, Sacramento and Yolo Counties		2	1000	2				2						http://www.westernhealth.com/careplus	www.westernhealth.com/careplus/	(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		1		
H0532	801	0	1	01	01	H0532_801_0	3	06/01/2009	2010.02	06/01/2009 11:58:26 AM Pacific Daylight Time	07/23/2009 09:41:26 AM Pacific Daylight Time			07/23/2009 11:50:45 AM Pacific Daylight Time	WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	Employer Group MA-PD Plan (HMO)	01	01		1			H0532	801	0	2010	Placer, Sacramento and Yolo Counties		1	250	2				2						http://www.westernhealth.com/careplus	www.westernhealth.com/careplus/	(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		1		
H0532	803	0	1	01	01	H0532_803_0	3	05/29/2009	2010.02	05/29/2009 11:05:39 AM Pacific Daylight Time	07/23/2009 09:41:26 AM Pacific Daylight Time			07/23/2009 11:50:45 AM Pacific Daylight Time	WESTERN HEALTH ADVANTAGE	Western Health Advantage	www.westernhealth.com	Non-UC Employer Group MA-PD Plan (HMO)	01	01		1			H0532	803	0	2010	Placer, Sacramento and Yolo Counties		1	100	2				2						http://www.westernhealth.com/careplus	www.westernhealth.com/careplus/	(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-563-2250		(916)-563-2250		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		(888)-877-5378		1		
H0540	001	0	1	09	04	H0540_001_0	7	08/21/2009	2010.02	08/21/2009 05:06:52 PM Eastern Daylight Time	07/31/2009 01:47:56 PM Eastern Daylight Time			08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice Classic (PFFS)	04	09	2	1			H0540	001	0	2010	SecurityChoice - Selected States and Counties		2	30143	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384												(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H0540	020	0	1	09	04	H0540_020_0	11	08/21/2009	2010.02	08/21/2009 05:07:29 PM Eastern Daylight Time	08/18/2009 07:39:12 PM Eastern Daylight Time	08/17/2009 12:25:54 PM Eastern Daylight Time		08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice Plus (PFFS)	04	09	2	1			H0540	020	0	2010	SecurityChoice-Selected States and Counties		2	19112	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384		(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384				(800)-425-5705		(800)-241-6894		(800)-241-6894				(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H0540	088	0	1	09	04	H0540_088_0	7	08/21/2009	2010.02	08/21/2009 05:07:57 PM Eastern Daylight Time	07/31/2009 01:49:08 PM Eastern Daylight Time			08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice Classic (PFFS)	04	09	2	1			H0540	088	0	2010	SecurityChoice- Selected States and Counties		2	749	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384												(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H0540	089	0	1	09	04	H0540_089_0	13	08/21/2009	2010.02	08/21/2009 05:07:30 PM Eastern Daylight Time	08/18/2009 07:42:56 PM Eastern Daylight Time	08/17/2009 01:30:35 PM Eastern Daylight Time		08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice Plus (PFFS)	04	09	2	1			H0540	089	0	2010	SecurityChoice-Selected States and Counties		2	573	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384		(888)-445-8916		(888)-445-8916		(888)-949-5384		(888)-949-5384				(800)-425-5705		(800)-241-6894		(800)-241-6894				(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H0540	090	0	1	09	04	H0540_090_0	7	08/21/2009	2010.02	08/21/2009 05:07:30 PM Eastern Daylight Time	07/31/2009 01:56:31 PM Eastern Daylight Time			08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SmartValue Classic (PFFS)	04	09	2	1			H0540	090	0	2010	Select Counties- WI, GA, ME, CO		2	7685	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(800)-797-2309		(800)-797-2309												(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H0540	091	0	1	09	04	H0540_091_0	11	08/21/2009	2010.02	08/21/2009 05:07:30 PM Eastern Daylight Time	08/18/2009 07:44:49 PM Eastern Daylight Time	08/17/2009 01:33:01 PM Eastern Daylight Time		08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SmartValue Plus (PFFS)	04	09	2	1			H0540	091	0	2010	Select Counties in WI, GA, ME, CO		2	8290	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(800)-797-2309		(800)-797-2309		(888)-445-8916		(888)-445-8916		(888)-211-9813		(888)-211-9813		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H0540	094	0	1	09	04	H0540_094_0	7	08/21/2009	2010.02	08/21/2009 05:07:30 PM Eastern Daylight Time	07/31/2009 01:57:31 PM Eastern Daylight Time			08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SmartValue Classic (PFFS)	04	09	2	1			H0540	094	0	2010	Various Counties in WI		2	1182	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(800)-797-2309		(800)-797-2309												(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H0540	095	0	1	09	04	H0540_095_0	12	08/21/2009	2010.02	08/21/2009 05:07:31 PM Eastern Daylight Time	08/18/2009 07:45:58 PM Eastern Daylight Time	08/17/2009 01:35:09 PM Eastern Daylight Time		08/21/2009 05:24:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SmartValue Plus (PFFS)	04	09	2	1			H0540	095	0	2010	Various Counties in WI		2	567	2				2							http://www.medicarerxrewards.com	(888)-445-8916		(888)-445-8916		(800)-797-2309		(800)-797-2309		(888)-445-8916		(888)-445-8916		(888)-211-9813		(888)-211-9813		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H0540	807	0	1	09	04	H0540_807_0	7	07/30/2009	2010.02	07/30/2009 10:47:53 PM Pacific Daylight Time	07/31/2009 12:31:38 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice (PFFS)	04	09	2	1			H0540	807	0	2010	Nationwide Group Coverage		1	567	2				2							http://www.medicarerxrewards.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		1		
H0540	808	0	1	09	04	H0540_808_0	7	07/30/2009	2010.02	07/30/2009 10:38:18 PM Pacific Daylight Time	07/31/2009 12:33:27 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	www.unicare.com	SecurityChoice (PFFS)	04	09	2	1			H0540	808	0	2010	Nationwide Group Coverage		1	50	2				2							http://www.medicarerxrewards.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970												(800)-425-5705		(800)-425-5705		(800)-425-5705										1		
H0542	001	0	1	20	08	H0542_001_0	2	05/19/2009	2010.02	05/19/2009 10:55:54 AM Pacific Daylight Time		10/14/2009 10:02:02 AM Pacific Daylight Time		10/14/2009 10:05:14 AM Pacific Daylight Time	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Senior BuenaCare	www.altamed.org	AltaMed Senior BuenaCare (PACE)	08	20		1			H0542	001	0	2010	Los Angeles County		2		2				2							http://www.altamed.org/									(877)-462-2582		(323)-728-0411		(877)-462-2582		(323)-728-0411										(800)-735-2922				(800)-735-2922				1		
H0542	002	0	1	20	08	H0542_002_0	2	05/19/2009	2010.02	05/19/2009 10:56:04 AM Pacific Daylight Time		10/14/2009 10:01:53 AM Pacific Daylight Time		10/14/2009 10:05:14 AM Pacific Daylight Time	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Senior BuenaCare	www.altamed.org	AltaMed Senior BuenaCare (PACE)	08	20		1			H0542	002	0	2010	Los Angeles County		2		2				2							http://www.altamed.org/									(877)-462-2582		(323)-728-0411		(877)-462-2582		(323)-728-0411										(800)-735-2922				(800)-735-2922				1		
H0543	001	0	1	01	01	H0543_001_0	4	09/23/2009	2010.02	09/23/2009 08:29:51 AM Central Daylight Time	08/17/2009 03:18:24 PM Central Daylight Time	08/13/2009 05:41:02 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	001	0	2010	Los Angeles County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	004	0	1	01	01	H0543_004_0	5	09/23/2009	2010.02	09/23/2009 08:33:24 AM Central Daylight Time	08/21/2009 02:56:58 PM Central Daylight Time	08/13/2009 05:41:05 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	004	0	2010	Orange County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	007	0	1	01	01	H0543_007_0	4	09/23/2009	2010.02	09/23/2009 08:43:05 AM Central Daylight Time	08/17/2009 03:20:37 PM Central Daylight Time	08/13/2009 05:41:09 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	007	0	2010	Riverside, San Bernardino		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	013	0	1	01	01	H0543_013_0	5	09/28/2009	2010.02	09/28/2009 10:20:26 AM Central Daylight Time	08/17/2009 03:20:56 PM Central Daylight Time	08/13/2009 05:41:13 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	013	0	2010	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	019	0	1	01	01	H0543_019_0	5	09/23/2009	2010.02	09/23/2009 08:35:02 AM Central Daylight Time	08/17/2009 03:21:19 PM Central Daylight Time	08/13/2009 05:41:17 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	019	0	2010	Kern		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	022	0	1	01	01	H0543_022_0	4	09/23/2009	2010.02	09/23/2009 11:04:40 AM Central Daylight Time	08/17/2009 03:21:42 PM Central Daylight Time	08/13/2009 05:41:20 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	022	0	2010	Ventura		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	028	0	1	01	01	H0543_028_0	4	09/22/2009	2010.02	09/22/2009 03:58:47 PM Central Daylight Time	08/17/2009 03:22:05 PM Central Daylight Time	08/13/2009 05:41:24 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	028	0	2010	San Mateo		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	029	0	1	01	01	H0543_029_0	4	09/23/2009	2010.02	09/23/2009 08:48:02 AM Central Daylight Time	08/17/2009 03:40:09 PM Central Daylight Time	08/13/2009 05:41:28 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	029	0	2010	Santa Clara		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	032	0	1	01	01	H0543_032_0	4	09/22/2009	2010.02	09/22/2009 04:18:06 PM Central Daylight Time	08/17/2009 03:22:30 PM Central Daylight Time	08/13/2009 05:41:32 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	032	0	2010	Santa Barbara and San Luis Obispo counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	035	0	1	01	01	H0543_035_0	3	07/17/2009	2010.02	07/17/2009 03:30:59 PM Central Daylight Time	08/17/2009 03:22:52 PM Central Daylight Time	08/13/2009 05:41:35 PM Central Daylight Time		08/18/2009 03:37:04 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	035	0	2010	Fresno County and Madera County- select zip codes		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	036	0	1	01	01	H0543_036_0	3	07/15/2009	2010.02	07/15/2009 09:37:25 AM Central Daylight Time	08/17/2009 03:39:35 PM Central Daylight Time	08/13/2009 05:41:39 PM Central Daylight Time		08/18/2009 03:37:04 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	036	0	2010	Stanislaus County		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	046	0	1	01	01	H0543_046_0	3	07/11/2009	2010.02	07/11/2009 05:08:49 PM Central Daylight Time	08/17/2009 03:38:46 PM Central Daylight Time	08/13/2009 05:41:43 PM Central Daylight Time		08/18/2009 03:37:04 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	046	0	2010	Santa Cruz County		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	060	0	1	01	01	H0543_060_0	4	09/23/2009	2010.02	09/23/2009 11:03:58 AM Central Daylight Time	08/17/2009 03:23:16 PM Central Daylight Time	08/13/2009 05:41:46 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0543	060	0	2010	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	065	0	1	01	01	H0543_065_0	4	09/23/2009	2010.02	09/23/2009 08:44:03 AM Central Daylight Time	08/17/2009 03:23:36 PM Central Daylight Time	08/13/2009 05:41:50 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0543	065	0	2010	Los Angeles		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	070	0	1	01	01	H0543_070_0	4	09/22/2009	2010.02	09/22/2009 04:00:01 PM Central Daylight Time	08/17/2009 03:24:00 PM Central Daylight Time	08/13/2009 05:41:54 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	070	0	2010	Alameda and Contra Costa counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	077	0	1	01	01	H0543_077_0	5	09/23/2009	2010.02	09/23/2009 08:36:07 AM Central Daylight Time	08/17/2009 03:24:24 PM Central Daylight Time	08/13/2009 05:41:57 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Value (HMO)	01	01		1			H0543	077	0	2010	Los Angeles		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	078	0	1	01	01	H0543_078_0	3	07/15/2009	2010.02	07/15/2009 04:44:55 PM Central Daylight Time	08/17/2009 03:24:50 PM Central Daylight Time	08/13/2009 05:42:01 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0543	078	0	2010	Los Angeles County		2		2		2		1	3		1	2		https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	079	0	1	01	01	H0543_079_0	3	07/15/2009	2010.02	07/15/2009 04:45:18 PM Central Daylight Time	08/17/2009 03:25:11 PM Central Daylight Time	08/13/2009 05:42:06 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0543	079	0	2010	Orange County		2		2		2		1	3		1	2		https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	081	0	1	01	01	H0543_081_0	3	07/15/2009	2010.02	07/15/2009 04:45:40 PM Central Daylight Time	08/17/2009 03:25:33 PM Central Daylight Time	08/13/2009 05:42:10 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0543	081	0	2010	Riverside and San Bernardino Counties		2		2		2		1	3		1	2		https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	082	0	1	01	01	H0543_082_0	3	07/11/2009	2010.02	07/11/2009 05:13:46 PM Central Daylight Time	08/17/2009 03:25:56 PM Central Daylight Time	08/13/2009 05:42:14 PM Central Daylight Time		08/18/2009 03:48:15 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	082	0	2010	Nevada		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	083	0	1	01	01	H0543_083_0	5	09/28/2009	2010.02	09/28/2009 10:19:25 AM Central Daylight Time	08/17/2009 03:26:20 PM Central Daylight Time	08/13/2009 05:42:18 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Premier (HMO)	01	01		1			H0543	083	0	2010	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	084	0	1	01	01	H0543_084_0	5	09/23/2009	2010.02	09/23/2009 08:37:49 AM Central Daylight Time	08/17/2009 03:26:43 PM Central Daylight Time	08/13/2009 05:42:22 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Premier (HMO)	01	01		1			H0543	084	0	2010	Orange		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	085	0	1	01	01	H0543_085_0	3	07/11/2009	2010.02	07/11/2009 05:19:59 PM Central Daylight Time	08/17/2009 03:27:05 PM Central Daylight Time	08/13/2009 05:42:25 PM Central Daylight Time		08/18/2009 03:48:15 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	085	0	2010	San Francisco		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	086	0	1	01	01	H0543_086_0	3	05/26/2009	2010.02	05/26/2009 11:05:01 AM Central Daylight Time	08/17/2009 03:27:28 PM Central Daylight Time	08/13/2009 05:42:29 PM Central Daylight Time		08/18/2009 03:48:15 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	086	0	2010	Sonoma		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	089	0	1	01	01	H0543_089_0	3	07/15/2009	2010.02	07/15/2009 09:41:38 AM Central Daylight Time	08/17/2009 03:27:52 PM Central Daylight Time	08/13/2009 05:42:33 PM Central Daylight Time		08/18/2009 03:48:15 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	089	0	2010	Sacramento, Placer, and Yolo counties		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	095	0	1	01	01	H0543_095_0	5	09/23/2009	2010.02	09/23/2009 08:45:23 AM Central Daylight Time	08/17/2009 03:28:18 PM Central Daylight Time	08/13/2009 05:42:37 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Value (HMO)	01	01		1			H0543	095	0	2010	Orange County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	121	0	1	01	01	H0543_121_0	3	07/17/2009	2010.02	07/17/2009 03:25:51 PM Central Daylight Time	07/20/2009 04:10:53 PM Central Daylight Time			07/23/2009 11:16:46 AM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0543	121	0	2010	Kern,LA,Orange,Riverside,San Bernardino,San Diego		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H0543	122	0	1	01	01	H0543_122_0	5	09/28/2009	2010.02	09/28/2009 09:58:09 AM Central Daylight Time	08/17/2009 03:28:43 PM Central Daylight Time	08/13/2009 05:42:40 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Value (HMO)	01	01		1			H0543	122	0	2010	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	125	0	1	01	01	H0543_125_0	3	07/17/2009	2010.02	07/17/2009 03:32:14 PM Central Daylight Time	08/17/2009 03:29:24 PM Central Daylight Time	08/13/2009 05:42:44 PM Central Daylight Time		08/18/2009 03:48:15 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0543	125	0	2010	Fresno and Madera		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	127	0	1	01	01	H0543_127_0	5	09/23/2009	2010.02	09/23/2009 08:46:39 AM Central Daylight Time	08/17/2009 03:29:46 PM Central Daylight Time	08/13/2009 05:42:52 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0543	127	0	2010	Riverside and San Bernardino counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	129	0	1	01	01	H0543_129_0	5	09/23/2009	2010.02	09/23/2009 08:49:31 AM Central Daylight Time	08/17/2009 03:36:03 PM Central Daylight Time	08/13/2009 05:42:55 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0543	129	0	2010	Los Angeles		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	133	0	1	01	01	H0543_133_0	3	05/26/2009	2010.02	05/26/2009 11:07:07 AM Central Daylight Time	08/17/2009 03:30:10 PM Central Daylight Time	08/13/2009 05:42:59 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0543	133	0	2010	Los Angeles		2		2				1	4		1		000110100000000	https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	134	0	1	01	01	H0543_134_0	4	05/26/2009	2010.02	05/26/2009 11:07:14 AM Central Daylight Time	08/17/2009 03:30:32 PM Central Daylight Time	08/13/2009 05:43:03 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0543	134	0	2010	Orange County		2		2				1	4		1		000110100000000	https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	135	0	1	01	01	H0543_135_0	3	05/27/2009	2010.02	05/27/2009 11:40:16 AM Central Daylight Time	08/17/2009 03:35:00 PM Central Daylight Time	08/13/2009 05:43:07 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0543	135	0	2010	Riverside and San Bernardino Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	136	0	1	01	01	H0543_136_0	3	07/17/2009	2010.02	07/17/2009 09:08:27 AM Central Daylight Time	08/17/2009 03:30:57 PM Central Daylight Time	08/13/2009 05:43:10 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0543	136	0	2010	Alameda, Contra Costa, San Francisco counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	137	0	1	01	01	H0543_137_0	4	07/11/2009	2010.02	07/11/2009 05:30:50 PM Central Daylight Time	08/17/2009 03:31:20 PM Central Daylight Time	08/13/2009 05:43:14 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0543	137	0	2010	San Diego		2		2				1	4		1		000110100000000	https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	138	0	1	01	01	H0543_138_0	5	09/23/2009	2010.02	09/23/2009 08:39:05 AM Central Daylight Time	08/17/2009 03:31:42 PM Central Daylight Time	08/13/2009 05:43:18 PM Central Daylight Time		09/29/2009 05:57:07 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0543	138	0	2010	Orange		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	140	0	1	01	01	H0543_140_0	4	07/17/2009	2010.02	07/17/2009 03:33:27 PM Central Daylight Time	08/17/2009 03:32:04 PM Central Daylight Time	08/13/2009 05:43:22 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	140	0	2010	Amador, El Dorado, Mendocino,Merced,Shasta,Tulare		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	141	0	1	01	01	H0543_141_0	3	07/15/2009	2010.02	07/15/2009 04:45:58 PM Central Daylight Time	08/17/2009 03:32:26 PM Central Daylight Time	08/13/2009 05:43:26 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0543	141	0	2010	San Diego County		2		2		2		1	3		1	5		https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	142	0	1	01	01	H0543_142_0	3	07/11/2009	2010.02	07/11/2009 05:37:19 PM Central Daylight Time	08/17/2009 03:32:48 PM Central Daylight Time	08/13/2009 05:43:30 PM Central Daylight Time		08/18/2009 04:02:20 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0543	142	0	2010	Imperial County		2		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0543	802	0	1	01	01	H0543_802_0	4	05/30/2009	2010.02	05/30/2009 04:01:04 PM Central Daylight Time	07/20/2009 04:15:53 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	802	0	2010	CA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-228-2144		(800)-228-2144		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H0543	805	0	1	01	01	H0543_805_0	4	05/30/2009	2010.02	05/30/2009 04:01:27 PM Central Daylight Time	07/20/2009 04:16:15 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	805	0	2010	CA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-228-2144		(800)-228-2144		(800)-610-2660		(800)-610-2660		(800)-228-2144		(800)-228-2144		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0543	806	0	1	01	01	H0543_806_0	4	05/30/2009	2010.02	05/30/2009 04:02:40 PM Central Daylight Time	07/20/2009 04:16:38 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	PACIFICARE OF CALIFORNIA/SECURE HORIZONS	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	806	0	2010	CA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareCcomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-228-2144		(800)-228-2144		(800)-610-2660		(800)-610-2660		(800)-228-2144		(800)-228-2144		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0544	002	0	1	01	01	H0544_002_0	9	08/20/2009	2010.02	08/20/2009 07:53:18 AM Pacific Daylight Time	08/20/2009 09:31:38 AM Pacific Daylight Time	08/18/2009 03:04:42 PM Pacific Daylight Time		08/20/2009 09:39:17 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Value Plus (HMO)	01	01		1			H0544	002	0	2010	Los Angeles and Orange Counties (partial)		2	21018	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	003	0	1	01	01	H0544_003_0	9	08/20/2009	2010.02	08/20/2009 02:51:54 PM Pacific Daylight Time	08/20/2009 03:30:10 PM Pacific Daylight Time	08/18/2009 03:05:54 PM Pacific Daylight Time		08/20/2009 04:03:29 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Connect (HMO)	01	01		1			H0544	003	0	2010	Los Angeles and Orange Counties (partial)		2	571	2		2		1	3		1	2		www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	004	0	1	01	01	H0544_004_0	8	08/19/2009	2010.02	08/19/2009 06:35:10 PM Pacific Daylight Time	08/20/2009 08:55:36 AM Pacific Daylight Time	08/18/2009 03:09:02 PM Pacific Daylight Time		08/20/2009 04:12:49 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Diabetes (HMO)	01	01		1			H0544	004	0	2010	Los Angeles and Orange Counties (partial)		2	3105	2				1	4		1		000000100000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	005	0	1	01	01	H0544_005_0	6	08/19/2009	2010.02	08/19/2009 06:35:16 PM Pacific Daylight Time	08/20/2009 08:56:39 AM Pacific Daylight Time	08/20/2009 10:15:43 AM Pacific Daylight Time		08/20/2009 10:21:17 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Touch (HMO)	01	01		1			H0544	005	0	2010	Los Angeles and Orange Counties (partial)		2	581	2				1	1	1	1			www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	007	0	1	01	01	H0544_007_0	4	08/19/2009	2010.02	08/19/2009 06:35:47 PM Pacific Daylight Time	08/20/2009 08:57:38 AM Pacific Daylight Time	08/18/2009 03:03:24 PM Pacific Daylight Time		08/20/2009 10:30:13 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	StartSmart with CareMore (HMO)	01	01		1			H0544	007	0	2010	Los Angeles and Orange Counties (partial)		2	405	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	008	0	1	01	01	H0544_008_0	8	08/20/2009	2010.02	08/20/2009 07:47:06 AM Pacific Daylight Time	08/20/2009 09:32:27 AM Pacific Daylight Time	08/18/2009 03:13:05 PM Pacific Daylight Time		08/20/2009 10:38:29 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Value Plus (HMO)	01	01		1			H0544	008	0	2010	San Bernardino County (partial)		2	670	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	009	0	1	01	01	H0544_009_0	8	08/20/2009	2010.02	08/20/2009 02:51:54 PM Pacific Daylight Time	08/20/2009 03:31:41 PM Pacific Daylight Time	08/18/2009 03:14:01 PM Pacific Daylight Time		08/20/2009 04:21:15 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Connect (HMO)	01	01		1			H0544	009	0	2010	San Bernardino County (partial)		2	38	2		2		1	3		1	2		www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	010	0	1	01	01	H0544_010_0	9	08/19/2009	2010.02	08/19/2009 06:36:46 PM Pacific Daylight Time	08/20/2009 08:17:52 AM Pacific Daylight Time	08/20/2009 10:16:31 AM Pacific Daylight Time		08/20/2009 10:51:02 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Diabetes (HMO)	01	01		1			H0544	010	0	2010	San Bernardino County (partial)		2	1055	2				1	4		1		000000100000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	012	0	1	01	01	H0544_012_0	6	08/19/2009	2010.02	08/19/2009 06:37:04 PM Pacific Daylight Time	08/20/2009 09:01:45 AM Pacific Daylight Time	08/18/2009 03:14:58 PM Pacific Daylight Time		08/20/2009 11:04:07 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Value Plus (HMO)	01	01		1			H0544	012	0	2010	Santa Clara County (partial)		2	1884	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	013	0	1	01	01	H0544_013_0	7	08/19/2009	2010.02	08/19/2009 06:37:21 PM Pacific Daylight Time	08/20/2009 08:59:16 AM Pacific Daylight Time	08/18/2009 03:12:08 PM Pacific Daylight Time		08/20/2009 04:39:22 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Heart (HMO)	01	01		1			H0544	013	0	2010	Los Angeles and Orange Counties (partial)		2	2861	2				1	4		1		000110000000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	014	0	1	01	01	H0544_014_0	7	08/19/2009	2010.02	08/19/2009 06:37:36 PM Pacific Daylight Time	08/20/2009 09:00:20 AM Pacific Daylight Time	08/18/2009 03:18:58 PM Pacific Daylight Time		08/20/2009 04:47:35 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Breathe (HMO)	01	01		1			H0544	014	0	2010	Los Angeles and Orange Counties (partial)		2	1236	2				1	4		1		000000000001000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	015	0	1	01	01	H0544_015_0	6	08/19/2009	2010.02	08/19/2009 06:37:53 PM Pacific Daylight Time		08/18/2009 03:19:49 PM Pacific Daylight Time		08/20/2009 04:30:20 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore ESRD (HMO)	01	01		1			H0544	015	0	2010	Los Angeles and Orange Counties		2	616	2				1	4		1		000000001000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	016	0	1	01	01	H0544_016_0	6	08/19/2009	2010.02	08/19/2009 06:38:05 PM Pacific Daylight Time	08/20/2009 08:22:15 AM Pacific Daylight Time	08/18/2009 03:21:39 PM Pacific Daylight Time		08/20/2009 12:19:33 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	StartSmart with CareMore (HMO)	01	01		1			H0544	016	0	2010	San Bernardino County (partial)		2	145	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	019	0	1	01	01	H0544_019_0	10	08/19/2009	2010.02	08/19/2009 06:38:25 PM Pacific Daylight Time	08/20/2009 08:19:18 AM Pacific Daylight Time	08/18/2009 03:18:05 PM Pacific Daylight Time		08/20/2009 12:35:11 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Breathe (HMO)	01	01		1			H0544	019	0	2010	San Bernardino County (partial)		2	333	2				1	4		1		000000000001000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	020	0	1	01	01	H0544_020_0	6	08/19/2009	2010.02	08/19/2009 06:38:42 PM Pacific Daylight Time		08/18/2009 03:25:18 PM Pacific Daylight Time		08/20/2009 04:55:14 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore ESRD (HMO)	01	01		1			H0544	020	0	2010	San Bernardino County (partial)		2	32	2				1	4		1		000000001000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	021	0	1	01	01	H0544_021_0	5	08/19/2009	2010.02	08/19/2009 06:39:31 PM Pacific Daylight Time	08/20/2009 08:53:05 AM Pacific Daylight Time	08/18/2009 03:26:18 PM Pacific Daylight Time		08/20/2009 12:51:01 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	StartSmart with CareMore (HMO)	01	01		1			H0544	021	0	2010	Santa Clara County (partial)		2	365	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	022	0	1	01	01	H0544_022_0	5	08/19/2009	2010.02	08/19/2009 06:24:02 PM Pacific Daylight Time	08/20/2009 09:03:53 AM Pacific Daylight Time	08/18/2009 03:30:40 PM Pacific Daylight Time		08/20/2009 12:55:24 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Touch (HMO)	01	01		1			H0544	022	0	2010	Santa Clara County (partial)		2	114	2				1	1	1	1			www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	024	0	1	01	01	H0544_024_0	6	08/19/2009	2010.02	08/19/2009 06:39:54 PM Pacific Daylight Time	08/20/2009 08:51:51 AM Pacific Daylight Time	08/18/2009 03:27:34 PM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Breathe (HMO)	01	01		1			H0544	024	0	2010	Santa Clara County (partial)		2	166	2				1	4		1		000000000001000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	025	0	1	01	01	H0544_025_0	7	08/19/2009	2010.02	08/19/2009 06:40:13 PM Pacific Daylight Time	08/20/2009 08:49:33 AM Pacific Daylight Time	08/18/2009 03:24:16 PM Pacific Daylight Time		08/20/2009 01:07:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Diabetes (HMO)	01	01		1			H0544	025	0	2010	Santa Clara County (partial)		2	304	2				1	4		1		000000100000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	027	0	1	01	01	H0544_027_0	8	08/19/2009	2010.02	08/19/2009 06:40:30 PM Pacific Daylight Time	08/20/2009 09:04:55 AM Pacific Daylight Time	08/18/2009 03:32:49 PM Pacific Daylight Time		08/20/2009 02:21:12 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Value Plus (HMO)	01	01		1			H0544	027	0	2010	Stanislaus County		2	734	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	028	0	1	01	01	H0544_028_0	5	08/19/2009	2010.02	08/19/2009 06:40:49 PM Pacific Daylight Time	08/20/2009 08:46:39 AM Pacific Daylight Time	08/18/2009 03:33:28 PM Pacific Daylight Time		08/20/2009 02:26:29 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	StartSmart with CareMore (HMO)	01	01		1			H0544	028	0	2010	Stanislaus County		2	44	2				2						www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	031	0	1	01	01	H0544_031_0	5	08/19/2009	2010.02	08/19/2009 06:41:07 PM Pacific Daylight Time	08/20/2009 08:27:01 AM Pacific Daylight Time	08/18/2009 03:34:58 PM Pacific Daylight Time		08/20/2009 04:59:25 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Breathe (HMO)	01	01		1			H0544	031	0	2010	Stanislaus County		2	102	2				1	4		1		000000000001000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0544	032	0	1	01	01	H0544_032_0	6	08/19/2009	2010.02	08/19/2009 06:41:22 PM Pacific Daylight Time	08/20/2009 08:39:45 AM Pacific Daylight Time	08/18/2009 03:31:58 PM Pacific Daylight Time		08/20/2009 05:03:20 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremorehealthplan.com	CareMore Diabetes (HMO)	01	01		1			H0544	032	0	2010	Stanislaus County		2	214	2				1	4		1		000000100000000	www.caremorehealthplan.com	www.caremorehealthplan.com/formulary.aspx	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H0545	001	0	1	01	01	H0545_001_0	6	08/20/2009	2010.02	08/20/2009 08:51:13 AM Pacific Daylight Time	08/20/2009 10:54:10 AM Pacific Daylight Time	08/19/2009 10:44:56 AM Pacific Daylight Time		08/20/2009 11:19:01 AM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Service To Seniors (HMO)	01	01		1			H0545	001	0	2010	Los Angeles, San Bernardino and Riverside Counties		2	13000	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1		
H0545	009	0	1	01	01	H0545_009_0	6	08/20/2009	2010.02	08/20/2009 08:54:53 AM Pacific Daylight Time	08/20/2009 01:10:34 PM Pacific Daylight Time	08/19/2009 10:46:56 AM Pacific Daylight Time		08/20/2009 11:19:01 AM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Focus SNP (HMO)	01	01		1			H0545	009	0	2010	Los Angeles, San Bernardino and Riverside Counites		2	13000	2				1	4		1		000010100000000	http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1		
H0545	011	0	1	01	01	H0545_011_0	4	08/20/2009	2010.02	08/20/2009 08:56:31 AM Pacific Daylight Time	08/20/2009 11:34:04 AM Pacific Daylight Time	08/19/2009 10:46:14 AM Pacific Daylight Time		08/20/2009 11:19:01 AM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Total Fit (HMO)	01	01		1			H0545	011	0	2010	Los Angeles, Riverside and San Bernardino Counties		2	1000	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1		
H0545	012	0	1	01	01	H0545_012_0	5	08/19/2009	2010.02	08/19/2009 12:17:48 PM Pacific Daylight Time	08/18/2009 04:48:20 PM Pacific Daylight Time	08/19/2009 10:24:34 AM Pacific Daylight Time		08/19/2009 04:10:09 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Desert Preferred Choice (HMO)	01	01		1			H0545	012	0	2010	Riverside County		2	2500	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(800)-251-8191		(866)-756-4407		(866)-756-4407		(800)-546-5677		(800)-546-5677		(866)-756-4407		(866)-756-4407		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(866)-706-4757		(866)-706-4757		(800)-505-7150		(800)-505-7150		1		
H0545	801	0	1	01	01	H0545_801_0	3	05/18/2009	2010.02	05/18/2009 11:47:20 AM Pacific Daylight Time	07/24/2009 01:43:04 PM Pacific Daylight Time			07/25/2009 12:14:54 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Active Plus I (HMO)	01	01		1			H0545	801	0	2010	Los Angeles, Riverside and San Bernardino Counties		1	200	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1		
H0545	802	0	1	01	01	H0545_802_0	3	05/18/2009	2010.02	05/18/2009 11:47:55 AM Pacific Daylight Time	07/24/2009 01:57:12 PM Pacific Daylight Time			07/25/2009 12:14:54 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Active Plus II (HMO)	01	01		1			H0545	802	0	2010	Los Angeles, Riverside and San Bernardino Counties		1		2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1		
H0562	002	0	1	01	01	H0562_002_0	4	08/18/2009	2010.02	08/18/2009 12:49:12 PM Pacific Daylight Time	08/18/2009 11:09:12 AM Pacific Daylight Time	08/14/2009 06:26:16 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby Plan 2 (HMO)	01	01		1			H0562	002	0	2010	LA, Orange, Riverside and San Bernardino		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	009	0	1	01	01	H0562_009_0	5	08/18/2009	2010.02	08/18/2009 12:58:48 PM Pacific Daylight Time	08/18/2009 11:46:38 AM Pacific Daylight Time	08/14/2009 06:26:30 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	009	0	2010	San Francisco County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	010	0	1	01	01	H0562_010_0	4	08/18/2009	2010.02	08/18/2009 12:59:07 PM Pacific Daylight Time	08/19/2009 02:05:57 PM Pacific Daylight Time	08/14/2009 06:26:46 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart Plan 2 (HMO)	01	01		1			H0562	010	0	2010	Sacramento County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	011	0	1	01	01	H0562_011_0	5	08/18/2009	2010.02	08/18/2009 07:51:23 PM Central Daylight Time	08/18/2009 04:26:31 PM Pacific Daylight Time	08/14/2009 06:26:58 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	011	0	2010	Contra Costa County		2	20000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	012	0	1	01	01	H0562_012_0	3	08/18/2009	2010.02	08/18/2009 07:30:25 PM Central Daylight Time	08/18/2009 04:35:25 PM Pacific Daylight Time	08/14/2009 06:27:12 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	012	0	2010	San Diego county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	017	0	1	01	01	H0562_017_0	4	08/18/2009	2010.02	08/18/2009 12:50:17 PM Pacific Daylight Time	08/18/2009 04:44:19 PM Pacific Daylight Time	08/14/2009 06:27:24 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby (HMO)	01	01		1			H0562	017	0	2010	Santa Barbara County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	036	0	1	01	01	H0562_036_0	4	08/19/2009	2010.02	08/19/2009 10:46:35 AM Central Daylight Time	08/18/2009 05:01:53 PM Pacific Daylight Time	08/14/2009 06:27:34 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	036	0	2010	San Mateo county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	037	0	1	01	01	H0562_037_0	3	08/18/2009	2010.02	08/18/2009 07:32:46 PM Central Daylight Time	08/18/2009 05:13:22 PM Pacific Daylight Time	08/14/2009 06:27:46 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	037	0	2010	Santa Clara county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	039	0	1	01	01	H0562_039_0	5	08/27/2009	2010.02	08/27/2009 06:10:50 PM Pacific Daylight Time	08/27/2009 05:48:13 PM Pacific Daylight Time	08/14/2009 06:28:02 PM Pacific Daylight Time		08/27/2009 06:15:25 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	039	0	2010	Yolo county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	040	0	1	01	01	H0562_040_0	3	08/18/2009	2010.02	08/18/2009 12:53:27 PM Pacific Daylight Time	08/18/2009 05:26:50 PM Pacific Daylight Time	08/14/2009 06:28:14 PM Pacific Daylight Time		08/20/2009 04:05:12 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby Plan 2 (HMO)	01	01		1			H0562	040	0	2010	San Diego County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	044	0	1	01	01	H0562_044_0	2	05/21/2009	2010.02	05/21/2009 09:25:16 AM Pacific Daylight Time	08/11/2009 01:58:00 PM Pacific Daylight Time			08/11/2009 04:47:50 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Green (HMO)	01	01		1			H0562	044	0	2010	L.A., Orange, Riverside and San Bernardino		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565												(800)-929-9955				(800)-929-9955										1		
H0562	045	0	1	01	01	H0562_045_0	3	07/21/2009	2010.02	07/21/2009 11:09:25 AM Pacific Daylight Time	08/11/2009 03:55:47 PM Pacific Daylight Time			08/11/2009 06:04:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Green (HMO)	01	01		1			H0562	045	0	2010	No. CA Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565												(800)-929-9955				(800)-929-9955										1		
H0562	048	0	1	01	01	H0562_048_0	2	06/01/2009	2010.02	06/01/2009 05:09:57 PM Pacific Daylight Time	08/11/2009 02:16:58 PM Pacific Daylight Time			08/11/2009 04:47:50 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Green (HMO)	01	01		1			H0562	048	0	2010	San Diego County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565												(800)-929-9955				(800)-929-9955										1		
H0562	053	0	1	01	01	H0562_053_0	3	08/18/2009	2010.02	08/18/2009 02:24:24 PM Pacific Daylight Time	08/18/2009 05:37:33 PM Pacific Daylight Time	08/14/2009 06:28:26 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	053	0	2010	Sonoma County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	055	0	1	01	01	H0562_055_0	5	05/27/2009	2010.02	05/27/2009 07:08:41 PM Pacific Daylight Time	08/10/2009 03:09:06 PM Pacific Daylight Time	06/15/2009 03:04:00 PM Pacific Daylight Time		08/11/2009 04:47:50 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Amber I (HMO)	01	01		1			H0562	055	0	2010	L.A., Kern, Orange, Riverside and San Bernardino		2	250	2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-431-9007				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	058	0	1	01	01	H0562_058_0	3	08/18/2009	2010.02	08/18/2009 12:59:20 PM Pacific Daylight Time	08/18/2009 05:51:42 PM Pacific Daylight Time	08/14/2009 06:28:48 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	058	0	2010	Placer County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	059	0	1	01	01	H0562_059_0	5	08/18/2009	2010.02	08/18/2009 02:26:02 PM Pacific Daylight Time	08/18/2009 06:04:29 PM Pacific Daylight Time	08/14/2009 06:28:58 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	059	0	2010	Solano County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	060	0	1	01	01	H0562_060_0	3	08/19/2009	2010.02	08/19/2009 02:26:50 PM Pacific Daylight Time	08/19/2009 02:03:17 PM Pacific Daylight Time	08/14/2009 06:29:12 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	060	0	2010	Stanislaus County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	061	0	1	01	01	H0562_061_0	5	08/19/2009	2010.02	08/19/2009 11:35:22 AM Pacific Daylight Time	08/19/2009 11:06:50 AM Pacific Daylight Time	08/14/2009 06:29:28 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	061	0	2010	Santa Cruz County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	062	0	1	01	01	H0562_062_0	3	08/19/2009	2010.02	08/19/2009 11:39:32 AM Pacific Daylight Time	08/19/2009 11:14:07 AM Pacific Daylight Time	08/14/2009 06:29:42 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	062	0	2010	San Joaquin County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	068	0	1	01	01	H0562_068_0	4	08/19/2009	2010.02	08/19/2009 11:00:22 AM Central Daylight Time	08/19/2009 02:09:51 PM Pacific Daylight Time	08/14/2009 06:29:52 PM Pacific Daylight Time		08/20/2009 04:57:38 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	068	0	2010	Alameda County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	070	0	1	01	01	H0562_070_0	5	06/16/2009	2010.02	06/16/2009 03:48:55 PM Pacific Daylight Time	08/07/2009 03:37:45 PM Pacific Daylight Time	06/15/2009 03:01:00 PM Pacific Daylight Time		08/11/2009 04:47:50 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Amber II (HMO)	01	01		1			H0562	070	0	2010	Portions of So. Cal., Alameda, Contra Costa, S.F.		2	6000	2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-431-9007				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	071	0	1	01	01	H0562_071_0	3	08/18/2009	2010.02	08/18/2009 07:39:23 PM Central Daylight Time	08/19/2009 02:34:41 PM Pacific Daylight Time	08/14/2009 06:30:14 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart Plan 2 (HMO)	01	01		1			H0562	071	0	2010	LA, Orange, Riverside and San Bernardino Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	076	0	1	01	01	H0562_076_0	4	08/18/2009	2010.02	08/18/2009 12:56:41 PM Pacific Daylight Time	08/19/2009 02:41:44 PM Pacific Daylight Time	08/14/2009 06:30:26 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	076	0	2010	Fresno, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	077	0	1	01	01	H0562_077_0	4	08/19/2009	2010.02	08/19/2009 02:28:39 PM Pacific Daylight Time	08/19/2009 01:08:10 PM Pacific Daylight Time	08/14/2009 06:33:06 PM Pacific Daylight Time		08/20/2009 04:31:20 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby Plan 3 (HMO)	01	01		1			H0562	077	0	2010	San Diego, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	079	0	1	01	01	H0562_079_0	5	08/18/2009	2010.02	08/18/2009 12:58:29 PM Pacific Daylight Time	08/19/2009 02:55:32 PM Pacific Daylight Time	08/14/2009 06:33:16 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby (HMO)	01	01		1			H0562	079	0	2010	Kern County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	081	0	1	01	01	H0562_081_0	3	08/18/2009	2010.02	08/18/2009 02:36:34 PM Pacific Daylight Time	08/20/2009 11:21:22 AM Pacific Daylight Time	08/14/2009 06:33:26 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Amber CHF (HMO)	01	01		1			H0562	081	0	2010	Riverside and San Bernadino Counties		2	1000	2				1	4		1		000010000000000	www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-431-9007				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	082	0	1	01	01	H0562_082_0	3	08/18/2009	2010.02	08/18/2009 02:21:05 PM Pacific Daylight Time	08/19/2009 03:17:14 PM Pacific Daylight Time	08/14/2009 06:33:38 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart Plan 1 (HMO)	01	01		1			H0562	082	0	2010	LA, Orange, Riverside San Bernardino Counties		2	6000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	083	0	1	01	01	H0562_083_0	3	08/18/2009	2010.02	08/18/2009 01:01:00 PM Pacific Daylight Time	08/19/2009 03:43:37 PM Pacific Daylight Time	08/14/2009 06:33:48 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Seniority Plus Ruby Plan 1 (HMO)	01	01		1			H0562	083	0	2010	LA, Orange Riverside and San Bernardino Counties		2	6000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	084	0	1	01	01	H0562_084_0	4	08/18/2009	2010.02	08/18/2009 01:01:11 PM Pacific Daylight Time	08/19/2009 03:53:39 PM Pacific Daylight Time	08/14/2009 06:33:58 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net Healthy Heart Plan 1 (HMO)	01	01		1			H0562	084	0	2010	Sacramento		2	6000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	085	0	1	01	01	H0562_085_0	3	08/18/2009	2010.02	08/18/2009 01:01:20 PM Pacific Daylight Time	08/20/2009 02:11:20 PM Pacific Daylight Time	08/14/2009 06:34:08 PM Pacific Daylight Time		08/20/2009 04:51:58 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Salud Con Health Net Medicare Advantage (HMO)	01	01		1			H0562	085	0	2010	LA, Orange, Riverside and San Bernardino Counties		2	6000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	801	0	1	01	01	H0562_801_0	5	05/27/2009	2010.02	05/27/2009 03:52:27 PM Pacific Daylight Time	08/11/2009 06:02:48 PM Pacific Daylight Time			08/11/2009 06:17:51 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net ER Group (HMO)	01	01		1			H0562	801	0	2010	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0562	803	0	1	01	01	H0562_803_0	4	05/27/2009	2010.02	05/27/2009 03:57:40 PM Pacific Daylight Time	08/11/2009 06:03:59 PM Pacific Daylight Time			08/11/2009 06:17:51 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net ER Group (HMO)	01	01		1			H0562	803	0	2010	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565												(800)-929-9955				(800)-929-9955										1		
H0562	804	0	1	01	01	H0562_804_0	4	05/27/2009	2010.02	05/27/2009 03:57:43 PM Pacific Daylight Time	08/11/2009 06:04:42 PM Pacific Daylight Time			08/11/2009 06:17:51 PM Pacific Daylight Time	HEALTH NET_OF CA	Health Net of CA	www.healthnet.com	Health Net ER Group (HMO)	01	01		1			H0562	804	0	2010	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-275-4737				(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H0564	006	0	1	01	01	H0564_006_0	8	08/20/2009	2010.02	08/20/2009 04:21:38 PM Eastern Daylight Time	08/20/2009 10:07:22 PM Eastern Daylight Time	08/17/2009 01:37:36 PM Eastern Daylight Time		08/20/2009 10:47:40 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Blue Cross Senior Secure Plan I (HMO)	01	01		1			H0564	006	0	2010	Los Angeles, Orange		2	4365	2				2							http://www.bluecrosscamedicarerx.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H0564	047	0	1	01	01	H0564_047_0	8	08/20/2009	2010.02	08/20/2009 04:22:44 PM Eastern Daylight Time	08/20/2009 10:06:36 PM Eastern Daylight Time	08/17/2009 01:43:15 PM Eastern Daylight Time		08/20/2009 10:47:40 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Blue Cross Senior Secure Plan I (HMO)	01	01		1			H0564	047	0	2010	Select Southern California Counties		2	11225	2				2							http://www.bluecrosscamedicarerx.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H0564	801	0	1	01	01	H0564_801_0	6	07/30/2009	2010.02	07/30/2009 04:22:28 PM Pacific Daylight Time	07/31/2009 09:13:48 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Senior Secure (HMO)	01	01		1			H0564	801	0	2010	California, Select Counties		1	2895	2				2							http://www.bluecrosscamedicarerx.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-877-5378		(888)-877-5378		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H0564	810	0	1	01	01	H0564_810_0	8	07/30/2009	2010.02	07/30/2009 07:44:23 AM Pacific Daylight Time	07/31/2009 09:14:04 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Senior Secure (HMO)	01	01		1			H0564	810	0	2010	California, Select Counties		1	2895	2				2							http://www.bluecrosscamedicarerx.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
H0564	811	0	1	01	01	H0564_811_0	8	07/30/2009	2010.02	07/30/2009 07:44:54 AM Pacific Daylight Time	07/31/2009 09:14:15 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Senior Secure (HMO)	01	01		1			H0564	811	0	2010	CA, Select Counties		1	2895	2				2							http://www.bluecrosscamedicarerx.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H0571	001	0	1	01	01	H0571_001_0	2	08/19/2009	2010.02	08/19/2009 11:12:15 AM Pacific Daylight Time	08/19/2009 06:15:55 PM Pacific Daylight Time	08/19/2009 06:16:41 PM Pacific Daylight Time		08/19/2009 06:46:59 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Program (HMO)	01	01		1			H0571	001	0	2010	San Francisco County		2	4195	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1		
H0571	002	0	2	01	01	H0571_002_0	2	08/19/2009	2010.02	08/19/2009 11:11:48 AM Pacific Daylight Time	08/19/2009 06:17:52 PM Pacific Daylight Time	08/19/2009 06:17:17 PM Pacific Daylight Time		08/19/2009 06:46:59 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Plan B-only Plan (HMO)	01	01		2	2		H0571	002	0	2010	San Francisco County		2	6	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1		
H0571	005	0	1	01	01	H0571_005_0	2	05/29/2009	2010.02	05/29/2009 09:54:10 AM Pacific Daylight Time	08/19/2009 06:18:16 PM Pacific Daylight Time	08/19/2009 06:17:37 PM Pacific Daylight Time		08/20/2009 03:29:29 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Select Program (HMO)	01	01		1			H0571	005	0	2010	San Francisco County		2	2956	2		2		1	3		1	3			www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1		
H0571	006	0	1	01	01	H0571_006_0	2	08/19/2009	2010.02	08/19/2009 11:20:45 AM Pacific Daylight Time	08/19/2009 06:18:35 PM Pacific Daylight Time	08/19/2009 06:18:35 PM Pacific Daylight Time		08/19/2009 06:46:59 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Program (HMO)	01	01		1			H0571	006	0	2010	Northern San Mateo County		2	138	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1		
H0571	801	0	1	01	01	H0571_801_0	1	05/29/2009	2010.02	05/29/2009 01:59:42 PM Pacific Daylight Time	06/01/2009 11:39:00 AM Pacific Daylight Time			06/01/2009 03:30:50 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Plan  Employer-Only (HMO)	01	01		1			H0571	801	0	2010	San Francisco County		1	30	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1		
H0602	001	0	1	18	06	H0602_001_0	11	07/01/2009	2010.02	07/01/2009 09:54:30 AM Mountain Daylight Time				07/02/2009 08:15:19 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan (Cost)	06	18		1			H0602	001	0	2010	Western Slope Colorado		2	5273	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	002	0	1	18	06	H0602_002_0	13	07/01/2009	2010.02	07/01/2009 09:55:44 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Gold Plan (Cost)	06	18		1			H0602	002	0	2010	Front Range Colorado		2	10	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	003	0	1	18	06	H0602_003_0	12	07/01/2009	2010.02	07/01/2009 09:56:25 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Plus Plan (Cost)	06	18		1			H0602	003	0	2010	Western Slope Colorado		2	32	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	007	0	1	18	06	H0602_007_0	12	07/01/2009	2010.02	07/01/2009 09:57:10 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan (Cost)	06	18		1			H0602	007	0	2010	Front Range Colorado		2	500	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	008	0	1	18	06	H0602_008_0	12	07/01/2009	2010.02	07/01/2009 09:57:48 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Gold Plan (Cost)	06	18		1			H0602	008	0	2010	Denver/Boulder Metro Area		2	10	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	009	0	1	18	06	H0602_009_0	12	07/01/2009	2010.02	07/01/2009 09:59:15 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan (Cost)	06	18		1			H0602	009	0	2010	Denver/Boulder Metro Area		2	417	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	013	0	1	18	06	H0602_013_0	12	07/01/2009	2010.02	07/01/2009 09:59:53 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Standard Plan (Cost)	06	18		1			H0602	013	0	2010	Select Wyoming Counties		2	6	2				2							http://www.rmhp.org	(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(307)-773-1319	241									(800)-704-6370		(800)-704-6370				(800)-704-6370										1		
H0602	017	0	1	18	06	H0602_017_0	13	07/28/2009	2010.02	07/28/2009 07:28:16 AM Mountain Daylight Time		07/27/2009 09:10:18 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan + Rx (Cost)	06	18		1			H0602	017	0	2010	Western Slope Colorado		2	5885	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	018	0	1	18	06	H0602_018_0	17	07/28/2009	2010.02	07/28/2009 10:26:20 AM Mountain Daylight Time		07/27/2009 09:10:48 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Gold Plan + Rx (Cost)	06	18		1			H0602	018	0	2010	Front Range Colorado		2	300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	019	0	1	18	06	H0602_019_0	14	07/28/2009	2010.02	07/28/2009 10:26:28 AM Mountain Daylight Time		07/27/2009 09:11:16 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Plus Plan + Rx (Cost)	06	18		1			H0602	019	0	2010	Western Slope Colorado		2	1300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	020	0	1	18	06	H0602_020_0	12	07/28/2009	2010.02	07/28/2009 10:26:34 AM Mountain Daylight Time		07/27/2009 09:11:52 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan + Rx (Cost)	06	18		1			H0602	020	0	2010	Front Range Colorado		2	2300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	021	0	1	18	06	H0602_021_0	14	07/28/2009	2010.02	07/28/2009 10:26:43 AM Mountain Daylight Time		07/27/2009 09:12:20 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Gold Plan + Rx (Cost)	06	18		1			H0602	021	0	2010	Denver/Boulder Metro Area		2	450	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	022	0	1	18	06	H0602_022_0	12	07/28/2009	2010.02	07/28/2009 10:26:48 AM Mountain Daylight Time		07/27/2009 10:41:30 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Standard Plan + Rx (Cost)	06	18		1			H0602	022	0	2010	Denver/Boulder Metro Area		2	2200	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	023	0	1	18	06	H0602_023_0	12	07/28/2009	2010.02	07/28/2009 10:27:01 AM Mountain Daylight Time		07/27/2009 09:12:46 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Standard Plan + Rx (Cost)	06	18		1			H0602	023	0	2010	Select Wyoming Counties		2	50	2				2							http://www.rmhp.org	(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(307)-773-1319	241	(800)-840-2211		(800)-840-2211		(800)-840-2211		(800)-840-2211		(800)-704-6370		(800)-704-6370				(800)-704-6370		(800)-704-6370				(800)-704-6370				1		
H0602	026	0	1	18	06	H0602_026_0	13	07/01/2009	2010.02	07/01/2009 10:36:13 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	AB Basic Plan (Cost)	06	18		1			H0602	026	0	2010	Colorado and Select Wyoming Counties		2	1300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	027	0	1	18	06	H0602_027_0	14	07/01/2009	2010.02	07/01/2009 10:38:31 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan (Cost)	06	18		1			H0602	027	0	2010	Western Slope Colorado		2	750	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	028	0	1	18	06	H0602_028_0	14	07/01/2009	2010.02	07/01/2009 10:39:22 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan (Cost)	06	18		1			H0602	028	0	2010	Front Range Colorado		2	70	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	029	0	1	18	06	H0602_029_0	14	07/01/2009	2010.02	07/01/2009 10:40:08 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan (Cost)	06	18		1			H0602	029	0	2010	Denver/Boulder Metro Area		2	300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	036	0	1	18	06	H0602_036_0	15	07/28/2009	2010.02	07/28/2009 10:27:18 AM Mountain Daylight Time		07/27/2009 10:42:00 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan + Rx (Cost)	06	18		1			H0602	036	0	2010	Denver/Boulder Metro Area		2	300	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	038	0	1	18	06	H0602_038_0	14	07/28/2009	2010.02	07/28/2009 10:27:24 AM Mountain Daylight Time		07/27/2009 10:42:30 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan + Rx (Cost)	06	18		1			H0602	038	0	2010	Front Range Colorado		2	75	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	039	0	1	18	06	H0602_039_0	15	07/28/2009	2010.02	07/28/2009 10:27:30 AM Mountain Daylight Time		07/27/2009 10:43:20 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Thrifty Plan + Rx (Cost)	06	18		1			H0602	039	0	2010	Western Slope Colorado		2	500	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	040	0	2	18	06	H0602_040_0	13	07/01/2009	2010.02	07/01/2009 10:44:10 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	B Basic Plan (Cost)	06	18		2	2		H0602	040	0	2010	Colorado and Select Wyoming Counties		2	5	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	041	0	2	18	06	H0602_041_0	13	07/01/2009	2010.02	07/01/2009 10:44:57 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	B Standard Plan (Cost)	06	18		2	2		H0602	041	0	2010	Colorado and Select Wyoming Counties		2	10	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	042	0	1	18	06	H0602_042_0	14	07/01/2009	2010.02	07/01/2009 10:45:35 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Green Plan (Cost)	06	18		1			H0602	042	0	2010	Colorado		2	50	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1		
H0602	043	0	1	18	06	H0602_043_0	14	07/28/2009	2010.02	07/28/2009 10:27:39 AM Mountain Daylight Time		07/27/2009 10:49:08 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Green Plan + Rx (Cost)	06	18		1			H0602	043	0	2010	Colorado		2	800	2				2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	044	0	1	18	06	H0602_044_0	14	07/01/2009	2010.02	07/01/2009 10:46:41 AM Mountain Daylight Time				07/02/2009 08:24:23 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Green Plan (Cost)	06	18		1			H0602	044	0	2010	Select Wyoming Counties		2	25	2				2							http://www.rmhp.org	(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(307)-773-1319	241									(800)-704-6370		(800)-704-6370				(800)-704-6370										1		
H0602	045	0	1	18	06	H0602_045_0	14	07/28/2009	2010.02	07/28/2009 10:27:49 AM Mountain Daylight Time		07/27/2009 10:49:56 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Green Plan + Rx (Cost)	06	18		1			H0602	045	0	2010	Select Wyoming Counties		2	100	2				2							http://www.rmhp.org	(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(307)-773-1319	241	(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(307)-773-1319	241	(800)-704-6370		(800)-704-6370				(800)-704-6370		(800)-704-6370						(800)-704-6370		1		
H0602	801	0		18	06	H0602_801_0	9	05/27/2009	2010.02						ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Group Plus Plan (Cost)	06	18					H0602	801	0	2010	Colorado		1						2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643				(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0602	803	0		18	06	H0602_803_0	9	05/27/2009	2010.02						ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Group Basic Plan (Cost)	06	18					H0602	803	0	2010	Colorado and Select Wyoming Counties		1						2							http://www.rmhp.org	(800)-346-4643		(970)-243-7050		(800)-346-4643				(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1		
H0609	002	0	1	01	01	H0609_002_0	5	07/16/2009	2010.02	07/16/2009 04:24:00 PM Central Daylight Time	08/14/2009 02:47:49 PM Central Daylight Time	08/13/2009 05:43:37 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0609	002	0	2010	El Paso, Teller and Larimer counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0609	006	0	1	01	01	H0609_006_0	3	07/20/2009	2010.02	07/20/2009 12:03:50 PM Central Daylight Time	08/14/2009 02:48:17 PM Central Daylight Time	08/13/2009 05:43:41 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0609	006	0	2010	Denver Metro		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0609	007	0	1	01	01	H0609_007_0	3	07/16/2009	2010.02	07/16/2009 04:26:24 PM Central Daylight Time	08/14/2009 02:49:03 PM Central Daylight Time	08/13/2009 05:43:45 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0609	007	0	2010	Denver Metro		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0609	012	0	1	01	01	H0609_012_0	4	07/16/2009	2010.02	07/16/2009 04:28:02 PM Central Daylight Time	08/14/2009 02:49:37 PM Central Daylight Time	08/13/2009 05:43:49 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0609	012	0	2010	Denver Metro		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0609	015	0	1	01	01	H0609_015_0	4	07/16/2009	2010.02	07/16/2009 04:28:32 PM Central Daylight Time	07/21/2009 11:06:58 AM Central Daylight Time			07/23/2009 10:22:20 AM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0609	015	0	2010	El Paso, Fremont, Pueblo, Teller, Larimer counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H0609	018	0	1	01	01	H0609_018_0	2	07/16/2009	2010.02	07/16/2009 04:29:01 PM Central Daylight Time	07/21/2009 11:08:20 AM Central Daylight Time			07/23/2009 10:22:20 AM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0609	018	0	2010	Denver Metro		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H0609	020	0	1	01	01	H0609_020_0	5	07/16/2009	2010.02	07/16/2009 04:30:21 PM Central Daylight Time	08/14/2009 02:50:37 PM Central Daylight Time	08/13/2009 05:43:52 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0609	020	0	2010	El Paso, Fremont, Pueblo, Teller, Larimer counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H0609	801	0	1	01	01	H0609_801_0	3	05/29/2009	2010.02	05/29/2009 08:46:48 PM Central Daylight Time	07/21/2009 11:10:31 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	801	0	2010	CO Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H0609	804	0	1	01	01	H0609_804_0	3	05/30/2009	2010.02	05/30/2009 04:02:40 PM Central Daylight Time	07/21/2009 11:11:07 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	804	0	2010	CO Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0609	805	0	1	01	01	H0609_805_0	3	05/30/2009	2010.02	05/30/2009 04:02:41 PM Central Daylight Time	07/21/2009 11:12:36 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	805	0	2010	CO Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0609	806	0	2	01	01	H0609_806_0	4	05/29/2009	2010.02	05/31/2009 02:35:15 PM Central Daylight Time	07/21/2009 11:13:41 AM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H0609	806	0	2010	CO Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(800)-771-4347		(800)-771-4347		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0613	001	0	1	20	08	H0613_001_0	3	10/14/2009	2010.02	10/14/2009 01:21:24 PM Mountain Daylight Time		10/14/2009 09:03:42 AM Mountain Daylight Time		10/14/2009 01:25:20 PM Mountain Daylight Time	TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	Total Longterm Care - Dual eligibles (PACE)	08	20		1			H0613	001	0	2010	Metropolitan Denver		2		2				2							http://www.totallongtermcare.org/services.html									(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664										(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664		1		
H0613	003	0	1	20	08	H0613_003_0	3	10/14/2009	2010.02	10/14/2009 01:21:39 PM Mountain Daylight Time		10/14/2009 09:03:41 AM Mountain Daylight Time		10/14/2009 01:25:20 PM Mountain Daylight Time	TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	Total Longterm Care - Medicare only (PACE)	08	20		1			H0613	003	0	2010	Metropolitian Denver		2		2				2							http://www.totallongtermcare.org/services.html									(303)-869-4664		(303)-869-4664		(877)-277-6163		(303)-869-4664										(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664		1		
H0620	002	0	1	04	01	H0620_002_0	3	07/07/2009	2010.02	07/07/2009 09:30:03 AM Central Daylight Time	08/18/2009 03:06:22 PM Central Daylight Time	08/13/2009 05:43:56 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H0620	002	0	2010	Denver, Colorado Springs Area		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0621	001	0	1	01	01	H0621_001_0	3	08/17/2009	2010.02	08/17/2009 07:45:14 AM Mountain Daylight Time	08/16/2009 03:36:02 PM Mountain Daylight Time	08/13/2009 08:17:50 PM Mountain Daylight Time		08/19/2009 08:50:24 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage - Plan D (HMO)	01	01		1			H0621	001	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2		2		1	3		1	3		http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0621	004	0	1	01	01	H0621_004_0	3	05/29/2009	2010.02	05/29/2009 10:52:15 AM Mountain Daylight Time	08/13/2009 08:50:14 PM Mountain Daylight Time	08/13/2009 08:28:16 PM Mountain Daylight Time		08/19/2009 08:40:55 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage - Plan B (HMO)	01	01		1			H0621	004	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2				1	4		1		000000000000100	http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0621	005	0	1	01	01	H0621_005_0	3	05/29/2009	2010.02	05/29/2009 10:51:48 AM Mountain Daylight Time	08/13/2009 08:57:12 PM Mountain Daylight Time	08/13/2009 08:32:54 PM Mountain Daylight Time		08/19/2009 08:58:25 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage - Plan C (HMO)	01	01		1			H0621	005	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2				1	4		1		000110100000000	http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0621	006	0	1	01	01	H0621_006_0	3	08/17/2009	2010.02	08/17/2009 07:51:29 AM Mountain Daylight Time	08/16/2009 03:49:48 PM Mountain Daylight Time	08/13/2009 08:35:18 PM Mountain Daylight Time		08/19/2009 09:04:30 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage - Plan E (HMO)	01	01		1			H0621	006	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2				2						http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0621	007	0	1	01	01	H0621_007_0	6	08/17/2009	2010.02	08/17/2009 07:59:05 AM Mountain Daylight Time	08/17/2009 04:03:24 PM Mountain Daylight Time	08/13/2009 08:38:48 PM Mountain Daylight Time		08/19/2009 09:11:14 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage - Plan F (HMO)	01	01		1			H0621	007	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2				2						http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0621	009	0	1	01	01	H0621_009_0	4	08/17/2009	2010.02	08/17/2009 07:54:33 AM Mountain Daylight Time	08/16/2009 04:02:40 PM Mountain Daylight Time	08/13/2009 08:42:56 PM Mountain Daylight Time		08/19/2009 09:16:57 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coloradoaccessadvantage.com	Colorado Access Advantage Select D (HMO)	01	01		1			H0621	009	0	2010	Denver,  Surrounding Counties, and San Luis Valley		2		2		2		1	3		1	5		http://www.coloradoaccessadvantage.com	http://accessadvantage.medicareplanrx.net	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1		
H0623	001	0	1	04	01	H0623_001_0	6	07/21/2009	2010.02	07/21/2009 03:39:19 PM Eastern Daylight Time	08/18/2009 05:52:55 PM Eastern Daylight Time	08/19/2009 10:18:35 AM Eastern Daylight Time		08/21/2009 09:44:32 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-001 (PPO)	01	04		1			H0623	001	0	2010	Denver Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0623	005	0	1	04	01	H0623_005_0	6	07/21/2009	2010.02	07/21/2009 03:39:38 PM Eastern Daylight Time	08/18/2009 05:57:58 PM Eastern Daylight Time	08/19/2009 10:18:45 AM Eastern Daylight Time		08/21/2009 09:44:32 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-005 (PPO)	01	04		1			H0623	005	0	2010	Colorado (select counties)		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0623	006	0	1	04	01	H0623_006_0	4	07/21/2009	2010.02	07/21/2009 03:40:05 PM Eastern Daylight Time	07/20/2009 03:09:40 PM Eastern Daylight Time			07/23/2009 01:25:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-006 (PPO)	01	04		1			H0623	006	0	2010	Colorado (select counties)		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0623	009	0	1	04	01	H0623_009_0	4	07/21/2009	2010.02	07/21/2009 03:40:21 PM Eastern Daylight Time	07/20/2009 03:05:10 PM Eastern Daylight Time			07/23/2009 01:25:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-009 (PPO)	01	04		1			H0623	009	0	2010	Denver Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0623	801	0	1	04	01	H0623_801_0	4	07/10/2009	2010.02	07/16/2009 07:56:27 AM Eastern Daylight Time	07/21/2009 03:39:10 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0623	801	0	2010	Denver, Grand Junction and Fort Collins Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0623	802	0	1	04	01	H0623_802_0	4	07/10/2009	2010.02	07/16/2009 07:56:52 AM Eastern Daylight Time	07/21/2009 04:28:04 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H0623	802	0	2010	Denver, Grand Junction and Fort Collins Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H0623	803	0	1	04	01	H0623_803_0	5	07/10/2009	2010.02	07/16/2009 07:57:14 AM Eastern Daylight Time	07/27/2009 10:28:30 AM Eastern Daylight Time			07/29/2009 10:01:07 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H0623	803	0	2010	Denver, Grand Junction and Fort Collins Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H0624	001	0	1	01	01	H0624_001_0	3	07/15/2009	2010.02	07/15/2009 04:46:15 PM Central Daylight Time	08/18/2009 12:17:05 PM Central Daylight Time	08/13/2009 05:44:01 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H0624	001	0	2010	Denver, Colorado Springs area		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0624	004	0	1	02	01	H0624_004_0	3	07/07/2009	2010.02	07/07/2009 09:30:46 AM Central Daylight Time	08/18/2009 12:15:52 PM Central Daylight Time	08/13/2009 05:44:05 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H0624	004	0	2010	Fremont County		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0624	005	0	1	01	01	H0624_005_0	3	08/18/2009	2010.02	08/18/2009 10:10:42 AM Central Daylight Time	08/18/2009 12:15:19 PM Central Daylight Time	08/13/2009 05:44:09 PM Central Daylight Time		08/20/2009 08:38:55 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H0624	005	0	2010	Denver, Colorado Springs area		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0630	013	0	1	01	01	H0630_013_0	4	08/18/2009	2010.02	08/18/2009 08:15:12 AM Mountain Daylight Time	08/18/2009 01:07:30 PM Mountain Daylight Time	08/19/2009 10:26:22 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Core (HMO)	01	01		1			H0630	013	0	2010	Denver Metro Area		2	2781	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	014	0	1	01	01	H0630_014_0	4	07/31/2009	2010.02	07/31/2009 11:38:56 AM Mountain Daylight Time	08/18/2009 10:13:00 AM Mountain Daylight Time	08/19/2009 10:26:42 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Medicare Medicaid Plan (HMO)	01	01		1			H0630	014	0	2010	Denver Metro Area		2	2388	2		2		1	3		1	2		kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	015	0	1	01	01	H0630_015_0	5	08/18/2009	2010.02	08/18/2009 09:26:51 AM Mountain Daylight Time	08/18/2009 01:10:20 PM Mountain Daylight Time	08/19/2009 10:26:54 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Silver (HMO)	01	01		1			H0630	015	0	2010	Denver Metro Area		2	27247	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	016	0	1	01	01	H0630_016_0	4	08/18/2009	2010.02	08/18/2009 09:04:11 AM Mountain Daylight Time	08/18/2009 01:11:26 PM Mountain Daylight Time	08/19/2009 10:27:12 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Gold (HMO)	01	01		1			H0630	016	0	2010	Denver Metro Area		2	4970	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	017	0	1	01	01	H0630_017_0	3	08/18/2009	2010.02	08/18/2009 08:57:31 AM Mountain Daylight Time	08/18/2009 02:27:42 PM Mountain Daylight Time	08/19/2009 10:27:30 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Core (HMO)	01	01		1			H0630	017	0	2010	Southern Colorado		2	457	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	018	0	1	01	01	H0630_018_0	4	08/18/2009	2010.02	08/18/2009 09:00:41 AM Mountain Daylight Time	08/18/2009 11:36:24 AM Mountain Daylight Time	08/19/2009 10:27:46 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Silver (HMO)	01	01		1			H0630	018	0	2010	Southern Colorado		2	629	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	019	0	1	02	01	H0630_019_0	4	08/18/2009	2010.02	08/18/2009 09:05:49 AM Mountain Daylight Time	08/18/2009 11:40:56 AM Mountain Daylight Time	08/19/2009 10:28:00 AM Mountain Daylight Time		08/19/2009 10:51:29 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Kaiser Permanente Senior Advantage Plus Choice (HMO-POS)	01	02		1			H0630	019	0	2010	Denver Metro Area		2	400	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	805	0	2	01	01	H0630_805_0	2	07/31/2009	2010.02	07/31/2009 11:53:13 AM Mountain Daylight Time	05/28/2009 01:49:30 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA-PD_Part B only (HMO)	01	01		2	1		H0630	805	0	2010	Denver Metro Area		1	518	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	806	0	2	01	01	H0630_806_0	2	07/31/2009	2010.02	07/31/2009 11:56:55 AM Mountain Daylight Time	05/28/2009 02:38:22 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA only_Part B only (HMO)	01	01		2	1		H0630	806	0	2010	Denver Metro Area		1	20	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779										1		
H0630	807	0	1	01	01	H0630_807_0	3	07/31/2009	2010.02	07/31/2009 11:58:08 AM Mountain Daylight Time	07/27/2009 05:20:04 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA-PD (HMO)	01	01		1			H0630	807	0	2010	Denver Metro Area		1	21099	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	808	0	1	01	01	H0630_808_0	3	07/31/2009	2010.02	07/31/2009 11:59:42 AM Mountain Daylight Time	07/27/2009 05:20:30 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Adv_Group_MA only (HMO)	01	01		1			H0630	808	0	2010	Denver Metro Area		1	1078	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779										1		
H0630	809	0	2	01	01	H0630_809_0	2	07/31/2009	2010.02	07/31/2009 12:00:34 PM Mountain Daylight Time	05/28/2009 02:39:26 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	FEHB B only with D (HMO)	01	01		2	1		H0630	809	0	2010	Denver Metro Area		1	15	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	810	0	1	01	01	H0630_810_0	2	07/31/2009	2010.02	07/31/2009 12:02:07 PM Mountain Daylight Time	05/28/2009 02:39:58 PM Mountain Daylight Time			07/31/2009 12:19:19 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	FEHB AB with D (HMO)	01	01		1			H0630	810	0	2010	Denver Metro Area		1	2481	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	811	0	2	01	01	H0630_811_0	1	05/28/2009	2010.02	05/28/2009 07:18:43 PM Mountain Daylight Time	05/28/2009 02:31:56 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA-PD_Part B only (HMO)	01	01		2	1		H0630	811	0	2010	Southern Colorado		1	30	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	812	0	2	01	01	H0630_812_0	1	05/28/2009	2010.02	05/28/2009 07:13:17 PM Mountain Daylight Time	05/28/2009 02:32:20 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA only_Part B only (HMO)	01	01		2	1		H0630	812	0	2010	Southern Colorado		1	7	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779										1		
H0630	813	0	1	01	01	H0630_813_0	1	05/29/2009	2010.02	05/29/2009 09:32:02 AM Mountain Daylight Time	05/28/2009 02:33:16 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Advantage Group MA-PD (HMO)	01	01		1			H0630	813	0	2010	Southern Colorado		1	551	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	814	0	1	01	01	H0630_814_0	1	05/29/2009	2010.02	05/29/2009 09:33:03 AM Mountain Daylight Time	05/28/2009 02:34:26 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	Senior Adv Group_MA only (HMO)	01	01		1			H0630	814	0	2010	Southern Colorado		1	7	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779										1		
H0630	815	0	2	01	01	H0630_815_0	1	05/28/2009	2010.02	05/28/2009 07:13:31 PM Mountain Daylight Time	05/28/2009 02:35:42 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	FEHB B only with D (HMO)	01	01		2	1		H0630	815	0	2010	Southern Colorado		1	0	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0630	816	0	1	01	01	H0630_816_0	1	05/28/2009	2010.02	05/28/2009 07:13:35 PM Mountain Daylight Time	05/28/2009 02:36:28 PM Mountain Daylight Time			05/29/2009 11:52:41 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	www.kp.org	FEHB AB with D (HMO)	01	01		1			H0630	816	0	2010	Southern Colorado		1	253	2				2						kp.org	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		(866)-513-9964		(303)-338-3820		(800)-659-2656		(800)-509-8779		1		
H0710	001	0	1	04	01	H0710_001_0	4	08/20/2009	2010.02	08/20/2009 02:29:22 PM Central Daylight Time	08/19/2009 10:32:41 AM Central Daylight Time	08/13/2009 05:44:13 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H0710	001	0	2010	Fairfld, Hrtfrd, Lthfld, New Hvn, Tollnd, Wndham		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0710	002	0	1	04	01	H0710_002_0	4	07/15/2009	2010.02	07/15/2009 04:46:32 PM Central Daylight Time	08/19/2009 10:32:02 AM Central Daylight Time	08/13/2009 05:44:18 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H0710	002	0	2010	Fairfld, Hrtfrd, Lthfld, New Hvn, Tollnd, Wndham		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0710	003	0	1	04	01	H0710_003_0	4	08/18/2009	2010.02	08/18/2009 10:48:05 AM Central Daylight Time	08/19/2009 10:31:22 AM Central Daylight Time	08/13/2009 05:44:22 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H0710	003	0	2010	New Haven		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H0712	001	0	1	02	01	H0712_001_0	6	07/21/2009	2010.02	07/21/2009 11:25:24 AM Eastern Daylight Time	08/18/2009 02:09:33 PM Eastern Daylight Time	08/17/2009 11:03:16 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H0712	001	0	2010	Fairfield, Hartford, New Haven, Tolland Counties		2		2				2							www.wellcare.com	(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0712	005	0	1	01	01	H0712_005_0	5	08/18/2009	2010.02	08/18/2009 12:46:48 PM Eastern Daylight Time	08/18/2009 02:10:17 PM Eastern Daylight Time	08/17/2009 11:03:28 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H0712	005	0	2010	Fairfield, Hartford, New Haven, Tolland Counties		2		2		2		1	3		1	1			www.wellcare.com	(866)-635-7047		(866)-635-7047		(866)-238-4344		(866)-238-4344		(866)-635-7047		(866)-635-7047		(866)-238-4344		(866)-238-4344		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0712	018	0	1	02	01	H0712_018_0	5	05/29/2009	2010.02	05/29/2009 05:04:39 PM Eastern Daylight Time	08/18/2009 02:10:40 PM Eastern Daylight Time	08/17/2009 11:03:40 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Premium (HMO-POS)	01	02		1			H0712	018	0	2010	Fairfield, Hartford, New Haven, Tolland Counties		2		2				2							www.wellcare.com	(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0747	801	0	1	09	04	H0747_801_0	2	05/29/2009	2010.02	05/29/2009 12:04:31 PM Mountain Daylight Time	07/17/2009 10:25:40 AM Mountain Daylight Time			07/25/2009 12:26:18 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	http://www.educatorsmutual.com	Educators Group MA (PFFS)	04	09	2	1			H0747	801	0	2010	Counties in the United States		1	1971	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475										(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475										1		
H0747	802	0	1	09	04	H0747_802_0	2	05/29/2009	2010.02	05/29/2009 12:04:47 PM Mountain Daylight Time	07/17/2009 10:27:56 AM Mountain Daylight Time			07/25/2009 12:26:18 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	http://www.educatorsmutual.com	Educators Group MAPD Plan 1 (PFFS)	04	09	2	1			H0747	802	0	2010	Counties in the United States		1	10237	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(800)-820-9731		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(888)-236-4823		(888)-236-4823		(888)-236-4823		(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1		
H0747	804	0	1	09	04	H0747_804_0	2	05/29/2009	2010.02	05/29/2009 12:04:47 PM Mountain Daylight Time	07/17/2009 10:30:08 AM Mountain Daylight Time			07/25/2009 12:26:18 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	http://www.educatorsmutual.com	Educators Group MAPD Plan 2 (PFFS)	04	09	2	1			H0747	804	0	2010	Counties in the United States		1	108	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(800)-820-9731		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(888)-236-4823		(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1		
H0752	002	0	1	01	01	H0752_002_0	5	07/23/2009	2010.02	07/23/2009 03:04:20 PM Central Daylight Time	08/14/2009 10:52:00 AM Central Daylight Time	08/13/2009 05:44:26 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H0752	002	0	2010	New Haven CT		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H0752	801	0	1	01	01	H0752_801_0	4	05/31/2009	2010.02	05/31/2009 02:47:11 PM Central Daylight Time	07/20/2009 03:40:01 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	801	0	2010	CT Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H0752	802	0	1	01	01	H0752_802_0	4	05/29/2009	2010.02	05/31/2009 02:38:38 PM Central Daylight Time	07/20/2009 03:40:22 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	802	0	2010	CT Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720										(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480										1		
H0752	803	0	1	01	01	H0752_803_0	4	05/31/2009	2010.02	05/31/2009 02:47:26 PM Central Daylight Time	07/20/2009 03:40:44 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	803	0	2010	CT Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H0755	001	0	1	01	01	H0755_001_0	5	08/19/2009	2010.02	08/19/2009 12:30:50 PM Pacific Daylight Time	08/18/2009 10:45:00 AM Pacific Daylight Time	08/14/2009 06:34:00 PM Pacific Daylight Time		08/20/2009 02:04:37 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Ruby Option 1 (HMO)	01	01		1			H0755	001	0	2010	Connecticut		2	29249	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	020	0	1	02	01	H0755_020_0	7	08/05/2009	2010.02	08/05/2009 02:29:56 PM Pacific Daylight Time	08/18/2009 10:46:00 AM Pacific Daylight Time	08/14/2009 06:34:00 PM Pacific Daylight Time		08/20/2009 02:04:37 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Navy 1 (HMO-POS)	01	02		1			H0755	020	0	2010	Connecticut		2	1252	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	022	0	1	01	01	H0755_022_0	5	08/05/2009	2010.02	08/05/2009 01:05:52 PM Pacific Daylight Time	08/18/2009 10:46:00 AM Pacific Daylight Time	08/14/2009 06:34:00 PM Pacific Daylight Time		08/20/2009 02:04:37 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Ruby Option 2 (HMO)	01	01		1			H0755	022	0	2010	Connecticut		2	6706	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	023	0	1	01	01	H0755_023_0	5	07/29/2009	2010.02	07/29/2009 10:27:55 AM Pacific Daylight Time	07/24/2009 01:44:00 PM Pacific Daylight Time			07/30/2009 02:18:39 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Green (HMO)	01	01		1			H0755	023	0	2010	Connecticut		2	1818	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192										(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424										1		
H0755	028	0	1	01	01	H0755_028_0	5	07/29/2009	2010.02	07/29/2009 10:28:08 AM Pacific Daylight Time	08/18/2009 10:47:00 AM Pacific Daylight Time	08/14/2009 06:34:00 PM Pacific Daylight Time		08/20/2009 02:04:37 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Ruby Option 3 (HMO)	01	01		1			H0755	028	0	2010	Connecticut		2	2232	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	029	0	1	02	01	H0755_029_0	7	08/20/2009	2010.02	08/20/2009 09:14:32 AM Pacific Daylight Time	08/19/2009 03:09:00 PM Pacific Daylight Time	08/14/2009 06:35:00 PM Pacific Daylight Time		08/20/2009 02:04:37 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net Navy 2 (HMO-POS)	01	02		1			H0755	029	0	2010	Connecticut		2	1252	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	801	0	1	01	01	H0755_801_0	3	05/26/2009	2010.02	05/26/2009 04:43:41 PM Pacific Daylight Time	07/15/2009 11:22:00 AM Pacific Daylight Time			07/23/2009 01:51:09 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0755	801	0	2010	Connecticut		1	7599	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0755	803	0	1	01	01	H0755_803_0	3	05/26/2009	2010.02	05/26/2009 10:30:34 AM Pacific Daylight Time	07/15/2009 11:22:00 AM Pacific Daylight Time			07/23/2009 01:51:09 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0755	803	0	2010	Connecticut		1	7599	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192										(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424										1		
H0755	804	0	1	01	01	H0755_804_0	3	05/26/2009	2010.02	05/26/2009 10:30:43 AM Pacific Daylight Time	07/15/2009 11:30:00 AM Pacific Daylight Time			07/23/2009 01:51:09 PM Pacific Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0755	804	0	2010	Connecticut		1	7599	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1		
H0806	001	0	1	02	01	H0806_001_0	10	08/19/2009	2010.01	08/19/2009 01:30:54 PM Mountain Daylight Time	08/18/2009 10:33:00 AM Mountain Daylight Time	08/18/2009 08:05:18 AM Mountain Daylight Time		08/20/2009 02:43:06 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (WYOMING)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Wyoming (HMO-POS)	01	02		1			H0806	001	0	2010	Uinta County		2	65	2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(877)-981-8155		(877)-981-8155		(800)-708-9637		(800)-708-9637		(877)-981-8155		(877)-981-8155		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H0838	020	0	1	01	01	H0838_020_0	4	08/10/2009	2010.02	08/10/2009 11:21:57 AM Pacific Daylight Time	08/14/2009 03:35:06 PM Pacific Daylight Time	08/14/2009 03:54:36 PM Pacific Daylight Time		08/18/2009 03:44:32 PM Pacific Daylight Time	HMO CALIFORNIA	Brand New Day	www.BrandNewDayHMO.com	Brand New Day (HMO)	01	01		1			H0838	020	0	2010	Counties: LA, Orange, Kern, Riverside, San Bernard		2	2000	2				1	4		1		000000000000100	www.BrandNewDayHMO.com	http://www.BrandNewDayHMO.com/pdf/Comprehensive_Formulary.pdf?	(866)-255-4795		(866)-255-4795		(866)-235-1805		(866)-235-1805		(866)-255-4795		(866)-255-4795		(866)-235-1805		(866)-235-1805		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		1		
H0901	004	0	1	01	01	H0901_004_0	5	08/19/2009	2010.02	08/19/2009 12:07:09 PM Eastern Daylight Time	08/18/2009 04:42:07 PM Eastern Daylight Time	08/17/2009 02:30:06 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H0901	004	0	2010	District of Columbia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0901	007	0	1	01	01	H0901_007_0	5	08/19/2009	2010.02	08/19/2009 12:07:57 PM Eastern Daylight Time	08/18/2009 04:43:25 PM Eastern Daylight Time	08/17/2009 02:30:34 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0901	007	0	2010	District of Columbia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0901	801	0	1	01	01	H0901_801_0	1	05/19/2009	2010.02	05/19/2009 11:26:00 AM Eastern Daylight Time	05/28/2009 05:10:01 PM Eastern Daylight Time			05/29/2009 08:08:50 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0901	801	0	2010	District of Columbia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H0901	802	0	1	01	01	H0901_802_0	1	05/19/2009	2010.02	05/19/2009 11:27:14 AM Eastern Daylight Time	05/28/2009 05:14:53 PM Eastern Daylight Time			05/29/2009 08:08:50 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0901	802	0	2010	District of Columbia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H0908	001	0	1	01	01	H0908_001_0	8	07/29/2009	2010.02	07/29/2009 11:32:31 AM Pacific Daylight Time	08/17/2009 01:31:42 PM Pacific Daylight Time	08/17/2009 10:54:09 AM Pacific Daylight Time		08/19/2009 04:50:51 PM Pacific Daylight Time	BUCKEYE COMMUNITY HEALTH PLAN, INC.	Advantage by Buckeye Community Health Plan	http://www.bchpohio.com/	Buckeye Community Health Plan (HMO)	01	01		1			H0908	001	0	2010	Buckeye Community Health Plan		2	670	2		2		1	3		1	3		http://www.bchpohio.com/	www.bchpohio.com	(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H0913	002	0	1	01	01	H0913_002_0	5	07/21/2009	2010.02	07/21/2009 11:25:47 AM Eastern Daylight Time	08/18/2009 02:11:20 PM Eastern Daylight Time	08/17/2009 11:03:51 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H0913	002	0	2010	Counties: Essex, Hudson, Middlesex, Passaic, Union		2		2				2							www.wellcare.com	(866)-687-8570		(866)-687-8570		(866)-360-8137		(866)-360-8137		(866)-687-8570		(866)-687-8570		(866)-360-8137		(866)-360-8137		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0913	003	0	1	01	01	H0913_003_0	5	08/18/2009	2010.02	08/18/2009 12:47:30 PM Eastern Daylight Time	08/18/2009 02:12:19 PM Eastern Daylight Time	08/17/2009 11:04:04 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H0913	003	0	2010	Counties: Essex, Hudson, Middlesex, Passaic, Union		2		2		2		1	3		1	1			www.wellcare.com	(866)-530-9496		(866)-530-9496		(866)-360-8137		(866)-360-8137		(866)-530-9496		(866)-530-9496		(866)-360-8137		(866)-360-8137		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0913	008	0	1	01	01	H0913_008_0	6	07/21/2009	2010.02	07/21/2009 10:44:39 AM Eastern Daylight Time	08/18/2009 02:13:16 PM Eastern Daylight Time	08/17/2009 11:04:16 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Reserve (HMO)	01	01		1			H0913	008	0	2010	Counties: Essex, Hudson, Middlesex, Passaic, Union		2		2				2							www.wellcare.com	(866)-687-8570		(866)-687-8570		(866)-360-8137		(866)-360-8137		(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0913	009	0	1	01	01	H0913_009_0	5	05/31/2009	2010.02	05/31/2009 12:53:38 PM Eastern Daylight Time	08/18/2009 02:14:21 PM Eastern Daylight Time	08/17/2009 11:04:27 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Premium (HMO)	01	01		1			H0913	009	0	2010	Counties: Essex, Hudson, Middlesex, Passaic, Union		2		2				2							www.wellcare.com	(866)-687-8570		(866)-687-8570		(866)-360-8137		(866)-360-8137		(866)-579-8006		(866)-579-8006		(866)-238-4344		(866)-238-4344		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H0974	001	0	1	01	01	H0974_001_0	3	08/20/2009	2010.02	08/20/2009 04:47:06 PM Central Daylight Time	08/20/2009 03:47:48 PM Central Daylight Time	08/19/2009 08:45:00 AM Central Daylight Time		08/20/2009 05:23:23 PM Central Daylight Time	HMO MINNESOTA D/B/A BLUE PLUS	Blue Plus	www.bluecrossmn.com	CareBlue (HMO)	01	01		1			H0974	001	0	2010	87 Counties within the State of Minnesota		2	845	2		2		1	3		1	5		www.bluecrossmn.com	www.bluecrossmn.com	(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		1		
H0979	004	0	1	09	04	H0979_004_0	6	07/26/2009	2010.02	07/26/2009 05:09:33 PM Eastern Daylight Time	07/27/2009 11:18:34 PM Eastern Daylight Time			07/29/2009 02:15:31 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Patriot (PFFS)	04	09	2	1			H0979	004	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1		
H0979	005	0	1	09	04	H0979_005_0	8	08/19/2009	2010.02	08/19/2009 03:45:57 PM Eastern Daylight Time	08/24/2009 05:23:52 PM Eastern Daylight Time	08/24/2009 05:23:52 PM Eastern Daylight Time		08/24/2009 05:28:10 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Patriot Plus (PFFS)	04	09	2	1			H0979	005	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1		
H0979	006	0	1	09	04	H0979_006_0	7	06/01/2009	2010.02	06/01/2009 11:28:07 AM Eastern Daylight Time	08/04/2009 11:25:09 AM Eastern Daylight Time			08/04/2009 01:32:21 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential (PFFS)	04	09	2	1			H0979	006	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1		
H0979	007	0	1	09	04	H0979_007_0	6	08/19/2009	2010.02	08/19/2009 03:46:19 PM Eastern Daylight Time	08/24/2009 05:23:41 PM Eastern Daylight Time	08/24/2009 05:23:41 PM Eastern Daylight Time		08/24/2009 05:28:10 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential Plus (PFFS)	04	09	2	1			H0979	007	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1		
H0979	021	0	1	09	04	H0979_021_0	4	06/01/2009	2010.02	06/01/2009 11:28:10 AM Eastern Daylight Time	08/04/2009 11:21:29 AM Eastern Daylight Time			08/04/2009 01:32:21 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential Plan (PFFS)	04	09	2	1			H0979	021	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1		
H0979	022	0	1	09	04	H0979_022_0	6	08/19/2009	2010.02	08/19/2009 03:46:43 PM Eastern Daylight Time	08/24/2009 05:23:40 PM Eastern Daylight Time	08/24/2009 05:23:40 PM Eastern Daylight Time		08/24/2009 05:28:10 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential Plus Plan (PFFS)	04	09	2	1			H0979	022	0	2010	Select Counties in North Carolina		2		2				2							www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1		
H1013	011	0	1	01	01	H1013_011_0	8	08/20/2009	2010.02	08/20/2009 04:22:48 PM Eastern Daylight Time	08/17/2009 01:25:46 PM Eastern Daylight Time	08/18/2009 10:09:16 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Platinum (HMO)	01	01		1			H1013	011	0	2010	Miami-Dade County		2	5500	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506		(800)-842-7442		(800)-842-7442		(888)-988-7506		(888)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1013	021	0	1	02	01	H1013_021_0	6	08/20/2009	2010.02	08/20/2009 04:27:45 PM Eastern Daylight Time	08/17/2009 01:25:57 PM Eastern Daylight Time	08/18/2009 10:10:48 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Platinum Select (HMO-POS)	01	02		1			H1013	021	0	2010	Broward County		2	100	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506		(800)-842-7442		(800)-842-7442		(888)-988-7506		(888)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1013	024	0	1	01	01	H1013_024_0	7	08/20/2009	2010.02	08/20/2009 11:04:54 AM Eastern Daylight Time	08/17/2009 01:26:08 PM Eastern Daylight Time	08/18/2009 10:15:55 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Platinum Choice (HMO)	01	01		1			H1013	024	0	2010	Dade, Broward, Martin and St. Lucie Counties		2	400	2		2		1	3		1	2		www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506		(800)-842-7442		(800)-842-7442		(888)-988-7506		(888)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1013	802	0	1	01	01	H1013_802_0	5	05/31/2009	2010.02	05/31/2009 12:14:30 PM Eastern Daylight Time	07/23/2009 05:41:00 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Employer Group - (CY) (HMO)	01	01		1			H1013	802	0	2010	All Counties		1	100	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506		(800)-842-7442		(800)-842-7442		(888)-988-7506		(888)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1013	803	0	1	01	01	H1013_803_0	4	05/31/2009	2010.02	05/31/2009 12:28:13 PM Eastern Daylight Time	07/23/2009 06:04:59 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Employer Group - MA Only (CY) (HMO)	01	01		1			H1013	803	0	2010	National		1	250	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506										(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010										1		
H1013	805	0	1	01	01	H1013_805_0	4	05/31/2009	2010.02	05/31/2009 12:28:16 PM Eastern Daylight Time	07/23/2009 06:09:44 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.	Vista Healthplan of South Florida, Inc.	www.vistahealthplan.com	VISTA Employer Group - (Non-Cal Yr) (HMO)	01	01		1			H1013	805	0	2010	National		1	250	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VSF_Rx_2010.pdf	(800)-441-5501		(800)-441-5501		(888)-988-7506		(888)-988-7506		(800)-842-7442		(800)-842-7442		(888)-988-7506		(888)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1016	001	0	1	01	01	H1016_001_0	7	08/20/2009	2010.02	08/20/2009 09:27:19 AM Eastern Daylight Time	08/20/2009 11:32:16 AM Eastern Daylight Time	08/20/2009 11:32:07 AM Eastern Daylight Time		08/20/2009 11:36:04 AM Eastern Daylight Time	AVMED, INC	AvMed Medicare Preferred	www.avmed.org	AvMed Premier Care (HMO)	01	01		1			H1016	001	0	2010	Miami-Dade County		2	11360	2				2						www.avmed.org	http://www.avmed.org/medicare/drug-list.asp	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	21003	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	21003	(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		1		
H1016	002	0	1	01	01	H1016_002_0	7	08/20/2009	2010.02	08/20/2009 09:26:16 AM Eastern Daylight Time	08/20/2009 11:33:01 AM Eastern Daylight Time	08/20/2009 11:32:52 AM Eastern Daylight Time		08/20/2009 11:36:04 AM Eastern Daylight Time	AVMED, INC	AvMed Medicare Preferred	www.avmed.org	AvMed Premier Care (HMO)	01	01		1			H1016	002	0	2010	Broward County		2	970	2				2						www.avmed.org	http://www.avmed.org/medicare/drug-list.asp	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	21003	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	21003	(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		1		
H1019	001	0	1	01	01	H1019_001_0	8	08/18/2009	2010.02	08/18/2009 10:03:27 AM Eastern Daylight Time	08/18/2009 05:29:07 PM Eastern Daylight Time	08/19/2009 10:19:03 AM Eastern Daylight Time		08/19/2009 05:23:36 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	001	0	2010	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	002	0	1	01	01	H1019_002_0	5	08/19/2009	2010.02	08/19/2009 02:16:25 PM Eastern Daylight Time	08/18/2009 05:29:49 PM Eastern Daylight Time	08/19/2009 10:19:13 AM Eastern Daylight Time		08/19/2009 05:23:36 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	002	0	2010	Miami-Dade		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	004	0	1	01	01	H1019_004_0	8	08/18/2009	2010.02	08/18/2009 09:30:47 AM Eastern Daylight Time	08/24/2009 10:56:19 AM Eastern Daylight Time	08/19/2009 10:19:23 AM Eastern Daylight Time		08/24/2009 11:18:33 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree (HMO)	01	01		1			H1019	004	0	2010	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	005	0	1	01	01	H1019_005_0	10	08/18/2009	2010.02	08/18/2009 09:27:56 AM Eastern Daylight Time	08/24/2009 10:56:39 AM Eastern Daylight Time	08/19/2009 10:19:32 AM Eastern Daylight Time		08/24/2009 11:18:33 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree (HMO)	01	01		1			H1019	005	0	2010	Miami-Dade		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	006	0	1	01	01	H1019_006_0	4	08/19/2009	2010.02	08/19/2009 02:32:27 PM Eastern Daylight Time	08/18/2009 05:27:52 PM Eastern Daylight Time	08/19/2009 10:19:40 AM Eastern Daylight Time		08/19/2009 05:23:36 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareCenters (HMO)	01	01		1			H1019	006	0	2010	Miami-Dade		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	010	0	1	01	01	H1019_010_0	8	08/24/2009	2010.02	08/24/2009 09:47:42 AM Eastern Daylight Time	08/24/2009 09:21:44 AM Eastern Daylight Time	08/19/2009 10:19:50 AM Eastern Daylight Time		08/24/2009 11:18:33 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	010	0	2010	Palm Beach		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	011	0	1	01	01	H1019_011_0	9	08/24/2009	2010.02	08/24/2009 09:48:10 AM Eastern Daylight Time	08/24/2009 10:56:59 AM Eastern Daylight Time	08/19/2009 10:19:59 AM Eastern Daylight Time		08/24/2009 11:18:33 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree (HMO)	01	01		1			H1019	011	0	2010	Palm Beach		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	014	0	1	01	01	H1019_014_0	6	08/19/2009	2010.02	08/19/2009 02:15:32 PM Eastern Daylight Time	08/18/2009 05:16:39 PM Eastern Daylight Time	08/19/2009 10:20:08 AM Eastern Daylight Time		08/19/2009 05:23:36 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	014	0	2010	Hillsborough, Pasco, Pinellas, Polk		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	021	0	1	01	01	H1019_021_0	9	08/24/2009	2010.02	08/24/2009 09:48:51 AM Eastern Daylight Time	08/24/2009 09:23:13 AM Eastern Daylight Time			08/24/2009 11:18:33 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareComplete (HMO)	01	01		1			H1019	021	0	2010	Palm Beach		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105										(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930										1		
H1019	023	0	1	01	01	H1019_023_0	6	07/16/2009	2010.02	07/16/2009 08:39:17 AM Eastern Daylight Time	08/20/2009 03:19:42 PM Eastern Daylight Time	08/19/2009 10:20:17 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO)	01	01		1			H1019	023	0	2010	Broward		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	024	0	1	01	01	H1019_024_0	5	08/20/2009	2010.02	08/20/2009 12:08:44 PM Eastern Daylight Time	08/18/2009 05:30:02 PM Eastern Daylight Time	08/19/2009 10:02:11 AM Eastern Daylight Time		08/20/2009 12:17:42 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO)	01	01		1			H1019	024	0	2010	Miami-Dade		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	025	0	1	01	01	H1019_025_0	6	07/16/2009	2010.02	07/16/2009 08:39:47 AM Eastern Daylight Time	08/20/2009 03:16:43 PM Eastern Daylight Time	08/19/2009 10:20:27 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO)	01	01		1			H1019	025	0	2010	Palm Beach		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	026	0	1	01	01	H1019_026_0	6	07/16/2009	2010.02	07/16/2009 08:40:00 AM Eastern Daylight Time	08/20/2009 03:17:06 PM Eastern Daylight Time	08/19/2009 10:20:35 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO)	01	01		1			H1019	026	0	2010	Hillsborough, Pasco, Pinellas		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	027	0	1	01	01	H1019_027_0	7	08/19/2009	2010.02	08/19/2009 02:14:56 PM Eastern Daylight Time	08/18/2009 05:19:09 PM Eastern Daylight Time	08/19/2009 10:20:43 AM Eastern Daylight Time		08/19/2009 05:31:01 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	027	0	2010	Orange, Osceola, Seminole, Lake, Marion		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	028	0	1	01	01	H1019_028_0	6	07/16/2009	2010.02	07/16/2009 08:40:26 AM Eastern Daylight Time	08/20/2009 03:17:27 PM Eastern Daylight Time	08/19/2009 10:20:51 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO)	01	01		1			H1019	028	0	2010	Orange, Osceola, Seminole		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	031	0	1	01	01	H1019_031_0	7	07/16/2009	2010.02	07/16/2009 08:41:14 AM Eastern Daylight Time	08/05/2009 01:10:20 PM Eastern Daylight Time			08/06/2009 05:43:01 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareComplete (HMO)	01	01		1			H1019	031	0	2010	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105										(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930										1		
H1019	032	0	1	01	01	H1019_032_0	5	08/18/2009	2010.02	08/18/2009 10:09:19 AM Eastern Daylight Time	08/18/2009 05:19:37 PM Eastern Daylight Time	08/19/2009 10:21:01 AM Eastern Daylight Time		08/19/2009 05:31:01 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareDirect (HMO)	01	01		1			H1019	032	0	2010	Broward		2		2				1	4		1		000000100000000	www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	035	0	1	01	01	H1019_035_0	5	08/19/2009	2010.02	08/19/2009 02:17:07 PM Eastern Daylight Time	08/18/2009 05:20:36 PM Eastern Daylight Time	08/19/2009 10:21:10 AM Eastern Daylight Time		08/19/2009 05:31:01 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareDirect (HMO)	01	01		1			H1019	035	0	2010	Miami-Dade		2		2				1	4		1		000000100000000	www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	039	0	1	01	01	H1019_039_0	7	07/20/2009	2010.02	07/20/2009 02:20:34 PM Eastern Daylight Time	08/05/2009 01:10:50 PM Eastern Daylight Time			08/06/2009 05:43:01 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareComplete (HMO)	01	01		1			H1019	039	0	2010	Hillsborough, Pasco, Pinellas, Polk		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030										(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930										1		
H1019	043	0	1	01	01	H1019_043_0	9	08/24/2009	2010.02	08/24/2009 11:52:27 AM Eastern Daylight Time	08/24/2009 09:22:07 AM Eastern Daylight Time	08/19/2009 10:21:19 AM Eastern Daylight Time		08/24/2009 03:20:54 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	043	0	2010	Treasure Coast Area		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	044	0	1	01	01	H1019_044_0	7	08/24/2009	2010.02	08/24/2009 11:56:25 AM Eastern Daylight Time	08/24/2009 09:22:29 AM Eastern Daylight Time	08/19/2009 10:21:32 AM Eastern Daylight Time		08/24/2009 03:20:54 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	044	0	2010	Charlotte, Lee, Sarasota		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(866)-838-8239		(866)-838-8239		(800)-794-5907		(800)-794-5907		(866)-838-8239		(866)-838-8239		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	045	0	1	01	01	H1019_045_0	7	07/15/2009	2010.02	07/15/2009 04:38:21 PM Eastern Daylight Time	08/20/2009 03:17:45 PM Eastern Daylight Time	08/19/2009 10:21:51 AM Eastern Daylight Time		08/20/2009 03:44:14 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 045 (HMO)	01	01		1			H1019	045	0	2010	Brevard		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	046	0	1	01	01	H1019_046_0	6	07/16/2009	2010.02	07/16/2009 08:42:57 AM Eastern Daylight Time	08/20/2009 03:18:05 PM Eastern Daylight Time	08/19/2009 10:22:00 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 046 (HMO)	01	01		1			H1019	046	0	2010	Hillsborough, Pasco, Pinellas, Polk		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	047	0	1	01	01	H1019_047_0	6	07/16/2009	2010.02	07/16/2009 08:43:11 AM Eastern Daylight Time	08/20/2009 03:18:25 PM Eastern Daylight Time	08/19/2009 10:22:10 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 047 (HMO)	01	01		1			H1019	047	0	2010	Broward		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	048	0	1	01	01	H1019_048_0	6	08/20/2009	2010.02	08/20/2009 12:09:20 PM Eastern Daylight Time	08/20/2009 03:18:44 PM Eastern Daylight Time	08/19/2009 10:22:18 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 048 (HMO)	01	01		1			H1019	048	0	2010	Miami-Dade		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	049	0	1	01	01	H1019_049_0	6	07/16/2009	2010.02	07/16/2009 08:43:36 AM Eastern Daylight Time	08/20/2009 03:19:24 PM Eastern Daylight Time	08/19/2009 10:22:27 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 049 (HMO)	01	01		1			H1019	049	0	2010	Orange, Osceola, Seminole		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1019	050	0	1	01	01	H1019_050_0	6	07/16/2009	2010.02	07/16/2009 08:43:52 AM Eastern Daylight Time	08/20/2009 03:19:03 PM Eastern Daylight Time	08/19/2009 10:22:37 AM Eastern Daylight Time		08/20/2009 04:07:19 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds 050 (HMO)	01	01		1			H1019	050	0	2010	Palm Beach		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930		(877)-245-7930				(877)-245-7930				1		
H1026	001	0	1	01	01	H1026_001_0	8	08/19/2009	2010.02	08/19/2009 03:55:27 PM Eastern Daylight Time	08/20/2009 11:34:13 AM Eastern Daylight Time	08/20/2009 11:34:26 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare HMO (HMO)	01	01		1			H1026	001	0	2010	Miami-Dade Counties		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1026	033	0	1	01	01	H1026_033_0	6	08/19/2009	2010.02	08/19/2009 03:56:38 PM Eastern Daylight Time	08/20/2009 11:34:37 AM Eastern Daylight Time	08/20/2009 11:34:45 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare HMO (HMO)	01	01		1			H1026	033	0	2010	Hillsborough, Pasco, Pinellas and Polk Counties		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1026	038	0	1	01	01	H1026_038_0	6	08/20/2009	2010.02	08/20/2009 11:14:02 AM Eastern Daylight Time	08/20/2009 11:35:05 AM Eastern Daylight Time	08/20/2009 11:35:14 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare HMO (HMO)	01	01		1			H1026	038	0	2010	Palm Beach County		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1026	040	0	1	01	01	H1026_040_0	6	08/19/2009	2010.02	08/19/2009 03:58:19 PM Eastern Daylight Time	08/20/2009 11:35:25 AM Eastern Daylight Time	08/20/2009 11:35:32 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare HMO (HMO)	01	01		1			H1026	040	0	2010	Broward County		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1026	801	0	1	01	01	H1026_801_0	2	05/29/2009	2010.02	05/29/2009 10:33:41 AM Eastern Daylight Time	06/01/2009 10:09:51 AM Eastern Daylight Time			06/01/2009 12:23:42 PM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare Group HMO (HMO)	01	01		1			H1026	801	0	2010	State of Florida		1		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1026	802	0	1	01	01	H1026_802_0	2	05/28/2009	2010.02	05/28/2009 01:19:51 PM Eastern Daylight Time	06/01/2009 10:10:08 AM Eastern Daylight Time			06/01/2009 12:23:42 PM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.bcbsfl.com	BlueMedicare Group HMO (HMO)	01	01		1			H1026	802	0	2010	State of Florida		1		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H1032	002	0	1	02	01	H1032_002_0	6	08/20/2009	2010.02	08/20/2009 02:58:49 PM Eastern Daylight Time	08/18/2009 03:51:35 PM Eastern Daylight Time	08/17/2009 11:04:39 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	002	0	2010	Orange, Osceola, and Seminole Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	008	0	1	01	01	H1032_008_0	6	07/21/2009	2010.02	07/21/2009 11:35:20 AM Eastern Daylight Time	08/18/2009 03:51:53 PM Eastern Daylight Time	08/17/2009 11:04:51 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO)	01	01		1			H1032	008	0	2010	Dade County		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	012	0	1	02	01	H1032_012_0	6	07/21/2009	2010.02	07/21/2009 11:39:20 AM Eastern Daylight Time	08/18/2009 03:52:25 PM Eastern Daylight Time	08/17/2009 11:05:02 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	012	0	2010	Citrus, Hillsborough, Manatee, and Pasco Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	014	0	1	02	01	H1032_014_0	6	07/21/2009	2010.02	07/21/2009 11:39:29 AM Eastern Daylight Time	08/18/2009 03:52:43 PM Eastern Daylight Time	08/17/2009 11:05:13 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	014	0	2010	Palm Beach, Pinellas, and St Lucie Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	025	0	1	02	01	H1032_025_0	6	07/21/2009	2010.02	07/21/2009 11:39:38 AM Eastern Daylight Time	08/18/2009 03:53:10 PM Eastern Daylight Time	08/17/2009 11:05:25 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	025	0	2010	Broward, Escambia, Sta Rosa and Okaloosa Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	032	0	1	02	01	H1032_032_0	6	07/21/2009	2010.02	07/21/2009 11:39:49 AM Eastern Daylight Time	08/18/2009 03:53:29 PM Eastern Daylight Time	08/17/2009 11:05:36 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO-POS)	01	02		1			H1032	032	0	2010	Hernando, Palm Bch, Pinellas, St. Lucie Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	035	0	1	02	01	H1032_035_0	6	05/29/2009	2010.02	05/29/2009 05:10:15 PM Eastern Daylight Time	08/18/2009 03:53:50 PM Eastern Daylight Time	08/17/2009 11:05:48 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	035	0	2010	Hernando, Hillsborough, Pasco, Pinellas Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	037	0	1	01	01	H1032_037_0	3	07/21/2009	2010.02	07/21/2009 11:39:00 AM Eastern Daylight Time	07/23/2009 01:09:00 PM Eastern Daylight Time			07/24/2009 02:50:59 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1032	037	0	2010	Central Florida Area		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1		
H1032	040	0	1	01	01	H1032_040_0	6	07/21/2009	2010.02	07/21/2009 11:35:39 AM Eastern Daylight Time	08/18/2009 03:54:37 PM Eastern Daylight Time	08/17/2009 11:06:00 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1032	040	0	2010	Miami-Dade County		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	061	0	1	02	01	H1032_061_0	6	05/29/2009	2010.02	05/29/2009 05:10:26 PM Eastern Daylight Time	08/18/2009 03:55:00 PM Eastern Daylight Time	08/17/2009 11:06:11 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS)	01	02		1			H1032	061	0	2010	Central and South East Florida		2		2		2		1	3		1	2			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	073	0	1	02	01	H1032_073_0	6	07/21/2009	2010.02	07/21/2009 11:36:22 AM Eastern Daylight Time	08/18/2009 03:55:48 PM Eastern Daylight Time	08/17/2009 11:06:26 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	073	0	2010	Duval County		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	079	0	1	01	01	H1032_079_0	6	07/21/2009	2010.02	07/21/2009 11:40:04 AM Eastern Daylight Time	08/18/2009 03:56:12 PM Eastern Daylight Time	08/17/2009 11:06:41 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H1032	079	0	2010	Northern Florida		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	085	0	1	01	01	H1032_085_0	6	05/31/2009	2010.02	05/31/2009 01:36:42 PM Eastern Daylight Time	08/18/2009 03:56:35 PM Eastern Daylight Time	08/17/2009 11:06:54 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1032	085	0	2010	Northern and Central Florida		2		2		2		1	3		1	1			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	091	0	1	02	01	H1032_091_0	6	07/21/2009	2010.02	07/21/2009 11:36:54 AM Eastern Daylight Time	08/18/2009 03:56:59 PM Eastern Daylight Time	08/17/2009 11:07:09 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Essential (HMO-POS)	01	02		1			H1032	091	0	2010	Orange, Osceola, and Seminole Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	101	0	1	02	01	H1032_101_0	6	05/29/2009	2010.02	05/29/2009 05:10:47 PM Eastern Daylight Time	08/18/2009 03:57:25 PM Eastern Daylight Time	08/17/2009 11:07:21 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS)	01	02		1			H1032	101	0	2010	Northern, Central, and South East Florida		2		2		2		1	3		1	2			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	106	0	1	02	01	H1032_106_0	6	07/21/2009	2010.02	07/21/2009 11:37:23 AM Eastern Daylight Time	08/18/2009 03:57:47 PM Eastern Daylight Time	08/17/2009 11:07:33 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS)	01	02		1			H1032	106	0	2010	Brevard, Hillsborough, Pasco, and Polk Counties		2		2		2		1	3		1	2			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	107	0	1	01	01	H1032_107_0	6	05/29/2009	2010.02	05/29/2009 05:10:55 PM Eastern Daylight Time	08/18/2009 03:58:10 PM Eastern Daylight Time	08/17/2009 11:07:47 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO)	01	01		1			H1032	107	0	2010	Miami - Dade County		2		2		2		1	3		1	2			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	113	0	1	02	01	H1032_113_0	6	07/21/2009	2010.02	07/21/2009 11:37:51 AM Eastern Daylight Time	08/18/2009 03:58:28 PM Eastern Daylight Time	08/17/2009 11:08:05 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	113	0	2010	Palm Beach and St. Lucie Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	123	0	1	01	01	H1032_123_0	6	05/29/2009	2010.02	05/29/2009 05:11:06 PM Eastern Daylight Time	08/18/2009 03:58:46 PM Eastern Daylight Time	08/17/2009 11:08:21 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1032	123	0	2010	Broward, Duval, and Hernando Counties		2		2		2		1	3		1	1			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	124	0	1	01	01	H1032_124_0	6	05/29/2009	2010.02	05/29/2009 05:11:10 PM Eastern Daylight Time	08/18/2009 03:59:04 PM Eastern Daylight Time	08/17/2009 11:08:32 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1032	124	0	2010	Central and South East Florida		2		2		2		1	3		1	1			www.wellcare.com	(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(866)-637-8041		(866)-637-8041		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	131	0	1	02	01	H1032_131_0	6	07/21/2009	2010.02	07/21/2009 11:42:11 AM Eastern Daylight Time	08/18/2009 03:59:22 PM Eastern Daylight Time	08/17/2009 11:08:44 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO-POS)	01	02		1			H1032	131	0	2010	Central Florida		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	132	0	1	02	01	H1032_132_0	6	08/20/2009	2010.02	08/20/2009 03:09:07 PM Eastern Daylight Time	08/18/2009 03:59:44 PM Eastern Daylight Time	08/17/2009 11:08:56 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	132	0	2010	Polk County		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1032	133	0	1	02	01	H1032_133_0	6	07/21/2009	2010.02	07/21/2009 11:42:53 AM Eastern Daylight Time	08/18/2009 04:00:08 PM Eastern Daylight Time	08/17/2009 11:09:07 AM Eastern Daylight Time		08/20/2009 08:48:51 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	133	0	2010	Brevard, Indian River, Lake and Marion Counties		2		2				2							www.wellcare.com	(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(888)-888-9355		(888)-888-9355		(866)-238-3885		(866)-238-3885		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1035	002	0	1	02	01	H1035_002_0	5	08/20/2009	2010.02	08/20/2009 04:48:54 PM Eastern Daylight Time	08/17/2009 09:32:00 AM Eastern Daylight Time	08/17/2009 09:32:00 AM Eastern Daylight Time		08/20/2009 04:55:03 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	FHCP Medvantage Rx Plus (HMO-POS)	01	02		1			H1035	002	0	2010	Volusia and Flagler Counties, FL		2	13000	2				2						http://fhcp.com/members/findAProvider/providers.htm	http://fhcp.com/medicare/formulary/formulary.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		1		
H1035	006	0	1	02	01	H1035_006_0	5	08/20/2009	2010.02	08/20/2009 03:06:39 PM Eastern Daylight Time	08/16/2009 05:03:00 PM Eastern Daylight Time	08/16/2009 05:02:00 PM Eastern Daylight Time		08/20/2009 03:36:20 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	FHCP Medvantage Rx (HMO-POS)	01	02		1			H1035	006	0	2010	Volusia and Flagler Counties, FL		2	2332	2				2						http://fhcp.com/members/findAProvider/providers.htm	http://fhcp.com/medicare/formulary/formulary.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		1		
H1035	007	0	1	02	01	H1035_007_0	4	08/20/2009	2010.02	08/20/2009 03:07:36 PM Eastern Daylight Time	08/20/2009 03:22:05 PM Eastern Daylight Time			08/20/2009 03:31:37 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	FHCP Medvantage (HMO-POS)	01	02		1			H1035	007	0	2010	Volusia and Flagler Counties, FL		2	800	2				2						http://fhcp.com/members/findAProvider/providers.htm	http://fhcp.com/medicare/formulary/formulary.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110										(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045										1		
H1035	801	0	1	01	01	H1035_801_0	3	06/03/2009	2010.02	06/03/2009 09:43:00 AM Eastern Daylight Time	06/03/2009 10:13:22 AM Eastern Daylight Time			06/03/2009 10:14:42 AM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	GRPMED (HMO)	01	01		1			H1035	801	0	2010	Florida		1	500	2				2						http://fhcp.com/members/findAProvider/providers.htm	http://fhcp.com/medicare/formulary/formulary.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		1		
H1035	802	0	1	01	01	H1035_802_0	4	06/01/2009	2010.02	06/01/2009 11:14:33 PM Eastern Daylight Time	06/04/2009 07:31:22 AM Eastern Daylight Time			06/04/2009 07:34:01 AM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	GRPMED+ (HMO)	01	01		1			H1035	802	0	2010	Florida		1	500	2				2						http://fhcp.com/members/findAProvider/providers.htm	http://fhcp.com/medicare/formulary/formulary.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		(877)-260-8312		(386)-615-4045		1		
H1036	011	0	1	01	01	H1036_011_0	3	08/17/2009	2010.02	08/17/2009 04:24:35 PM Eastern Daylight Time	08/18/2009 05:23:55 PM Eastern Daylight Time	08/19/2009 10:22:55 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-011A (HMO)	01	01		1			H1036	011	0	2010	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	025	0	1	01	01	H1036_025_0	4	08/17/2009	2010.02	08/17/2009 03:08:30 PM Eastern Daylight Time	08/18/2009 05:17:35 PM Eastern Daylight Time	08/19/2009 10:23:03 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-025 (HMO)	01	01		1			H1036	025	0	2010	Hillsborough County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	034	0	1	01	01	H1036_034_0	3	08/17/2009	2010.02	08/17/2009 04:37:17 PM Eastern Daylight Time	08/18/2009 05:24:08 PM Eastern Daylight Time	08/19/2009 10:23:14 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-034A (HMO)	01	01		1			H1036	034	0	2010	Dade County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	035	0	1	01	01	H1036_035_0	4	08/17/2009	2010.02	08/17/2009 04:54:09 PM Eastern Daylight Time	08/18/2009 05:24:21 PM Eastern Daylight Time	08/19/2009 10:23:24 AM Eastern Daylight Time		08/19/2009 05:15:40 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-035A (HMO)	01	01		1			H1036	035	0	2010	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	040	0	1	01	01	H1036_040_0	4	08/17/2009	2010.02	08/17/2009 03:09:14 PM Eastern Daylight Time	08/18/2009 05:17:52 PM Eastern Daylight Time	08/19/2009 10:23:34 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-040 (HMO)	01	01		1			H1036	040	0	2010	Pasco County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	044	0	1	01	01	H1036_044_0	4	08/17/2009	2010.02	08/17/2009 03:09:56 PM Eastern Daylight Time	08/18/2009 05:29:35 PM Eastern Daylight Time	08/19/2009 10:23:47 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-044 (HMO)	01	01		1			H1036	044	0	2010	Flagler, Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	047	0	1	01	01	H1036_047_0	7	08/17/2009	2010.02	08/17/2009 03:10:44 PM Eastern Daylight Time	08/18/2009 05:30:28 PM Eastern Daylight Time	08/19/2009 10:23:55 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-047 (HMO)	01	01		1			H1036	047	0	2010	Orlando Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	052	0	1	01	01	H1036_052_0	5	08/17/2009	2010.02	08/17/2009 03:11:26 PM Eastern Daylight Time	08/18/2009 05:18:07 PM Eastern Daylight Time	08/19/2009 10:24:05 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-052 (HMO)	01	01		1			H1036	052	0	2010	Pinellas County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	053	0	1	01	01	H1036_053_0	5	05/26/2009	2010.02	05/26/2009 11:44:09 AM Eastern Daylight Time	07/21/2009 10:02:17 AM Eastern Daylight Time			07/24/2009 12:08:46 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-053A (HMO)	01	01		1			H1036	053	0	2010	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1036	054	0	1	01	01	H1036_054_0	4	08/25/2009	2010.02	08/25/2009 03:33:13 PM Eastern Daylight Time	08/18/2009 05:24:36 PM Eastern Daylight Time	08/19/2009 10:24:16 AM Eastern Daylight Time		08/25/2009 03:52:45 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-054C (HMO)	01	01		1			H1036	054	0	2010	Dade County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	056	0	1	01	01	H1036_056_0	4	07/16/2009	2010.02	07/16/2009 03:47:55 PM Eastern Daylight Time	07/21/2009 10:02:37 AM Eastern Daylight Time			07/24/2009 10:47:47 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-056 (HMO)	01	01		1			H1036	056	0	2010	Flagler, Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1036	062	0	1	01	01	H1036_062_0	4	08/25/2009	2010.02	08/25/2009 03:30:02 PM Eastern Daylight Time	08/18/2009 05:30:15 PM Eastern Daylight Time	08/19/2009 10:24:25 AM Eastern Daylight Time		08/25/2009 04:27:10 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-062C (HMO)	01	01		1			H1036	062	0	2010	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	063	0	1	01	01	H1036_063_0	1	05/26/2009	2010.02	05/26/2009 03:47:11 PM Eastern Daylight Time	05/22/2009 02:53:46 PM Eastern Daylight Time			05/26/2009 03:52:31 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-063A (HMO)	01	01		1			H1036	063	0	2010	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1036	065	0	1	01	01	H1036_065_0	4	08/25/2009	2010.02	08/25/2009 03:33:41 PM Eastern Daylight Time	08/18/2009 05:28:43 PM Eastern Daylight Time	08/19/2009 10:24:35 AM Eastern Daylight Time		08/25/2009 03:52:45 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-065C (HMO)	01	01		1			H1036	065	0	2010	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	067	0	1	01	01	H1036_067_0	5	08/17/2009	2010.02	08/17/2009 03:12:12 PM Eastern Daylight Time	08/18/2009 05:18:23 PM Eastern Daylight Time	08/19/2009 10:24:44 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-067 (HMO)	01	01		1			H1036	067	0	2010	Hernando County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	068	0	1	01	01	H1036_068_0	5	08/17/2009	2010.02	08/17/2009 03:12:57 PM Eastern Daylight Time	08/18/2009 05:24:50 PM Eastern Daylight Time	08/19/2009 10:24:54 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-068 (HMO)	01	01		1			H1036	068	0	2010	St Johns, Putnam, Clay Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	074	0	1	01	01	H1036_074_0	4	08/17/2009	2010.02	08/17/2009 03:14:39 PM Eastern Daylight Time	08/18/2009 05:18:38 PM Eastern Daylight Time	08/19/2009 10:25:04 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-074 (HMO)	01	01		1			H1036	074	0	2010	Manatee County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	077	0	1	01	01	H1036_077_0	4	05/26/2009	2010.02	05/26/2009 06:38:27 PM Eastern Daylight Time	08/18/2009 05:25:03 PM Eastern Daylight Time	08/19/2009 10:25:14 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-077A (HMO)	01	01		1			H1036	077	0	2010	Dade County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	081	0	1	01	01	H1036_081_0	4	08/17/2009	2010.02	08/17/2009 03:15:26 PM Eastern Daylight Time	08/18/2009 05:28:30 PM Eastern Daylight Time	08/19/2009 10:25:24 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-081D (HMO)	01	01		1			H1036	081	0	2010	Baker, Duval, Nassau Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	102	0	1	01	01	H1036_102_0	3	07/16/2009	2010.02	07/16/2009 03:48:54 PM Eastern Daylight Time	08/18/2009 05:15:39 PM Eastern Daylight Time	08/19/2009 10:25:34 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-102 (HMO)	01	01		1			H1036	102	0	2010	Tampa Metro Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	103	0	1	01	01	H1036_103_0	3	05/27/2009	2010.02	05/27/2009 09:52:31 AM Eastern Daylight Time	08/18/2009 05:28:56 PM Eastern Daylight Time	08/19/2009 10:25:43 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-103A (HMO)	01	01		1			H1036	103	0	2010	Broward County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	104	0	1	01	01	H1036_104_0	3	05/26/2009	2010.02	05/26/2009 06:50:11 PM Eastern Daylight Time	08/18/2009 05:16:01 PM Eastern Daylight Time	08/19/2009 10:25:52 AM Eastern Daylight Time		08/20/2009 08:23:03 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-104A (HMO)	01	01		1			H1036	104	0	2010	Palm Beach County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	119	0	1	01	01	H1036_119_0	4	07/16/2009	2010.02	07/16/2009 03:49:03 PM Eastern Daylight Time	07/21/2009 09:56:48 AM Eastern Daylight Time			07/24/2009 10:47:47 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-119 (HMO)	01	01		1			H1036	119	0	2010	Tampa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1036	121	0	1	01	01	H1036_121_0	3	08/17/2009	2010.02	08/17/2009 04:28:14 PM Eastern Daylight Time	08/18/2009 05:19:22 PM Eastern Daylight Time	08/19/2009 10:26:01 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-121C (HMO)	01	01		1			H1036	121	0	2010	Broward County		2		2				1	4		1		000000100000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	125	0	1	01	01	H1036_125_0	2	08/17/2009	2010.02	08/17/2009 04:39:28 PM Eastern Daylight Time	08/18/2009 05:20:06 PM Eastern Daylight Time	08/19/2009 10:26:10 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-125C (HMO)	01	01		1			H1036	125	0	2010	Dade County		2		2				1	4		1		000000100000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1036	130	0	1	01	01	H1036_130_0	3	08/19/2009	2010.02	08/19/2009 02:09:15 PM Eastern Daylight Time	08/18/2009 05:20:22 PM Eastern Daylight Time	08/19/2009 10:26:19 AM Eastern Daylight Time		08/19/2009 05:15:40 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-130C (HMO)	01	01		1			H1036	130	0	2010	Palm Beach County		2		2				1	4		1		000000100000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	801	0	1	01	01	H1036_801_0	4	05/26/2009	2010.02	05/26/2009 03:55:52 PM Eastern Daylight Time	07/21/2009 03:26:12 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1036	801	0	2010	State of Florida (selected counties)		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1036	806	0	1	01	01	H1036_806_0	4	05/26/2009	2010.02	05/26/2009 03:56:19 PM Eastern Daylight Time	07/21/2009 03:15:30 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1036	806	0	2010	State of Florida (selected counties)		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1036	807	0	1	01	01	H1036_807_0	4	05/26/2009	2010.02	05/26/2009 03:56:45 PM Eastern Daylight Time	07/21/2009 04:10:40 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1036	807	0	2010	State of Florida (select counties)		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1043	001	0	1	20	08	H1043_001_0	6	10/14/2009	2010.02	10/14/2009 08:22:47 AM Eastern Daylight Time		10/13/2009 03:52:13 PM Eastern Daylight Time		10/14/2009 08:24:19 AM Eastern Daylight Time	FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	Florida PACE Centers, Inc. (PACE)	08	20		1			H1043	001	0	2010	Florida PACE Centers, Inc.		2		2				2							www.noformulary.com									(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223																		1		
H1043	002	0	1	20	08	H1043_002_0	5	10/13/2009	2010.02	10/13/2009 07:01:42 PM Eastern Daylight Time		10/13/2009 03:52:13 PM Eastern Daylight Time		10/13/2009 07:02:09 PM Eastern Daylight Time	FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	Florida PACE Centers, Inc (PACE)	08	20		1			H1043	002	0	2010	Florida PACE Centers, Inc.		2		2				2							www.noformulary.com									(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223																		1		
H1045	001	0	1	02	01	H1045_001_0	6	07/29/2009	2010.02	07/29/2009 04:04:19 PM Eastern Daylight Time	08/19/2009 12:03:52 PM Eastern Daylight Time	08/19/2009 12:03:52 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners PSO Health Plan (HMO-POS)	01	02		1			H1045	001	0	2010	Miami-Dade County		2	12706	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	005	0	1	01	01	H1045_005_0	6	07/23/2009	2010.02	07/23/2009 02:03:19 PM Eastern Daylight Time	08/19/2009 12:04:09 PM Eastern Daylight Time	08/19/2009 12:04:09 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners PSO Health Plan (HMO)	01	01		1			H1045	005	0	2010	Broward County		2	1075	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	008	0	1	01	01	H1045_008_0	5	07/23/2009	2010.02	07/23/2009 02:03:26 PM Eastern Daylight Time	08/19/2009 12:04:22 PM Eastern Daylight Time	08/19/2009 12:04:22 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Senior Health Choice (HMO)	01	01		1			H1045	008	0	2010	Miami-Dade County		2	6150	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	010	0	1	02	01	H1045_010_0	9	07/23/2009	2010.02	07/23/2009 02:03:34 PM Eastern Daylight Time	08/19/2009 12:04:35 PM Eastern Daylight Time	08/19/2009 12:04:35 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred PremuimAdvantage (HMO-POS)	01	02		1			H1045	010	0	2010	Miami-Dade, Broward, Lake, Marion, Sumter Counties		2	817	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	012	0	1	01	01	H1045_012_0	6	08/06/2009	2010.02	08/06/2009 03:17:27 PM Eastern Daylight Time	08/19/2009 12:04:49 PM Eastern Daylight Time	08/19/2009 12:04:49 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Medicare Assist (HMO)	01	01		1			H1045	012	0	2010	Miami-Dade and Broward Counties		2	509	2		2		1	3		1	2		www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	016	0	1	01	01	H1045_016_0	5	07/23/2009	2010.02	07/23/2009 02:03:43 PM Eastern Daylight Time	08/19/2009 12:05:00 PM Eastern Daylight Time	08/19/2009 12:05:00 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Complete Care (HMO)	01	01		1			H1045	016	0	2010	Miami-Dade County		2	336	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	017	0	1	02	01	H1045_017_0	5	07/24/2009	2010.02	07/24/2009 10:23:16 AM Eastern Daylight Time	08/19/2009 12:05:13 PM Eastern Daylight Time	08/19/2009 12:05:13 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Freedom Care (HMO-POS)	01	02		1			H1045	017	0	2010	Miami-Dade, Broward, Lake, Marion, Sumter Counties		2	304	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1045	018	0	1	01	01	H1045_018_0	4	07/23/2009	2010.02	07/23/2009 02:03:59 PM Eastern Daylight Time	08/19/2009 12:05:25 PM Eastern Daylight Time	08/19/2009 12:05:25 PM Eastern Daylight Time		08/19/2009 02:12:23 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Special Care (HMO)	01	01		1			H1045	018	0	2010	Miami-Dade and Broward Counties		2	356	2				1	4		1		000110100000000	www.mypreferredcare.com	http://www.mypreferredcare.com/formulary.cfm	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1		
H1076	003	0	1	01	01	H1076_003_0	6	08/20/2009	2010.02	08/20/2009 11:11:25 AM Eastern Daylight Time	08/17/2009 01:26:18 PM Eastern Daylight Time	08/18/2009 10:21:47 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Platinum Select (HMO)	01	01		1			H1076	003	0	2010	Broward County		2	1000	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1076	010	0	1	01	01	H1076_010_0	4	07/06/2009	2010.02	07/06/2009 05:16:33 PM Eastern Daylight Time	07/24/2009 02:26:10 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Platinum Value (HMO)	01	01		1			H1076	010	0	2010	Dade, Broward and Palm Beach Counties		2	800	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506										(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010										1		
H1076	011	0	1	01	01	H1076_011_0	7	08/20/2009	2010.02	08/20/2009 11:13:02 AM Eastern Daylight Time	08/17/2009 01:26:29 PM Eastern Daylight Time	08/18/2009 10:23:04 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Platinum Choice (HMO)	01	01		1			H1076	011	0	2010	Dade, Broward and Palm Beach Counties		2	1000	2		2		1	3		1	2		www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1076	016	0	1	01	01	H1076_016_0	6	08/20/2009	2010.02	08/20/2009 11:17:26 AM Eastern Daylight Time	08/17/2009 01:26:40 PM Eastern Daylight Time	08/18/2009 10:24:08 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Platinum Prime (HMO)	01	01		1			H1076	016	0	2010	Palm Beach County		2	900	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1076	802	0	1	01	01	H1076_802_0	3	05/31/2009	2010.02	05/31/2009 12:29:13 PM Eastern Daylight Time	07/23/2009 03:04:24 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Employer Group - (CY) (HMO)	01	01		1			H1076	802	0	2010	All Counties		1	1000	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1076	803	0	1	01	01	H1076_803_0	3	05/31/2009	2010.02	05/31/2009 12:29:17 PM Eastern Daylight Time	07/23/2009 02:51:36 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Employer Group - MA Only (CY) (HMO)	01	01		1			H1076	803	0	2010	National		1	250	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506										(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010										1		
H1076	805	0	1	01	01	H1076_805_0	3	05/31/2009	2010.02	05/31/2009 12:29:20 PM Eastern Daylight Time	07/23/2009 03:08:30 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	VISTA HEALTHPLAN, INC.	Vista Healthplan, Inc.	www.vistahealthplan.com	VISTA Employer Group - (Non-Cal Yr) (HMO)	01	01		1			H1076	805	0	2010	National		1	250	2				2						www.vistahealthplan.com	http://www.vistahealthplan.com/Static/shared/PDF/Formulary/VHP_Rx_2010.pdf	(866)-847-8235		(866)-847-8235		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		(888)-444-7352		(888)-444-7352		(888)-788-4010		(888)-788-4010		1		
H1080	004	0	1	02	01	H1080_004_0	4	08/26/2009	2010.02	08/26/2009 05:09:46 PM Central Daylight Time	08/26/2009 05:15:27 PM Central Daylight Time	08/13/2009 05:44:29 PM Central Daylight Time		08/26/2009 05:24:01 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan1 (HMO-POS)	01	02		1			H1080	004	0	2010	Select Counties in Florida		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1080	036	0	1	01	01	H1080_036_0	3	08/20/2009	2010.02	08/20/2009 10:50:55 AM Central Daylight Time	08/18/2009 03:02:06 PM Central Daylight Time	08/13/2009 05:44:33 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H1080	036	0	2010	Tampa area Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1080	042	0	1	01	01	H1080_042_0	3	08/18/2009	2010.02	08/18/2009 10:26:55 AM Central Daylight Time	08/17/2009 02:24:59 PM Central Daylight Time	08/13/2009 05:44:38 PM Central Daylight Time		08/18/2009 01:55:49 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H1080	042	0	2010	St. Lucie FL		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1080	801	0	1	01	01	H1080_801_0	2	05/26/2009	2010.02	05/28/2009 04:24:32 AM Central Daylight Time	07/20/2009 02:47:36 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	801	0	2010	Select Counties in Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1080	804	0	1	01	01	H1080_804_0	2	05/26/2009	2010.02	05/28/2009 04:24:50 AM Central Daylight Time	07/20/2009 02:47:17 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	804	0	2010	Select Counties in Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1080	807	0	1	01	01	H1080_807_0	2	05/26/2009	2010.02	05/28/2009 04:25:04 AM Central Daylight Time	07/20/2009 02:46:54 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	807	0	2010	Select counties in Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1080	808	0	2	01	01	H1080_808_0	3	05/29/2009	2010.02	05/29/2009 08:24:39 PM Central Daylight Time	07/20/2009 02:48:55 PM Central Daylight Time			07/23/2009 03:40:55 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H1080	808	0	2010	Select counties in Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(800)-711-6088		(800)-711-6088		(800)-973-6467		(800)-973-6467		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1099	001	0	1	02	01	H1099_001_0	6	09/23/2009	2010.02	09/23/2009 05:32:10 PM Eastern Daylight Time	08/19/2009 09:05:00 AM Eastern Daylight Time	08/19/2009 09:00:00 AM Eastern Daylight Time		09/23/2009 05:46:11 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	Health First Classic Plan (HMO-POS)	01	02		1			H1099	001	0	2010	All Brevard and Indian River Zip 32927/32958/32978		2	5000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H1099	006	0	1	01	01	H1099_006_0	6	09/23/2009	2010.02	09/23/2009 05:33:20 PM Eastern Daylight Time	08/19/2009 09:04:00 AM Eastern Daylight Time	08/19/2009 09:02:00 AM Eastern Daylight Time		09/30/2009 10:28:46 AM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	Health First Value Plan (HMO)	01	01		1			H1099	006	0	2010	All Brevard and Indian River Zip 32927/32958/32978		2	5000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H1099	009	0	1	01	01	H1099_009_0	2	05/31/2009	2010.02	05/31/2009 11:05:03 AM Eastern Daylight Time	06/01/2009 09:34:46 AM Eastern Daylight Time			06/01/2009 10:29:27 AM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	Health First Secure Plan (HMO)	01	01		1			H1099	009	0	2010	All Brevard and Indian River Zip 32927/32958/32978		2	5000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1		
H1099	802	0	1	01	01	H1099_802_0	1	06/01/2009	2010.02	06/01/2009 10:54:18 AM Eastern Daylight Time	06/01/2009 11:38:42 AM Eastern Daylight Time			06/01/2009 11:59:44 AM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	HEALTH FIRST EMPLOYER GROUP PLUS (HMO)	01	01		1			H1099	802	0	2010	All Brevard and Indian River Zip 32927/32958/32978		1	1000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H1099	803	0	1	01	01	H1099_803_0	2	05/21/2009	2010.02	05/21/2009 11:59:23 AM Eastern Daylight Time	06/01/2009 02:47:10 PM Eastern Daylight Time			06/01/2009 02:49:54 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	HEALTH FIRST EMPLOYER GROUP BASIC (HMO)	01	01		1			H1099	803	0	2010	All Brevard and Indian River Zip 32927/32958/32978		1	1000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1		
H1099	804	0	1	02	01	H1099_804_0	1	05/21/2009	2010.02	05/21/2009 11:59:32 AM Eastern Daylight Time	06/01/2009 11:38:38 AM Eastern Daylight Time			06/01/2009 12:09:34 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.healthfirsthealthplans.org	HEALTH FIRST EMPLOYER GROUP POS (HMO-POS)	01	02		1			H1099	804	0	2010	All Brevard and Indian River Zip 32927/32958/32978		1	1000	2				2						www.healthfirsthealthplans.org	http://www.healthfirsthealthplans.org/health_plans/medicare/index.cfm	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H1108	001	0	1	04	01	H1108_001_0	4	08/20/2009	2010.02	08/20/2009 02:16:54 PM Central Daylight Time	08/18/2009 03:09:53 PM Central Daylight Time	08/13/2009 05:44:42 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H1108	001	0	2010	Atlanta and Macon Metro Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1108	002	0	1	04	01	H1108_002_0	5	08/26/2009	2010.02	08/26/2009 04:31:40 PM Central Daylight Time	08/26/2009 04:40:04 PM Central Daylight Time	08/13/2009 05:44:46 PM Central Daylight Time		08/26/2009 05:01:57 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H1108	002	0	2010	Atlanta and Macon Metro Areas		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1108	006	0	1	04	01	H1108_006_0	3	07/20/2009	2010.02	07/20/2009 08:53:36 AM Central Daylight Time	08/18/2009 03:10:31 PM Central Daylight Time	08/13/2009 05:44:50 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H1108	006	0	2010	Atlanta and Macon Metro Areas		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1108	801	0	1	04	01	H1108_801_0	3	07/07/2009	2010.02	07/07/2009 09:13:23 AM Central Daylight Time	07/20/2009 02:57:45 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1108	801	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1108	802	0	1	04	01	H1108_802_0	3	07/07/2009	2010.02	07/07/2009 09:14:11 AM Central Daylight Time	07/20/2009 02:58:08 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1108	802	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1108	803	0	1	04	01	H1108_803_0	3	07/07/2009	2010.02	07/07/2009 09:14:41 AM Central Daylight Time	07/20/2009 02:58:32 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1108	803	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1109	001	0	1	01	01	H1109_001_0	7	08/19/2009	2010.02	08/19/2009 12:17:08 PM Eastern Daylight Time	08/18/2009 01:12:23 PM Eastern Daylight Time	08/17/2009 02:31:00 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H1109	001	0	2010	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1109	003	0	1	01	01	H1109_003_0	6	07/08/2009	2010.02	07/08/2009 08:21:03 AM Eastern Daylight Time	08/18/2009 01:13:47 PM Eastern Daylight Time	08/17/2009 02:31:32 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H1109	003	0	2010	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1109	801	0	1	01	01	H1109_801_0	2	05/19/2009	2010.02	05/19/2009 11:30:06 AM Eastern Daylight Time	05/31/2009 06:58:22 PM Eastern Daylight Time			06/01/2009 08:58:34 AM Eastern Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H1109	801	0	2010	Atlanta and Surrounding Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H1109	802	0	1	01	01	H1109_802_0	2	05/19/2009	2010.02	05/19/2009 11:31:59 AM Eastern Daylight Time	05/31/2009 07:01:50 PM Eastern Daylight Time			06/01/2009 08:58:34 AM Eastern Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H1109	802	0	2010	Atlanta and Surrounding Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	001	0	1	04	01	H1110_001_0	6	07/09/2009	2010.02	07/09/2009 12:37:37 PM Eastern Daylight Time	08/18/2009 01:14:57 PM Eastern Daylight Time	08/24/2009 06:23:33 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H1110	001	0	2010	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	003	0	1	04	01	H1110_003_0	6	07/09/2009	2010.02	07/09/2009 12:37:51 PM Eastern Daylight Time	08/18/2009 01:16:15 PM Eastern Daylight Time	08/17/2009 02:32:30 PM Eastern Daylight Time		08/20/2009 02:49:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H1110	003	0	2010	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	801	0	1	04	01	H1110_801_0	3	08/27/2009	2010.02	08/27/2009 08:15:51 AM Eastern Daylight Time	05/31/2009 07:06:13 PM Eastern Daylight Time			08/27/2009 08:21:37 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H1110	801	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H1110	802	0	1	04	01	H1110_802_0	3	08/27/2009	2010.02	08/27/2009 08:15:57 AM Eastern Daylight Time	05/31/2009 07:17:37 PM Eastern Daylight Time			08/27/2009 08:21:37 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H1110	802	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	804	0	1	04	01	H1110_804_0	3	08/27/2009	2010.02	08/27/2009 08:16:04 AM Eastern Daylight Time	05/31/2009 07:19:39 PM Eastern Daylight Time			08/27/2009 08:21:37 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx NCY (PPO)	01	04		1			H1110	804	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	805	0	2	04	01	H1110_805_0	3	07/08/2009	2010.02	07/08/2009 02:36:12 PM Eastern Daylight Time	05/31/2009 07:21:32 PM Eastern Daylight Time			07/08/2009 02:47:27 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H1110	805	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H1110	806	0	2	04	01	H1110_806_0	3	07/08/2009	2010.02	07/08/2009 02:36:18 PM Eastern Daylight Time	05/31/2009 07:23:17 PM Eastern Daylight Time			07/08/2009 02:47:27 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H1110	806	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1110	807	0	2	04	01	H1110_807_0	3	07/08/2009	2010.02	07/08/2009 02:36:25 PM Eastern Daylight Time	05/31/2009 07:24:54 PM Eastern Daylight Time			07/08/2009 02:47:27 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx NCY (PPO)	01	04		2	2		H1110	807	0	2010	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1111	002	0	1	02	01	H1111_002_0	3	07/20/2009	2010.02	07/20/2009 08:47:17 AM Central Daylight Time	08/17/2009 09:44:36 AM Central Daylight Time	08/13/2009 05:44:58 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www,AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1111	002	0	2010	Columbia, Harris, Muscogee and Richmond Counties		2		2				2						https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1111	004	0	1	02	01	H1111_004_0	3	07/15/2009	2010.02	07/15/2009 04:47:04 PM Central Daylight Time	08/17/2009 09:45:09 AM Central Daylight Time	08/13/2009 05:45:02 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS)	01	02		1			H1111	004	0	2010	Columbia, Harris, Muscogee and Richmond Counties		2		2		2		1	3		1	2		https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1111	005	0	1	02	01	H1111_005_0	4	07/20/2009	2010.02	07/20/2009 08:54:07 AM Central Daylight Time	08/17/2009 09:45:35 AM Central Daylight Time	08/13/2009 05:45:06 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H1111	005	0	2010	Columbia, Harris, Muscogee, Richmond Counties		2		2				1	4		1		000110100000000	https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1111	801	0	1	01	01	H1111_801_0	2	05/26/2009	2010.02	05/28/2009 04:25:19 AM Central Daylight Time	07/20/2009 02:48:07 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	801	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1111	804	0	1	01	01	H1111_804_0	2	05/26/2009	2010.02	05/28/2009 04:25:35 AM Central Daylight Time	07/20/2009 02:48:22 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	804	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1111	805	0	1	01	01	H1111_805_0	2	05/26/2009	2010.02	05/28/2009 04:25:47 AM Central Daylight Time	07/20/2009 02:48:39 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	805	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1111	807	0	2	01	01	H1111_807_0	2	05/29/2009	2010.02	05/29/2009 08:29:41 PM Central Daylight Time	07/20/2009 02:48:58 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H1111	807	0	2010	GA Employer Sponsored Plan Service Area		1		2				2						https://www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1112	001	0	1	01	01	H1112_001_0	5	07/23/2009	2010.02	07/23/2009 05:00:37 PM Eastern Daylight Time	08/18/2009 02:25:05 PM Eastern Daylight Time	08/17/2009 11:09:19 AM Eastern Daylight Time		08/20/2009 02:49:21 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO)	01	01		1			H1112	001	0	2010	Atlanta Metro Area		2		2				2						www.wellcare.com	www.wellcare.com	(866)-334-7730		(866)-334-7730		(866)-211-1425		(866)-211-1425		(866)-334-7730		(866)-334-7730		(866)-211-1425		(866)-211-1425		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1112	003	0	1	01	01	H1112_003_0	4	07/21/2009	2010.02	07/21/2009 11:47:44 AM Eastern Daylight Time	07/23/2009 01:15:35 PM Eastern Daylight Time			07/24/2009 02:01:37 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1112	003	0	2010	Atlanta, Columbus, and Savannah Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	(866)-334-7730		(866)-334-7730		(866)-211-1425		(866)-211-1425										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1		
H1112	005	0	1	01	01	H1112_005_0	5	07/21/2009	2010.02	07/21/2009 11:47:27 AM Eastern Daylight Time	08/18/2009 02:25:56 PM Eastern Daylight Time	08/17/2009 11:09:31 AM Eastern Daylight Time		08/20/2009 02:49:21 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO)	01	01		1			H1112	005	0	2010	Atlanta Metro Area		2		2		2		1	3		1	2		www.wellcare.com	www.wellcare.com	(866)-482-3361		(866)-482-3361		(866)-211-1425		(866)-211-1425		(866)-482-3361		(866)-482-3361		(866)-211-1425		(866)-211-1425		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1112	006	0	1	01	01	H1112_006_0	5	07/21/2009	2010.02	07/21/2009 11:47:07 AM Eastern Daylight Time	08/18/2009 02:26:18 PM Eastern Daylight Time	08/17/2009 11:09:42 AM Eastern Daylight Time		08/20/2009 02:49:21 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1112	006	0	2010	Atlanta, Columbus, and Savannah Metro Areas		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	(866)-482-3361		(866)-482-3361		(866)-211-1425		(866)-211-1425		(866)-482-3361		(866)-482-3361		(866)-211-1425		(866)-211-1425		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1112	027	0	1	01	01	H1112_027_0	5	07/21/2009	2010.02	07/21/2009 11:46:35 AM Eastern Daylight Time	08/18/2009 02:26:38 PM Eastern Daylight Time	08/17/2009 11:09:55 AM Eastern Daylight Time		08/20/2009 02:49:21 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H1112	027	0	2010	Atlanta, Columbus, and Savannah Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	(866)-334-7730		(866)-334-7730		(866)-211-1425		(866)-211-1425		(866)-334-7730		(866)-334-7730		(866)-211-1425		(866)-211-1425		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1170	002	0	1	01	01	H1170_002_0	6	08/19/2009	2010.02	08/19/2009 08:33:53 AM Eastern Daylight Time	08/18/2009 08:08:57 PM Eastern Daylight Time	08/18/2009 06:01:02 PM Eastern Daylight Time		08/19/2009 10:58:57 AM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced (HMO)	01	01		1			H1170	002	0	2010	Atlanta Metro Area		2		2				2						kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1		
H1170	008	0	1	01	01	H1170_008_0	7	08/19/2009	2010.02	08/19/2009 08:34:13 AM Eastern Daylight Time	08/18/2009 08:08:48 PM Eastern Daylight Time	08/18/2009 06:00:13 PM Eastern Daylight Time		08/19/2009 10:58:57 AM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medicaid Plan (HMO)	01	01		1			H1170	008	0	2010	Atlanta Metro Area		2		2		2		1	3		1	2		kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1		
H1170	009	0	1	01	01	H1170_009_0	6	08/19/2009	2010.02	08/19/2009 08:34:04 AM Eastern Daylight Time	08/18/2009 08:09:08 PM Eastern Daylight Time	08/18/2009 06:01:35 PM Eastern Daylight Time		08/19/2009 10:58:57 AM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H1170	009	0	2010	Atlanta Metro Area		2		2				2						kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1		
H1170	801	0	1	01	01	H1170_801_0	4	06/25/2009	2010.02	06/25/2009 10:58:10 AM Eastern Daylight Time	07/27/2009 01:46:20 PM Eastern Daylight Time			07/30/2009 09:18:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group Plan (HMO)	01	01		1			H1170	801	0	2010	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404										(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056										1		
H1170	802	0	1	01	01	H1170_802_0	4	07/24/2009	2010.02	07/24/2009 10:18:27 AM Eastern Daylight Time	07/27/2009 01:49:44 PM Eastern Daylight Time			07/30/2009 09:18:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Employer Group With Part D (HMO)	01	01		1			H1170	802	0	2010	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1		
H1170	805	0	1	01	01	H1170_805_0	2	05/29/2009	2010.02	05/29/2009 02:26:49 PM Eastern Daylight Time	06/01/2009 01:36:22 PM Eastern Daylight Time			06/01/2009 03:06:05 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB  with D (HMO)	01	01		1			H1170	805	0	2010	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1		
H1216	001	0	1	02	01	H1216_001_0	5	07/21/2009	2010.02	07/21/2009 11:29:00 AM Eastern Daylight Time	08/18/2009 02:27:00 PM Eastern Daylight Time	08/17/2009 11:10:08 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1216	001	0	2010	Counties: St. Charles, St. Louis, St. Louis City		2		2				2							www.wellcare.com	(866)-687-8994		(866)-687-8994		(866)-360-8138		(866)-360-8138		(866)-687-8994		(866)-687-8994		(866)-360-8138		(866)-360-8138		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1216	003	0	1	01	01	H1216_003_0	6	06/01/2009	2010.02	06/01/2009 10:36:45 AM Eastern Daylight Time	08/18/2009 02:27:21 PM Eastern Daylight Time	08/17/2009 11:10:20 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1216	003	0	2010	Counties: St. Charles, St. Louis, St. Louis City		2		2		2		1	3		1	1			www.wellcare.com	(866)-635-7049		(866)-635-7049		(866)-360-8138		(866)-360-8138		(866)-635-7049		(866)-635-7049		(866)-360-8138		(866)-360-8138		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1230	001	0	1	01	01	H1230_001_0	7	08/18/2009	2010.02	08/18/2009 12:18:52 PM Hawaiian Standard Time	08/18/2009 10:15:57 AM Hawaiian Standard Time	08/18/2009 10:25:09 AM Hawaiian Standard Time		08/18/2009 12:31:19 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced (HMO)	01	01		1			H1230	001	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		2		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1230	003	0	1	01	01	H1230_003_0	7	08/18/2009	2010.02	08/18/2009 12:18:32 PM Hawaiian Standard Time	08/18/2009 10:14:44 AM Hawaiian Standard Time	08/18/2009 10:23:13 AM Hawaiian Standard Time		08/18/2009 12:31:19 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H1230	003	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		2		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1230	801	0	1	01	01	H1230_801_0	5	06/04/2009	2010.02	06/04/2009 11:09:50 AM Hawaiian Standard Time	07/29/2009 09:03:00 AM Hawaiian Standard Time			07/29/2009 02:22:53 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Emp Group MA only (HMO)	01	01		1			H1230	801	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990										1		
H1230	802	0	2	01	01	H1230_802_0	2	05/30/2009	2010.02	05/30/2009 08:14:23 AM Hawaiian Standard Time	05/30/2009 04:59:00 PM Hawaiian Standard Time			05/30/2009 02:44:00 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Emp Group MA only Part B (HMO)	01	01		2	1		H1230	802	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990										1		
H1230	803	0	1	01	01	H1230_803_0	4	06/05/2009	2010.02	06/05/2009 08:51:24 AM Hawaiian Standard Time	07/29/2009 09:04:00 AM Hawaiian Standard Time			07/29/2009 02:22:53 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Grp MA-PD (HMO)	01	01		1			H1230	803	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1230	804	0	2	01	01	H1230_804_0	2	05/30/2009	2010.02	05/30/2009 08:21:21 AM Hawaiian Standard Time	05/30/2009 05:01:00 PM Hawaiian Standard Time			05/30/2009 02:44:00 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Emp Group MA-PD Part B (HMO)	01	01		2	1		H1230	804	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1230	805	0	1	01	01	H1230_805_0	1	05/29/2009	2010.02	05/29/2009 06:35:07 PM Hawaiian Standard Time	05/29/2009 09:08:00 PM Hawaiian Standard Time			05/29/2009 07:09:12 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB AB with D (HMO)	01	01		1			H1230	805	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1230	806	0	2	01	01	H1230_806_0	2	05/30/2009	2010.02	05/30/2009 08:29:19 AM Hawaiian Standard Time	05/30/2009 05:01:00 PM Hawaiian Standard Time			05/30/2009 02:44:00 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB B only with D (HMO)	01	01		2	1		H1230	806	0	2010	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H1234	001	0	1	20	08	H1234_001_0	1	05/18/2009	2010.02	05/18/2009 02:11:14 PM Eastern Daylight Time		05/18/2009 11:12:23 AM Eastern Daylight Time		05/18/2009 02:37:59 PM Eastern Daylight Time	LIFE ST. FRANCIS	LIFE St. Francis	www.stfrancismedical.org	SFMC-Dual (PACE)	08	20		1			H1234	001	0	2010	Mercer County and portions of Burlington County		2		2				2							www.stfrancismedical.org									(000)-000-0000		(609)-599-5433		(000)-000-0000		(609)-599-5433																		1		
H1234	002	0	1	20	08	H1234_002_0	1	05/18/2009	2010.02	05/18/2009 02:11:57 PM Eastern Daylight Time		05/18/2009 11:12:23 AM Eastern Daylight Time		05/18/2009 02:37:59 PM Eastern Daylight Time	LIFE ST. FRANCIS	LIFE St. Francis	www.stfrancismedical.org	SFMC-Medicare only (PACE)	08	20		1			H1234	002	0	2010	Mercer County and portions of Burlington County		2		2				2							www.stfrancismedical.org									(000)-000-0000		(609)-599-5433		(000)-000-0000		(609)-599-5433																		1		
H1251	001	0	1	18	06	H1251_001_0	3	08/19/2009	2010.02	08/19/2009 06:20:41 PM Hawaiian Standard Time				08/20/2009 10:00:33 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option (Cost)	06	18		1			H1251	001	0	2010	State of Hawaii		2	300	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555												(808)-948-6222				(808)-948-6222										1		
H1251	002	0	1	18	06	H1251_002_0	3	08/19/2009	2010.02	08/19/2009 03:06:09 PM Hawaiian Standard Time				08/20/2009 10:35:31 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option (Cost)	06	18		1			H1251	002	0	2010	State of Hawaii		2	6980	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555												(808)-948-6222				(808)-948-6222										1		
H1251	003	0	1	18	06	H1251_003_0	4	08/19/2009	2010.02	08/19/2009 12:03:48 PM Hawaiian Standard Time		08/19/2009 01:52:02 PM Hawaiian Standard Time		08/20/2009 11:15:56 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option BRx (Cost)	06	18		1			H1251	003	0	2010	State of Hawaii		2	700	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	004	0	1	18	06	H1251_004_0	4	08/19/2009	2010.02	08/19/2009 03:06:55 PM Hawaiian Standard Time		08/19/2009 01:53:12 PM Hawaiian Standard Time		08/20/2009 11:31:19 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option SRx (Cost)	06	18		1			H1251	004	0	2010	State of Hawaii		2	32000	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	010	0	1	18	06	H1251_010_0	3	08/19/2009	2010.02	08/19/2009 12:18:24 PM Hawaiian Standard Time				08/20/2009 10:53:23 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Saver Option (Cost)	06	18		1			H1251	010	0	2010	State of Hawaii		2	50	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555												(808)-948-6222				(808)-948-6222										1		
H1251	011	0	1	18	06	H1251_011_0	5	09/01/2009	2010.02	09/01/2009 11:18:03 AM Hawaiian Standard Time		08/19/2009 01:51:24 PM Hawaiian Standard Time		09/01/2009 11:25:36 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Saver Option BRx (Cost)	06	18		1			H1251	011	0	2010	State of Hawaii		2	150	2				2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	801	0		18	06	H1251_801_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option CY GRx (Cost)	06	18					H1251	801	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	802	0		18	06	H1251_802_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option CY GRx (Cost)	06	18					H1251	802	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	803	0		18	06	H1251_803_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option NCY GRx (Cost)	06	18					H1251	803	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	804	0		18	06	H1251_804_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option NCY GRx (Cost)	06	18					H1251	804	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	805	0		18	06	H1251_805_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Saver Option CY GRx (Cost)	06	18					H1251	805	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1251	806	0		18	06	H1251_806_0	1	05/01/2009	2010.02						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Saver Option NCY GRx (Cost)	06	18					H1251	806	0	2010	State of Hawaii		1						2							www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555				(808)-948-6222				(808)-948-6222				(808)-948-6222				(808)-948-6222		1		
H1254	801	0	1	09	04	H1254_801_0	5	05/27/2009	2010.02	05/27/2009 05:42:45 PM Eastern Daylight Time	06/17/2009 11:10:26 AM Eastern Daylight Time			06/17/2009 11:15:26 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PFFS)	04	09	2	1			H1254	801	0	2010	National		1	8000	2				2							N/A	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										2		
H1264	004	0	1	02	01	H1264_004_0	5	05/29/2009	2010.02	05/29/2009 05:05:40 PM Eastern Daylight Time	08/18/2009 02:27:42 PM Eastern Daylight Time	08/17/2009 11:10:31 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1264	004	0	2010	Houston, Dallas, and San Antonio Metro Area		2		2				2						www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1264	007	0	1	01	01	H1264_007_0	6	08/20/2009	2010.02	08/20/2009 12:26:13 PM Eastern Daylight Time	08/18/2009 04:00:31 PM Eastern Daylight Time	08/17/2009 11:10:44 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1264	007	0	2010	Counties: Bexar, Dallas, Harris, Tarrant		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	(866)-530-9495		(866)-530-9495		(866)-360-8141		(866)-360-8141		(866)-530-9495		(866)-530-9495		(866)-360-8141		(866)-360-8141		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1264	008	0	1	02	01	H1264_008_0	5	07/21/2009	2010.02	07/21/2009 11:26:23 AM Eastern Daylight Time	08/18/2009 02:28:21 PM Eastern Daylight Time	08/17/2009 11:10:55 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO-POS)	01	02		1			H1264	008	0	2010	Counties: Ft Bend, Harris, Montgomery, San Jacinto		2		2				2						www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1264	014	0	1	02	01	H1264_014_0	5	07/21/2009	2010.02	07/21/2009 11:26:33 AM Eastern Daylight Time	08/18/2009 02:28:43 PM Eastern Daylight Time	08/17/2009 11:11:07 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO-POS)	01	02		1			H1264	014	0	2010	Counties: Bexar, Dallas, Tarrant		2		2				2						www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(866)-687-8878		(866)-687-8878		(866)-360-8141		(866)-360-8141		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1286	002	0	1	02	01	H1286_002_0	3	07/18/2009	2010.02	07/18/2009 12:46:52 PM Central Daylight Time	08/14/2009 09:18:37 AM Central Daylight Time	08/13/2009 05:45:09 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	002	0	2010	Spokane County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1286	003	0	1	02	01	H1286_003_0	2	07/18/2009	2010.02	07/18/2009 12:47:45 PM Central Daylight Time	07/20/2009 02:41:28 PM Central Daylight Time			07/23/2009 11:51:52 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H1286	003	0	2010	Spokane County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H1286	004	0	1	02	01	H1286_004_0	3	07/18/2009	2010.02	07/18/2009 12:43:38 PM Central Daylight Time	08/14/2009 09:19:45 AM Central Daylight Time	08/13/2009 05:45:13 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	004	0	2010	Clackamas,Marion,Multnomah,  Washington Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1286	008	0	1	02	01	H1286_008_0	6	09/28/2009	2010.02	09/28/2009 01:44:28 PM Central Daylight Time	08/14/2009 09:20:18 AM Central Daylight Time	08/13/2009 05:45:17 PM Central Daylight Time		09/28/2009 02:15:48 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	008	0	2010	Skagit and Whatcom Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1286	801	0	1	02	01	H1286_801_0	2	05/28/2009	2010.02	05/28/2009 12:09:01 PM Central Daylight Time	07/20/2009 02:45:59 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	801	0	2010	Spokane WA,Multnomah,Washing,Clackamas, Marion,OR		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(866)-289-3831		(866)-289-3831		(888)-867-5548		(888)-867-5548		(866)-289-3831		(888)-685-8480		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1286	803	0	1	02	01	H1286_803_0	2	05/28/2009	2010.02	05/28/2009 12:30:10 PM Central Daylight Time	07/20/2009 02:47:08 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	803	0	2010	Select counties in OR/WA		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(866)-289-3831		(866)-289-3831		(888)-867-5548		(888)-867-5548		(866)-289-3831		(888)-685-8480		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1286	804	0	1	02	01	H1286_804_0	2	05/28/2009	2010.02	05/28/2009 12:30:31 PM Central Daylight Time	07/20/2009 02:48:42 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	804	0	2010	Select counties in OR/WA		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(866)-289-3831		(866)-289-3831										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H1302	001	0	1	04	01	H1302_001_0	5	08/04/2009	2010.02	08/04/2009 01:24:05 PM Mountain Daylight Time	08/19/2009 03:38:15 PM Mountain Daylight Time	08/19/2009 03:38:31 PM Mountain Daylight Time		08/19/2009 04:26:40 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross of Idaho	www.bcidaho.com/medicare	Secure Blue (PPO)	01	04		1			H1302	001	0	2010	Select Counties in Idaho		2	214	2				2						www.bcidaho.com/medicare	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1		
H1302	004	0	1	04	01	H1302_004_0	4	08/04/2009	2010.02	08/04/2009 01:24:31 PM Mountain Daylight Time	05/30/2009 07:44:44 PM Mountain Daylight Time			08/04/2009 01:33:01 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross of Idaho	www.bcidaho.com/medicare	Secure Blue (PPO)	01	04		1			H1302	004	0	2010	Select Counties in Idaho		2	214	2				2						www.bcidaho.com/medicare	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673										(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363										1		
H1303	001	0	1	04	01	H1303_001_0	4	07/18/2009	2010.02	07/18/2009 11:49:26 AM Central Daylight Time	08/14/2009 02:10:24 PM Central Daylight Time	08/13/2009 05:45:20 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1303	001	0	2010	Ada and Canyon Counties		2		2				2						https://www.aarpmedicarecomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1303	004	0	1	04	01	H1303_004_0	5	07/15/2009	2010.02	07/15/2009 04:47:24 PM Central Daylight Time	08/20/2009 10:43:43 AM Central Daylight Time	08/13/2009 05:45:25 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H1303	004	0	2010	Ada and Canyon Counties		2		2		2		1	3		1	2		https://www.aarpmedicarecomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1303	006	0	1	04	01	H1303_006_0	5	07/17/2009	2010.02	07/17/2009 09:39:26 AM Central Daylight Time	08/14/2009 02:10:39 PM Central Daylight Time	08/13/2009 05:45:29 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H1303	006	0	2010	Ada and Canyon Counties		2		2				1	4		1		000110100000000	https://www.aarpmedicarecomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1303	801	0	1	04	01	H1303_801_0	4	07/07/2009	2010.02	07/07/2009 09:16:38 AM Central Daylight Time	07/23/2009 12:04:53 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1303	801	0	2010	Ada and Canyon counties		1		2				2						https://www.aarpmedicarecomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-289-7879		(866)-289-7879		(866)-732-2871		(866)-732-2871		(866)-289-7879		(866)-289-7879		(866)-732-2871		(866)-732-2871		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1303	803	0	1	04	01	H1303_803_0	4	07/07/2009	2010.02	07/07/2009 09:17:05 AM Central Daylight Time	07/23/2009 12:05:10 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1303	803	0	2010	Ada and Canyon counties		1		2				2						https://www.aarpmedicarecomplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-289-7879		(866)-289-7879		(866)-732-2871		(866)-732-2871		(866)-289-7879		(866)-289-7879		(866)-732-2871		(866)-732-2871		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1304	001	0	1	04	01	H1304_001_0	2	07/28/2009	2010.02	07/28/2009 02:49:57 PM Pacific Daylight Time	05/30/2009 08:02:46 PM Pacific Daylight Time			07/29/2009 01:32:39 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	Regence MedAdvantage (PPO)	01	04		1			H1304	001	0	2010	Select Counties in Idaho/Asotin Co, WA		2		2				2						http://www.id.regence.com/member/doctor/	www.id.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(208)-798-2074										1		
H1304	002	0	1	04	01	H1304_002_0	4	07/28/2009	2010.02	07/28/2009 02:53:24 PM Pacific Daylight Time	08/18/2009 01:59:04 PM Pacific Daylight Time	08/17/2009 02:29:23 PM Pacific Daylight Time		08/19/2009 04:18:34 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H1304	002	0	2010	Select Counties in Idaho/Asotin Co, WA		2		2				2						http://www.id.regence.com/member/doctor/	www.id.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(208)-798-2074		(800)-382-1003		(800)-382-1003		(800)-382-1003		(208)-798-2074		1		
H1304	004	0	1	04	01	H1304_004_0	5	07/28/2009	2010.02	07/28/2009 02:50:58 PM Pacific Daylight Time	08/18/2009 02:01:50 PM Pacific Daylight Time	08/17/2009 02:29:58 PM Pacific Daylight Time		08/19/2009 04:24:18 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.id.regence.com	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H1304	004	0	2010	Select Counties in Idaho/Asotin Co, WA		2		2				2						http://www.id.regence.com/member/doctor/	www.id.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(208)-798-2074		(800)-382-1003		(800)-382-1003		(800)-382-1003		(208)-798-2074		1		
H1310	001	0	1	20	08	H1310_001_0	1	05/20/2009	2010.02	05/20/2009 11:13:43 AM Eastern Daylight Time		05/21/2009 10:00:14 AM Eastern Daylight Time		05/21/2009 10:02:22 AM Eastern Daylight Time	COMPREHENSIVE SENIOR CARE CORPORATION	CentraCare	mycentracare.com	CentraCare Dual (PACE)	08	20		1			H1310	001	0	2010	Calhoun County		2		2				2							mycentracare.com									(877)-284-4071		(269)-441-9305		(877)-284-4071		(269)-441-9300																		1		
H1310	003	0	1	20	08	H1310_003_0	1	05/20/2009	2010.02	05/20/2009 11:14:01 AM Eastern Daylight Time		05/21/2009 10:00:33 AM Eastern Daylight Time		05/21/2009 10:02:22 AM Eastern Daylight Time	COMPREHENSIVE SENIOR CARE CORPORATION	CentraCare	mycentracare.com	CentraCare Medicare-only (PACE)	08	20		1			H1310	003	0	2010	Calhoun County		2		2				2							mycentracare.com									(877)-284-4071		(269)-441-9305		(877)-284-4071		(269)-441-9300																		1		
H1350	001	0	1	01	01	H1350_001_0	4	08/18/2009	2010.02	08/18/2009 01:35:17 PM Mountain Daylight Time	08/19/2009 03:38:53 PM Mountain Daylight Time	08/19/2009 03:39:16 PM Mountain Daylight Time		08/19/2009 04:26:40 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue (HMO)	01	01		1			H1350	001	0	2010	Select Counties in Idaho		2	15000	2				2						bcidaho.com/medicare	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1		
H1350	006	0	1	01	01	H1350_006_0	2	05/28/2009	2010.02	05/28/2009 10:52:09 AM Mountain Daylight Time	05/30/2009 07:45:34 PM Mountain Daylight Time			05/31/2009 08:06:33 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue (HMO)	01	01		1			H1350	006	0	2010	Select Counties in Idaho		2	15000	2				2						bcidaho.com/medicare	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673										(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363										1		
H1350	009	0	1	01	01	H1350_009_0	4	08/19/2009	2010.02	08/19/2009 04:19:01 PM Mountain Daylight Time	08/19/2009 03:39:36 PM Mountain Daylight Time	08/19/2009 03:39:43 PM Mountain Daylight Time		08/19/2009 04:26:40 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue Special Needs Plan (HMO)	01	01		1			H1350	009	0	2010	Select Counties in Idaho		2	720	2		2		1	3		1	5		bcidaho.com/medicare	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1		
H1355	001	0	1	04	01	H1355_001_0	4	07/30/2009	2010.02	07/30/2009 12:45:00 PM Eastern Daylight Time	08/19/2009 02:31:26 PM Eastern Daylight Time	08/14/2009 11:22:16 AM Eastern Daylight Time		08/20/2009 05:59:37 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H1355	001	0	2010	Select Texas Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H1355	801	0	1	04	01	H1355_801_0	3	07/16/2009	2010.02	07/16/2009 03:37:43 PM Eastern Daylight Time	05/28/2009 04:50:58 PM Eastern Daylight Time			07/16/2009 05:07:10 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	EGWP (CY) (PPO)	01	04		1			H1355	801	0	2010	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H1355	802	0	1	04	01	H1355_802_0	3	07/16/2009	2010.02	07/16/2009 03:38:02 PM Eastern Daylight Time	05/28/2009 05:05:08 PM Eastern Daylight Time			07/16/2009 05:07:10 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	EGWP (non-CY) (PPO)	01	04		1			H1355	802	0	2010	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H1364	003	0	1	01	01	H1364_003_0	3	08/20/2009	2010.02	08/20/2009 03:40:50 PM Central Daylight Time	08/19/2009 04:56:01 PM Central Daylight Time	08/18/2009 10:25:22 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNISON HEALTH PLAN OF OHIO, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Plus (HMO)	01	01		1			H1364	003	0	2010	Holmes and Wayne counties		2		2		2		1	3		1	3		www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(800)-290-4009		(888)-565-8180		(888)-565-8180		(800)-290-4009		(800)-290-4009		(888)-565-8180		(888)-565-8180		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		1		
H1365	001	0	1	04	01	H1365_001_0	6	08/20/2009	2010.02	08/20/2009 08:06:01 PM Eastern Daylight Time	08/20/2009 05:00:08 PM Eastern Daylight Time	08/20/2009 05:00:58 PM Eastern Daylight Time		08/20/2009 08:09:40 PM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org	Martin's Point Generations Advantage Select (PPO)	01	04		1			H1365	001	0	2010	Entire State of Maine except Washington County		2		2				2						http://www.martinspoint.org	http://www.martinspoint.org/body.cfm?id=323	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		1		
H1365	801	0	1	04	01	H1365_801_0	3	07/29/2009	2010.02	07/29/2009 04:54:50 PM Eastern Daylight Time	06/03/2009 08:56:55 PM Eastern Daylight Time			07/29/2009 04:56:20 PM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org	Martin's Point Generations Advantage Select G (PPO)	01	04		1			H1365	801	0	2010	Nation-wide		1		2				2						http://www.martinspoint.org	http://www.martinspoint.org/body.cfm?id=323	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		1		
H1406	013	0	1	01	01	H1406_013_0	4	07/22/2009	2010.01	07/22/2009 02:38:49 PM Eastern Daylight Time	08/18/2009 03:21:04 PM Eastern Daylight Time	08/19/2009 10:26:31 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-013 (HMO)	01	01		1			H1406	013	0	2010	Cook County and Will County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1406	022	0	1	01	01	H1406_022_0	4	07/22/2009	2010.01	07/22/2009 01:31:06 PM Eastern Daylight Time	08/18/2009 03:22:42 PM Eastern Daylight Time	08/19/2009 10:26:41 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-022 (HMO)	01	01		1			H1406	022	0	2010	Partial Kane and Kendall Counties		2	22937	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1406	801	0	1	01	01	H1406_801_0	4	05/26/2009	2010.02	05/26/2009 03:57:11 PM Eastern Daylight Time	07/21/2009 03:31:10 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1406	801	0	2010	Chicago Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1406	802	0	1	01	01	H1406_802_0	5	05/26/2009	2010.02	05/26/2009 03:57:40 PM Eastern Daylight Time	07/21/2009 04:11:14 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1406	802	0	2010	Chicago Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1406	803	0	1	01	01	H1406_803_0	6	05/26/2009	2010.02	05/26/2009 03:58:05 PM Eastern Daylight Time	07/21/2009 04:11:30 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1406	803	0	2010	Cook, Kendall and Parts of Kane Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1415	005	0	1	01	01	H1415_005_0	12	03/11/2010	2010.02	03/11/2010 03:39:40 PM Central Standard Time	08/19/2009 12:37:10 PM Central Standard Time	08/25/2009 12:40:27 PM Central Standard Time		03/11/2010 03:57:17 PM Central Standard Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H1415	005	0	2010	Cook, DuPage, Kane, Lake and Will		2	3460	2		2		1	3		1	2			www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	013	0	1	01	01	H1415_013_0	5	07/31/2009	2010.02	07/31/2009 04:16:16 PM Central Daylight Time	07/24/2009 08:55:03 AM Central Daylight Time			08/04/2009 11:25:25 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage (HMO)	01	01		1			H1415	013	0	2010	Cook, DuPage, Kane, Lake and Will		2	766	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H1415	015	0	1	01	01	H1415_015_0	9	08/20/2009	2010.02	08/20/2009 01:57:19 PM Central Daylight Time	08/19/2009 12:37:15 PM Central Daylight Time	08/19/2009 10:09:59 AM Central Daylight Time		08/21/2009 08:01:49 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring OptimaCare (HMO)	01	01		1			H1415	015	0	2010	Cook, DuPage, Kane, Lake and Will		2	766	2				1	4		1		000000100000000		www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	017	0	1	02	01	H1415_017_0	8	08/20/2009	2010.02	08/20/2009 01:58:46 PM Central Daylight Time	08/19/2009 12:37:19 PM Central Daylight Time	08/19/2009 10:10:15 AM Central Daylight Time		08/21/2009 08:01:49 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring HealthyLiving (HMO-POS)	01	02		1			H1415	017	0	2010	Cook, DuPage, Kane, Lake, Will		2	362	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	021	0	1	02	01	H1415_021_0	9	08/20/2009	2010.02	08/20/2009 04:08:31 PM Central Daylight Time	08/19/2009 12:37:23 PM Central Daylight Time	08/19/2009 10:10:18 AM Central Daylight Time		08/21/2009 08:01:49 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Preferred (HMO-POS)	01	02		1			H1415	021	0	2010	Cook, DuPage, Kane, Lake and Will		2	4043	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	022	0	1	02	01	H1415_022_0	10	08/20/2009	2010.02	08/20/2009 02:01:05 PM Central Daylight Time	08/19/2009 12:37:29 PM Central Daylight Time	08/19/2009 10:10:21 AM Central Daylight Time		08/21/2009 08:01:49 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Primary Plan (HMO-POS)	01	02		1			H1415	022	0	2010	Cook , DuPage, Kane, Lake and Will		2	1545	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	023	0	1	02	01	H1415_023_0	10	08/20/2009	2010.02	08/20/2009 04:07:12 PM Central Daylight Time	08/19/2009 12:37:06 PM Central Daylight Time	08/25/2009 02:25:07 PM Central Daylight Time		08/25/2009 02:28:54 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Select (HMO-POS)	01	02		1			H1415	023	0	2010	Cook, DuPage, Kane, Lake and Will		2	2000	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1415	802	0	1	01	01	H1415_802_0	1	05/30/2009	2010.02	05/30/2009 12:45:13 PM Central Daylight Time	05/30/2009 03:44:47 PM Central Daylight Time			05/30/2009 05:29:47 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring Retiree Advantage (HMO)	01	01		1			H1415	802	0	2010	Illinois		1	159	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H1415	804	0	1	01	01	H1415_804_0	2	05/30/2009	2010.02	05/30/2009 12:51:30 PM Central Daylight Time	05/30/2009 09:23:15 PM Central Daylight Time			05/31/2009 11:23:06 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthSpring Retiree Advantage Plus (HMO)	01	01		1			H1415	804	0	2010	Illinois		1	159	2				2							www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-588-4827		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H1416	007	0	1	01	01	H1416_007_0	5	05/29/2009	2010.02	05/29/2009 05:06:10 PM Eastern Daylight Time	08/18/2009 02:29:03 PM Eastern Daylight Time	08/17/2009 11:11:18 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1416	007	0	2010	Chicago and St. Louis Area, Champaign, Verm, Doug		2		2		2		1	3		1	1			www.wellcare.com	(866)-439-1190		(866)-439-1190		(866)-238-7339		(866)-238-7339		(866)-439-1190		(866)-439-1190		(866)-238-7339		(866)-238-7339		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1416	009	0	1	02	01	H1416_009_0	5	07/21/2009	2010.02	07/21/2009 11:27:01 AM Eastern Daylight Time	08/18/2009 02:29:24 PM Eastern Daylight Time	08/17/2009 11:11:30 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1416	009	0	2010	Counties:  Cook and Will		2		2				2							www.wellcare.com	(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1416	018	0	1	02	01	H1416_018_0	5	07/21/2009	2010.02	07/21/2009 11:27:10 AM Eastern Daylight Time	08/18/2009 02:29:44 PM Eastern Daylight Time	08/17/2009 11:11:42 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1416	018	0	2010	St Louis Area, Vermillion, Douglas, and Champaign		2		2				2							www.wellcare.com	(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1416	019	0	1	02	01	H1416_019_0	5	07/21/2009	2010.02	07/21/2009 11:27:22 AM Eastern Daylight Time	08/18/2009 02:30:02 PM Eastern Daylight Time	08/17/2009 11:11:53 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Rx (HMO-POS)	01	02		1			H1416	019	0	2010	Counties: Cook and Will		2		2				2							www.wellcare.com	(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1416	020	0	1	02	01	H1416_020_0	5	07/21/2009	2010.02	07/21/2009 11:27:31 AM Eastern Daylight Time	08/18/2009 02:30:21 PM Eastern Daylight Time	08/17/2009 11:12:04 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Rx (HMO-POS)	01	02		1			H1416	020	0	2010	St Louis Area, Champaign, Douglas, and Vermillion		2		2				2							www.wellcare.com	(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(866)-334-6876		(866)-334-6876		(866)-238-7339		(866)-238-7339		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1417	001	0	1	04	01	H1417_001_0	4	09/29/2009	2010.02	09/29/2009 05:04:36 PM Central Daylight Time	07/07/2009 02:59:12 PM Central Daylight Time			10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 (PPO)	01	04		1			H1417	001	0	2010	Central Illinois		2	320	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1		
H1417	002	0	1	04	01	H1417_002_0	6	09/29/2009	2010.02	09/29/2009 05:05:02 PM Central Daylight Time	08/17/2009 10:08:06 AM Central Daylight Time	08/17/2009 12:32:44 PM Central Daylight Time		10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 Rx (PPO)	01	04		1			H1417	002	0	2010	Central Illinois		2	2004	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1417	003	0	1	04	01	H1417_003_0	12	09/29/2009	2010.02	09/29/2009 05:05:46 PM Central Daylight Time	07/07/2009 03:06:24 PM Central Daylight Time			10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO30 (PPO)	01	04		1			H1417	003	0	2010	Central Illinois		2	22	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1		
H1417	004	0	1	04	01	H1417_004_0	12	09/29/2009	2010.02	09/29/2009 05:06:21 PM Central Daylight Time	08/17/2009 10:08:40 AM Central Daylight Time	08/17/2009 12:33:16 PM Central Daylight Time		10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO30 Rx (PPO)	01	04		1			H1417	004	0	2010	Central Illinois		2	108	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1417	005	0	1	04	01	H1417_005_0	11	09/29/2009	2010.02	09/29/2009 05:06:49 PM Central Daylight Time	08/17/2009 05:04:56 PM Central Daylight Time	08/17/2009 12:33:40 PM Central Daylight Time		10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 Rx Plus (PPO)	01	04		1			H1417	005	0	2010	Central Illinois		2	480	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1417	006	0	1	04	01	H1417_006_0	12	09/29/2009	2010.02	09/29/2009 05:07:15 PM Central Daylight Time	08/17/2009 05:05:34 PM Central Daylight Time	08/17/2009 12:35:20 PM Central Daylight Time		10/02/2009 04:01:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO30 Rx Plus (PPO)	01	04		1			H1417	006	0	2010	Central Illinois		2	35	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1417	801	0	1	04	01	H1417_801_0	5	08/10/2009	2010.02	08/10/2009 10:43:48 AM Central Daylight Time	05/31/2009 02:01:36 PM Central Daylight Time			08/10/2009 11:24:20 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer PPO (PPO)	01	04		1			H1417	801	0	2010	Illinois		1	5	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1		
H1417	802	0	1	04	01	H1417_802_0	3	08/10/2009	2010.02	08/10/2009 10:44:03 AM Central Daylight Time	05/31/2009 02:05:26 PM Central Daylight Time			08/10/2009 10:45:14 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer PPO Rx (PPO)	01	04		1			H1417	802	0	2010	Illinois		1	84	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1418	002	0	1	04	01	H1418_002_0	5	08/19/2009	2010.01	08/19/2009 12:33:32 PM Eastern Daylight Time	08/18/2009 03:21:36 PM Eastern Daylight Time	08/19/2009 10:26:50 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-002 (PPO)	01	04		1			H1418	002	0	2010	Chicago Metro Area		2	7204	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	007	0	1	04	01	H1418_007_0	4	08/19/2009	2010.01	08/19/2009 12:48:20 PM Eastern Daylight Time	08/18/2009 03:05:06 PM Eastern Daylight Time	08/19/2009 10:26:58 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-007 (PPO)	01	04		1			H1418	007	0	2010	Henry, Mercer, Rock Island, IL		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	008	0	1	04	01	H1418_008_0	7	07/28/2009	2010.02	07/28/2009 09:29:04 AM Eastern Daylight Time	08/19/2009 04:08:32 PM Eastern Daylight Time	08/19/2009 10:27:07 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-008 (PPO)	01	04		1			H1418	008	0	2010	Scott County		2	334	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	009	0	1	04	01	H1418_009_0	8	07/28/2009	2010.02	07/28/2009 09:30:49 AM Eastern Daylight Time	07/17/2009 02:51:52 PM Eastern Daylight Time			07/28/2009 03:31:47 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-009 (PPO)	01	04		1			H1418	009	0	2010	Scott County		2	334	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1418	010	0	1	04	01	H1418_010_0	5	08/19/2009	2010.01	08/19/2009 12:51:37 PM Eastern Daylight Time	08/18/2009 03:06:16 PM Eastern Daylight Time	08/19/2009 10:27:20 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-010 (PPO)	01	04		1			H1418	010	0	2010	Vermilion County		2	193	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	011	0	1	04	01	H1418_011_0	4	08/19/2009	2010.01	08/19/2009 12:53:02 PM Eastern Daylight Time	08/18/2009 03:06:50 PM Eastern Daylight Time	08/19/2009 10:27:31 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-011 (PPO)	01	04		1			H1418	011	0	2010	Effingham and Jasper Counties		2	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	012	0	1	04	01	H1418_012_0	4	08/19/2009	2010.01	08/19/2009 12:54:12 PM Eastern Daylight Time	08/18/2009 03:07:22 PM Eastern Daylight Time	08/19/2009 10:27:46 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-012 (PPO)	01	04		1			H1418	012	0	2010	Adams County		2	157	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	013	0	1	04	01	H1418_013_0	4	08/19/2009	2010.01	08/19/2009 12:54:59 PM Eastern Daylight Time	08/18/2009 03:07:56 PM Eastern Daylight Time	08/19/2009 10:28:05 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-013 (PPO)	01	04		1			H1418	013	0	2010	Springfield Metro Area		2	627	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	014	0	1	04	01	H1418_014_0	4	07/22/2009	2010.01	07/22/2009 02:41:24 PM Eastern Daylight Time	08/18/2009 03:08:30 PM Eastern Daylight Time	08/19/2009 10:28:15 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-014 (PPO)	01	04		1			H1418	014	0	2010	Carroll County		2	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1418	801	0	1	04	01	H1418_801_0	4	07/10/2009	2010.02	07/16/2009 07:57:38 AM Eastern Daylight Time	07/21/2009 03:39:58 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1418	801	0	2010	North Central Illinois		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1418	802	0	1	04	01	H1418_802_0	4	07/10/2009	2010.02	07/16/2009 07:58:04 AM Eastern Daylight Time	07/21/2009 04:29:28 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1418	802	0	2010	North Central Illinois		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1418	803	0	1	04	01	H1418_803_0	4	07/10/2009	2010.02	07/16/2009 07:58:27 AM Eastern Daylight Time	07/21/2009 04:30:14 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H1418	803	0	2010	North Central Illinois		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1419	001	0	1	01	01	H1419_001_0	5	08/19/2009	2010.02	08/19/2009 12:08:47 PM Eastern Daylight Time	08/17/2009 10:05:22 AM Eastern Daylight Time	08/17/2009 02:32:58 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H1419	001	0	2010	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1419	003	0	1	01	01	H1419_003_0	5	07/21/2009	2010.02	07/21/2009 07:44:12 AM Eastern Daylight Time	08/17/2009 10:05:54 AM Eastern Daylight Time	08/24/2009 06:25:49 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H1419	003	0	2010	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1419	801	0	1	01	01	H1419_801_0	2	05/19/2009	2010.02	05/19/2009 12:21:01 PM Eastern Daylight Time	05/31/2009 06:48:19 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H1419	801	0	2010	Cook, Fulton, Kane and Will Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H1419	802	0	1	01	01	H1419_802_0	2	05/19/2009	2010.02	05/19/2009 12:32:13 PM Eastern Daylight Time	05/31/2009 06:49:05 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH OF ILLINOIS, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H1419	802	0	2010	Cook, Fulton, Kane and Will Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H1463	001	0	1	01	01	H1463_001_0	1	05/27/2009	2010.02	05/27/2009 11:43:58 AM Central Daylight Time	05/28/2009 01:12:04 AM Central Daylight Time			05/29/2009 12:01:24 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 (HMO)	01	01		1			H1463	001	0	2010	East Central Illinois		2	1672	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1		
H1463	003	0	1	01	01	H1463_003_0	3	05/27/2009	2010.02	05/27/2009 04:26:35 PM Central Daylight Time	08/17/2009 10:10:36 AM Central Daylight Time	08/17/2009 12:35:52 PM Central Daylight Time		08/18/2009 03:59:21 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 Rx (HMO)	01	01		1			H1463	003	0	2010	East Central Illinois		2	4642	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1463	005	0	1	01	01	H1463_005_0	2	05/27/2009	2010.02	05/27/2009 04:27:29 PM Central Daylight Time	08/17/2009 10:11:04 AM Central Daylight Time	08/17/2009 12:36:12 PM Central Daylight Time		08/18/2009 03:19:09 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 Rx Plus (HMO)	01	01		1			H1463	005	0	2010	East Central Illinois		2	451	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1463	801	0	1	01	01	H1463_801_0	2	05/27/2009	2010.02	05/27/2009 03:48:17 PM Central Daylight Time	05/31/2009 02:07:36 PM Central Daylight Time			06/01/2009 08:20:56 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer HMO (HMO)	01	01		1			H1463	801	0	2010	Illinois		1	44	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1		
H1463	802	0	1	01	01	H1463_802_0	2	05/27/2009	2010.02	05/27/2009 03:48:26 PM Central Daylight Time	05/31/2009 02:09:58 PM Central Daylight Time			06/01/2009 08:20:56 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer HMO Rx (HMO)	01	01		1			H1463	802	0	2010	Illinois		1	133	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1		
H1468	007	0	1	01	01	H1468_007_0	6	08/19/2009	2010.01	08/19/2009 02:12:57 PM Eastern Daylight Time	08/18/2009 03:12:20 PM Eastern Daylight Time	08/19/2009 10:28:24 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Gold Plus H1468-007 (HMO)	01	01		1			H1468	007	0	2010	Central Illinois Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1509	001	0	1	04	01	H1509_001_0	6	07/20/2009	2010.02	07/20/2009 08:37:06 AM Central Daylight Time	08/19/2009 03:41:59 PM Central Daylight Time	08/13/2009 05:45:32 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	001	0	2010	Northern Indiana		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1509	004	0	1	04	01	H1509_004_0	4	07/15/2009	2010.02	07/15/2009 04:48:08 PM Central Daylight Time	08/19/2009 03:42:30 PM Central Daylight Time	08/13/2009 05:45:36 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H1509	004	0	2010	Indianapolis, Fort Wayne, South Bend areas		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1509	005	0	1	04	01	H1509_005_0	5	07/17/2009	2010.02	07/17/2009 04:11:01 PM Central Daylight Time	08/19/2009 03:43:31 PM Central Daylight Time	08/13/2009 05:45:40 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H1509	005	0	2010	Adams,Allen,Fulton,Kosciusko,St. Joseph,Wells		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1509	006	0	1	04	01	H1509_006_0	4	08/20/2009	2010.02	08/20/2009 02:17:35 PM Central Daylight Time	08/19/2009 03:44:20 PM Central Daylight Time	08/13/2009 05:45:45 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H1509	006	0	2010	Indianapolis area		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1509	007	0	1	04	01	H1509_007_0	6	07/17/2009	2010.02	07/17/2009 04:25:01 PM Central Daylight Time	08/19/2009 03:44:43 PM Central Daylight Time	08/18/2009 12:27:41 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	007	0	2010	Indianapolis area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1509	009	0	1	04	01	H1509_009_0	2	07/24/2009	2010.02	07/24/2009 03:32:49 PM Central Daylight Time	08/19/2009 03:45:04 PM Central Daylight Time	08/19/2009 12:18:02 PM Central Daylight Time		08/21/2009 09:09:41 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	009	0	2010	Select Counties in IN		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1509	801	0	1	04	01	H1509_801_0	6	07/07/2009	2010.02	07/07/2009 09:17:56 AM Central Daylight Time	07/21/2009 11:13:13 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	801	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1509	803	0	1	04	01	H1509_803_0	5	07/07/2009	2010.02	07/07/2009 09:18:29 AM Central Daylight Time	07/21/2009 11:15:47 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	803	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1509	804	0	1	04	01	H1509_804_0	5	07/07/2009	2010.02	07/07/2009 09:18:45 AM Central Daylight Time	07/21/2009 11:18:33 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	804	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1509	806	0	2	04	01	H1509_806_0	5	07/07/2009	2010.02	07/07/2009 09:19:11 AM Central Daylight Time	07/21/2009 11:20:51 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	806	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1509	807	0	2	04	01	H1509_807_0	5	07/07/2009	2010.02	07/07/2009 09:19:33 AM Central Daylight Time	07/21/2009 11:23:03 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	807	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1509	808	0	2	04	01	H1509_808_0	5	07/07/2009	2010.02	07/07/2009 09:20:13 AM Central Daylight Time	07/21/2009 11:25:15 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	808	0	2010	National Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1510	001	0	1	04	01	H1510_001_0	8	07/22/2009	2010.02	07/22/2009 10:30:36 AM Eastern Daylight Time	08/18/2009 04:30:47 PM Eastern Daylight Time	08/19/2009 10:28:32 AM Eastern Daylight Time		08/20/2009 07:47:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-001 (PPO)	01	04		1			H1510	001	0	2010	Indianapolis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1510	004	0	1	04	01	H1510_004_0	8	07/22/2009	2010.02	07/22/2009 10:33:31 AM Eastern Daylight Time	08/18/2009 04:00:25 PM Eastern Daylight Time	08/19/2009 10:28:40 AM Eastern Daylight Time		08/20/2009 07:47:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-004 (PPO)	01	04		1			H1510	004	0	2010	Evansville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1510	005	0	1	04	01	H1510_005_0	8	07/22/2009	2010.02	07/22/2009 10:35:16 AM Eastern Daylight Time	08/18/2009 04:00:57 PM Eastern Daylight Time	08/19/2009 10:28:49 AM Eastern Daylight Time		08/20/2009 07:47:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-005 (PPO)	01	04		1			H1510	005	0	2010	Northern Indiana Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1510	805	0	1	04	01	H1510_805_0	4	07/10/2009	2010.02	07/16/2009 07:58:49 AM Eastern Daylight Time	07/21/2009 03:40:40 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1510	805	0	2010	Indianapolis, Evansville and North-Region Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1510	806	0	1	04	01	H1510_806_0	4	07/10/2009	2010.02	07/16/2009 07:59:14 AM Eastern Daylight Time	07/21/2009 04:30:28 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1510	806	0	2010	Indianapolis, Evansville and North-Region Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1510	807	0	1	04	01	H1510_807_0	4	07/10/2009	2010.02	07/16/2009 07:59:37 AM Eastern Daylight Time	07/21/2009 04:30:44 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H1510	807	0	2010	Indianapolis, Evansville and North-Region Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1517	001	0	1	04	01	H1517_001_0	10	08/04/2009	2010.02	08/20/2009 02:14:58 PM Eastern Daylight Time	08/19/2009 11:03:14 AM Eastern Daylight Time	08/17/2009 01:46:13 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H1517	001	0	2010	Missouri - Select Counties		2	1027	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-652-6387		(800)-652-6387		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1517	003	0	1	04	01	H1517_003_0	10	08/04/2009	2010.02	08/20/2009 02:14:59 PM Eastern Daylight Time	08/19/2009 11:02:23 AM Eastern Daylight Time	08/17/2009 01:48:23 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H1517	003	0	2010	MO-Select Counties		2	350	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-652-6387		(800)-652-6387		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1517	801	0	1	04	01	H1517_801_0	6	08/11/2009	2010.02	08/11/2009 03:01:32 PM Pacific Daylight Time	07/24/2009 08:13:09 PM Pacific Daylight Time			08/11/2009 03:08:10 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1517	801	0	2010	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1517	802	0	1	04	01	H1517_802_0	5	08/11/2009	2010.02	08/11/2009 03:02:07 PM Pacific Daylight Time	07/24/2009 08:14:41 PM Pacific Daylight Time			08/11/2009 03:08:10 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1517	802	0	2010	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H1517	803	0	1	04	01	H1517_803_0	5	08/11/2009	2010.02	08/11/2009 03:02:48 PM Pacific Daylight Time	07/24/2009 08:16:02 PM Pacific Daylight Time			08/11/2009 03:08:10 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1517	803	0	2010	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1518	001	0	1	20	08	H1518_001_0	1	05/19/2009	2010.02	05/19/2009 12:03:10 PM Eastern Daylight Time		05/18/2009 06:21:12 PM Eastern Daylight Time		05/19/2009 12:05:08 PM Eastern Daylight Time	CATHOLIC HEALTH SYSTEM BUFFALO PACE	Catholic Health LIFE	www.chsbuffalo.org	CHS Buffalo - Dual (PACE)	08	20		1			H1518	001	0	2010	CHS Lackawanna  Erie County		2		2				2							www.chsbuffalo.org									(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433																		1		
H1518	002	0	1	20	08	H1518_002_0	1	05/19/2009	2010.02	05/19/2009 12:03:44 PM Eastern Daylight Time		05/18/2009 06:21:12 PM Eastern Daylight Time		05/19/2009 12:05:08 PM Eastern Daylight Time	CATHOLIC HEALTH SYSTEM BUFFALO PACE	Catholic Health LIFE	www.chsbuffalo.org	CHS Buffalo - Medicare only (PACE)	08	20		1			H1518	002	0	2010	CHS Lackawanna Erie County		2		2				2							www.chsbuffalo.org									(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433																		1		
H1553	001	0	1	18	06	H1553_001_0	8	10/07/2009	2010.02	10/07/2009 10:28:13 AM Eastern Daylight Time				10/07/2009 10:30:19 AM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Senior Smart Choice	www.seniorsmartchoice.com	Senior Smart Choice Low Option (Cost)	06	18		1			H1553	001	0	2010	Indiana Counties: Hancock Johnson Shelby		2	200	2				2								(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2		
H1553	002	0	1	18	06	H1553_002_0	7	10/01/2009	2010.02	10/01/2009 05:03:00 PM Eastern Daylight Time				10/02/2009 11:13:39 AM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Senior Smart Choice	www.seniorsmartchoice.com	Senior Smart Choice High Option (Cost)	06	18		1			H1553	002	0	2010	Indiana Counties: Hancock Johnson Shelby		2	400	2				2								(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2		
H1553	005	0	1	18	06	H1553_005_0	6	10/01/2009	2010.02	10/01/2009 05:05:40 PM Eastern Daylight Time				10/02/2009 11:13:39 AM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Senior Smart Choice	www.seniorsmartchoice.com	Senior Smart Choice Basic Option (Cost)	06	18		1			H1553	005	0	2010	Indiana Counties: Hancock Johnson Shelby		2	5	2				2								(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2		
H1558	003	0	1	18	06	H1558_003_0	2	06/01/2009	2010.02	06/01/2009 04:23:32 PM Central Daylight Time				06/01/2009 04:25:10 PM Central Daylight Time	WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	Medicare  Basic Plan (Cost)	06	18		1			H1558	003	0	2010	Gibson,Posey,Spencer,Warrick,Vanderburgh counties		2	5	1	1			2						www.welbornhealthplans.com		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2		
H1558	004	0	1	18	06	H1558_004_0	2	06/01/2009	2010.02	06/01/2009 04:24:02 PM Central Daylight Time				06/01/2009 04:29:20 PM Central Daylight Time	WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	Medicare Plus Plan (Cost)	06	18		1			H1558	004	0	2010	Gibson,Posey,Spencer,Warrick, Vanderburgh counties		2	1700	2				2						www.welbornhealthplans.com		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2		
H1595	001	0	1	04	01	H1595_001_0	7	08/19/2009	2010.02	08/19/2009 09:18:32 AM Eastern Daylight Time	08/18/2009 01:50:14 PM Eastern Daylight Time	08/18/2009 01:50:24 PM Eastern Daylight Time		08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO Basic (PPO)	01	04		1			H1595	001	0	2010	Genesee and Saginaw Counties		2	184	2				2						www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H1595	002	0	1	04	01	H1595_002_0	5	08/19/2009	2010.02	08/19/2009 09:18:53 AM Eastern Daylight Time	08/18/2009 01:52:42 PM Eastern Daylight Time	08/18/2009 01:51:56 PM Eastern Daylight Time		08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus -  AdvantagePPO Enhanced (PPO)	01	04		1			H1595	002	0	2010	Genesee and Saginaw Counties		2	184	2				2						www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H1595	801	0	1	04	01	H1595_801_0	8	08/19/2009	2010.02	08/19/2009 12:12:20 PM Eastern Daylight Time	08/03/2009 10:53:00 AM Eastern Daylight Time			08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO EG MA-Only (PPO)	01	04		1			H1595	801	0	2010	HealthPlus MedicarePlus - AdvantagePPO EG MA-Only		1	0	2				2						www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161										(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070										1		
H1595	802	0	1	04	01	H1595_802_0	8	08/19/2009	2010.02	08/19/2009 12:13:45 PM Eastern Daylight Time	08/03/2009 10:50:32 AM Eastern Daylight Time			08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO EG MA-PD (PPO)	01	04		1			H1595	802	0	2010	HealthPlus MedicarePlus - AdvantagePPO EG MA-PD		1	0	2				2						www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H1607	001	0	1	04	01	H1607_001_0	10	08/27/2009	2010.02	08/27/2009 11:01:15 AM Eastern Daylight Time	08/27/2009 08:47:20 AM Eastern Daylight Time	08/17/2009 01:51:02 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H1607	001	0	2010	Indiana - Select Counties		2	3330	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1607	004	0	1	04	01	H1607_004_0	8	08/27/2009	2010.02	08/27/2009 11:01:23 AM Eastern Daylight Time	08/27/2009 08:47:59 AM Eastern Daylight Time	08/17/2009 01:53:35 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H1607	004	0	2010	Indiana - Select Counties		2	500	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1607	804	0	1	04	01	H1607_804_0	8	08/11/2009	2010.02	08/11/2009 10:42:15 AM Pacific Daylight Time	08/11/2009 10:31:07 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	804	0	2010	Indiana - Select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1607	805	0	1	04	01	H1607_805_0	7	08/11/2009	2010.02	08/11/2009 10:42:46 AM Pacific Daylight Time	08/11/2009 10:32:59 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	805	0	2010	Indiana - Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H1607	806	0	1	04	01	H1607_806_0	7	08/11/2009	2010.02	08/11/2009 10:43:45 AM Pacific Daylight Time	08/11/2009 10:34:15 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	806	0	2010	Indiana - Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1608	001	0	1	04	01	H1608_001_0	8	08/27/2009	2010.02	08/27/2009 02:42:28 PM Central Daylight Time	08/19/2009 04:14:19 PM Central Daylight Time	08/18/2009 09:26:12 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health and Life Insurance Company	www.ia.chcadvantra.com	Advantra Platinum PPO (PPO)	01	04		1			H1608	001	0	2010	Partial State of Iowa		2	2090	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1608	003	0	1	04	01	H1608_003_0	7	08/27/2009	2010.02	08/27/2009 02:42:41 PM Central Daylight Time	08/19/2009 04:15:31 PM Central Daylight Time	08/18/2009 09:27:39 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health and Life Insurance Company	www.ia.chcadvantra.com	Advantra Platinum PPO SW (PPO)	01	04		1			H1608	003	0	2010	Western Iowa		2	2090	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1608	801	0	1	04	01	H1608_801_0	5	05/30/2009	2010.02	07/24/2009 04:01:33 PM Central Daylight Time	06/01/2009 03:50:59 PM Central Daylight Time			07/29/2009 03:05:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health and Life Insurance Company	www.advantraplans.com	PPO-EmGp/No Rx/Cyear (PPO)	01	04		1			H1608	801	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010										1		
H1608	802	0	1	04	01	H1608_802_0	4	05/30/2009	2010.02	07/24/2009 04:00:33 PM Central Daylight Time	06/01/2009 04:30:51 PM Central Daylight Time			07/29/2009 03:05:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health and Life Insurance Company	www.advantraplans.com	PPO-EmGp/Comm4/Cyear (PPO)	01	04		1			H1608	802	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1608	803	0	1	04	01	H1608_803_0	4	05/30/2009	2010.02	07/24/2009 04:00:58 PM Central Daylight Time	06/01/2009 04:27:56 PM Central Daylight Time			07/29/2009 03:05:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health and Life Insurance Company	www.advantraplans.com	PPO-EmGp/Comm4/NonCyear (PPO)	01	04		1			H1608	803	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1609	001	0	1	01	01	H1609_001_0	8	08/27/2009	2010.02	08/27/2009 02:43:21 PM Central Daylight Time	08/19/2009 04:16:27 PM Central Daylight Time	08/18/2009 09:29:02 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care of Iowa, Inc.	www.ia.chcadvantra.com	Advantra Silver (HMO)	01	01		1			H1609	001	0	2010	Partial State of Iowa		2	4600	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1609	007	0	1	01	01	H1609_007_0	7	08/27/2009	2010.02	08/27/2009 02:43:41 PM Central Daylight Time	08/19/2009 04:17:19 PM Central Daylight Time	08/18/2009 09:30:20 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care of Iowa, Inc.	www.ia.chcadvantra.com	Advantra Silver SW (HMO)	01	01		1			H1609	007	0	2010	Western Iowa		2	4600	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1609	801	0	1	01	01	H1609_801_0	4	07/13/2009	2010.02	07/13/2009 08:34:50 AM Central Daylight Time	06/01/2009 04:17:08 PM Central Daylight Time			07/29/2009 03:08:13 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care of Iowa, Inc.	www.advantraplans.com	HMO-EmGp/No Rx/Cyear (HMO)	01	01		1			H1609	801	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010										1		
H1609	802	0	1	01	01	H1609_802_0	4	07/13/2009	2010.02	07/13/2009 08:41:51 AM Central Daylight Time	06/01/2009 04:09:43 PM Central Daylight Time			07/29/2009 03:08:13 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care of Iowa, Inc.	www.advantraplans.com	HMO-EmGp/Comm4/Cyear (HMO)	01	01		1			H1609	802	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1609	803	0	1	01	01	H1609_803_0	4	07/13/2009	2010.02	07/13/2009 08:46:34 AM Central Daylight Time	06/01/2009 03:57:17 PM Central Daylight Time			07/29/2009 03:08:13 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care of Iowa, Inc.	www.advantraplans.com	HMO-EmGp/Comm4/NonCyear (HMO)	01	01		1			H1609	803	0	2010	State of Iowa		1	404	2				2						www.ia.chcadvantra.com	www.advantraplans.com	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H1643	001	0	1	09	04	H1643_001_0	9	08/25/2009	2010.02	08/25/2009 03:08:19 PM Eastern Daylight Time	08/17/2009 05:56:18 PM Eastern Daylight Time	08/14/2009 09:05:26 AM Eastern Daylight Time		08/25/2009 04:04:42 PM Eastern Daylight Time	HM HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Choice Plus (PFFS)	04	09	2	1			H1643	001	0	2010	West Virginia		2		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H1643	002	0	1	09	04	H1643_002_0	5	07/14/2009	2010.02	07/14/2009 03:19:39 PM Eastern Daylight Time	07/15/2009 11:25:26 AM Eastern Daylight Time			07/30/2009 12:53:18 PM Eastern Daylight Time	HM HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Choice (PFFS)	04	09	2	1			H1643	002	0	2010	West Virginia		2		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145										(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210										1		
H1643	801	0	1	09	04	H1643_801_0	5	07/14/2009	2010.02	07/14/2009 04:24:06 PM Eastern Daylight Time	05/31/2009 08:05:02 PM Eastern Daylight Time			07/15/2009 08:48:17 AM Eastern Daylight Time	HM HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA-PDP (PFFS)	04	09	2	1			H1643	801	0	2010	All West Virginia		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H1643	802	0	1	09	04	H1643_802_0	5	07/14/2009	2010.02	07/14/2009 04:25:45 PM Eastern Daylight Time	05/31/2009 08:05:46 PM Eastern Daylight Time			07/15/2009 08:48:17 AM Eastern Daylight Time	HM HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA (PFFS)	04	09	2	1			H1643	802	0	2010	All West Virginia		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145										(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210										1		
H1643	803	0	1	09	04	H1643_803_0	5	07/14/2009	2010.02	07/14/2009 04:26:01 PM Eastern Daylight Time	05/31/2009 08:06:30 PM Eastern Daylight Time			07/15/2009 08:48:17 AM Eastern Daylight Time	HM HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA-PDP Non-Calendar (PFFS)	04	09	2	1			H1643	803	0	2010	All West Virginia counties		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(866)-675-8631		(866)-675-8631		(866)-730-4145		(866)-730-4145		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H1651	001	0	1	18	06	H1651_001_0	3	08/11/2009	2010.02	08/11/2009 08:32:44 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H1651	001	0	2010	Eastern Iowa		2	4948	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	002	0	1	18	06	H1651_002_0	3	08/11/2009	2010.02	08/11/2009 08:34:34 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Basic Plan (Cost)	06	18		1			H1651	002	0	2010	Eastern Iowa		2	0	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	003	0	1	18	06	H1651_003_0	3	08/11/2009	2010.02	08/11/2009 08:36:02 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H1651	003	0	2010	Northwest Illinois		2	968	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	004	0	1	18	06	H1651_004_0	3	08/11/2009	2010.02	08/11/2009 08:36:57 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H1651	004	0	2010	Northeast Iowa		2	1790	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	005	0	1	18	06	H1651_005_0	3	08/11/2009	2010.02	08/11/2009 08:37:35 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H1651	005	0	2010	Northwest IL		2	191	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	008	0	1	18	06	H1651_008_0	3	08/11/2009	2010.02	08/11/2009 08:39:45 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H1651	008	0	2010	Eastern Iowa		2	132	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1651	009	0	1	18	06	H1651_009_0	3	08/11/2009	2010.02	08/11/2009 08:40:30 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H1651	009	0	2010	Northwest Illinois		2	31	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H1657	002	0	1	02	01	H1657_002_0	5	07/21/2009	2010.02	07/21/2009 11:27:55 AM Eastern Daylight Time	08/18/2009 02:30:41 PM Eastern Daylight Time	08/17/2009 11:12:15 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLANS OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1657	002	0	2010	Lake County		2		2				2							www.wellcare.com	(866)-424-4963		(866)-424-4963		(866)-360-8139		(866)-360-8139		(866)-424-4963		(866)-424-4963		(866)-360-8139		(866)-360-8139		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1657	004	0	1	01	01	H1657_004_0	5	05/29/2009	2010.02	05/29/2009 05:07:37 PM Eastern Daylight Time	08/18/2009 02:30:59 PM Eastern Daylight Time	08/17/2009 11:12:27 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLANS OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1657	004	0	2010	Lake County		2		2		2		1	3		1	1			www.wellcare.com	(866)-482-3362		(866)-482-3362		(866)-360-8139		(866)-360-8139		(866)-482-3362		(866)-482-3362		(866)-360-8139		(866)-360-8139		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1657	008	0	1	02	01	H1657_008_0	5	07/21/2009	2010.02	07/21/2009 11:28:08 AM Eastern Daylight Time	08/18/2009 02:31:18 PM Eastern Daylight Time	08/17/2009 11:12:38 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	HARMONY HEALTH PLANS OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Rx (HMO-POS)	01	02		1			H1657	008	0	2010	Lake County		2		2				2							www.wellcare.com	(866)-424-4963		(866)-424-4963		(866)-360-8139		(866)-360-8139		(866)-424-4963		(866)-424-4963		(866)-360-8139		(866)-360-8139		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1681	001	0	1	04	01	H1681_001_0	7	07/17/2009	2010.02	07/17/2009 04:26:40 PM Eastern Daylight Time	08/18/2009 03:29:58 PM Eastern Daylight Time	08/19/2009 10:28:58 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-001 (PPO)	01	04		1			H1681	001	0	2010	Huntsville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	002	0	1	04	01	H1681_002_0	5	07/17/2009	2010.02	07/17/2009 04:42:50 PM Eastern Daylight Time	08/18/2009 03:27:34 PM Eastern Daylight Time	08/19/2009 10:29:12 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-002 (PPO)	01	04		1			H1681	002	0	2010	Birmingham Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	003	0	1	04	01	H1681_003_0	4	07/17/2009	2010.02	07/17/2009 05:45:09 PM Eastern Daylight Time	08/18/2009 03:29:34 PM Eastern Daylight Time	08/19/2009 10:29:20 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-003 (PPO)	01	04		1			H1681	003	0	2010	Baldwin and Mobile Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	004	0	1	04	01	H1681_004_0	5	07/27/2009	2010.02	07/27/2009 04:39:50 PM Eastern Daylight Time	08/18/2009 03:33:36 PM Eastern Daylight Time	08/19/2009 10:29:29 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-004 (PPO)	01	04		1			H1681	004	0	2010	Cherokee County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	005	0	1	04	01	H1681_005_0	4	07/17/2009	2010.02	07/17/2009 05:31:24 PM Eastern Daylight Time	08/18/2009 03:35:04 PM Eastern Daylight Time	08/19/2009 10:29:37 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-005 (PPO)	01	04		1			H1681	005	0	2010	Elmore, Lowndes and Montgomery Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	006	0	1	04	01	H1681_006_0	4	07/17/2009	2010.02	07/17/2009 05:37:24 PM Eastern Daylight Time	08/18/2009 03:34:20 PM Eastern Daylight Time	08/19/2009 10:29:46 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-006 (PPO)	01	04		1			H1681	006	0	2010	Henry and Houston Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	007	0	1	04	01	H1681_007_0	4	07/16/2009	2010.02	07/16/2009 11:39:15 AM Eastern Daylight Time	08/18/2009 03:51:17 PM Eastern Daylight Time	08/19/2009 10:29:55 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-007 (PPO)	01	04		1			H1681	007	0	2010	Limestone and Madison Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	801	0	1	04	01	H1681_801_0	5	07/10/2009	2010.02	07/16/2009 08:00:00 AM Eastern Daylight Time	07/21/2009 03:41:58 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1681	801	0	2010	Select Counties in Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1681	802	0	1	04	01	H1681_802_0	5	07/10/2009	2010.02	07/16/2009 08:00:25 AM Eastern Daylight Time	07/21/2009 04:31:34 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1681	802	0	2010	Select Counties in Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1681	803	0	1	04	01	H1681_803_0	5	07/10/2009	2010.02	07/16/2009 08:00:48 AM Eastern Daylight Time	07/21/2009 04:32:24 PM Eastern Daylight Time			07/27/2009 05:46:42 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H1681	803	0	2010	Select Counties in Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1689	012	0	1	09	04	H1689_012_0	7	08/21/2009	2010.02	08/21/2009 05:23:39 PM Eastern Daylight Time	07/27/2009 12:10:44 PM Eastern Daylight Time			08/21/2009 05:24:41 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	SmartValue Classic (PFFS)	04	09	2	1			H1689	012	0	2010	SmartValue-Selected States and Counties		2	10586	2				2							www.anthem.com	(888)-445-8916		(888)-445-8916		(800)-797-2309		(800)-797-2309										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H1689	013	0	1	09	04	H1689_013_0	13	08/21/2009	2010.02	08/21/2009 05:07:31 PM Eastern Daylight Time	08/27/2009 10:12:15 AM Eastern Daylight Time	08/17/2009 01:55:23 PM Eastern Daylight Time		08/27/2009 10:53:48 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	SmartValue Plus (PFFS)	04	09	2	1			H1689	013	0	2010	SmartValue-Selected States and Counties		2	11420	2				2							www.anthem.com	(800)-797-2309		(800)-797-2309		(800)-765-2585		(800)-765-2585		(888)-445-8916		(888)-445-8916		(800)-765-2585		(800)-765-2585		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894				(888)-844-5530		(800)-241-6894		(800)-241-6894		1		
H1689	801	0	1	09	04	H1689_801_0	7	07/30/2009	2010.02	07/30/2009 10:47:22 PM Pacific Daylight Time	07/31/2009 09:53:02 PM Pacific Daylight Time			08/04/2009 08:33:12 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	SmartValue (PFFS)	04	09	2	1			H1689	801	0	2010	CO, CT, GA, IN, KY, ME, NH, OH, VA, WI		1	15500	2				2							www.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		1		
H1689	802	0	1	09	04	H1689_802_0	6	07/30/2009	2010.02	07/30/2009 10:40:09 PM Pacific Daylight Time	07/31/2009 09:55:06 PM Pacific Daylight Time			08/04/2009 08:33:12 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com	SmartValue (PFFS)	04	09	2	1			H1689	802	0	2010	CO, CT, GA, IN, KY, ME, NH, OH, VA, WI		1	11800	2				2							www.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970												(800)-425-5705		(800)-425-5705		(800)-425-5705										1		
H1714	001	0	1	20	08	H1714_001_0	2	05/27/2009	2010.02	05/27/2009 04:09:33 PM Central Daylight Time		10/13/2009 02:58:54 PM Central Daylight Time		10/14/2009 01:05:04 PM Central Daylight Time	VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	Via Christi HOPE (PACE)	08	20		1			H1714	001	0	2010	Via Christi HOPE		2		2				2							www.viachristihope.com									(800)-999-9999		(316)-858-1111		(800)-999-9999		(316)-858-1111																		1		
H1714	002	0	1	20	08	H1714_002_0	2	05/27/2009	2010.02	05/27/2009 04:06:00 PM Central Daylight Time		10/13/2009 02:58:54 PM Central Daylight Time		10/14/2009 01:05:04 PM Central Daylight Time	VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	Via Christi HOPE (PACE)	08	20		1			H1714	002	0	2010	Sedgwick Co, KS		2		2				2							www.viachristihope.com									(800)-999-9999		(316)-858-1111		(800)-999-9999		(316)-858-1111																		1		
H1716	001	0	1	04	01	H1716_001_0	9	07/20/2009	2010.02	07/20/2009 01:24:14 PM Eastern Daylight Time	08/19/2009 04:30:40 PM Eastern Daylight Time	08/19/2009 10:30:05 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-001 (PPO)	01	04		1			H1716	001	0	2010	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1716	002	0	1	04	01	H1716_002_0	9	07/16/2009	2010.02	07/16/2009 12:09:26 PM Eastern Daylight Time	08/19/2009 04:25:46 PM Eastern Daylight Time	08/19/2009 10:30:14 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-002 (PPO)	01	04		1			H1716	002	0	2010	Wichita Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1716	004	0	1	04	01	H1716_004_0	9	07/16/2009	2010.02	07/16/2009 12:09:42 PM Eastern Daylight Time	08/19/2009 04:29:44 PM Eastern Daylight Time	08/19/2009 10:30:23 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-004 (PPO)	01	04		1			H1716	004	0	2010	Missouri Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1716	006	0	1	04	01	H1716_006_0	11	07/16/2009	2010.02	07/16/2009 12:10:03 PM Eastern Daylight Time	08/19/2009 04:25:28 PM Eastern Daylight Time	08/19/2009 10:30:31 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-006 (PPO)	01	04		1			H1716	006	0	2010	St. Louis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1716	801	0	1	04	01	H1716_801_0	4	07/10/2009	2010.02	07/16/2009 08:01:11 AM Eastern Daylight Time	07/21/2009 03:42:48 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1716	801	0	2010	Select Counties in Illinois, Kansas and Missouri		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1716	802	0	1	04	01	H1716_802_0	4	07/10/2009	2010.02	07/16/2009 08:01:36 AM Eastern Daylight Time	07/21/2009 04:33:20 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1716	802	0	2010	Select Counties in Illinois, Kansas and Missouri		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1716	803	0	1	04	01	H1716_803_0	4	07/10/2009	2010.02	07/16/2009 08:01:59 AM Eastern Daylight Time	07/21/2009 04:34:16 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H1716	803	0	2010	Select Counties in Illinois, Kansas and Missouri		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1717	001	0	1	04	01	H1717_001_0	4	07/17/2009	2010.02	07/17/2009 01:13:56 PM Central Daylight Time	08/19/2009 09:38:22 AM Central Daylight Time	08/18/2009 12:27:26 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice Plan 1 (PPO)	01	04		1			H1717	001	0	2010	Sedgwick County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1717	006	0	1	04	01	H1717_006_0	4	07/15/2009	2010.02	07/15/2009 04:48:23 PM Central Daylight Time	08/19/2009 09:38:38 AM Central Daylight Time	08/13/2009 05:46:00 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H1717	006	0	2010	Sedgwick County		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1717	007	0	1	04	01	H1717_007_0	4	07/15/2009	2010.02	07/15/2009 04:48:39 PM Central Daylight Time	08/19/2009 09:39:09 AM Central Daylight Time	08/13/2009 05:46:04 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H1717	007	0	2010	Johnson and Wyandotte Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1717	009	0	1	04	01	H1717_009_0	4	08/20/2009	2010.02	08/20/2009 02:33:15 PM Central Daylight Time	08/19/2009 09:39:32 AM Central Daylight Time	08/13/2009 05:46:09 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H1717	009	0	2010	Johnson and Wyandotte Counties		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1717	010	0	1	04	01	H1717_010_0	4	07/17/2009	2010.02	07/17/2009 01:16:55 PM Central Daylight Time	08/19/2009 09:39:55 AM Central Daylight Time	08/13/2009 05:46:13 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H1717	010	0	2010	Johnson county		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H1717	801	0	1	04	01	H1717_801_0	3	07/07/2009	2010.02	07/07/2009 09:20:33 AM Central Daylight Time	07/20/2009 03:33:01 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1717	801	0	2010	Sedgwick County		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1717	803	0	1	04	01	H1717_803_0	3	07/07/2009	2010.02	07/07/2009 09:20:53 AM Central Daylight Time	07/20/2009 03:33:23 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1717	803	0	2010	Sedgwick County		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H1717	804	0	1	04	01	H1717_804_0	3	07/07/2009	2010.02	07/07/2009 09:21:15 AM Central Daylight Time	07/20/2009 03:34:00 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1717	804	0	2010	Sedgwick County		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H1777	007	0	1	01	01	H1777_007_0	8	07/27/2009	2010.01	07/27/2009 11:11:48 AM Eastern Daylight Time	08/19/2009 10:10:46 AM Eastern Daylight Time	08/19/2009 10:11:27 AM Eastern Daylight Time		08/19/2009 01:23:41 PM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage	www.ArchCareAdvantage.org	ArchCare - Institutional SNP - NYC (HMO)	01	01		1			H1777	007	0	2010	NYC boros		2	1068	2				1	1	1	1				www.archcareadvantage.org			(800)-373-3177				(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177				(800)-373-3177				(800)-373-3177										1		
H1777	008	0	1	01	01	H1777_008_0	5	07/27/2009	2010.01	07/27/2009 11:20:22 AM Eastern Daylight Time	08/19/2009 10:12:38 AM Eastern Daylight Time	08/19/2009 10:20:47 AM Eastern Daylight Time		08/19/2009 11:25:06 AM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage	www.ArchCareAdvantage.org	ArchCare - Institutional SNP - NonNYC (HMO)	01	01		1			H1777	008	0	2010	Westchester, Orange, Dutchess		2	206	2				1	1	1	1				www.archcareadvantage.org			(800)-373-3177				(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177				(800)-373-3177				(800)-373-3177										1		
H1777	009	0	1	01	01	H1777_009_0	5	07/27/2009	2010.01	07/27/2009 11:24:55 AM Eastern Daylight Time	08/19/2009 10:22:00 AM Eastern Daylight Time	08/19/2009 10:22:46 AM Eastern Daylight Time		08/19/2009 11:25:06 AM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage	www.ArchCareAdvantage.org	ArchCare - Institutional Equiv SNP - NYC (HMO)	01	01		1			H1777	009	0	2010	NYC boros		2	257	2				1	1	2	1				www.archcareadvantage.org			(800)-373-3177				(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177				(800)-373-3177				(800)-373-3177										1		
H1777	010	0	1	01	01	H1777_010_0	6	07/30/2009	2010.01	07/30/2009 01:06:46 PM Eastern Daylight Time	08/19/2009 10:25:20 AM Eastern Daylight Time	08/19/2009 10:25:50 AM Eastern Daylight Time		08/19/2009 11:25:06 AM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage	www.ArchCareAdvantage.org	ArchCare - Institutional Equiv SNP - NonNYC (HMO)	01	01		1			H1777	010	0	2010	Westchester, Dutchess, Orange		2	98	2				1	1	2	1				www.archcareadvantage.org			(800)-373-3177				(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177				(800)-373-3177				(800)-373-3177										1		
H1804	128	0	1	09	04	H1804_128_0	7	07/22/2009	2010.02	07/22/2009 10:12:00 AM Eastern Daylight Time	08/18/2009 03:56:31 PM Eastern Daylight Time	08/19/2009 10:30:39 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H1804-128 (PFFS)	04	09	2	1			H1804	128	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1804	290	0	1	09	04	H1804_290_0	3	07/08/2009	2010.02	07/08/2009 01:31:46 PM Eastern Daylight Time	08/18/2009 03:20:32 PM Eastern Daylight Time	08/19/2009 10:30:48 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H1804-290 (PFFS)	04	09	2	1			H1804	290	0	2010	Select County in California and Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1804	801	0	1	09	04	H1804_801_0	6	06/01/2009	2010.02	06/01/2009 07:54:48 PM Eastern Daylight Time	07/21/2009 05:19:52 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H1804	801	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1804	804	0	1	09	04	H1804_804_0	5	06/01/2009	2010.02	06/01/2009 07:55:05 PM Eastern Daylight Time	07/21/2009 05:24:10 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H1804	804	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1804	805	0	1	09	04	H1804_805_0	5	06/01/2009	2010.02	06/01/2009 07:55:28 PM Eastern Daylight Time	07/21/2009 05:25:12 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	1			H1804	805	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1804	807	0	2	09	04	H1804_807_0	6	07/06/2009	2010.02	07/06/2009 02:27:24 PM Eastern Daylight Time	07/21/2009 10:32:52 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H1804	807	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1804	808	0	2	09	04	H1804_808_0	6	06/01/2009	2010.02	06/01/2009 07:56:37 PM Eastern Daylight Time	07/21/2009 10:34:10 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H1804	808	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1804	809	0	2	09	04	H1804_809_0	6	06/01/2009	2010.02	06/01/2009 07:57:09 PM Eastern Daylight Time	07/21/2009 10:35:28 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	2	2		H1804	809	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1806	001	0	1	04	01	H1806_001_0	6	07/22/2009	2010.02	07/22/2009 10:37:15 AM Eastern Daylight Time	08/18/2009 04:31:13 PM Eastern Daylight Time	08/19/2009 10:30:58 AM Eastern Daylight Time		08/20/2009 08:13:41 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-001 (PPO)	01	04		1			H1806	001	0	2010	Louisville Metro Area		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1806	002	0	1	04	01	H1806_002_0	7	07/22/2009	2010.02	07/22/2009 10:40:38 AM Eastern Daylight Time	08/18/2009 04:31:41 PM Eastern Daylight Time	08/19/2009 10:31:07 AM Eastern Daylight Time		08/20/2009 08:13:41 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-002 (PPO)	01	04		1			H1806	002	0	2010	Lexington Metro Area		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1806	005	0	1	04	01	H1806_005_0	9	07/22/2009	2010.02	07/22/2009 10:43:51 AM Eastern Daylight Time	08/18/2009 04:06:22 PM Eastern Daylight Time	08/19/2009 10:31:18 AM Eastern Daylight Time		08/20/2009 08:13:41 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-005 (PPO)	01	04		1			H1806	005	0	2010	Warren County		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1806	006	0	1	04	01	H1806_006_0	7	07/22/2009	2010.02	07/22/2009 10:45:08 AM Eastern Daylight Time	08/18/2009 04:07:16 PM Eastern Daylight Time	08/19/2009 10:31:27 AM Eastern Daylight Time		08/20/2009 08:13:41 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-006 (PPO)	01	04		1			H1806	006	0	2010	Central Kentucky Area		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1806	801	0	1	04	01	H1806_801_0	4	07/10/2009	2010.02	07/16/2009 08:02:23 AM Eastern Daylight Time	07/21/2009 03:43:40 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1806	801	0	2010	West and Central Kentucky		1		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1806	803	0	1	04	01	H1806_803_0	4	07/10/2009	2010.02	07/16/2009 08:02:48 AM Eastern Daylight Time	07/21/2009 04:35:08 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H1806	803	0	2010	West and Central Kentucky		1		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1806	804	0	1	04	01	H1806_804_0	4	07/10/2009	2010.02	07/16/2009 08:03:10 AM Eastern Daylight Time	07/21/2009 04:36:02 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H1806	804	0	2010	West and Central Kentucky		1		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1807	001	0	1	01	01	H1807_001_0	2	08/19/2009	2010.01	08/19/2009 12:58:57 PM Eastern Daylight Time	08/17/2009 01:09:36 PM Eastern Daylight Time	08/17/2009 01:32:40 PM Eastern Daylight Time		08/19/2009 01:07:55 PM Eastern Daylight Time	UNIVERSITY HEALTH CARE, INC.	Passport Advantage	passportadvantage.org	Passport Advantage (HMO)	01	01		1			H1807	001	0	2010	Louisville Metro Area and 15 surrounding counties		2	9532	2		2		1	3		1	3		www.passportadvantage.org	www.passportadvantage.org	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603		(800)-578-0603		(800)-578-0603		(800)-578-0603		(800)-578-0603		(800)-578-0603		(888)-857-4816		(888)-857-4816		(888)-857-4816		(888)-857-4816		(888)-857-4816		(888)-857-4816		(888)-857-4816		(888)-857-4816		1		
H1837	001	0	1	01	01	H1837_001_0	6	08/19/2009	2010.01	08/19/2009 02:23:11 PM Central Daylight Time	08/19/2009 08:05:49 AM Central Daylight Time	08/19/2009 08:20:48 AM Central Daylight Time		08/19/2009 09:13:07 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	001	0	2010	Central Puget Sound Service Area		2	1684	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	002	0	1	01	01	H1837_002_0	4	08/19/2009	2010.01	08/19/2009 02:23:36 PM Central Daylight Time	08/19/2009 08:06:47 AM Central Daylight Time	08/19/2009 08:21:59 AM Central Daylight Time		08/19/2009 09:16:55 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	002	0	2010	North Puget Sound Service Area		2	6334	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	003	0	1	01	01	H1837_003_0	7	06/01/2009	2010.01	06/01/2009 08:51:36 AM Central Daylight Time	08/19/2009 08:07:39 AM Central Daylight Time	08/19/2009 08:22:39 AM Central Daylight Time		08/19/2009 12:40:36 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H1837	003	0	2010	Central Puget Sound Service Area		2	607	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	005	0	1	01	01	H1837_005_0	6	08/19/2009	2010.01	08/19/2009 02:24:01 PM Central Daylight Time	08/19/2009 08:08:57 AM Central Daylight Time	08/19/2009 08:23:22 AM Central Daylight Time		08/19/2009 09:20:07 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	005	0	2010	Spokane Service Area		2	1378	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	006	0	1	01	01	H1837_006_0	5	05/27/2009	2010.01	05/27/2009 10:10:21 AM Central Daylight Time	08/19/2009 08:09:49 AM Central Daylight Time	08/19/2009 08:24:00 AM Central Daylight Time		08/19/2009 12:47:15 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H1837	006	0	2010	Spokane Service Area		2	172	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	007	0	1	01	01	H1837_007_0	6	08/19/2009	2010.01	08/19/2009 02:24:33 PM Central Daylight Time	08/19/2009 08:11:08 AM Central Daylight Time	08/19/2009 08:24:48 AM Central Daylight Time		08/19/2009 09:23:25 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO)	01	01		1			H1837	007	0	2010	Central Puget Sound Service Area		2	129	2				1	4		1		000000100000000	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	008	0	1	01	01	H1837_008_0	7	08/19/2009	2010.01	08/19/2009 02:25:02 PM Central Daylight Time	08/19/2009 08:11:58 AM Central Daylight Time	08/19/2009 08:26:26 AM Central Daylight Time		08/19/2009 09:26:37 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO)	01	01		1			H1837	008	0	2010	North Puget Sound Service Area		2	211	2				1	4		1		000000100000000	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	009	0	1	01	01	H1837_009_0	6	08/19/2009	2010.01	08/19/2009 02:25:28 PM Central Daylight Time	08/19/2009 08:12:40 AM Central Daylight Time	08/19/2009 08:27:11 AM Central Daylight Time		08/19/2009 09:29:49 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO)	01	01		1			H1837	009	0	2010	Spokane Service Area		2	172	2				1	4		1		000000100000000	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	801	0	1	01	01	H1837_801_0	5	05/29/2009	2010.01	05/29/2009 04:58:27 PM Central Daylight Time	07/27/2009 05:02:40 PM Central Daylight Time			07/27/2009 05:03:35 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H1837	801	0	2010	North Puget Sound Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1837	803	0	1	01	01	H1837_803_0	5	05/29/2009	2010.01	05/29/2009 04:58:27 PM Central Daylight Time	07/23/2009 04:13:00 PM Central Daylight Time			07/27/2009 04:45:17 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H1837	803	0	2010	North Puget Sound Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H1846	001	0	1	04	01	H1846_001_0	6	08/14/2009	2010.02	08/14/2009 05:12:08 PM Eastern Daylight Time	08/19/2009 09:54:12 AM Eastern Daylight Time	08/19/2009 09:48:52 AM Eastern Daylight Time		08/19/2009 01:01:04 PM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	MediGold Network Choice (PPO)	01	04		1			H1846	001	0	2010	Greater Central Ohio and Dayton Area		2	319	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		1		
H1846	801	0	1	04	01	H1846_801_0	5	08/04/2009	2010.02	08/04/2009 10:50:45 AM Eastern Daylight Time	08/04/2009 09:20:04 AM Eastern Daylight Time			08/04/2009 11:15:18 AM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	EGWP MediGold Network Choice (PPO)	01	04		1			H1846	801	0	2010	Greater Central Ohio and Dayton Area		1	100	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		1		
H1846	802	0	1	04	01	H1846_802_0	5	08/04/2009	2010.02	08/04/2009 10:51:36 AM Eastern Daylight Time	08/04/2009 09:31:27 AM Eastern Daylight Time			08/04/2009 11:15:18 AM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	EGWP MediGold Network Choice Medical Only (PPO)	01	04		1			H1846	802	0	2010	Greater Central Ohio and Dayton Area		1	5	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122										1		
H1849	005	0	1	01	01	H1849_005_0	7	08/20/2009	2010.02	08/20/2009 06:13:26 PM Eastern Daylight Time	08/20/2009 06:44:39 PM Eastern Daylight Time	08/17/2009 01:57:30 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Basic (HMO)	01	01		1			H1849	005	0	2010	Kentucky - Select Counties		2	4908	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1849	015	0	1	01	01	H1849_015_0	6	08/20/2009	2010.02	08/20/2009 06:19:09 PM Eastern Daylight Time	08/20/2009 10:10:24 PM Eastern Daylight Time	08/17/2009 02:00:29 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Value (HMO)	01	01		1			H1849	015	0	2010	Louisville Metro Area		2	2677	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1849	801	0	1	01	01	H1849_801_0	5	08/07/2009	2010.02	08/07/2009 03:10:39 PM Pacific Daylight Time	07/31/2009 09:14:57 AM Pacific Daylight Time			08/07/2009 03:12:48 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	801	0	2010	Kentucky		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1849	803	0	1	01	01	H1849_803_0	5	08/07/2009	2010.02	08/07/2009 03:11:05 PM Pacific Daylight Time	07/31/2009 09:15:09 AM Pacific Daylight Time			08/07/2009 03:12:48 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	803	0	2010	Kentucky		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H1849	804	0	1	01	01	H1849_804_0	5	08/07/2009	2010.02	08/07/2009 03:11:27 PM Pacific Daylight Time	07/31/2009 09:15:23 AM Pacific Daylight Time			08/07/2009 03:12:48 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	804	0	2010	Kentucky		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H1903	005	0	1	01	01	H1903_005_0	3	05/29/2009	2010.02	05/29/2009 05:07:52 PM Eastern Daylight Time	05/31/2009 05:11:53 PM Eastern Daylight Time			05/31/2009 06:41:22 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1903	005	0	2010	Alexandria, New Orleans, Btn Rouge, Lafayette Area		2		2				2						www.wellcare.com	www.wellcare.com	(866)-804-5926		(866)-804-5926		(866)-238-4526		(866)-238-4526										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1		
H1903	011	0	1	01	01	H1903_011_0	5	08/18/2009	2010.02	08/18/2009 12:48:31 PM Eastern Daylight Time	08/18/2009 02:31:55 PM Eastern Daylight Time	08/17/2009 11:12:50 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H1903	011	0	2010	Alexandria, New Orleans, Btn Rouge, Lafayette Area		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	(866)-530-9488		(866)-530-9488		(866)-238-4526		(866)-238-4526		(866)-530-9488		(866)-530-9488		(866)-238-4526		(866)-238-4526		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1903	022	0	1	02	01	H1903_022_0	5	05/31/2009	2010.02	05/31/2009 01:01:46 PM Eastern Daylight Time	08/18/2009 02:32:15 PM Eastern Daylight Time	08/17/2009 11:13:01 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1903	022	0	2010	Alexandria, New Orleans, Btn Rouge, Lafayette Area		2		2				2						www.wellcare.com	www.wellcare.com	(866)-804-5926		(866)-804-5926		(866)-238-4526		(866)-238-4526		(866)-804-5926		(866)-804-5926		(866)-238-4526		(866)-238-4526		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H1904	001	0	1	20	08	H1904_001_0	2	05/18/2009	2010.02	05/18/2009 01:11:14 PM Central Daylight Time		10/13/2009 03:55:08 PM Central Daylight Time		10/13/2009 04:44:01 PM Central Daylight Time	PACE GREATER NEW ORLEANS	Pace Greater New Orleans	http://www.ccano.org/pace.htm	PACE GREATER NEW ORLEANS (PACE)	08	20		1			H1904	001	0	2010	PACE GREATER NEW ORLEANS		2		2				2							http://www.ccano.org/pace.htm									(866)-395-8509		(504)-945-1531		(866)-395-8509		(504)-861-6380																		1		
H1904	002	0	1	20	08	H1904_002_0	2	05/18/2009	2010.02	05/18/2009 01:11:44 PM Central Daylight Time		10/13/2009 03:54:16 PM Central Daylight Time		10/13/2009 04:53:47 PM Central Daylight Time	PACE GREATER NEW ORLEANS	Pace Greater New Orleans	http://www.ccano.org/pace.htm	PACE GREATER NEW ORLEANS (PACE)	08	20		1			H1904	002	0	2010	PACE GREATER NEW ORLEANS		2		2				2							http://www.ccano.org/pace.htm									(866)-395-8509		(504)-945-1531		(866)-395-8509		(504)-861-6380																		1		
H1906	001	0	1	09	04	H1906_001_0	10	07/22/2009	2010.02	07/22/2009 10:11:41 AM Eastern Daylight Time	08/18/2009 03:56:54 PM Eastern Daylight Time	08/19/2009 10:31:36 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H1906-001 (PFFS)	04	09	2	1			H1906	001	0	2010	Select Counties in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1906	009	0	1	09	04	H1906_009_0	5	08/19/2009	2010.02	08/19/2009 09:38:21 AM Eastern Daylight Time	08/18/2009 03:22:45 PM Eastern Daylight Time	08/19/2009 10:31:45 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H1906-009 (PFFS)	04	09	2	1			H1906	009	0	2010	Select Counties in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1906	801	0	1	09	04	H1906_801_0	5	05/26/2009	2010.02	05/26/2009 02:13:07 PM Eastern Daylight Time	07/21/2009 05:20:54 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H1906	801	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1906	802	0	1	09	04	H1906_802_0	5	05/26/2009	2010.02	05/26/2009 02:13:30 PM Eastern Daylight Time	07/21/2009 05:26:16 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H1906	802	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1906	803	0	1	09	04	H1906_803_0	5	05/26/2009	2010.02	05/26/2009 02:13:51 PM Eastern Daylight Time	07/21/2009 05:27:20 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	1			H1906	803	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1906	805	0	2	09	04	H1906_805_0	6	05/26/2009	2010.02	05/26/2009 02:22:52 PM Eastern Daylight Time	07/21/2009 10:36:44 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H1906	805	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1906	806	0	2	09	04	H1906_806_0	6	05/26/2009	2010.02	05/26/2009 02:23:15 PM Eastern Daylight Time	07/21/2009 10:37:54 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H1906	806	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1906	807	0	2	09	04	H1906_807_0	6	05/26/2009	2010.02	05/26/2009 02:23:35 PM Eastern Daylight Time	07/21/2009 10:39:08 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	2	2		H1906	807	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H1944	001	0	1	02	01	H1944_001_0	3	07/20/2009	2010.02	07/20/2009 08:06:42 AM Central Daylight Time	08/17/2009 08:35:42 AM Central Daylight Time	08/13/2009 05:46:17 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1944	001	0	2010	Middlesex and Suffolk counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H1944	801	0	1	02	01	H1944_801_0	2	05/28/2009	2010.02	05/28/2009 12:30:46 PM Central Daylight Time	07/20/2009 04:47:32 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	801	0	2010	MA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-945-0150		(800)-945-0150		(800)-555-5757		(800)-945-0150		(800)-555-5757		(800)-945-0150		(888)-685-8480		(888)-685-8480		(900)-945-0150		(900)-945-0150		(888)-685-8480		(888)-685-8480		(900)-945-0150		(900)-945-0150		1		
H1944	802	0	1	02	01	H1944_802_0	2	05/28/2009	2010.02	05/28/2009 12:31:07 PM Central Daylight Time	07/20/2009 04:47:47 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	802	0	2010	MA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-945-0150		(800)-945-0150										(888)-685-8480		(888)-685-8480		(900)-945-0150		(900)-945-0150										1		
H1944	803	0	1	02	01	H1944_803_0	2	05/28/2009	2010.02	05/28/2009 12:31:26 PM Central Daylight Time	07/20/2009 04:48:02 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	803	0	2010	MA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-945-0150		(800)-945-0150		(800)-555-5757		(800)-945-0150		(800)-555-5757		(800)-945-0150		(888)-685-8480		(888)-685-8480		(900)-945-0150		(900)-945-0150		(888)-685-8480		(888)-685-8480		(900)-945-0150		(900)-945-0150		1		
H1951	001	0	1	01	01	H1951_001_0	5	07/23/2009	2010.02	07/23/2009 03:05:03 PM Eastern Daylight Time	08/18/2009 03:55:28 PM Eastern Daylight Time	08/19/2009 10:31:54 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-001 (HMO)	01	01		1			H1951	001	0	2010	New Orleans Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	005	0	1	01	01	H1951_005_0	4	07/17/2009	2010.02	07/17/2009 10:44:54 AM Eastern Daylight Time	08/18/2009 03:26:13 PM Eastern Daylight Time	08/19/2009 10:32:02 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-005 (HMO)	01	01		1			H1951	005	0	2010	Baton Rouge Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	013	0	1	01	01	H1951_013_0	4	07/17/2009	2010.02	07/17/2009 10:48:04 AM Eastern Daylight Time	08/18/2009 04:00:45 PM Eastern Daylight Time	08/19/2009 10:32:11 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-013 (HMO)	01	01		1			H1951	013	0	2010	Shreveport / Alexandria Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	017	0	1	01	01	H1951_017_0	4	07/29/2009	2010.02	07/29/2009 12:53:01 PM Eastern Daylight Time	08/18/2009 03:23:12 PM Eastern Daylight Time	08/19/2009 10:32:19 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H1951-017 (HMO)	01	01		1			H1951	017	0	2010	New Orleans Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	019	0	1	01	01	H1951_019_0	4	07/29/2009	2010.02	07/29/2009 01:00:44 PM Eastern Daylight Time	08/18/2009 03:23:42 PM Eastern Daylight Time	08/19/2009 10:32:28 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H1951-019 (HMO)	01	01		1			H1951	019	0	2010	Baton Rouge Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-0632		(800)-833-0632		(800)-281-6918		(800)-281-6918		(800)-833-0632		(800)-833-0632		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H1951	024	0	1	01	01	H1951_024_0	3	07/17/2009	2010.02	07/17/2009 11:02:06 AM Eastern Daylight Time	08/18/2009 03:55:04 PM Eastern Daylight Time	08/19/2009 10:32:37 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-024 (HMO)	01	01		1			H1951	024	0	2010	Tangipahoa Parish		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	025	0	1	01	01	H1951_025_0	3	07/17/2009	2010.02	07/17/2009 11:05:52 AM Eastern Daylight Time	08/18/2009 03:36:36 PM Eastern Daylight Time	08/19/2009 10:32:45 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-025 (HMO)	01	01		1			H1951	025	0	2010	Calcasieu and Cameron Parishes		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	801	0	1	01	01	H1951_801_0	3	05/26/2009	2010.02	05/26/2009 02:16:06 PM Eastern Daylight Time	07/21/2009 03:26:52 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1951	801	0	2010	Louisiana Group		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1951	804	0	1	01	01	H1951_804_0	2	05/26/2009	2010.02	05/26/2009 03:58:32 PM Eastern Daylight Time	07/21/2009 04:12:22 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1951	804	0	2010	Louisiana Group		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H1951	805	0	1	01	01	H1951_805_0	2	05/26/2009	2010.02	05/26/2009 03:58:56 PM Eastern Daylight Time	07/21/2009 04:12:38 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1951	805	0	2010	Select Louisiana Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H1961	001	0	1	01	01	H1961_001_0	7	08/19/2009	2010.02	08/19/2009 02:51:00 PM Central Daylight Time	08/19/2009 11:17:48 AM Central Daylight Time	08/19/2009 11:26:08 AM Central Daylight Time		08/19/2009 04:03:17 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Choices 65 (HMO)	01	01		1			H1961	001	0	2010	Metro New Orleans area		2	30000	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	002	0	1	02	01	H1961_002_0	5	08/19/2009	2010.02	08/19/2009 02:49:21 PM Central Daylight Time	08/19/2009 11:19:08 AM Central Daylight Time	08/19/2009 11:26:30 AM Central Daylight Time		08/19/2009 04:03:17 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Choices Plus (HMO-POS)	01	02		1			H1961	002	0	2010	Southeast Louisiana		2	10500	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	003	0	1	01	01	H1961_003_0	5	08/19/2009	2010.02	08/19/2009 03:13:03 PM Central Daylight Time	08/19/2009 11:21:52 AM Central Daylight Time	08/19/2009 11:26:50 AM Central Daylight Time		08/19/2009 04:03:17 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Secure Health (HMO)	01	01		1			H1961	003	0	2010	New Orleans Metro and Southeast Louisiana		2	1800	2		2		1	3		1	2		www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	007	0	1	02	01	H1961_007_0	6	08/19/2009	2010.02	08/19/2009 03:09:58 PM Central Daylight Time	08/19/2009 11:23:34 AM Central Daylight Time	08/19/2009 11:28:14 AM Central Daylight Time		08/19/2009 04:03:17 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Choices Select (HMO-POS)	01	02		1			H1961	007	0	2010	Choices Select		2	300	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	801	0	1	02	01	H1961_801_0	3	06/01/2009	2010.02	06/01/2009 04:42:16 PM Central Daylight Time	05/30/2009 02:05:18 PM Central Daylight Time			06/01/2009 04:53:59 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO-POS)	01	02		1			H1961	801	0	2010	Nationwide		1	300	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	802	0	1	02	01	H1961_802_0	3	06/01/2009	2010.02	06/01/2009 04:42:54 PM Central Daylight Time	05/30/2009 02:06:40 PM Central Daylight Time			06/01/2009 04:53:59 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO-POS)	01	02		1			H1961	802	0	2010	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	803	0	1	01	01	H1961_803_0	3	06/01/2009	2010.02	06/01/2009 04:43:57 PM Central Daylight Time	05/30/2009 02:08:08 PM Central Daylight Time			06/01/2009 04:53:59 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO)	01	01		1			H1961	803	0	2010	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H1961	804	0	1	01	01	H1961_804_0	3	06/01/2009	2010.02	06/01/2009 04:48:00 PM Central Daylight Time	05/30/2009 02:11:22 PM Central Daylight Time			06/01/2009 04:53:59 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO)	01	01		1			H1961	804	0	2010	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1		
H2001	001	0	1	04	01	H2001_001_0	4	07/17/2009	2010.02	07/17/2009 03:24:51 PM Central Daylight Time	08/14/2009 01:52:27 PM Central Daylight Time	08/13/2009 05:46:21 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H2001	001	0	2010	Cumberland, Kennebec, Sagadahoc and York Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2001	801	0	1	04	01	H2001_801_0	3	07/07/2009	2010.02	07/07/2009 09:21:36 AM Central Daylight Time	07/20/2009 04:51:49 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H2001	801	0	2010	Cumberland, Kennebec, Sagadahoc,York ,Androscoggin		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H2001	803	0	1	04	01	H2001_803_0	3	07/07/2009	2010.02	07/07/2009 09:21:51 AM Central Daylight Time	07/20/2009 04:52:08 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H2001	803	0	2010	Cumberland, Kennebec,Sagadahoc,York ,Androscogg		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H2001	804	0	1	04	01	H2001_804_0	3	07/07/2009	2010.02	07/07/2009 09:22:11 AM Central Daylight Time	07/20/2009 04:52:21 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H2001	804	0	2010	Select Counties in ME		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H2012	001	0	1	01	01	H2012_001_0	7	07/16/2009	2010.02	07/16/2009 12:11:04 PM Eastern Daylight Time	08/20/2009 04:08:24 PM Eastern Daylight Time	08/19/2009 10:32:54 AM Eastern Daylight Time		08/20/2009 04:20:42 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-001 (HMO)	01	01		1			H2012	001	0	2010	NW Arkansas Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2012	002	0	1	01	01	H2012_002_0	3	07/20/2009	2010.02	07/20/2009 09:20:33 AM Eastern Daylight Time	08/18/2009 03:31:20 PM Eastern Daylight Time	08/19/2009 10:33:03 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-002 (HMO)	01	01		1			H2012	002	0	2010	Jefferson and Shelby Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2012	003	0	1	01	01	H2012_003_0	3	07/20/2009	2010.02	07/20/2009 09:25:43 AM Eastern Daylight Time	08/18/2009 03:31:42 PM Eastern Daylight Time	08/19/2009 10:33:11 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-003 (HMO)	01	01		1			H2012	003	0	2010	Baldwin and Mobile Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2012	006	0	1	01	01	H2012_006_0	5	07/16/2009	2010.02	07/16/2009 01:10:33 PM Eastern Daylight Time	08/18/2009 03:37:01 PM Eastern Daylight Time	08/19/2009 10:33:19 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-006 (HMO)	01	01		1			H2012	006	0	2010	Richland County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2012	007	0	1	01	01	H2012_007_0	4	07/16/2009	2010.02	07/16/2009 01:10:12 PM Eastern Daylight Time	08/18/2009 03:32:29 PM Eastern Daylight Time	08/19/2009 10:33:28 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-007 (HMO)	01	01		1			H2012	007	0	2010	Greenville and Spartanburg Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2012	008	0	1	01	01	H2012_008_0	5	07/16/2009	2010.02	07/16/2009 12:40:31 PM Eastern Daylight Time	08/18/2009 04:05:57 PM Eastern Daylight Time	08/19/2009 10:33:36 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-008 (HMO)	01	01		1			H2012	008	0	2010	Richmond, VA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2012	009	0	1	01	01	H2012_009_0	6	08/12/2009	2010.02	08/12/2009 02:33:10 PM Eastern Daylight Time	08/18/2009 04:05:31 PM Eastern Daylight Time	08/19/2009 10:33:44 AM Eastern Daylight Time		08/20/2009 07:24:42 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-009 (HMO)	01	01		1			H2012	009	0	2010	Indianapolis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2012	801	0	1	01	01	H2012_801_0	2	05/26/2009	2010.02	05/26/2009 03:59:20 PM Eastern Daylight Time	07/21/2009 03:34:08 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2012	801	0	2010	Multi-State		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2012	802	0	1	01	01	H2012_802_0	2	05/26/2009	2010.02	05/26/2009 03:59:47 PM Eastern Daylight Time	07/21/2009 04:03:56 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2012	802	0	2010	Multi-State		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2012	803	0	1	01	01	H2012_803_0	2	05/26/2009	2010.02	05/26/2009 04:00:11 PM Eastern Daylight Time	07/21/2009 04:05:08 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2012	803	0	2010	Multi-State		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2029	001	0	1	04	01	H2029_001_0	3	08/18/2009	2010.02	08/18/2009 11:19:32 AM Eastern Daylight Time	08/19/2009 03:48:53 PM Eastern Daylight Time	08/19/2009 10:33:52 AM Eastern Daylight Time		08/20/2009 12:38:16 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	HumanaChoice H2029-001 (PPO)	01	04		1			H2029	001	0	2010	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H2029	801	0	1	04	01	H2029_801_0	5	07/10/2009	2010.02	07/10/2009 03:39:38 PM Eastern Daylight Time	07/21/2009 03:44:38 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2029	801	0	2010	Puerto Rico		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H2029	802	0	1	04	01	H2029_802_0	5	07/10/2009	2010.02	07/10/2009 03:45:58 PM Eastern Daylight Time	07/21/2009 04:36:58 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2029	802	0	2010	Puerto Rico		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1		
H2029	803	0	1	04	01	H2029_803_0	5	07/10/2009	2010.02	07/10/2009 03:46:09 PM Eastern Daylight Time	07/21/2009 04:38:00 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H2029	803	0	2010	Puerto Rico		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H2034	001	0	1	01	01	H2034_001_0	4	08/20/2009	2010.02	08/20/2009 07:25:41 AM Central Daylight Time	08/20/2009 01:50:18 PM Central Daylight Time	08/20/2009 01:49:58 PM Central Daylight Time		08/20/2009 02:35:19 PM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC.	Community Care	www.communitycareinc.org	Community Care's Partnership Program (HMO)	01	01		1			H2034	001	0	2010	Eastern Wisconsin		2	343	2		2		1	3		1	5		www.communitycareinc.org	www.communitycareinc.org/Assets/Formulary.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1		
H2034	002	0	1	01	01	H2034_002_0	4	08/20/2009	2010.02	08/20/2009 07:28:30 AM Central Daylight Time	08/20/2009 01:50:14 PM Central Daylight Time	08/20/2009 01:49:57 PM Central Daylight Time		08/20/2009 02:35:19 PM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC.	Community Care	www.communitycareinc.org	Community Care's Partnership Program Disabled (HMO)	01	01		1			H2034	002	0	2010	Eastern Wisconsin		2	343	2		2		1	3		1	5		www.communitycareinc.org	www.communitycareinc.org/Assets/Formulary.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1		
H2063	001	0	1	20	08	H2063_001_0	3	10/14/2009	2010.02	10/14/2009 05:55:51 PM Mountain Daylight Time		10/13/2009 03:44:45 PM Mountain Daylight Time		10/14/2009 06:27:53 PM Mountain Daylight Time	BILLINGS CLINIC	Billings Clinic PACE	www.billingsclinic.com	Billings Clinic - Dual (PACE)	08	20		1			H2063	001	0	2010	Yellowstone, MT and *Park, MT Counties		2		2				2							www.billingsclinic.org									(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320																		1		
H2063	002	0	1	20	08	H2063_002_0	3	10/14/2009	2010.02	10/14/2009 05:55:44 PM Mountain Daylight Time		10/13/2009 03:44:45 PM Mountain Daylight Time		10/14/2009 06:27:53 PM Mountain Daylight Time	BILLINGS CLINIC	Billings Clinic PACE	www.billingsclinic.com	Billings Clinic - Medicare Only (PACE)	08	20		1			H2063	002	0	2010	Yellowstone, MT and *Park, MT Counties		2		2				2							www.billingsclinic.org									(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320																		1		
H2064	001	0	1	20	08	H2064_001_0	2	10/14/2009	2010.02	10/14/2009 03:59:34 PM Eastern Daylight Time		10/14/2009 03:36:12 PM Eastern Daylight Time		10/14/2009 04:16:12 PM Eastern Daylight Time	GEISINGER COMMUNITY HEALTH SERVICES	LIFE Geisinger	www.lifegeisinger.org	LIFE Geisinger (PACE)	08	20		1			H2064	001	0	2010	LIFE Geisinger		2	1920	1	2			2							www.lifegeisinger.org									(866)-230-6465		(570)-373-2100		(866)-230-6465		(570)-373-2100																		1		
H2064	002	0	1	20	08	H2064_002_0	2	10/14/2009	2010.02	10/14/2009 04:04:50 PM Eastern Daylight Time		10/14/2009 03:36:55 PM Eastern Daylight Time		10/14/2009 04:16:12 PM Eastern Daylight Time	GEISINGER COMMUNITY HEALTH SERVICES	LIFE Geisinger	www.lifegeisinger.org	LIFE Geisinger (PACE)	08	20		1			H2064	002	0	2010	LIFE Geisinger		2	1920	1	2			2							www.lifegeisinger.org									(866)-230-6465		(570)-373-2100		(866)-230-6465		(570)-373-2100																		1		
H2108	001	0	1	01	01	H2108_001_0	1	05/27/2009	2010.02	05/27/2009 11:16:26 AM Eastern Daylight Time	05/30/2009 06:10:32 PM Eastern Daylight Time	05/25/2009 04:10:18 PM Eastern Daylight Time		05/31/2009 08:19:21 AM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H2108	001	0	2010	Baltimore and District of Columbia Metro Areas		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	020	0	1	01	01	H2108_020_0	2	08/18/2009	2010.02	08/18/2009 09:28:07 AM Eastern Daylight Time	08/19/2009 10:20:02 AM Eastern Daylight Time	08/14/2009 11:22:58 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO)	01	01		1			H2108	020	0	2010	Baltimore and District of Columbia Metro Areas		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	021	0	1	01	01	H2108_021_0	1	05/25/2009	2010.02	05/25/2009 09:17:51 AM Eastern Daylight Time	05/30/2009 08:35:56 PM Eastern Daylight Time			05/31/2009 08:19:21 AM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Gold (HMO)	01	01		1			H2108	021	0	2010	Baltimore and District of Columbia Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561										1		
H2108	022	0	1	01	01	H2108_022_0	3	08/25/2009	2010.02	08/25/2009 11:57:45 AM Eastern Daylight Time	08/24/2009 01:35:06 PM Eastern Daylight Time	08/14/2009 11:23:16 AM Eastern Daylight Time		08/25/2009 11:59:12 AM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H2108	022	0	2010	Baltimore and Suburban Maryland		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	026	0	1	02	01	H2108_026_0	2	07/01/2009	2010.02	07/01/2009 09:53:20 AM Eastern Daylight Time	08/19/2009 05:25:52 PM Eastern Daylight Time	08/14/2009 11:23:40 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Premier Plus (HMO-POS)	01	02		1			H2108	026	0	2010	Baltimore and District of Columbia Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	028	0	1	01	01	H2108_028_0	2	08/18/2009	2010.02	08/18/2009 09:33:23 AM Eastern Daylight Time	08/19/2009 04:03:20 PM Eastern Daylight Time	08/14/2009 11:23:58 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H2108	028	0	2010	District of Columbia		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	029	0	1	01	01	H2108_029_0	2	08/18/2009	2010.02	08/18/2009 09:34:06 AM Eastern Daylight Time	08/19/2009 04:19:54 PM Eastern Daylight Time	08/14/2009 11:24:20 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H2108	029	0	2010	District of Columbia		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	030	0	1	01	01	H2108_030_0	2	08/18/2009	2010.02	08/18/2009 09:34:52 AM Eastern Daylight Time	08/19/2009 04:28:24 PM Eastern Daylight Time	08/14/2009 11:24:38 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H2108	030	0	2010	Baltimore Metro Area		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2108	031	0	1	01	01	H2108_031_0	2	05/22/2009	2010.02	05/22/2009 02:37:48 PM Eastern Daylight Time	08/19/2009 04:32:22 PM Eastern Daylight Time	08/14/2009 11:24:56 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Choice (HMO)	01	01		1			H2108	031	0	2010	Baltimore Metro Area		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H2109	001	0	1	20	08	H2109_001_0	4	10/14/2009	2010.02	10/14/2009 08:51:45 AM Eastern Daylight Time		10/13/2009 03:26:23 PM Eastern Daylight Time		10/14/2009 08:53:30 AM Eastern Daylight Time	JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins ElderPlus	http://www.hopkinsbayview.org/hopkinselderplus	Johns Hopkins Health System Inc., (PACE)	08	20		1			H2109	001	0	2010	Parts of Baltimore City and County, Maryland		2		2				2							karmaco1@jhmi.edu									(800)-550-7044		(410)-550-7044		(410)-550-7044		(410)-550-7044												(410)-550-0316				(410)-550-0316		1		
H2109	002	0	1	20	08	H2109_002_0	2	05/18/2009	2010.02	05/18/2009 02:11:38 PM Eastern Daylight Time		10/13/2009 03:26:22 PM Eastern Daylight Time		10/13/2009 03:48:36 PM Eastern Daylight Time	JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins ElderPlus	http://www.hopkinsbayview.org/hopkinselderplus	Johns Hopkins Health System, Inc (PACE)	08	20		1			H2109	002	0	2010	Parts of Baltimore City and County, Maryland		2		2				2							karmaco1@jhmi.edu									(800)-550-7044		(410)-550-7044		(410)-550-7044		(410)-550-7044												(410)-550-0316				(410)-550-0316		1		
H2111	001	0	1	04	01	H2111_001_0	6	08/26/2009	2010.02	08/26/2009 02:17:42 PM Central Daylight Time	08/18/2009 03:12:45 PM Central Daylight Time	08/13/2009 05:46:25 PM Central Daylight Time		08/26/2009 02:29:14 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H2111	001	0	2010	Baltimore,East Shore MD,DC,DE, surrounding areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2111	008	0	1	04	01	H2111_008_0	5	08/28/2009	2010.02	08/28/2009 03:15:32 PM Central Daylight Time	08/28/2009 04:04:41 PM Central Daylight Time	08/13/2009 05:46:29 PM Central Daylight Time		08/28/2009 04:09:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H2111	008	0	2010	Washington, DC		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2112	001	0	1	01	01	H2112_001_0	4	07/24/2009	2010.02	07/24/2009 09:42:27 AM Eastern Daylight Time	07/20/2009 11:00:25 AM Eastern Daylight Time			07/24/2009 09:59:05 AM Eastern Daylight Time	AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H2112	001	0	2010	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H2112	007	0	1	01	01	H2112_007_0	5	08/19/2009	2010.02	08/19/2009 12:19:01 PM Eastern Daylight Time	08/18/2009 05:17:52 PM Eastern Daylight Time	08/17/2009 02:33:54 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H2112	007	0	2010	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H2112	014	0	1	01	01	H2112_014_0	6	08/19/2009	2010.02	08/19/2009 12:19:16 PM Eastern Daylight Time	08/18/2009 05:19:25 PM Eastern Daylight Time	08/17/2009 02:34:22 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H2112	014	0	2010	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H2112	801	0	1	01	01	H2112_801_0	2	05/19/2009	2010.02	05/19/2009 12:34:08 PM Eastern Daylight Time	05/31/2009 07:54:18 PM Eastern Daylight Time			06/01/2009 08:58:34 AM Eastern Daylight Time	AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H2112	801	0	2010	Maryland		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H2112	802	0	1	01	01	H2112_802_0	2	05/19/2009	2010.02	05/19/2009 12:34:57 PM Eastern Daylight Time	05/31/2009 08:20:40 PM Eastern Daylight Time			06/01/2009 08:58:34 AM Eastern Daylight Time	AETNA HEALTH INC. (MARYLAND)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H2112	802	0	2010	Maryland		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H2150	002	0	1	18	06	H2150_002_0	4	09/22/2009	2010.01	09/22/2009 02:21:36 PM Eastern Daylight Time		08/17/2009 05:36:23 PM Eastern Daylight Time		09/22/2009 02:30:43 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High w/D AB (Cost)	06	18		1			H2150	002	0	2010	DC, MD, VA		2	17703	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	009	0	1	18	06	H2150_009_0	4	08/19/2009	2010.01	08/19/2009 11:53:45 AM Eastern Daylight Time		08/17/2009 05:41:37 PM Eastern Daylight Time		08/19/2009 01:30:03 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std w/D AB (Cost)	06	18		1			H2150	009	0	2010	DC, MD, VA		2	2186	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	017	0	1	18	06	H2150_017_0	2	08/19/2009	2010.01	08/19/2009 03:36:03 PM Eastern Daylight Time				08/20/2009 10:49:38 AM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic no D AB (Cost)	06	18		1			H2150	017	0	2010	DC, MD, VA		2	1047	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	021	0	1	18	06	H2150_021_0	2	08/19/2009	2010.01	08/19/2009 01:42:52 PM Eastern Daylight Time				08/19/2009 02:49:07 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High w/o D AB (Cost)	06	18		1			H2150	021	0	2010	DC, MD, VA		2	400	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	022	0	1	18	06	H2150_022_0	2	08/19/2009	2010.01	08/19/2009 01:43:20 PM Eastern Daylight Time				08/19/2009 02:49:07 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std w/o D AB (Cost)	06	18		1			H2150	022	0	2010	DC, MD, VA		2	100	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	028	0	2	18	06	H2150_028_0	4	08/19/2009	2010.01	08/19/2009 11:50:55 AM Eastern Daylight Time		08/17/2009 05:40:53 PM Eastern Daylight Time		08/19/2009 01:30:03 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High Option w/D B (Cost)	06	18		2	1		H2150	028	0	2010	DC, MD, VA		2	50	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	029	0	2	18	06	H2150_029_0	4	08/19/2009	2010.01	08/19/2009 11:51:46 AM Eastern Daylight Time		08/17/2009 05:42:12 PM Eastern Daylight Time		08/19/2009 01:30:03 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std Option w/D B (Cost)	06	18		2	1		H2150	029	0	2010	DC, MD, VA		2	8	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	030	0	2	18	06	H2150_030_0	1	05/29/2009	2010.01	05/29/2009 08:45:24 AM Eastern Daylight Time				05/29/2009 12:14:53 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Basic Option no D B (Cost)	06	18		2	1		H2150	030	0	2010	DC, MD, VA		2	6	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	031	0	2	18	06	H2150_031_0	2	08/19/2009	2010.01	08/19/2009 01:43:41 PM Eastern Daylight Time				08/20/2009 10:49:38 AM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente High Option no D B (Cost)	06	18		2	1		H2150	031	0	2010	DC, MD, VA		2	5	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	032	0	2	18	06	H2150_032_0	2	08/19/2009	2010.01	08/19/2009 01:44:28 PM Eastern Daylight Time				08/20/2009 10:49:38 AM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std Option no D B (Cost)	06	18		2	1		H2150	032	0	2010	DC, MD, VA		2	5	2				2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536										(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008										1		
H2150	801	0		18	06	H2150_801_0	1	05/28/2009	2010.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus EGHP w Part D AB (Cost)	06	18					H2150	801	0	2010	DC, MD, VA		1						2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	805	0		18	06	H2150_805_0	1	05/21/2009	2010.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus EGHP w/D B Only (Cost)	06	18					H2150	805	0	2010	DC, MD, VA		1						2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	806	0		18	06	H2150_806_0	1	05/28/2009	2010.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus FEHB AB with D (Cost)	06	18					H2150	806	0	2010	DC, MD, VA		1						2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2150	807	0		18	06	H2150_807_0	1	05/15/2009	2010.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus FEHB B Only with D (Cost)	06	18					H2150	807	0	2010	DC, MD, VA		1						2							http://kp.org/seniorrx	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1		
H2165	004	0	1	01	01	H2165_004_0	4	07/31/2009	2010.02	07/31/2009 03:01:55 PM Central Daylight Time	07/23/2009 04:32:30 PM Central Daylight Time			08/04/2009 12:09:25 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	healthspring.com	HealthSpring HealthyAdvantage NGA (HMO)	01	01		1			H2165	004	0	2010	Catoosa, Dade and Walker		2		1	1			2						healthspring.com	healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H2165	005	0	1	01	01	H2165_005_0	6	08/19/2009	2010.02	08/19/2009 08:37:12 AM Central Daylight Time	08/19/2009 12:04:31 PM Central Daylight Time	08/19/2009 10:10:27 AM Central Daylight Time		08/20/2009 11:31:26 AM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	healthspring.com	HealthSpring HealthyAdvantage Preferred NGA (HMO)	01	01		1			H2165	005	0	2010	Catoosa, Dade and Walker		2		1	1			2						healthspring.com	healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H2165	006	0	1	01	01	H2165_006_0	6	08/19/2009	2010.02	08/19/2009 08:13:28 AM Central Daylight Time	08/19/2009 12:04:35 PM Central Daylight Time	08/19/2009 10:10:30 AM Central Daylight Time		08/20/2009 11:31:26 AM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	healthspring.com	HealthSpring HealthyLiving Preferred NGA (HMO)	01	01		1			H2165	006	0	2010	Catoosa, Dade and Walker		2		1	1			2						healthspring.com	healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H2165	010	0	1	01	01	H2165_010_0	6	08/19/2009	2010.02	08/19/2009 02:41:44 PM Central Daylight Time	08/19/2009 12:04:39 PM Central Daylight Time	08/19/2009 10:10:33 AM Central Daylight Time		08/20/2009 11:31:26 AM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	healthspring.com	HealthSpring HealthyAdvantage Select NGA (HMO)	01	01		1			H2165	010	0	2010	Catoosa, Dade and Walker counties		2		1	1			2						healthspring.com	healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H2169	001	0	1	01	01	H2169_001_0	2	05/27/2009	2010.02	05/27/2009 05:43:22 PM Eastern Daylight Time	06/01/2009 07:07:03 AM Eastern Daylight Time			06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life Ohio (HMO)	01	01		1			H2169	001	0	2010	Ohio		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H2169	002	0	1	01	01	H2169_002_0	2	05/27/2009	2010.02	06/01/2009 06:45:24 AM Eastern Daylight Time	06/01/2009 07:07:45 AM Eastern Daylight Time	06/01/2009 07:23:54 AM Eastern Daylight Time		06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx Ohio (HMO)	01	01		1			H2169	002	0	2010	Ohio		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2169	003	0	1	01	01	H2169_003_0	2	05/28/2009	2010.02	06/01/2009 06:45:25 AM Eastern Daylight Time	06/01/2009 07:08:20 AM Eastern Daylight Time	06/01/2009 07:24:45 AM Eastern Daylight Time		06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx Enhanced Ohio (HMO)	01	01		1			H2169	003	0	2010	Ohio		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2169	004	0	1	01	01	H2169_004_0	2	05/27/2009	2010.02	05/27/2009 05:43:37 PM Eastern Daylight Time	06/01/2009 07:09:01 AM Eastern Daylight Time			06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life West Virginia (HMO)	01	01		1			H2169	004	0	2010	West Virginia		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H2169	005	0	1	01	01	H2169_005_0	2	05/27/2009	2010.02	06/01/2009 06:45:26 AM Eastern Daylight Time	06/01/2009 07:09:37 AM Eastern Daylight Time	06/01/2009 07:24:20 AM Eastern Daylight Time		06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx West Virginia (HMO)	01	01		1			H2169	005	0	2010	West Virginia		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2169	006	0	1	01	01	H2169_006_0	3	07/07/2009	2010.02	07/24/2009 01:43:58 PM Eastern Daylight Time	06/01/2009 07:10:21 AM Eastern Daylight Time	07/24/2009 01:59:00 PM Eastern Daylight Time		07/24/2009 02:22:23 PM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx Enhanced West Virginia (HMO)	01	01		1			H2169	006	0	2010	West Virginia		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2169	801	0	1	01	01	H2169_801_0	3	05/27/2009	2010.02	05/27/2009 05:45:18 PM Eastern Daylight Time	06/01/2009 07:13:43 AM Eastern Daylight Time			06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (HMO)	01	01		1			H2169	801	0	2010	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H2169	802	0	1	01	01	H2169_802_0	3	05/27/2009	2010.02	05/27/2009 05:45:38 PM Eastern Daylight Time	06/01/2009 07:17:00 AM Eastern Daylight Time			06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H2169	802	0	2010	Ohio and West Virginia		1	5000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2169	803	0	1	01	01	H2169_803_0	3	05/27/2009	2010.02	05/27/2009 05:45:56 PM Eastern Daylight Time	06/01/2009 07:21:18 AM Eastern Daylight Time			06/01/2009 07:31:07 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H2169	803	0	2010	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H2174	001	0	1	01	01	H2174_001_0	4	06/01/2009	2010.02	06/01/2009 10:32:19 AM Pacific Daylight Time	08/20/2009 01:56:22 PM Pacific Daylight Time	08/20/2009 02:07:30 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Dual SNP (HMO)	01	01		1			H2174	001	0	2010	Lane , Jackson counties		2	3157	2		2		1	3		1	3		http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	002	0	1	01	01	H2174_002_0	8	06/01/2009	2010.02	06/01/2009 10:44:02 AM Pacific Daylight Time	08/20/2009 01:57:30 PM Pacific Daylight Time	08/20/2009 02:08:24 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage (HMO)	01	01		1			H2174	002	0	2010	Lane , Jackson counties		2	870	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	003	0	1	01	01	H2174_003_0	4	06/01/2009	2010.02	06/01/2009 10:33:41 AM Pacific Daylight Time	08/20/2009 01:59:26 PM Pacific Daylight Time	08/20/2009 02:09:02 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage ISNP (HMO)	01	01		1			H2174	003	0	2010	Lane , Jackson counties		2	69	2				1	1	1	1			http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	004	0	1	01	01	H2174_004_0	3	06/01/2009	2010.02	06/01/2009 10:46:33 AM Pacific Daylight Time	06/01/2009 02:53:22 PM Pacific Daylight Time			06/01/2009 07:58:46 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Flex (HMO)	01	01		1			H2174	004	0	2010	Lane , Jackson counties		2	215	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950										(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951										1		
H2174	005	0	1	01	01	H2174_005_0	5	06/01/2009	2010.02	06/01/2009 10:34:40 AM Pacific Daylight Time	08/20/2009 02:00:56 PM Pacific Daylight Time	08/20/2009 02:10:12 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Community ISNP (HMO)	01	01		1			H2174	005	0	2010	Lane , Jackson counties		2	69	2				1	1	2	1			http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	006	0	1	01	01	H2174_006_0	4	06/01/2009	2010.02	06/01/2009 10:49:39 AM Pacific Daylight Time	08/20/2009 02:02:02 PM Pacific Daylight Time	08/20/2009 02:12:26 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Deluxe Community ISNP (HMO)	01	01		1			H2174	006	0	2010	Lane , Jackson counties		2	69	2				1	1	2	1			http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	007	0	1	01	01	H2174_007_0	4	06/01/2009	2010.02	06/01/2009 10:52:35 AM Pacific Daylight Time	08/20/2009 02:04:16 PM Pacific Daylight Time	08/20/2009 02:13:22 PM Pacific Daylight Time		08/20/2009 04:48:08 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Deluxe ISNP (HMO)	01	01		1			H2174	007	0	2010	Lane , Jackson counties		2	69	2				1	1	1	1			http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	801	0	1	01	01	H2174_801_0	6	06/01/2009	2010.02	06/01/2009 10:36:06 AM Pacific Daylight Time	06/03/2009 11:59:14 AM Pacific Daylight Time			06/05/2009 01:52:38 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Bronze EGWP (HMO)	01	01		1			H2174	801	0	2010	Oregon State Wide		1	69	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2174	802	0	1	01	01	H2174_802_0	6	06/01/2009	2010.02	06/01/2009 10:36:40 AM Pacific Daylight Time	06/03/2009 11:42:24 AM Pacific Daylight Time			06/05/2009 01:52:38 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Gold EGWP (HMO)	01	01		1			H2174	802	0	2010	Oregon State Wide		1	69	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1		
H2182	001	0	1	02	01	H2182_001_0	3	07/20/2009	2010.02	07/20/2009 08:52:18 AM Central Daylight Time	08/14/2009 10:32:24 AM Central Daylight Time	08/13/2009 05:46:33 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H2182	001	0	2010	Select Counties in GA		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2218	001	0	1	20	08	H2218_001_0	2	05/19/2009	2010.02	05/19/2009 12:21:10 PM Eastern Daylight Time		10/14/2009 02:16:54 PM Eastern Daylight Time		10/14/2009 02:49:07 PM Eastern Daylight Time	HARBOR HEALTH SERVICES	Elder Service Plan of Harbor Health Services, Inc	www.elderserviceplan.org	Harbor Health Elder Service Plan, Dual Eligible (PACE)	08	20		1			H2218	001	0	2010	Norfolk and Suffolk Counties		2		2				2							www.elderserviceplan.org									(866)-714-1277		(617)-296-5100		(866)-714-1277		(617)-296-5100																		1		
H2218	002	0	1	20	08	H2218_002_0	2	05/19/2009	2010.02	05/19/2009 12:21:33 PM Eastern Daylight Time		10/14/2009 02:16:54 PM Eastern Daylight Time		10/14/2009 02:49:07 PM Eastern Daylight Time	HARBOR HEALTH SERVICES	Elder Service Plan of Harbor Health Services, Inc	www.elderserviceplan.org	Harbor Health Elder Service Plan, Medicare only (PACE)	08	20		1			H2218	002	0	2010	Norfolk and Suffolk Counties		2		2				2							www.elderserviceplan.org									(866)-714-1277		(617)-296-5100		(866)-714-1277		(617)-296-5100																		1		
H2219	001	0	1	20	08	H2219_001_0	2	10/14/2009	2010.02	10/14/2009 08:01:10 AM Eastern Daylight Time		10/13/2009 03:49:46 PM Eastern Daylight Time		10/14/2009 08:02:03 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.summiteldercare.org	Summit ElderCare (PACE)	08	20		1			H2219	001	0	2010	Summit ElderCare -  Worcester, Middlesex Counties		2	643	2				2							Not Applicable									(800)-698-7566		(508)-852-2026		(800)-698-7566		(508)-368-9690										(800)-439-2370		(800)-439-2370		(800)-889-4106		(800)-889-4106		1		
H2219	002	0	1	20	08	H2219_002_0	2	10/14/2009	2010.02	10/14/2009 08:01:17 AM Eastern Daylight Time		10/13/2009 03:49:46 PM Eastern Daylight Time		10/14/2009 08:02:03 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.summiteldercare.org	Summit ElderCare (PACE)	08	20		1			H2219	002	0	2010	Summit ElderCare - Worcester, Middlesex Counties		2	6	2				2							Not Applicable									(800)-698-7566		(508)-852-2026		(800)-698-7566		(508)-368-9690										(800)-439-2370		(800)-439-2370		(800)-889-4106		(800)-889-4106		1		
H2220	001	0	1	20	08	H2220_001_0	2	05/19/2009	2010.02	05/19/2009 11:07:37 AM Eastern Daylight Time		10/13/2009 04:14:04 PM Eastern Daylight Time		10/14/2009 09:45:32 AM Eastern Daylight Time	UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	http://www.uphamscornerhealthctr.com/	Uphams Corner Health Committee (PACE)	08	20		1			H2220	001	0	2010	Upham's Elder Service Plan		2		2				2							http://www.uphamscornerhealthctr.com/									(617)-288-0970	11	(617)-288-0970	11	(617)-288-0970	16	(617)-288-0970	16																	1		
H2220	002	0	1	20	08	H2220_002_0	2	05/19/2009	2010.02	05/19/2009 11:08:15 AM Eastern Daylight Time		10/13/2009 04:14:04 PM Eastern Daylight Time		10/14/2009 09:45:32 AM Eastern Daylight Time	UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	http://www.uphamscornerhealthctr.com/	Uphams Corner Health Committee (PACE)	08	20		1			H2220	002	0	2010	Upham's Elder Service Plan		2		2				2							http://www.uphamscornerhealthctr.com/									(617)-288-0970	11	(617)-288-0970	11	(617)-288-0970	16	(617)-288-0970	16																	1		
H2221	001	0	1	20	08	H2221_001_0	2	05/19/2009	2010.02	05/19/2009 09:16:21 AM Eastern Daylight Time		10/13/2009 04:02:45 PM Eastern Daylight Time		10/14/2009 09:24:45 AM Eastern Daylight Time	ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	Elder Service Plan of the Cambridge Health (PACE)	08	20		1			H2221	001	0	2010	Counties: Middlesex and Suffolk		2		2				2							none									(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850																		1		
H2221	002	0	1	20	08	H2221_002_0	2	05/19/2009	2010.02	05/19/2009 09:17:01 AM Eastern Daylight Time		10/13/2009 04:02:45 PM Eastern Daylight Time		10/14/2009 09:34:56 AM Eastern Daylight Time	ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	Elder Service Plan of the Cambridge Health (PACE)	08	20		1			H2221	002	0	2010	Counties:  Middlesex and Suffolk		2		2				2							none									(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850																		1		
H2222	002	0	1	20	08	H2222_002_0	2	05/20/2009	2010.02	05/20/2009 09:30:22 AM Eastern Daylight Time		10/13/2009 09:12:41 PM Eastern Daylight Time		10/15/2009 08:58:15 AM Eastern Daylight Time	ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan of the North Shore	www.pacenorthshore.org	Elder Service Plan of the Northshore (PACE)	08	20		1			H2222	002	0	2010	Essex, Middlesex counties		2	50	2				2							None									(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650																	1		
H2222	003	0	1	20	08	H2222_003_0	2	05/20/2009	2010.02	05/20/2009 09:30:13 AM Eastern Daylight Time		10/13/2009 09:12:41 PM Eastern Daylight Time		10/15/2009 08:58:15 AM Eastern Daylight Time	ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan of the North Shore	www.pacenorthshore.org	Elder Service Plan of the Northshore (PACE)	08	20		1			H2222	003	0	2010	Essex, Middlesex counties		2	600	2				2							None									(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650																	1		
H2223	001	0	1	20	08	H2223_001_0	2	05/19/2009	2010.01	05/19/2009 08:26:43 AM Eastern Daylight Time		10/13/2009 02:59:29 PM Eastern Daylight Time		10/13/2009 03:29:11 PM Eastern Daylight Time	ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.ebnhc.org	ESP of East Boston Pharmacy Plan--Duals (PACE)	08	20		1			H2223	001	0	2010	Chelsea, Revere, East Boston, Everett, Winthrop MA		2		2				2							www.ebnhc.org									(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800																		1		
H2223	002	0	1	20	08	H2223_002_0	2	05/19/2009	2010.01	05/19/2009 08:26:55 AM Eastern Daylight Time		10/13/2009 02:59:29 PM Eastern Daylight Time		10/13/2009 03:29:11 PM Eastern Daylight Time	ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.ebnhc.org	ESP of East Boston Pharmacy Plan--MCR Only (PACE)	08	20		1			H2223	002	0	2010	Chelsea, Revere, East Boston, Everett, Winthrop MA		2		2				2							www.ebnhc.org									(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800																		1		
H2224	001	0	1	01	01	H2224_001_0	3	08/20/2009	2010.02	08/20/2009 02:47:02 PM Eastern Daylight Time	08/19/2009 03:52:00 PM Eastern Daylight Time	08/19/2009 03:54:00 PM Eastern Daylight Time		08/20/2009 02:54:04 PM Eastern Daylight Time	SENIOR WHOLE HEALTH, LLC	Senior Whole Health	www.seniorwholehealth.com	Senior Whole Health (HMO)	01	01		1			H2224	001	0	2010	Brstl, Essx, Midlsex, Nrfolk, Plymth, Sufolk, Worc		2		2		2		1	3		1	5		www.seniorwholehealth.com	www.seniorwholehealth.com	(888)-794-7268		(888)-794-7268		(888)-566-3526		(888)-566-3526		(888)-794-7268		(888)-794-7268		(888)-566-3526		(888)-566-3526		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		1		
H2225	001	0	1	01	01	H2225_001_0	4	06/01/2009	2010.02	06/01/2009 10:14:28 AM Eastern Daylight Time	08/18/2009 10:58:49 AM Eastern Daylight Time	08/18/2009 10:58:51 AM Eastern Daylight Time		08/18/2009 05:46:00 PM Eastern Daylight Time	COMMONWEALTH CARE ALLIANCE, INC.	Commonwealth Care Alliance, Inc.	http://www.commonwealthcare.org	Senior Care Options Program (HMO)	01	01		1			H2225	001	0	2010	Greater Boston, Springfield, Merrimack Valley		2		2		2		1	3		1	5		www.commonwealthcare.org	http://www.commonwealthcare.org/scoformulary.pdf	(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		1		
H2226	001	0	1	01	01	H2226_001_0	3	05/26/2009	2010.02	05/26/2009 04:46:07 PM Central Daylight Time	08/17/2009 12:20:09 PM Central Daylight Time	08/13/2009 05:46:38 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Senior Care Options	www.EvercareHealthPlans.com	Evercare Senior Care Options (HMO)	01	01		1			H2226	001	0	2010	Boston, Springfield and Worcester Metro Areas		2		2		2		1	3		1	5		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(888)-867-5511		(888)-867-5511		(888)-834-3721		(888)-834-3721		(888)-867-5511		(888)-867-5511		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2228	001	0	1	04	01	H2228_001_0	4	08/20/2009	2010.02	08/20/2009 02:49:17 PM Central Daylight Time	08/19/2009 08:15:50 AM Central Daylight Time	08/13/2009 05:46:42 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H2228	001	0	2010	Boston, Springfield and Worcester Metro Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2228	002	0	1	04	01	H2228_002_0	4	08/20/2009	2010.02	08/20/2009 02:50:29 PM Central Daylight Time	08/18/2009 03:16:26 PM Central Daylight Time	08/13/2009 05:46:46 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H2228	002	0	2010	Bristol, Kent, Providence and Washington Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2228	009	0	1	04	01	H2228_009_0	5	08/18/2009	2010.02	08/18/2009 10:30:22 AM Central Daylight Time	08/18/2009 03:16:57 PM Central Daylight Time	08/13/2009 05:46:50 PM Central Daylight Time		08/20/2009 08:29:01 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H2228	009	0	2010	Middlesex and Suffolk counties		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2230	002	0	1	04	01	H2230_002_0	10	08/18/2009	2010.02	08/18/2009 06:55:30 PM Eastern Daylight Time	08/17/2009 07:28:50 AM Eastern Daylight Time	08/17/2009 07:28:50 AM Eastern Daylight Time		08/19/2009 04:56:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue PlusRx (PPO)	01	04		1			H2230	002	0	2010	Massachusetts except Nantucket, Duke and Berkshire		2	1562	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(866)-755-2776		(866)-755-2776		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(866)-798-7026		(866)-798-7026		(800)-522-1254		(800)-522-1254		1		
H2230	801	0	1	04	01	H2230_801_0	8	08/18/2009	2010.02	08/18/2009 01:19:00 PM Eastern Daylight Time	05/30/2009 04:15:02 PM Eastern Daylight Time			08/19/2009 05:02:39 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue (PPO)	01	04		1			H2230	801	0	2010	Limited National Network		1	175	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(866)-755-2776		(866)-755-2776		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(866)-798-7026		(866)-798-7026		(800)-522-1254		(800)-522-1254		1		
H2230	809	0	1	04	01	H2230_809_0	7	08/19/2009	2010.02	08/19/2009 04:55:00 PM Eastern Daylight Time	05/30/2009 04:15:53 PM Eastern Daylight Time			08/19/2009 05:10:46 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue (PPO)	01	04		1			H2230	809	0	2010	Limited National Network		1	25	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265										(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254										1		
H2237	001	0	1	01	01	H2237_001_0	7	08/26/2009	2010.02	08/26/2009 11:25:04 AM Central Daylight Time	08/20/2009 05:16:52 PM Central Daylight Time	08/20/2009 05:48:38 PM Central Daylight Time		08/26/2009 01:12:10 PM Central Daylight Time	INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	iCare Medicare Plan (HMO)	01	01		1			H2237	001	0	2010	iCare Southeast WI Medicare Plan		2		2		2		1	3		1	3		www.icare-wi.org	www.icare-wi.org	(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H2237	007	0	1	01	01	H2237_007_0	6	08/26/2009	2010.02	08/26/2009 11:26:55 AM Central Daylight Time	08/20/2009 04:17:56 PM Central Daylight Time	08/20/2009 03:32:16 PM Central Daylight Time		08/26/2009 01:12:10 PM Central Daylight Time	INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	iCare Family Care Partnership (HMO)	01	01		1			H2237	007	0	2010	Milwaukee County		2		2		2		1	3		1	5		www.icare-wi.org	www.icare-wi.org	(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-777-4376		(414)-223-4847		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H2241	001	0	1	01	01	H2241_001_0	7	10/06/2009	2010.02	10/06/2009 03:48:52 PM Pacific Daylight Time	08/21/2009 11:25:52 AM Pacific Daylight Time	08/14/2009 04:40:14 PM Pacific Daylight Time		10/06/2009 03:56:20 PM Pacific Daylight Time	GOLDEN STATE MEDICARE HEALTH PLAN	Golden State Medicare Health Plan	www.goldenstatemhp.com/	Golden (HMO)	01	01		1			H2241	001	0	2010	Orange County - Partial		2		2				2						http://www.goldenstatemhp.com/	www.goldenstatemhp.com			(714)-901-1034				(714)-901-1034		(800)-797-9791		(714)-901-1034		(800)-797-9791		(714)-901-1034				(714)-901-6837				(714)-901-6837				(714)-901-6837				(714)-901-6837		1		
H2256	001	1	1	01	01	H2256_001_1	6	07/31/2009	2010.02	07/31/2009 10:54:21 AM Eastern Daylight Time	08/20/2009 01:12:00 PM Eastern Daylight Time	08/13/2009 06:33:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	001	2	1	01	01	H2256_001_2	6	07/21/2009	2010.02	07/21/2009 10:53:44 AM Eastern Daylight Time	08/20/2009 01:12:00 PM Eastern Daylight Time	08/13/2009 06:31:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	2	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	015	1	1	01	01	H2256_015_1	7	07/28/2009	2010.02	07/28/2009 08:44:15 AM Eastern Daylight Time	08/20/2009 01:12:00 PM Eastern Daylight Time	08/13/2009 06:30:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	015	2	1	01	01	H2256_015_2	7	07/28/2009	2010.02	07/28/2009 08:45:04 AM Eastern Daylight Time	08/20/2009 01:13:00 PM Eastern Daylight Time	08/13/2009 06:30:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	2	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	016	1	1	01	01	H2256_016_1	4	07/21/2009	2010.02	07/21/2009 10:54:22 AM Eastern Daylight Time	07/28/2009 09:42:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	016	2	1	01	01	H2256_016_2	4	07/21/2009	2010.02	07/21/2009 10:54:33 AM Eastern Daylight Time	07/28/2009 09:45:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	2	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	017	1	1	01	01	H2256_017_1	7	07/21/2009	2010.02	07/21/2009 10:54:49 AM Eastern Daylight Time	08/20/2009 01:13:00 PM Eastern Daylight Time	08/13/2009 06:29:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value Rx Plus (HMO)	01	01		1			H2256	017	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	017	7	1	01	01	H2256_017_7	7	07/21/2009	2010.02	07/21/2009 10:54:58 AM Eastern Daylight Time	08/20/2009 01:14:00 PM Eastern Daylight Time	08/13/2009 06:29:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value Rx Plus (HMO)	01	01		1			H2256	017	7	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	018	1	1	01	01	H2256_018_1	6	07/28/2009	2010.02	07/28/2009 08:45:42 AM Eastern Daylight Time	08/20/2009 01:14:00 PM Eastern Daylight Time	08/13/2009 06:29:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value Rx (HMO)	01	01		1			H2256	018	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	018	7	1	01	01	H2256_018_7	6	07/28/2009	2010.02	07/28/2009 08:46:10 AM Eastern Daylight Time	08/20/2009 01:14:00 PM Eastern Daylight Time	08/13/2009 06:28:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value Rx (HMO)	01	01		1			H2256	018	7	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	019	1	1	01	01	H2256_019_1	4	07/21/2009	2010.02	07/21/2009 10:55:29 AM Eastern Daylight Time	07/28/2009 09:50:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value (HMO)	01	01		1			H2256	019	1	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties ESS, SUF, WOR	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	019	7	1	01	01	H2256_019_7	4	07/21/2009	2010.02	07/21/2009 10:55:38 AM Eastern Daylight Time	07/28/2009 09:52:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Value (HMO)	01	01		1			H2256	019	7	2010	All counties except Berks, Frank, Dukes, Nantucket	Counties BAR, BRI, HPD, HPS, MID, NOR, PLY	2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	023	0	1	01	01	H2256_023_0	6	07/21/2009	2010.02	07/21/2009 10:55:51 AM Eastern Daylight Time	08/20/2009 01:15:00 PM Eastern Daylight Time	08/13/2009 06:25:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Basic Rx Plus (HMO)	01	01		1			H2256	023	0	2010	Massachusetts except Berk, Frank, Dukes, Nantucket		2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	024	0	1	01	01	H2256_024_0	6	07/28/2009	2010.02	07/28/2009 08:48:15 AM Eastern Daylight Time	08/20/2009 01:15:00 PM Eastern Daylight Time	08/13/2009 06:32:00 PM Eastern Daylight Time		08/20/2009 04:26:24 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Basic Rx (HMO)	01	01		1			H2256	024	0	2010	Massachusetts except Berk, Frank, Dukes, Nantuket		2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	025	0	1	01	01	H2256_025_0	4	07/21/2009	2010.02	07/21/2009 10:56:26 AM Eastern Daylight Time	07/28/2009 09:55:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Basic (HMO)	01	01		1			H2256	025	0	2010	Massachusetts except Berk, Frank, Dukes, Nantucket		2		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	801	0	1	01	01	H2256_801_0	4	07/21/2009	2010.02	07/21/2009 10:56:38 AM Eastern Daylight Time	07/28/2009 09:55:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Rx (HMO)	01	01		1			H2256	801	0	2010	Most of Massachusetts		1		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2256	802	0	1	01	01	H2256_802_0	4	07/21/2009	2010.02	07/21/2009 10:56:46 AM Eastern Daylight Time	07/28/2009 09:54:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO (HMO)	01	01		1			H2256	802	0	2010	Most of Massachusetts		1		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1		
H2256	803	0	1	01	01	H2256_803_0	4	07/21/2009	2010.02	07/21/2009 10:56:54 AM Eastern Daylight Time	07/28/2009 09:56:00 AM Eastern Daylight Time			07/28/2009 11:30:19 AM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	www.tuftshealthplan.com	Tufts Medicare Preferred HMO Rx (HMO)	01	01		1			H2256	803	0	2010	Most of Massachusetts		1		2				2						www.tuftshealthplan.com	http://www.tuftshealthplan.com/medicare	(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
H2261	005	0	1	01	01	H2261_005_0	10	08/18/2009	2010.02	08/18/2009 01:08:09 PM Eastern Daylight Time	08/17/2009 07:28:50 AM Eastern Daylight Time	08/17/2009 07:28:50 AM Eastern Daylight Time		08/19/2009 01:56:29 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue PlusRx (HMO)	01	01		1			H2261	005	0	2010	Massachusetts except Berkshire,Dukes and Nantucket		2	24694	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(866)-755-2776		(866)-755-2776		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(866)-798-7026		(866)-798-7026		(800)-522-1254		(800)-522-1254		1		
H2261	801	0	1	01	01	H2261_801_0	6	08/18/2009	2010.02	08/18/2009 01:03:51 PM Eastern Daylight Time	05/29/2009 01:29:29 PM Eastern Daylight Time			08/18/2009 01:14:33 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue (HMO)	01	01		1			H2261	801	0	2010	Massachusetts except Berkshire,Dukes and Nantucket		1	4506	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(866)-755-2776		(866)-755-2776		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(866)-798-7026		(866)-798-7026		(800)-522-1254		(800)-522-1254		1		
H2261	809	0	1	01	01	H2261_809_0	9	08/18/2009	2010.02	08/18/2009 01:05:21 PM Eastern Daylight Time	05/29/2009 01:29:11 PM Eastern Daylight Time			08/18/2009 01:19:03 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue (HMO)	01	01		1			H2261	809	0	2010	Massachusetts except Berkshire,Dukes and Nantucket		1	25	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265										(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254										1		
H2312	004	0	1	01	01	H2312_004_0	6	09/23/2009	2010.02	09/23/2009 10:01:41 AM Eastern Daylight Time	08/20/2009 03:49:13 PM Eastern Daylight Time	08/20/2009 03:52:38 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - HFHS Network (HMO)	01	01		1			H2312	004	0	2010	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2312	006	0	1	01	01	H2312_006_0	5	09/23/2009	2010.02	09/23/2009 10:03:00 AM Eastern Daylight Time	07/29/2009 05:54:48 PM Eastern Daylight Time			09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - HFHS Network (HMO)	01	01		1			H2312	006	0	2010	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1		
H2312	007	0	1	01	01	H2312_007_0	5	09/23/2009	2010.02	09/23/2009 10:06:15 AM Eastern Daylight Time	08/20/2009 03:49:37 PM Eastern Daylight Time	08/20/2009 03:52:57 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO)	01	01		1			H2312	007	0	2010	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2312	008	0	1	01	01	H2312_008_0	5	09/23/2009	2010.02	09/23/2009 10:07:18 AM Eastern Daylight Time	07/29/2009 05:56:29 PM Eastern Daylight Time			09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO)	01	01		1			H2312	008	0	2010	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1		
H2312	009	0	1	01	01	H2312_009_0	5	09/23/2009	2010.02	09/23/2009 10:08:14 AM Eastern Daylight Time	08/20/2009 03:50:17 PM Eastern Daylight Time	08/20/2009 03:53:17 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - HFHS Network (HMO)	01	01		1			H2312	009	0	2010	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2312	010	0	1	01	01	H2312_010_0	7	09/23/2009	2010.02	09/23/2009 10:09:41 AM Eastern Daylight Time	08/20/2009 03:51:18 PM Eastern Daylight Time	08/20/2009 03:53:40 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO)	01	01		1			H2312	010	0	2010	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2312	801	0	1	01	01	H2312_801_0	4	08/25/2009	2010.02	08/25/2009 12:48:50 PM Eastern Daylight Time	07/28/2009 05:11:49 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	801	0	2010	Macomb, Oakland and Wayne Counties		1		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1		
H2312	803	0	1	01	01	H2312_803_0	4	08/25/2009	2010.02	08/25/2009 12:48:35 PM Eastern Daylight Time	07/28/2009 05:12:15 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	803	0	2010	Macomb, Oakland and Wayne Counties		1		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2312	805	0	1	01	01	H2312_805_0	4	08/25/2009	2010.02	08/25/2009 12:48:23 PM Eastern Daylight Time	07/28/2009 05:13:21 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	805	0	2010	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1		
H2312	807	0	1	01	01	H2312_807_0	4	08/25/2009	2010.02	08/25/2009 12:49:04 PM Eastern Daylight Time	07/28/2009 05:13:49 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	807	0	2010	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2318	001	0	1	20	08	H2318_001_0	2	05/19/2009	2010.02	05/19/2009 09:23:49 AM Eastern Daylight Time		05/19/2009 12:42:12 PM Eastern Daylight Time		05/19/2009 01:06:43 PM Eastern Daylight Time	HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	Henry Ford Health System-Center for Senior Indepen (PACE)	08	20		1			H2318	001	0	2010	Michigan, Wayne County Area		2		2				2							Milwaukee.PACE@milliman.com									(313)-653-2020		(313)-653-2020		(313)-653-2020		(313)-653-2020																		1		
H2318	002	0	1	20	08	H2318_002_0	2	05/19/2009	2010.02	05/19/2009 09:24:22 AM Eastern Daylight Time		05/19/2009 12:42:09 PM Eastern Daylight Time		05/19/2009 01:06:43 PM Eastern Daylight Time	HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	Henry Ford Health System-Center for Senior Indepen (PACE)	08	20		1			H2318	002	0	2010	Michigan, Wayne County Area		2		2				2							Milwaukee.PACE@milliman.com									(313)-653-2020		(313)-653-2020		(313)-653-2020		(313)-653-2020																		1		
H2319	008	3	1	09	04	H2319_008_3	10	08/21/2009	2010.02	08/21/2009 04:23:52 PM Eastern Daylight Time	08/18/2009 05:31:21 PM Eastern Daylight Time	08/18/2009 03:39:38 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	3	2010	State of Michigan	UP + Northern Lower Michigan	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	008	4	1	09	04	H2319_008_4	8	08/21/2009	2010.02	08/21/2009 04:24:33 PM Eastern Daylight Time	08/18/2009 05:33:50 PM Eastern Daylight Time	08/18/2009 03:40:06 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	4	2010	State of Michigan	Ann Arbor-Jackson-Monroe Area	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	008	5	1	09	04	H2319_008_5	8	08/21/2009	2010.02	08/21/2009 04:24:47 PM Eastern Daylight Time	08/18/2009 05:34:47 PM Eastern Daylight Time	08/18/2009 03:40:45 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	5	2010	State of Michigan	Central lower Michigan and Thumb Area	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	008	7	1	09	04	H2319_008_7	8	08/21/2009	2010.02	08/21/2009 04:25:07 PM Eastern Daylight Time	08/18/2009 05:35:40 PM Eastern Daylight Time	08/18/2009 03:41:51 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	7	2010	State of Michigan	Macomb,  Oakland, Wayne Counties	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	008	9	1	09	04	H2319_008_9	8	08/21/2009	2010.02	08/21/2009 04:25:25 PM Eastern Daylight Time	08/18/2009 05:36:27 PM Eastern Daylight Time	08/18/2009 03:58:52 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	9	2010	State of Michigan	Grand Rapids and Muskegon Area	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	008	10	1	09	04	H2319_008_10	10	08/21/2009	2010.02	08/21/2009 04:25:51 PM Eastern Daylight Time	08/18/2009 05:37:03 PM Eastern Daylight Time	08/18/2009 03:39:06 PM Eastern Daylight Time		08/21/2009 05:06:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option A (PFFS)	04	09	2	1			H2319	008	10	2010	State of Michigan	Lansing and Southwest Michigan	2	19476	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	1	1	09	04	H2319_009_1	10	09/18/2009	2010.02	09/18/2009 12:31:50 PM Eastern Daylight Time	08/18/2009 05:37:44 PM Eastern Daylight Time	08/18/2009 04:01:19 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	1	2010	State of Michigan	Grand Rapids and Muskegon Area	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	2	1	09	04	H2319_009_2	10	09/18/2009	2010.02	09/18/2009 12:32:52 PM Eastern Daylight Time	08/18/2009 05:38:22 PM Eastern Daylight Time	08/18/2009 04:01:45 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	2	2010	State of Michigan	Lansing and Southwest Michigan	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	3	1	09	04	H2319_009_3	10	09/18/2009	2010.02	09/18/2009 12:32:26 PM Eastern Daylight Time	08/18/2009 05:39:02 PM Eastern Daylight Time	08/18/2009 04:02:27 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	3	2010	State of Michigan	UP + Northern Lower Michigan	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	4	1	09	04	H2319_009_4	10	09/18/2009	2010.02	09/18/2009 12:32:26 PM Eastern Daylight Time	08/18/2009 05:39:39 PM Eastern Daylight Time	08/18/2009 04:03:12 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	4	2010	State of Michigan	Ann Arbor-Jackson-Monroe Area	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	5	1	09	04	H2319_009_5	10	09/18/2009	2010.02	09/18/2009 12:32:27 PM Eastern Daylight Time	08/18/2009 05:40:17 PM Eastern Daylight Time	08/18/2009 04:03:37 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	5	2010	State of Michigan	Central Lower Michigan and Thumb Area	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	009	6	1	09	04	H2319_009_6	13	09/18/2009	2010.02	09/18/2009 12:32:28 PM Eastern Daylight Time	08/18/2009 05:40:56 PM Eastern Daylight Time	08/18/2009 04:04:10 PM Eastern Daylight Time		09/18/2009 01:02:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Option B (PFFS)	04	09	2	1			H2319	009	6	2010	State of Michigan	Macomb, Oakland and Wayne Counties	2	12306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2319	801	0	1	09	04	H2319_801_0	7	08/04/2009	2010.02	08/04/2009 04:12:07 PM Eastern Daylight Time	07/27/2009 10:10:03 AM Eastern Daylight Time			08/04/2009 04:16:05 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Employer Rx CY (PFFS)	04	09	2	1			H2319	801	0	2010	State of Michigan		1	140306	2				2							www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H2319	802	0	1	09	04	H2319_802_0	6	08/04/2009	2010.02	08/04/2009 04:12:31 PM Eastern Daylight Time	07/27/2009 10:15:17 AM Eastern Daylight Time			08/04/2009 04:16:05 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Employer CY (PFFS)	04	09	2	1			H2319	802	0	2010	State of Michigan		1	140306	2				2							www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415										(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704										1		
H2319	803	0	1	09	04	H2319_803_0	5	08/04/2009	2010.02	08/04/2009 04:12:33 PM Eastern Daylight Time	05/29/2009 01:24:04 PM Eastern Daylight Time			08/04/2009 04:16:05 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue Employer Rx non-CY (PFFS)	04	09	2	1			H2319	803	0	2010	State of Michigan		1	140306	2				2							www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H2320	007	0	1	02	01	H2320_007_0	6	08/04/2009	2010.02	08/04/2009 02:09:26 PM Eastern Daylight Time	08/17/2009 03:58:50 PM Eastern Daylight Time	08/17/2009 10:40:34 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare (HMO-POS)	01	02		1			H2320	007	0	2010	8 West and NW MI counties		2	1026	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	008	0	1	02	01	H2320_008_0	6	08/04/2009	2010.02	08/04/2009 02:14:12 PM Eastern Daylight Time	08/17/2009 03:59:22 PM Eastern Daylight Time	08/17/2009 10:19:10 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare (HMO-POS)	01	02		1			H2320	008	0	2010	7 NW MI counties and 3 SE MI counties		2	799	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	009	0	1	02	01	H2320_009_0	6	08/04/2009	2010.02	08/04/2009 02:14:40 PM Eastern Daylight Time	08/17/2009 03:56:12 PM Eastern Daylight Time	08/17/2009 10:19:34 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Plus (HMO-POS)	01	02		1			H2320	009	0	2010	8 West and NW MI counties		2	539	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	010	0	1	02	01	H2320_010_0	6	08/04/2009	2010.02	08/04/2009 02:15:00 PM Eastern Daylight Time	08/17/2009 03:56:40 PM Eastern Daylight Time	08/17/2009 10:19:58 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Plus (HMO-POS)	01	02		1			H2320	010	0	2010	7 NW MI counties and 3 SE MI counties		2	420	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	011	0	1	02	01	H2320_011_0	6	08/04/2009	2010.02	08/04/2009 02:15:20 PM Eastern Daylight Time	08/17/2009 04:06:34 PM Eastern Daylight Time	08/17/2009 10:20:20 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	011	0	2010	8 West and NW MI counties		2	237	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	012	0	1	02	01	H2320_012_0	6	08/04/2009	2010.02	08/04/2009 02:15:47 PM Eastern Daylight Time	08/17/2009 04:07:06 PM Eastern Daylight Time	08/17/2009 10:20:44 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	012	0	2010	7 NW MI Counties and 3 SE MI Counties		2	143	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	013	0	1	02	01	H2320_013_0	8	08/04/2009	2010.02	08/04/2009 02:16:04 PM Eastern Daylight Time	08/17/2009 03:58:18 PM Eastern Daylight Time	08/17/2009 10:21:08 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare (HMO-POS)	01	02		1			H2320	013	0	2010	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	7715	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	014	0	1	02	01	H2320_014_0	6	08/04/2009	2010.02	08/04/2009 02:16:35 PM Eastern Daylight Time	08/17/2009 03:55:40 PM Eastern Daylight Time	08/17/2009 10:21:34 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Plus (HMO-POS)	01	02		1			H2320	014	0	2010	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	3949	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	015	0	1	02	01	H2320_015_0	6	08/04/2009	2010.02	08/04/2009 02:17:03 PM Eastern Daylight Time	08/17/2009 04:06:02 PM Eastern Daylight Time	08/17/2009 10:21:56 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	015	0	2010	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	837	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	016	0	1	02	01	H2320_016_0	6	08/04/2009	2010.02	08/04/2009 02:17:34 PM Eastern Daylight Time	08/17/2009 03:59:52 PM Eastern Daylight Time	08/17/2009 10:22:24 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare (HMO-POS)	01	02		1			H2320	016	0	2010	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	87	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	017	0	1	02	01	H2320_017_0	6	08/04/2009	2010.02	08/04/2009 02:17:57 PM Eastern Daylight Time	08/17/2009 03:57:12 PM Eastern Daylight Time	08/17/2009 10:22:48 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Plus (HMO-POS)	01	02		1			H2320	017	0	2010	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	98	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	018	0	1	02	01	H2320_018_0	6	08/04/2009	2010.02	08/04/2009 02:18:23 PM Eastern Daylight Time	08/17/2009 04:07:36 PM Eastern Daylight Time	08/17/2009 10:23:14 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	018	0	2010	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	43	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	019	0	1	02	01	H2320_019_0	6	08/04/2009	2010.02	08/04/2009 02:18:49 PM Eastern Daylight Time	08/17/2009 04:00:24 PM Eastern Daylight Time	08/17/2009 10:23:40 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare (HMO-POS)	01	02		1			H2320	019	0	2010	Oakland and Washtenaw, MI counties		2	223	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	020	0	1	02	01	H2320_020_0	6	08/04/2009	2010.02	08/04/2009 02:19:15 PM Eastern Daylight Time	08/17/2009 03:57:44 PM Eastern Daylight Time	08/17/2009 10:24:02 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Plus (HMO-POS)	01	02		1			H2320	020	0	2010	Oakland and Washtenaw, MI counties		2	82	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	021	0	1	02	01	H2320_021_0	6	08/04/2009	2010.02	08/04/2009 02:19:36 PM Eastern Daylight Time	08/17/2009 04:08:08 PM Eastern Daylight Time	08/17/2009 10:24:26 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	021	0	2010	Oakland and Washtenaw, MI counties		2	30	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	802	0	1	02	01	H2320_802_0	5	08/04/2009	2010.02	08/04/2009 02:20:07 PM Eastern Daylight Time	05/30/2009 01:10:28 PM Eastern Daylight Time			08/05/2009 02:35:28 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare EG Non-Calendar Year (HMO-POS)	01	02		1			H2320	802	0	2010	State of Michigan		1	1168	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	803	0	1	02	01	H2320_803_0	5	08/04/2009	2010.02	08/04/2009 02:20:39 PM Eastern Daylight Time	05/30/2009 01:11:08 PM Eastern Daylight Time			08/05/2009 02:35:28 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare EG Calendar Year (HMO-POS)	01	02		1			H2320	803	0	2010	State of Michigan		1	5187	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	804	0	1	01	01	H2320_804_0	4	06/01/2009	2010.02	06/01/2009 04:07:22 PM Eastern Daylight Time	05/30/2009 01:11:50 PM Eastern Daylight Time			06/01/2009 04:19:35 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare EG HMO w PD Non-Cal Year (HMO)	01	01		1			H2320	804	0	2010	State of Michigan		1	138	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2320	805	0	1	01	01	H2320_805_0	4	06/01/2009	2010.02	06/01/2009 04:07:43 PM Eastern Daylight Time	05/30/2009 01:12:32 PM Eastern Daylight Time			06/01/2009 04:19:35 PM Eastern Daylight Time	PRIORITY HEALTH	PriorityMedicare	www.priorityhealth.com/medicare	PriorityMedicare EG HMO w PD Cal Year (HMO)	01	01		1			H2320	805	0	2010	State of Michigan		1	83	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H2322	001	0	1	04	01	H2322_001_0	6	09/23/2009	2010.02	09/23/2009 10:10:49 AM Eastern Daylight Time	08/20/2009 03:51:49 PM Eastern Daylight Time	08/20/2009 03:54:00 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO Plan (PPO)	01	04		1			H2322	001	0	2010	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2322	004	0	1	04	01	H2322_004_0	7	09/23/2009	2010.02	09/23/2009 10:13:48 AM Eastern Daylight Time	08/20/2009 03:52:14 PM Eastern Daylight Time	08/20/2009 03:54:21 PM Eastern Daylight Time		09/23/2009 11:36:29 AM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO Plan (PPO)	01	04		1			H2322	004	0	2010	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2322	801	0	1	04	01	H2322_801_0	5	08/25/2009	2010.02	08/25/2009 12:30:46 PM Eastern Daylight Time	07/28/2009 05:15:00 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO - Group Only (PPO)	01	04		1			H2322	801	0	2010	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1		
H2322	803	0	1	04	01	H2322_803_0	5	08/25/2009	2010.02	08/25/2009 12:30:35 PM Eastern Daylight Time	07/28/2009 05:15:25 PM Eastern Daylight Time			08/25/2009 12:50:07 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO - Group Only (PPO)	01	04		1			H2322	803	0	2010	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
H2323	005	0	1	01	01	H2323_005_0	4	08/19/2009	2010.02	08/19/2009 09:58:32 PM Central Daylight Time	08/20/2009 09:39:33 PM Central Daylight Time	08/20/2009 09:39:22 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Comfort (HMO)	01	01		1			H2323	005	0	2010	Michigan		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H2323	006	0	1	01	01	H2323_006_0	6	08/18/2009	2010.02	08/18/2009 08:52:12 PM Central Daylight Time	08/20/2009 09:39:33 PM Central Daylight Time	08/20/2009 09:39:24 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO)	01	01		1			H2323	006	0	2010	Michigan		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H2323	007	0	1	01	01	H2323_007_0	6	08/18/2009	2010.02	08/18/2009 09:45:23 PM Central Daylight Time	08/20/2009 09:39:35 PM Central Daylight Time	08/20/2009 09:39:28 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Independence (HMO)	01	01		1			H2323	007	0	2010	Michigan		2		2				1	1	2	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H2323	008	0	1	01	01	H2323_008_0	7	08/19/2009	2010.02	08/19/2009 09:59:24 AM Central Daylight Time	08/20/2009 09:39:41 PM Central Daylight Time	08/20/2009 09:39:34 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure at Home (HMO)	01	01		1			H2323	008	0	2010	Michigan		2		2				1	1	2	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H2354	001	0	1	01	01	H2354_001_0	4	08/04/2009	2010.02	08/04/2009 12:31:08 PM Eastern Daylight Time	08/18/2009 01:42:52 PM Eastern Daylight Time	08/18/2009 01:43:02 PM Eastern Daylight Time		08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO Option 1 (HMO)	01	01		1			H2354	001	0	2010	Mid-Michigan		2	2025	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H2354	013	0	1	01	01	H2354_013_0	3	08/19/2009	2010.02	08/19/2009 12:20:45 PM Eastern Daylight Time	08/18/2009 01:44:38 PM Eastern Daylight Time	08/18/2009 01:44:50 PM Eastern Daylight Time		08/19/2009 12:37:11 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO Option 2 (HMO)	01	01		1			H2354	013	0	2010	Mid-Michigan		2	1311	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H2354	801	0	1	01	01	H2354_801_0	2	06/03/2009	2010.02	06/03/2009 02:46:13 PM Eastern Daylight Time	06/03/2009 01:08:30 PM Eastern Daylight Time			06/03/2009 02:46:56 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO EG MA-Only (HMO)	01	01		1			H2354	801	0	2010	HealthPlus MedicarePlus - AdvantageHMO EG MA-Only		1	9186	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161										(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070										1		
H2354	802	0	1	01	01	H2354_802_0	2	06/03/2009	2010.02	06/03/2009 02:46:20 PM Eastern Daylight Time	06/03/2009 01:15:18 PM Eastern Daylight Time			06/03/2009 02:46:56 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO EG MA-PD (HMO)	01	01		1			H2354	802	0	2010	HealthPlus MedicarePlus - AdvantageHMO EG MA-PD		1	360	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1		
H2386	001	0	1	20	08	H2386_001_0	2	05/19/2009	2010.02	05/19/2009 01:16:24 PM Eastern Daylight Time		10/13/2009 05:15:20 PM Eastern Daylight Time		10/14/2009 11:42:40 AM Eastern Daylight Time	APPALACHIAN AENCY FOR SENIOR CITIZENS, INC.	Appalachian Agency for Senior Citizens, Inc,	www.aasc.org	AllCARE for Seniors - Duals (PACE)	08	20		1			H2386	001	0	2010	Counties:  Buchanan, Dickenson, Russell, Tazewell		2		2				2							www.aasc.org									(800)-656-2272		(276)-964-4915		(800)-656-2272		(276)-964-4915																		1		
H2386	002	0	1	20	08	H2386_002_0	2	05/19/2009	2010.02	05/19/2009 01:16:48 PM Eastern Daylight Time		10/13/2009 05:15:20 PM Eastern Daylight Time		10/14/2009 11:42:40 AM Eastern Daylight Time	APPALACHIAN AENCY FOR SENIOR CITIZENS, INC.	Appalachian Agency for Senior Citizens, Inc,	www.aasc.org	AllCARE for Seniors - Medicare only (PACE)	08	20		1			H2386	002	0	2010	Counties:  Buchanan, Dickenson, Russell, Tazewell		2		2				2							www.aasc.org									(800)-656-2272		(276)-964-4915		(800)-656-2272		(276)-964-4915																		1		
H2406	001	0	1	04	01	H2406_001_0	4	08/20/2009	2010.02	08/20/2009 02:51:23 PM Central Daylight Time	08/19/2009 04:19:14 PM Central Daylight Time	08/13/2009 05:46:54 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H2406	001	0	2010	Cleveland, Cincinnati and Columbus Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2409	801	0	1	09	04	H2409_801_0	3	06/09/2009	2010.02	06/09/2009 10:34:12 AM Central Daylight Time	05/30/2009 02:30:44 PM Central Daylight Time			06/09/2009 10:36:31 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Advantage Solution - Calendar Rx (PFFS)	04	09	2	1			H2409	801	0	2010	National Group PFFS - Calendar Rx		1	9	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2409	802	0	1	09	04	H2409_802_0	3	06/09/2009	2010.02	06/09/2009 10:35:29 AM Central Daylight Time	05/30/2009 02:47:30 PM Central Daylight Time			06/09/2009 10:36:31 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Advantage Solution - Contract Rx (PFFS)	04	09	2	1			H2409	802	0	2010	National Group PFFS - Contract Rx		1	285	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2409	803	0	1	09	04	H2409_803_0	3	06/09/2009	2010.02	06/09/2009 10:35:51 AM Central Daylight Time	05/30/2009 02:48:58 PM Central Daylight Time			06/09/2009 10:36:31 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Advantage Solution - Calendar No Rx (PFFS)	04	09	2	1			H2409	803	0	2010	National Group PFFS - NO Rx		1	1	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330										(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880										1		
H2410	001	0	1	09	04	H2410_001_0	5	05/29/2009	2010.02	05/29/2009 04:29:55 PM Central Daylight Time	05/30/2009 02:53:32 PM Central Daylight Time			06/01/2009 11:38:06 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Solution Standard (PFFS)	04	09	2	1			H2410	001	0	2010	Select Counties In MN and ND		2	209	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345										(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880										1		
H2410	009	0	1	09	04	H2410_009_0	4	05/29/2009	2010.02	05/29/2009 04:26:58 PM Central Daylight Time	07/23/2009 05:51:29 PM Central Daylight Time	07/23/2009 06:56:48 PM Central Daylight Time		07/27/2009 01:58:42 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Solution Choice (PFFS)	04	09	2	1			H2410	009	0	2010	Select counties in MN and  ND		2	1320	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-373-8335		(952)-992-2322		(800)-906-5432		(952)-992-2345		(800)-373-8335		(952)-992-2322		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2410	015	0	1	09	04	H2410_015_0	5	08/20/2009	2010.02	08/20/2009 11:38:58 AM Central Daylight Time	08/19/2009 05:08:46 PM Central Daylight Time	08/20/2009 02:22:59 PM Central Daylight Time		08/20/2009 03:07:24 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Solution Standard with Rx (PFFS)	04	09	2	1			H2410	015	0	2010	Select Counties in MN and ND		2	2475	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2410	801	0	1	09	04	H2410_801_0	2	06/01/2009	2010.02	06/01/2009 09:53:43 AM Central Daylight Time	05/30/2009 03:02:52 PM Central Daylight Time			06/01/2009 10:02:45 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Group Advantage Solution - Calendar Rx (PFFS)	04	09	2	1			H2410	801	0	2010	National Group PFFS - Calendar Rx		1	3840	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2410	802	0	1	09	04	H2410_802_0	2	06/01/2009	2010.02	06/01/2009 09:53:54 AM Central Daylight Time	05/30/2009 03:09:12 PM Central Daylight Time			06/01/2009 10:02:45 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Group Advantage Solution - Contract Rx (PFFS)	04	09	2	1			H2410	802	0	2010	National Group PFFS - Contract Rx		1	30	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2410	803	0	1	09	04	H2410_803_0	2	06/01/2009	2010.02	06/01/2009 09:54:08 AM Central Daylight Time	05/30/2009 03:18:28 PM Central Daylight Time			06/01/2009 10:02:45 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Group Advantage Solution - Calendar No Rx (PFFS)	04	09	2	1			H2410	803	0	2010	National Group PFFS - Calendar NO Rx		1	42	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330										(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880										1		
H2411	002	0	1	04	01	H2411_002_0	6	08/20/2009	2010.02	08/20/2009 08:57:32 AM Eastern Daylight Time	08/20/2009 08:23:39 AM Eastern Daylight Time	08/20/2009 08:23:53 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Preferred Enhanced Rx (PPO)	01	04		1			H2411	002	0	2010	WORC county,parts of FRK,HMD,HPS,MSEX,NOF counties		2	357	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H2411	801	0	1	04	01	H2411_801_0	2	08/05/2009	2010.02	08/05/2009 09:11:57 AM Eastern Daylight Time	05/31/2009 11:01:48 PM Eastern Daylight Time			08/05/2009 11:55:47 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	PPO MA Only (PPO)	01	04		1			H2411	801	0	2010	Full Service Area - Employer Groups		1	114	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1		
H2411	803	0	1	04	01	H2411_803_0	2	08/05/2009	2010.02	08/05/2009 09:12:28 AM Eastern Daylight Time	05/31/2009 11:01:57 PM Eastern Daylight Time			08/05/2009 11:55:47 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	PPO MA RX Coinsurance - Calendar Year (PPO)	01	04		1			H2411	803	0	2010	Full Service Area - Employer Groups		1	232	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H2416	001	0	1	01	01	H2416_001_0	4	06/01/2009	2010.02	06/01/2009 08:20:29 PM Central Daylight Time	08/17/2009 10:55:18 AM Central Daylight Time	08/17/2009 10:57:30 AM Central Daylight Time		08/18/2009 12:01:49 PM Central Daylight Time	PRIMEWEST HEALTH SYSTEM	PrimeWest Health	http://www.primewest.org	PrimeWest Senior Health Complete (HMO)	01	01		1			H2416	001	0	2010	West Central and Southwest Minnesota		2	2820	2		2		1	3		1	5		http://www.primewest.org/find_doctor.xml	http://www.myrxassistant.com	(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1		
H2417	001	0	1	01	01	H2417_001_0	5	08/07/2009	2010.02	08/07/2009 02:53:54 PM Central Daylight Time	08/17/2009 10:49:11 AM Central Daylight Time	08/17/2009 10:50:34 AM Central Daylight Time		08/18/2009 11:50:57 AM Central Daylight Time	ITASCA MEDICAL CARE	Itasca Medical Care	http://www.co.itasca.mn.us/hhs/imcare/	IMCare Classic (HMO)	01	01		1			H2417	001	0	2010	Itasca County		2	456	2		2		1	3		1	5		http://www.co.itasca.mn.us/hhs/imcare/providers.htm	https://www.advancerx.com/advpcsrx_pmwroot/pmwroot/Formulary/00717/IndexForm.jsp	(800)-843-9536	2188	(218)-327-6188		(800)-843-9536	2188	(218)-327-6188		(800)-843-9536		(218)-327-6188		(800)-843-9536	2188	(218)-327-6188		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		1		
H2419	001	0	1	01	01	H2419_001_0	3	06/01/2009	2010.02	06/01/2009 05:47:02 PM Central Daylight Time	08/19/2009 03:11:29 PM Central Daylight Time	08/19/2009 03:11:37 PM Central Daylight Time		08/19/2009 03:13:15 PM Central Daylight Time	SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	SeniorCare Complete (HMO)	01	01		1			H2419	001	0	2010	Select Counties in Minnesota		2	2332	1	1	2		1	3		1	5		www.mnscha.org	https://www.myrxassistant.com/	(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		1		
H2422	002	0	1	01	01	H2422_002_0	4	08/20/2009	2010.02	08/20/2009 01:24:34 PM Central Daylight Time	08/20/2009 01:00:17 PM Central Daylight Time	08/13/2009 03:43:11 PM Central Daylight Time		08/20/2009 03:46:17 PM Central Daylight Time	HEALTHPARTNERS, INC.	HealthPartners Classic MN Senior Health Options	www.healthpartners.com/medicare	Classic Minnesota Senior Health Options (HMO)	01	01		1			H2422	002	0	2010	Twin Cities Metropolitian Area		2	2650	2		2		1	3		1	5		www.healthpartners.com/medicare	Healthpartners.com/partdpharmacy	(888)-820-4285		(952)-967-7029		(888)-820-4285		(952)-883-5050		(888)-820-4285		(952)-967-7029		(888)-820-4285		(952)-883-5050		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2425	001	0	1	01	01	H2425_001_0	2	08/20/2009	2010.02	08/20/2009 03:59:31 PM Central Daylight Time	08/20/2009 03:35:44 PM Central Daylight Time	08/19/2009 08:55:00 AM Central Daylight Time		08/20/2009 05:23:23 PM Central Daylight Time	BLUE PLUS	Blue Plus	www.bluecrossmn.com	SecureBlue (HMO)	01	01		1			H2425	001	0	2010	56 Counties within the State of Minnesota		2	10532	2		2		1	3		1	5		www.bluecrossmn.com	www.bluecrossmn.com	(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		1		
H2450	001	0	1	18	06	H2450_001_0	4	08/19/2009	2010.02	08/19/2009 12:19:41 PM Central Daylight Time		08/19/2009 10:45:53 AM Central Daylight Time		08/19/2009 02:39:12 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Std Rx - MN (Cost)	06	18		1			H2450	001	0	2010	Select Counties in MN		2	18051	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	002	0	1	18	06	H2450_002_0	3	07/27/2009	2010.02	07/27/2009 02:56:25 PM Central Daylight Time		07/28/2009 08:01:00 AM Central Daylight Time		08/05/2009 10:36:27 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Std. Rx - MN (Cost)	06	18		1			H2450	002	0	2010	Select Counties in MN		2	15756	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	005	0	1	18	06	H2450_005_0	5	08/19/2009	2010.02	08/19/2009 12:21:01 PM Central Daylight Time		08/19/2009 02:56:27 PM Central Daylight Time		08/19/2009 04:02:03 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Enhanced Rx - MN (Cost)	06	18		1			H2450	005	0	2010	Select Counties in MN		2	651	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	006	0	1	18	06	H2450_006_0	5	07/27/2009	2010.02	07/27/2009 03:00:56 PM Central Daylight Time		07/28/2009 08:02:00 AM Central Daylight Time		08/05/2009 10:45:07 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Enhanced Rx- MN (Cost)	06	18		1			H2450	006	0	2010	Select Counties in MN		2	3550	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	007	0	1	18	06	H2450_007_0	3	07/27/2009	2010.02	07/27/2009 03:03:42 PM Central Daylight Time		07/28/2009 08:03:00 AM Central Daylight Time		08/05/2009 10:49:03 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value (Cost)	06	18		1			H2450	007	0	2010	Slelect counties in MN, SD, ND and WI		2	136	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	008	0	1	18	06	H2450_008_0	5	08/19/2009	2010.02	08/19/2009 12:22:10 PM Central Daylight Time		08/19/2009 10:48:56 AM Central Daylight Time		08/19/2009 02:58:12 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Standard Rx - WI (Cost)	06	18		1			H2450	008	0	2010	Select Counties in Wisconsin		2	527	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	009	0	1	18	06	H2450_009_0	4	08/19/2009	2010.02	08/19/2009 09:32:50 AM Central Daylight Time		08/19/2009 02:58:33 PM Central Daylight Time		08/19/2009 04:06:50 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Enhanced Rx - WI (Cost)	06	18		1			H2450	009	0	2010	Select counties in Wisconsin		2	223	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	010	0	1	18	06	H2450_010_0	4	08/19/2009	2010.02	08/19/2009 12:23:02 PM Central Daylight Time		08/19/2009 02:59:54 PM Central Daylight Time		08/19/2009 03:23:34 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Enhanced Rx - WI (Cost)	06	18		1			H2450	010	0	2010	Select Counties in Wisconsin		2	21	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	011	0	1	18	06	H2450_011_0	5	08/19/2009	2010.02	08/19/2009 12:09:54 PM Central Daylight Time		08/19/2009 10:53:02 AM Central Daylight Time		08/19/2009 03:11:34 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Standard Rx - WI (Cost)	06	18		1			H2450	011	0	2010	Select Counties in Wisconsin		2	1129	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	012	0	1	18	06	H2450_012_0	5	08/19/2009	2010.02	08/19/2009 12:24:04 PM Central Daylight Time		08/19/2009 10:53:48 AM Central Daylight Time		08/19/2009 03:17:08 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Standard Rx - ND/SD (Cost)	06	18		1			H2450	012	0	2010	Select Counties in North Dakota and South Dakota		2	525	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	013	0	1	18	06	H2450_013_0	4	08/19/2009	2010.02	08/19/2009 12:24:48 PM Central Daylight Time		08/19/2009 03:08:54 PM Central Daylight Time		08/19/2009 03:32:29 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Enhanced Rx - ND/SD (Cost)	06	18		1			H2450	013	0	2010	Select Counties in North Dakota and South Dakota		2	16	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	014	0	1	18	06	H2450_014_0	6	08/19/2009	2010.02	08/19/2009 12:11:41 PM Central Daylight Time		08/19/2009 10:56:12 AM Central Daylight Time		08/19/2009 03:38:14 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Std Rx - ND/SD (Cost)	06	18		1			H2450	014	0	2010	Select counties in North and South Dakota		2	618	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	015	0	1	18	06	H2450_015_0	4	08/19/2009	2010.02	08/19/2009 12:12:09 PM Central Daylight Time		08/19/2009 03:09:47 PM Central Daylight Time		08/19/2009 03:42:37 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Sol. Enhanced w/Enhanced Rx - ND/SD (Cost)	06	18		1			H2450	015	0	2010	Select Counties in North and South Dakota		2	153	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	801	0		18	06	H2450_801_0	2	05/28/2009	2010.02						MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Prime Solution- Calendar Rx (Cost)	06	18					H2450	801	0	2010	Select MN, ND , SD and Wisconsin counties		1						2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330				(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2450	802	0		18	06	H2450_802_0	2	05/28/2009	2010.02						MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Prime Solution- Contract Rx (Cost)	06	18					H2450	802	0	2010	Select MN, ND , SD and WI counties		1						2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330				(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2456	002	0	1	01	01	H2456_002_0	6	08/04/2009	2010.02	08/04/2009 12:01:53 PM Central Daylight Time	08/18/2009 12:37:49 PM Central Daylight Time	08/14/2009 11:11:34 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare's Minnesota Senior Health Options (HMO)	01	01		1			H2456	002	0	2010	Minneapolis, St. Paul, and Greater Minnesota Area		2		2		2		1	3		1	5		www.ucare.org	www.ucare.org	(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2457	002	0	1	01	01	H2457_002_0	4	07/29/2009	2010.02	07/29/2009 10:43:02 AM Central Daylight Time	08/14/2009 03:05:36 PM Central Daylight Time	08/14/2009 03:05:36 PM Central Daylight Time		08/18/2009 03:40:07 PM Central Daylight Time	METROPOLITAN HEALTH PLAN	Metropolitan Health Plan MSHO	www.mhp4life.org	MHP MSHO (HMO)	01	01		1			H2457	002	0	2010	Minnesota		2	850	2		2		1	3		1	5		www.mhp4life.org	http//www.mhp4life.org	(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1		
H2458	002	0	1	01	01	H2458_002_0	6	08/20/2009	2010.02	08/20/2009 12:51:14 PM Central Daylight Time	08/19/2009 06:18:00 PM Central Daylight Time	08/19/2009 10:44:01 AM Central Daylight Time		08/20/2009 03:11:59 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Dual Solution (HMO)	01	01		1			H2458	002	0	2010	Specific Minnesota Counties		2	11191	2		2		1	3		1	5		https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H2459	001	0	1	02	01	H2459_001_0	5	08/04/2009	2010.02	08/04/2009 12:11:45 PM Central Daylight Time	06/01/2009 08:27:39 PM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value (HMO-POS)	01	02		1			H2459	001	0	2010	Twin Cities and St. Cloud Area (16 counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1		
H2459	002	0	1	02	01	H2459_002_0	8	08/04/2009	2010.02	08/04/2009 01:09:22 PM Central Daylight Time	08/14/2009 09:09:21 AM Central Daylight Time	08/14/2009 09:08:44 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Classic (HMO-POS)	01	02		1			H2459	002	0	2010	Twin Cities and St. Cloud Area (16 counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	005	0	1	02	01	H2459_005_0	5	08/04/2009	2010.02	08/04/2009 12:19:27 PM Central Daylight Time	06/01/2009 06:58:27 PM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value (HMO-POS)	01	02		1			H2459	005	0	2010	Greater Minnesota (71 Counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1		
H2459	006	0	1	02	01	H2459_006_0	7	08/04/2009	2010.02	08/04/2009 12:16:08 PM Central Daylight Time	08/14/2009 09:17:15 AM Central Daylight Time	08/14/2009 09:18:04 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Classic (HMO-POS)	01	02		1			H2459	006	0	2010	Greater Minnesota (71 Counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	013	0	1	02	01	H2459_013_0	7	08/04/2009	2010.02	08/04/2009 12:16:29 PM Central Daylight Time	08/14/2009 09:22:33 AM Central Daylight Time	08/14/2009 09:23:11 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value Plus (HMO-POS)	01	02		1			H2459	013	0	2010	Twin Cities and St. Cloud Area (16 counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	014	0	1	02	01	H2459_014_0	7	08/04/2009	2010.02	08/04/2009 12:16:49 PM Central Daylight Time	08/14/2009 09:35:12 AM Central Daylight Time	08/14/2009 09:35:41 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value Plus (HMO-POS)	01	02		1			H2459	014	0	2010	Greater Minnesota  (71 Counties)		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	016	0	1	01	01	H2459_016_0	5	08/03/2009	2010.02	08/03/2009 03:46:14 PM Central Daylight Time	08/18/2009 12:38:35 PM Central Daylight Time	08/14/2009 11:13:44 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare Connect (HMO)	01	01		1			H2459	016	0	2010	Minneapolis, St. Paul, and Greater Minnesota Area		2		2		2		1	3		1	5		www.ucare.org	www.ucare.org	(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	801	0	1	02	01	H2459_801_0	5	08/04/2009	2010.02	08/04/2009 12:17:10 PM Central Daylight Time	06/01/2009 05:25:51 PM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	Group UCare for Seniors Calendar (HMO-POS)	01	02		1			H2459	801	0	2010	State of Minnesota and 26 Wisconsin Counties		1		2				2						www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2459	803	0	1	02	01	H2459_803_0	5	08/04/2009	2010.02	08/04/2009 12:17:28 PM Central Daylight Time	06/01/2009 05:26:25 PM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	Group UCare for Seniors Non Calendar (HMO-POS)	01	02		1			H2459	803	0	2010	State of Minnesota and 26 Wisconsin Counties		1		2				2						www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H2461	005	0	1	18	06	H2461_005_0	3	08/20/2009	2010.02	08/20/2009 03:19:33 PM Central Daylight Time				08/20/2009 03:32:05 PM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Core Plan (Cost)	06	18		1			H2461	005	0	2010	State of Minnesota		2	2000	2				2							www.bluecrossmn.com	(800)-531-6686		(651)-662-5020		(877)-662-2583		(651)-662-2583										(888)-878-0137		(888)-878-0137		(866)-582-1158		(866)-582-1158										2		
H2461	006	0	1	18	06	H2461_006_0	3	08/20/2009	2010.02	08/20/2009 03:20:22 PM Central Daylight Time				08/20/2009 03:32:05 PM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Choice Plan (Cost)	06	18		1			H2461	006	0	2010	State of Minnesota		2	2000	2				2							www.bluecrossmn.com	(800)-531-6686		(651)-662-5020		(877)-662-2583		(651)-662-2583										(888)-878-0137		(888)-878-0137		(866)-582-1158		(866)-582-1158										2		
H2461	007	0	1	18	06	H2461_007_0	3	08/20/2009	2010.02	08/20/2009 03:20:42 PM Central Daylight Time				08/20/2009 03:32:05 PM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Complete Plan (Cost)	06	18		1			H2461	007	0	2010	State of Minnesota		2	2000	2				2							www.bluecrossmn.com	(800)-531-6686		(651)-662-5020		(877)-662-2583		(651)-662-2583										(888)-878-0137		(888)-878-0137		(866)-582-1158		(866)-582-1158										2		
H2462	004	0	1	18	06	H2462_004_0	2	05/27/2009	2010.01	05/27/2009 01:38:16 PM Central Daylight Time				05/29/2009 12:00:19 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan I (Cost)	06	18		1			H2462	004	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1		
H2462	007	0	1	18	06	H2462_007_0	2	05/27/2009	2010.01	05/27/2009 01:39:11 PM Central Daylight Time				05/29/2009 12:03:48 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan II (Cost)	06	18		1			H2462	007	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1		
H2462	008	0	1	18	06	H2462_008_0	4	06/29/2009	2010.02	06/29/2009 10:11:07 AM Central Daylight Time		08/13/2009 03:31:15 PM Central Daylight Time		08/19/2009 04:58:43 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan II Standard Rx (Cost)	06	18		1			H2462	008	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	010	0	1	18	06	H2462_010_0	1	05/20/2009	2010.02	05/20/2009 05:56:49 PM Central Daylight Time				05/27/2009 02:26:12 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan III (Cost)	06	18		1			H2462	010	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1		
H2462	011	0	1	18	06	H2462_011_0	4	05/26/2009	2010.02	05/26/2009 04:19:18 PM Central Daylight Time		08/13/2009 03:34:14 PM Central Daylight Time		08/20/2009 02:01:20 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan III StandardRx (Cost)	06	18		1			H2462	011	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	012	0	1	18	06	H2462_012_0	6	07/24/2009	2010.02	07/24/2009 08:32:18 AM Central Daylight Time		08/13/2009 04:17:45 PM Central Daylight Time		08/20/2009 02:11:16 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan III EnhancedRx (Cost)	06	18		1			H2462	012	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	014	0	1	18	06	H2462_014_0	4	06/16/2009	2010.02	06/16/2009 12:10:55 PM Central Daylight Time		08/13/2009 03:36:05 PM Central Daylight Time		08/20/2009 02:19:29 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom III Std Plus Rx (Cost)	06	18		1			H2462	014	0	2010	State of Minnesota		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	015	0	1	18	06	H2462_015_0	1	05/27/2009	2010.01	05/27/2009 12:29:39 PM Central Daylight Time				05/27/2009 12:52:08 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	Wisconsin Freedom Plan I (Cost)	06	18		1			H2462	015	0	2010	Western Wisconsin		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1		
H2462	016	0	1	18	06	H2462_016_0	1	05/26/2009	2010.02	05/26/2009 05:10:10 PM Central Daylight Time				05/27/2009 12:59:49 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	Wisconsin Freedom Plan II (Cost)	06	18		1			H2462	016	0	2010	Western Wisconsin		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1		
H2462	017	0	1	18	06	H2462_017_0	2	05/26/2009	2010.02	05/26/2009 05:11:25 PM Central Daylight Time		08/13/2009 03:37:40 PM Central Daylight Time		08/20/2009 02:24:21 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	Wisconsin Plan II Standard Rx (Cost)	06	18		1			H2462	017	0	2010	Western Wisconsin		2		2				2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	801	0		18	06	H2462_801_0	1	05/27/2009	2010.02						GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Calendar Year (Cost)	06	18					H2462	801	0	2010	State of MN Western Wisconsin		1						2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015				(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2462	802	0		18	06	H2462_802_0	1	05/27/2009	2010.02						GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Non-Calendar Year (Cost)	06	18					H2462	802	0	2010	State of MN Western Wisconsin		1						2							Healthpartners.com/partdpharmacy	(800)-233-9645		(952)-883-7979		(800)-247-7015				(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H2481	003	0	1	04	01	H2481_003_0	7	08/28/2009	2010.02	08/28/2009 08:10:49 AM Pacific Daylight Time	08/31/2009 11:28:32 AM Pacific Daylight Time			09/01/2009 07:01:25 AM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.org	CareSource Diamond (PPO)	01	04		1			H2481	003	0	2010	Counties: JO, JA, DO*, CU.		2	100	2				2						http://www.caresourcehp.com/provnet/provnet.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H2481	004	0	1	04	01	H2481_004_0	7	08/28/2009	2010.02	08/28/2009 08:11:15 AM Pacific Daylight Time	08/20/2009 11:29:31 AM Pacific Daylight Time	08/20/2009 11:29:32 AM Pacific Daylight Time		08/28/2009 08:18:21 AM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.org	CareSource Diamond Plus Rx (PPO)	01	04		1			H2481	004	0	2010	Counties: JO, JA, DO*, CU.		2	211	2				2						http://www.caresourcehp.com/provnet/provnet.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H2486	002	0	1	01	01	H2486_002_0	9	08/20/2009	2010.01	08/20/2009 04:00:54 PM Eastern Daylight Time	08/18/2009 04:30:42 PM Eastern Daylight Time	08/19/2009 10:34:00 AM Eastern Daylight Time		08/20/2009 04:16:11 PM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Gold Plus H2486-002 (HMO)	01	01		1			H2486	002	0	2010	Davis, Salt Lake, Utah, Weber		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2486	801	0	1	01	01	H2486_801_0	2	05/26/2009	2010.02	05/26/2009 04:00:35 PM Eastern Daylight Time	07/21/2009 03:27:36 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2486	801	0	2010	Utah		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2486	802	0	1	01	01	H2486_802_0	2	05/26/2009	2010.02	05/26/2009 04:01:01 PM Eastern Daylight Time	07/21/2009 04:13:28 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2486	802	0	2010	Utah		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2486	803	0	1	01	01	H2486_803_0	2	05/26/2009	2010.02	05/26/2009 04:01:23 PM Eastern Daylight Time	07/21/2009 04:14:20 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2486	803	0	2010	Utah		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2491	001	0	1	01	01	H2491_001_0	6	08/18/2009	2010.02	08/18/2009 12:48:49 PM Eastern Daylight Time	08/18/2009 02:32:33 PM Eastern Daylight Time	08/17/2009 11:13:14 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	WellCare	www.wellcare.com	'Ohana Reserve (HMO)	01	01		1			H2491	001	0	2010	Honolulu County		2		2				2						www.wellcare.com	www.wellcare.com	(888)-505-1201		(888)-505-1201		(866)-793-2465		(866)-793-2465		(888)-505-1201		(888)-505-1201		(866)-793-2465		(866)-793-2465		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H2491	002	0	1	02	01	H2491_002_0	5	07/21/2009	2010.02	07/21/2009 11:28:38 AM Eastern Daylight Time	08/18/2009 02:32:50 PM Eastern Daylight Time	08/17/2009 11:13:25 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	WellCare	www.wellcare.com	'Ohana Value (HMO-POS)	01	02		1			H2491	002	0	2010	Honolulu County		2		2				2						www.wellcare.com	www.wellcare.com	(888)-505-1201		(888)-505-1201		(866)-793-2465		(866)-793-2465		(888)-505-1201		(888)-505-1201		(866)-793-2465		(866)-793-2465		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H2537	001	0	1	20	08	H2537_001_0	1	05/19/2009	2010.01	05/19/2009 01:16:33 PM Eastern Daylight Time		05/19/2009 07:48:31 AM Eastern Daylight Time		05/19/2009 01:49:32 PM Eastern Daylight Time	LIFE LUTHERAN	LIFE Lutheran Services, Inc.	www.lifelutheranservices.org	LIFE Lutheran - Dual (PACE)	08	20		1			H2537	001	0	2010	Franklin County		2	34	2				2							www.lifelutheranservices.org									(877)-543-0000		(717)-264-5433		(877)-543-0000		(717)-264-5433																		1		
H2537	002	0	1	20	08	H2537_002_0	1	05/19/2009	2010.01	05/19/2009 01:17:37 PM Eastern Daylight Time		05/19/2009 07:48:25 AM Eastern Daylight Time		05/19/2009 01:49:32 PM Eastern Daylight Time	LIFE LUTHERAN	LIFE Lutheran Services, Inc.	www.lifelutheranservices.org	LIFE Lutheran - Medicare Only (PACE)	08	20		1			H2537	002	0	2010	Franklin County		2	34	2				2							www.lifelutheranservices.org									(877)-543-0000		(717)-264-5433		(877)-543-0000		(717)-264-5433																		1		
H2542	001	0	1	04	01	H2542_001_0	8	08/12/2009	2010.02	08/12/2009 02:36:37 PM Eastern Daylight Time	08/18/2009 04:01:32 PM Eastern Daylight Time	08/19/2009 10:34:08 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-001 (PPO)	01	04		1			H2542	001	0	2010	Richmond Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2542	002	0	1	04	01	H2542_002_0	8	07/22/2009	2010.02	07/22/2009 10:23:13 AM Eastern Daylight Time	08/18/2009 04:02:04 PM Eastern Daylight Time	08/19/2009 10:34:17 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-002 (PPO)	01	04		1			H2542	002	0	2010	Tide Water/Norfolk Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2542	801	0	1	04	01	H2542_801_0	4	07/10/2009	2010.02	07/16/2009 08:03:33 AM Eastern Daylight Time	07/21/2009 03:45:36 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2542	801	0	2010	Select Counties in Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2542	802	0	1	04	01	H2542_802_0	3	07/10/2009	2010.02	07/16/2009 08:03:58 AM Eastern Daylight Time	07/21/2009 04:38:14 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2542	802	0	2010	Select Counties in Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2542	803	0	1	04	01	H2542_803_0	3	07/10/2009	2010.02	07/16/2009 08:04:21 AM Eastern Daylight Time	07/21/2009 04:38:30 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H2542	803	0	2010	Select Counties in Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2593	001	0	1	01	01	H2593_001_0	6	08/19/2009	2010.02	08/19/2009 06:41:48 PM Pacific Daylight Time	08/20/2009 08:31:02 AM Pacific Daylight Time	08/18/2009 03:38:45 PM Pacific Daylight Time		08/20/2009 05:07:16 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H2593	001	0	2010	Pima County		2	1405	2				2						www.caremore.com	www.caremore.com/formulary.aspx	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H2593	003	0	1	01	01	H2593_003_0	6	08/19/2009	2010.02	08/19/2009 06:32:58 PM Pacific Daylight Time	08/20/2009 08:38:36 AM Pacific Daylight Time	08/18/2009 03:39:35 PM Pacific Daylight Time		08/20/2009 05:13:53 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Touch (HMO)	01	01		1			H2593	003	0	2010	Pima County		2	97	2				1	1	1	1			www.caremore.com	www.caremore.com/formulary.aspx	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H2593	005	0	1	01	01	H2593_005_0	6	08/19/2009	2010.02	08/19/2009 06:42:04 PM Pacific Daylight Time	08/20/2009 08:37:35 AM Pacific Daylight Time	08/18/2009 03:40:18 PM Pacific Daylight Time		08/20/2009 05:18:23 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Breathe (HMO)	01	01		1			H2593	005	0	2010	Pima County		2	185	2				1	4		1		000000000001000	www.caremore.com	www.caremore.com/formulary.aspx	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H2593	006	0	1	01	01	H2593_006_0	6	08/19/2009	2010.02	08/19/2009 06:42:19 PM Pacific Daylight Time	08/20/2009 08:36:24 AM Pacific Daylight Time	08/18/2009 03:41:01 PM Pacific Daylight Time		08/20/2009 05:22:41 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Diabetes (HMO)	01	01		1			H2593	006	0	2010	Pima County		2	392	2				1	4		1		000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H2609	001	0	1	20	08	H2609_001_0	1	05/27/2009	2010.02	05/27/2009 03:19:06 PM Central Daylight Time		05/27/2009 10:03:17 AM Central Daylight Time		05/27/2009 03:22:04 PM Central Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	dbland@alexianbrothers.net	Dual Eligibles (PACE)	08	20		1			H2609	001	0	2010	St. Louis City and St. Louis County		2		2				2							dbland@alexianbrothers.net									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159																	1		
H2609	002	0	1	20	08	H2609_002_0	1	05/27/2009	2010.02	05/27/2009 03:19:20 PM Central Daylight Time		05/27/2009 10:03:17 AM Central Daylight Time		05/27/2009 03:22:04 PM Central Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	dbland@alexianbrothers.net	Medicare Only (PACE)	08	20		1			H2609	002	0	2010	St. Louis City and St. Louis County		2		2				2							dbland@alexianbrothers.net									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159																	1		
H2610	005	0	1	01	01	H2610_005_0	5	08/19/2009	2010.01	08/19/2009 02:25:57 PM Central Daylight Time	08/19/2009 08:13:26 AM Central Daylight Time	08/19/2009 08:28:31 AM Central Daylight Time		08/19/2009 09:33:13 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H2610	005	0	2010	St. Louis Metropolitan Area		2	20157	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		1		
H2610	006	0	1	01	01	H2610_006_0	4	05/26/2009	2010.01	05/26/2009 10:19:48 AM Central Daylight Time	08/19/2009 08:14:17 AM Central Daylight Time	08/19/2009 08:29:14 AM Central Daylight Time		08/19/2009 01:07:11 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H2610	006	0	2010	St. Louis Metropolitan Area		2	965	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		1		
H2610	010	0	1	01	01	H2610_010_0	4	08/19/2009	2010.01	08/19/2009 02:26:24 PM Central Daylight Time	08/19/2009 08:15:07 AM Central Daylight Time	08/19/2009 08:29:50 AM Central Daylight Time		08/19/2009 09:36:35 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO)	01	01		1			H2610	010	0	2010	St. Louis Metropolitan Area		2	1444	2				1	4		1		000000100000000	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		1		
H2610	011	0	1	01	01	H2610_011_0	8	08/19/2009	2010.01	08/19/2009 02:26:47 PM Central Daylight Time	08/19/2009 08:16:09 AM Central Daylight Time	08/19/2009 08:30:36 AM Central Daylight Time		08/19/2009 09:39:55 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H2610	011	0	2010	Columbia Metropolitan Area		2	696	2				2						www.essencehealthcare.com	www.essencehealthcare.com			(314)-851-3600				(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600				(314)-851-3601				(314)-851-3601				(314)-851-3601				(314)-851-3601		1		
H2610	803	0	1	01	01	H2610_803_0	4	05/29/2009	2010.01	05/29/2009 04:58:28 PM Central Daylight Time	05/26/2009 12:59:52 PM Central Daylight Time			05/29/2009 05:19:19 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H2610	803	0	2010	St. Louis Metropolitan Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		1		
H2610	804	0	1	01	01	H2610_804_0	4	05/29/2009	2010.01	05/29/2009 04:58:29 PM Central Daylight Time	05/26/2009 01:00:45 PM Central Daylight Time			05/29/2009 05:19:19 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H2610	804	0	2010	St. Louis Metropolitan Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9560		(314)-851-3600		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		(866)-597-9561		(314)-851-3601		1		
H2611	001	0	1	04	01	H2611_001_0	7	08/27/2009	2010.01	08/27/2009 12:20:35 PM Central Daylight Time	08/18/2009 04:11:46 PM Central Daylight Time	08/17/2009 01:07:37 PM Central Daylight Time		08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (PPO)	01	04		1			H2611	001	0	2010	St. Louis Metro		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	002	0	1	04	01	H2611_002_0	8	08/27/2009	2010.01	08/27/2009 12:20:23 PM Central Daylight Time	08/18/2009 04:11:07 PM Central Daylight Time	08/17/2009 01:07:27 PM Central Daylight Time		08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Gold (PPO)	01	04		1			H2611	002	0	2010	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2611	005	0	1	04	01	H2611_005_0	5	08/27/2009	2010.01	08/27/2009 12:20:09 PM Central Daylight Time	06/01/2009 09:11:58 AM Central Daylight Time			08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Gold (no drug) (PPO)	01	04		1			H2611	005	0	2010	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200										(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249										1		
H2611	008	0	1	04	01	H2611_008_0	5	08/27/2009	2010.01	08/27/2009 12:20:48 PM Central Daylight Time	08/18/2009 04:10:06 PM Central Daylight Time	08/17/2009 01:07:18 PM Central Daylight Time		08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE AR (PPO)	01	04		1			H2611	008	0	2010	NW and Central Arkansas		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	012	0	1	04	01	H2611_012_0	8	09/28/2009	2010.02	09/28/2009 10:58:23 AM Central Daylight Time	08/18/2009 04:09:13 PM Central Daylight Time	08/17/2009 01:07:09 PM Central Daylight Time		09/28/2009 12:18:47 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Plan 2 (PPO)	01	04		1			H2611	012	0	2010	St. Louis Metro		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	016	0	1	04	01	H2611_016_0	9	09/28/2009	2010.02	09/28/2009 10:58:04 AM Central Daylight Time	08/20/2009 02:02:56 PM Central Daylight Time	08/17/2009 01:07:00 PM Central Daylight Time		09/28/2009 12:18:47 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE AR Plan 2 (PPO)	01	04		1			H2611	016	0	2010	NW and Central AR		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	018	0	1	04	01	H2611_018_0	10	09/23/2009	2010.01	09/23/2009 09:43:35 AM Central Daylight Time	08/18/2009 04:07:47 PM Central Daylight Time	08/17/2009 01:06:50 PM Central Daylight Time		09/23/2009 09:51:07 AM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareAdvantage Silver (PPO)	01	04		1			H2611	018	0	2010	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2611	801	0	1	04	01	H2611_801_0	5	08/27/2009	2010.01	08/27/2009 12:34:40 PM Central Daylight Time	06/01/2009 05:27:24 PM Central Daylight Time			08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers (PPO)	01	04		1			H2611	801	0	2010	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	802	0	1	04	01	H2611_802_0	4	08/27/2009	2010.01	08/27/2009 12:35:47 PM Central Daylight Time	06/01/2009 09:08:40 AM Central Daylight Time			08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE - Employers (PPO)	01	04		1			H2611	802	0	2010	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2611	807	0	1	04	01	H2611_807_0	5	08/27/2009	2010.01	08/27/2009 12:36:19 PM Central Daylight Time	06/01/2009 05:27:00 PM Central Daylight Time			08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Emp w Rx CY (PPO)	01	04		1			H2611	807	0	2010	Mercy MedicareADVANTA for Empl (St. L Metro) Rx CY		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2611	809	0	1	04	01	H2611_809_0	5	08/27/2009	2010.01	08/27/2009 12:36:45 PM Central Daylight Time	06/01/2009 05:27:50 PM Central Daylight Time			08/27/2009 01:07:44 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Emp RX CY (PPO)	01	04		1			H2611	809	0	2010	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2613	001	0	1	09	04	H2613_001_0	7	08/21/2009	2010.02	08/21/2009 05:37:00 PM Eastern Daylight Time	07/27/2009 12:11:20 PM Eastern Daylight Time			08/21/2009 07:41:13 PM Eastern Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	SmartValue Classic (PFFS)	04	09	2	1			H2613	001	0	2010	MO Selected Counties		2	855	2				2							www.anthem.com	(866)-865-9330		(866)-865-9330		(800)-652-6387		(800)-652-6387												(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H2613	004	0	1	09	04	H2613_004_0	15	08/27/2009	2010.02	08/27/2009 01:02:16 PM Eastern Daylight Time	08/27/2009 10:12:50 AM Eastern Daylight Time	08/17/2009 02:02:34 PM Eastern Daylight Time		08/27/2009 08:29:14 PM Eastern Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	SmartValue Plus (PFFS)	04	09	2	1			H2613	004	0	2010	MO Selected Counties		2	2790	2				2							www.anthem.com	(866)-865-9330		(866)-865-9330		(800)-652-6387		(800)-652-6387		(888)-445-8916		(888)-445-8916		(800)-652-6387		(800)-652-6387		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H2613	803	0	1	09	04	H2613_803_0	8	07/30/2009	2010.02	07/30/2009 10:46:32 PM Pacific Daylight Time	07/31/2009 12:40:45 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	SmartValue (PFFS)	04	09	2	1			H2613	803	0	2010	MO with Nationwide Group Coverage		1	33	2				2							www.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		1		
H2613	804	0	1	09	04	H2613_804_0	8	07/30/2009	2010.02	07/30/2009 10:41:45 PM Pacific Daylight Time	07/31/2009 12:42:16 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Blue Cross Blue Shield of Missouri	http://www.bcbsmo.com	SmartValue (PFFS)	04	09	2	1			H2613	804	0	2010	MO with Nationwide Group Coverage		1	50	2				2							www.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970												(800)-425-5705		(800)-425-5705		(800)-425-5705										1		
H2643	001	0	1	01	01	H2643_001_0	3	09/03/2009	2010.02	09/03/2009 01:11:50 PM Pacific Daylight Time	08/20/2009 10:10:12 AM Pacific Daylight Time	08/20/2009 10:07:10 AM Pacific Daylight Time		09/03/2009 01:36:00 PM Pacific Daylight Time	L. A. CARE HEALTH PLAN	L.A. Care Health Plan Medicare Advantage	www.lacare.org	L.A. Care Health Plan Medicare Advantage (HMO)	01	01		1			H2643	001	0	2010	Los Angeles County		2		2		2		1	3		1	5		www.lacare.org	www.lacare.org	(888)-839-9909		(213)-694-1250		(888)-452-2273		(213)-694-1250		(888)-839-9909		(213)-694-1250		(888)-452-2273		(213)-694-1250		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		1		
H2649	004	0	1	01	01	H2649_004_0	8	08/20/2009	2010.02	08/20/2009 01:54:33 PM Eastern Daylight Time	08/19/2009 04:30:58 PM Eastern Daylight Time	08/19/2009 10:34:25 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-004 (HMO)	01	01		1			H2649	004	0	2010	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2649	011	0	1	01	01	H2649_011_0	8	08/20/2009	2010.02	08/20/2009 01:56:35 PM Eastern Daylight Time	08/19/2009 04:31:16 PM Eastern Daylight Time	08/19/2009 10:34:33 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-011 (HMO)	01	01		1			H2649	011	0	2010	Wyandotte and Leavenworth counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2649	012	0	1	01	01	H2649_012_0	7	07/16/2009	2010.02	07/16/2009 12:11:54 PM Eastern Daylight Time	07/20/2009 02:01:04 PM Eastern Daylight Time			07/21/2009 02:35:14 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-012 (HMO)	01	01		1			H2649	012	0	2010	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2649	015	0	1	01	01	H2649_015_0	7	06/01/2009	2010.02	06/01/2009 01:26:24 PM Eastern Daylight Time	08/19/2009 05:29:48 PM Eastern Daylight Time	08/19/2009 10:34:41 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H2649-015 (HMO)	01	01		1			H2649	015	0	2010	Jackson county		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2649	016	0	1	01	01	H2649_016_0	8	08/20/2009	2010.02	08/20/2009 01:57:36 PM Eastern Daylight Time	08/19/2009 04:26:04 PM Eastern Daylight Time	08/19/2009 10:34:48 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-016 (HMO)	01	01		1			H2649	016	0	2010	Clay, Platte, and Ray counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2649	801	0	1	01	01	H2649_801_0	2	05/26/2009	2010.02	05/26/2009 04:01:46 PM Eastern Daylight Time	07/21/2009 03:28:26 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2649	801	0	2010	Kansas City Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2649	802	0	1	01	01	H2649_802_0	2	05/26/2009	2010.02	05/26/2009 04:02:11 PM Eastern Daylight Time	07/21/2009 04:15:26 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2649	802	0	2010	Kansas City Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2649	803	0	1	01	01	H2649_803_0	2	05/26/2009	2010.02	05/26/2009 04:02:33 PM Eastern Daylight Time	07/21/2009 04:16:28 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2649	803	0	2010	Kansas City Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2654	004	0	1	01	01	H2654_004_0	4	07/16/2009	2010.02	07/16/2009 03:14:48 PM Central Daylight Time	08/17/2009 02:27:54 PM Central Daylight Time	08/13/2009 05:46:58 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H2654	004	0	2010	St. Louis Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2654	010	0	1	02	01	H2654_010_0	5	07/20/2009	2010.02	07/20/2009 09:16:58 AM Central Daylight Time	08/17/2009 02:27:38 PM Central Daylight Time	08/13/2009 05:47:02 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H2654	010	0	2010	Springfield, Missouri Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2654	013	0	1	02	01	H2654_013_0	4	07/16/2009	2010.02	07/16/2009 01:34:32 PM Central Daylight Time	08/17/2009 02:27:21 PM Central Daylight Time	08/13/2009 05:47:06 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan1 (HMO-POS)	01	02		1			H2654	013	0	2010	St. Louis Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2654	020	0	1	01	01	H2654_020_0	3	07/11/2009	2010.02	07/11/2009 04:10:34 PM Central Daylight Time	07/20/2009 04:39:34 PM Central Daylight Time			07/23/2009 12:23:50 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H2654	020	0	2010	St. Louis Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H2654	022	0	1	02	01	H2654_022_0	3	07/16/2009	2010.02	07/16/2009 02:08:28 PM Central Daylight Time	07/20/2009 04:39:58 PM Central Daylight Time			07/23/2009 12:23:50 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H2654	022	0	2010	St Louis Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H2654	024	0	1	01	01	H2654_024_0	4	07/15/2009	2010.02	07/15/2009 04:49:15 PM Central Daylight Time	08/17/2009 02:27:08 PM Central Daylight Time	08/13/2009 05:47:10 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H2654	024	0	2010	St. Louis, MO, IL area		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	026	0	1	01	01	H2654_026_0	5	07/17/2009	2010.02	07/17/2009 11:47:58 AM Central Daylight Time	08/17/2009 02:26:51 PM Central Daylight Time	08/13/2009 05:47:14 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H2654	026	0	2010	St. Louis, MO, IL area		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	027	0	1	01	01	H2654_027_0	4	08/18/2009	2010.02	08/18/2009 03:42:06 PM Central Daylight Time	08/17/2009 02:28:14 PM Central Daylight Time	08/13/2009 05:47:18 PM Central Daylight Time		08/19/2009 08:41:03 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H2654	027	0	2010	Springfield Area		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	801	0	1	01	01	H2654_801_0	2	05/30/2009	2010.02	05/30/2009 12:21:09 PM Central Daylight Time	07/20/2009 04:41:35 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	801	0	2010	St Louis Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	802	0	1	01	01	H2654_802_0	2	05/30/2009	2010.02	05/30/2009 12:25:50 PM Central Daylight Time	07/20/2009 04:41:58 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	802	0	2010	St Louis Area Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H2654	803	0	1	01	01	H2654_803_0	2	05/30/2009	2010.02	05/30/2009 12:25:58 PM Central Daylight Time	07/20/2009 04:42:22 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	803	0	2010	Springfield Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	804	0	1	01	01	H2654_804_0	2	05/30/2009	2010.02	05/30/2009 12:26:09 PM Central Daylight Time	07/20/2009 04:42:50 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	804	0	2010	Springfield Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H2654	805	0	1	01	01	H2654_805_0	2	05/30/2009	2010.02	05/30/2009 12:26:18 PM Central Daylight Time	07/20/2009 04:43:14 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	805	0	2010	St. Louis		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2654	807	0	1	01	01	H2654_807_0	2	05/30/2009	2010.02	05/30/2009 12:26:28 PM Central Daylight Time	07/20/2009 04:43:38 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	807	0	2010	Springfield Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(800)-656-0065		(800)-656-0065		(800)-480-6065		(800)-480-6065		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2663	002	0	1	01	01	H2663_002_0	9	08/19/2009	2010.02	08/19/2009 01:40:10 PM Central Daylight Time	08/19/2009 07:00:17 AM Central Daylight Time	08/18/2009 09:34:10 AM Central Daylight Time		08/20/2009 10:56:52 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 2 (HMO)	01	01		1			H2663	002	0	2010	St. Louis MO Metro Area		2	7495	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	005	0	1	01	01	H2663_005_0	10	08/19/2009	2010.02	08/19/2009 09:25:22 AM Central Daylight Time	08/19/2009 07:02:09 AM Central Daylight Time	08/18/2009 09:38:52 AM Central Daylight Time		08/20/2009 10:56:52 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Gold Advantage Option 1 (HMO)	01	01		1			H2663	005	0	2010	St. Louis MO Metro Area		2	5063	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	006	0	1	01	01	H2663_006_0	9	08/19/2009	2010.02	08/19/2009 09:25:59 AM Central Daylight Time	08/19/2009 07:03:18 AM Central Daylight Time	08/18/2009 09:40:13 AM Central Daylight Time		08/20/2009 10:56:52 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 1 (HMO)	01	01		1			H2663	006	0	2010	St. Louis MO Metro Area		2	6845	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	012	0	1	01	01	H2663_012_0	11	08/26/2009	2010.02	08/26/2009 08:46:00 AM Central Daylight Time	08/31/2009 12:35:40 PM Central Daylight Time	08/18/2009 09:42:04 AM Central Daylight Time		08/31/2009 01:18:31 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 3 (HMO)	01	01		1			H2663	012	0	2010	St. Louis MO Metro Area		2	1373	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	013	0	1	01	01	H2663_013_0	8	08/19/2009	2010.02	08/19/2009 01:41:28 PM Central Daylight Time	08/19/2009 07:05:53 AM Central Daylight Time	08/18/2009 09:44:00 AM Central Daylight Time		08/20/2009 10:56:52 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 4 (HMO)	01	01		1			H2663	013	0	2010	St. Louis MO Metro Area		2	604	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	802	0	1	01	01	H2663_802_0	8	07/17/2009	2010.02	07/17/2009 10:31:41 AM Central Daylight Time	05/28/2009 04:38:05 PM Central Daylight Time			07/24/2009 04:08:58 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Calendar Rx Premier (HMO)	01	01		1			H2663	802	0	2010	St. Louis MO Metro Area - Employer Group		1	3634	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	804	0	1	01	01	H2663_804_0	8	07/17/2009	2010.02	07/17/2009 10:31:58 AM Central Daylight Time	05/28/2009 04:42:14 PM Central Daylight Time			07/24/2009 04:08:58 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Non Calendar Rx Premier (HMO)	01	01		1			H2663	804	0	2010	St. Louis MO Metro Area - Employer Group		1	3634	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120		(866)-291-8628		(866)-291-8628		(877)-982-9120		(877)-982-9120		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2663	805	0	1	01	01	H2663_805_0	8	07/17/2009	2010.02	07/17/2009 10:32:18 AM Central Daylight Time	05/28/2009 04:46:04 PM Central Daylight Time			07/24/2009 04:08:58 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Calendar No Rx (HMO)	01	01		1			H2663	805	0	2010	St. Louis MO Metro Area - Employer Group		1	3634	2				2						www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(877)-982-9120		(877)-982-9120										(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010										1		
H2667	001	0	1	01	01	H2667_001_0	6	08/20/2009	2010.01	08/20/2009 11:02:37 AM Central Daylight Time	08/19/2009 03:18:25 PM Central Daylight Time	08/17/2009 01:06:40 PM Central Daylight Time		08/20/2009 02:02:36 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (HMO)	01	01		1			H2667	001	0	2010	Southwest MO		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2667	003	0	1	01	01	H2667_003_0	7	08/19/2009	2010.01	08/19/2009 03:46:09 PM Central Daylight Time	08/19/2009 03:16:33 PM Central Daylight Time	08/17/2009 01:08:04 PM Central Daylight Time		08/20/2009 10:36:04 AM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (HMO)	01	01		1			H2667	003	0	2010	St. Louis Metro		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2667	012	0	1	01	01	H2667_012_0	3	08/04/2009	2010.01	08/04/2009 12:49:09 PM Central Daylight Time	07/29/2009 02:16:01 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (no drug) (HMO)	01	01		1			H2667	012	0	2010	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266										(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249										1		
H2667	803	0	1	01	01	H2667_803_0	3	08/04/2009	2010.01	08/04/2009 12:49:34 PM Central Daylight Time	07/21/2009 04:31:36 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers (HMO)	01	01		1			H2667	803	0	2010	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2667	804	0	1	01	01	H2667_804_0	3	08/04/2009	2010.01	08/04/2009 12:50:20 PM Central Daylight Time	07/22/2009 02:34:35 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers (HMO)	01	01		1			H2667	804	0	2010	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2667	807	0	1	01	01	H2667_807_0	3	08/04/2009	2010.01	08/04/2009 12:50:44 PM Central Daylight Time	07/21/2009 04:30:19 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers RX CY (HMO)	01	01		1			H2667	807	0	2010	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1		
H2667	808	0	1	01	01	H2667_808_0	3	08/04/2009	2010.01	08/04/2009 12:51:21 PM Central Daylight Time	07/21/2009 04:33:49 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Emp no RX CY (HMO)	01	01		1			H2667	808	0	2010	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200										(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249										1		
H2667	809	0	1	01	01	H2667_809_0	3	08/04/2009	2010.01	08/04/2009 12:51:51 PM Central Daylight Time	07/21/2009 04:36:20 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers RX CY (HMO)	01	01		1			H2667	809	0	2010	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1		
H2667	810	0	1	01	01	H2667_810_0	2	08/04/2009	2010.01	08/04/2009 12:52:20 PM Central Daylight Time	08/04/2009 01:53:30 PM Central Daylight Time			08/04/2009 01:55:02 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers no RX CY (HMO)	01	01		1			H2667	810	0	2010	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.medicare.mercyhealthplans.com/about/products/medicarepartd.aspx	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040										(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094										1		
H2672	001	0	1	01	01	H2672_001_0	9	08/18/2009	2010.02	08/18/2009 01:33:26 PM Pacific Daylight Time	08/18/2009 12:43:43 PM Pacific Daylight Time	08/18/2009 07:46:52 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Advantage (HMO)	01	01		1			H2672	001	0	2010	Kansas City Metro Area		2	5103	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2672	003	0	1	01	01	H2672_003_0	12	08/18/2009	2010.02	08/18/2009 01:35:20 PM Pacific Daylight Time	08/18/2009 12:45:09 PM Pacific Daylight Time	08/18/2009 07:48:06 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Advantage (HMO)	01	01		1			H2672	003	0	2010	Wichita Metro Area		2	80	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2672	008	0	1	01	01	H2672_008_0	10	08/18/2009	2010.02	08/18/2009 01:37:46 PM Pacific Daylight Time	08/18/2009 12:48:11 PM Pacific Daylight Time	08/18/2009 07:52:51 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Advantage (HMO)	01	01		1			H2672	008	0	2010	Wyandotte County		2	752	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2672	801	0	1	01	01	H2672_801_0	4	07/31/2009	2010.02	07/31/2009 04:10:32 PM Pacific Daylight Time	07/22/2009 10:46:32 AM Pacific Daylight Time			07/31/2009 04:12:03 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	801	0	2010	Coventry Healthcare of Kansas, Inc		1	1413	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2672	802	0	1	01	01	H2672_802_0	2	07/24/2009	2010.02	07/24/2009 04:55:33 PM Pacific Daylight Time	05/27/2009 02:26:54 PM Pacific Daylight Time			07/24/2009 06:30:32 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	802	0	2010	Coventry Health Care of Kansas, Inc		1	0	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H2672	803	0	1	01	01	H2672_803_0	2	07/24/2009	2010.02	07/24/2009 04:58:15 PM Pacific Daylight Time	05/27/2009 02:31:32 PM Pacific Daylight Time			07/24/2009 06:30:32 PM Pacific Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care of Kansas, Inc.	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	803	0	2010	Coventry Health Care of Kansas, Inc.		1	0	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125										(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010										1		
H2699	001	0	1	20	08	H2699_001_0	2	05/18/2009	2010.02	05/18/2009 02:11:12 PM Eastern Daylight Time		05/18/2009 12:22:25 PM Eastern Daylight Time		05/19/2009 01:07:58 PM Eastern Daylight Time	LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	Life at Home LLC (PACE)	08	20		1			H2699	001	0	2010	Chester and Delaware Counties, PA		2		2				2							www.genesishcc.com									(866)-745-2273		(610)-461-3593		(866)-745-2273		(610)-461-3593																		1		
H2699	002	0	1	20	08	H2699_002_0	2	05/18/2009	2010.02	05/18/2009 02:11:49 PM Eastern Daylight Time		05/18/2009 12:22:25 PM Eastern Daylight Time		05/19/2009 01:07:58 PM Eastern Daylight Time	LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	Life at Home LLC (PACE)	08	20		1			H2699	002	0	2010	Delaware and Chester Counties, PA		2		2				2							www.genesishcc.com									(866)-745-2273		(610)-925-4270		(866)-745-2273		(610)-461-3593																		1		
H2701	001	0	1	04	01	H2701_001_0	6	07/31/2009	2010.02	07/31/2009 11:44:51 AM Mountain Daylight Time	08/18/2009 10:35:52 AM Mountain Daylight Time	08/17/2009 03:21:08 PM Mountain Daylight Time		08/19/2009 09:09:25 AM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	newwesthealth.com	New West Medicare Enhanced (PPO)	01	04		1			H2701	001	0	2010	Selected Counties Montana		2	2880	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1		
H2701	003	0	1	04	01	H2701_003_0	7	07/31/2009	2010.02	07/31/2009 11:46:06 AM Mountain Daylight Time	08/18/2009 01:47:42 PM Mountain Daylight Time	08/17/2009 03:21:32 PM Mountain Daylight Time		08/19/2009 09:09:25 AM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	newwesthealth.com	New West Medicare (PPO)	01	04		1			H2701	003	0	2010	Selected Counties Montana		2	720	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1		
H2701	805	0	1	04	01	H2701_805_0	3	07/31/2009	2010.02	07/31/2009 11:46:19 AM Mountain Daylight Time	06/01/2009 09:52:26 AM Mountain Daylight Time			07/31/2009 12:11:34 PM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	newwesthealth.com	New West Medicare Group (PPO)	01	04		1			H2701	805	0	2010	National		1	50	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375										(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365										1		
H2701	806	0	1	04	01	H2701_806_0	3	07/31/2009	2010.02	07/31/2009 11:47:17 AM Mountain Daylight Time	06/01/2009 09:54:12 AM Mountain Daylight Time			07/31/2009 12:11:34 PM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	newwesthealth.com	New West Medicare Group Plus (PPO)	01	04		1			H2701	806	0	2010	National		1	110	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1		
H2701	807	0	1	04	01	H2701_807_0	3	07/31/2009	2010.02	07/31/2009 11:47:03 AM Mountain Daylight Time	06/01/2009 09:55:58 AM Mountain Daylight Time			07/31/2009 12:11:34 PM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	newwesthealth.com	New West Medicare Group Plus (PPO)	01	04		1			H2701	807	0	2010	National		1	340	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1		
H2762	012	0	1	09	04	H2762_012_0	3	05/27/2009	2010.02	05/27/2009 09:16:15 AM US Mountain Standard Time	07/15/2009 04:12:14 PM US Mountain Standard Time			07/21/2009 04:12:22 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	012	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	013	0	1	09	04	H2762_013_0	2	05/27/2009	2010.02	05/27/2009 12:15:50 PM US Mountain Standard Time	07/15/2009 04:47:02 PM US Mountain Standard Time			07/21/2009 04:21:42 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	013	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	014	0	1	09	04	H2762_014_0	2	05/27/2009	2010.02	05/27/2009 12:15:59 PM US Mountain Standard Time	07/15/2009 04:51:40 PM US Mountain Standard Time			07/21/2009 04:30:43 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	014	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	015	0	1	09	04	H2762_015_0	2	07/20/2009	2010.02	07/20/2009 08:09:23 AM US Mountain Standard Time	07/15/2009 05:12:00 PM US Mountain Standard Time			07/21/2009 04:39:05 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	015	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	016	0	1	09	04	H2762_016_0	3	05/27/2009	2010.02	05/27/2009 10:51:50 AM US Mountain Standard Time	07/16/2009 11:48:16 AM US Mountain Standard Time			07/21/2009 05:04:41 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	016	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	017	0	1	09	04	H2762_017_0	2	05/27/2009	2010.02	05/27/2009 12:18:14 PM US Mountain Standard Time	07/16/2009 11:48:44 AM US Mountain Standard Time			07/21/2009 05:19:39 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	017	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	018	0	1	09	04	H2762_018_0	2	05/27/2009	2010.02	05/27/2009 12:18:23 PM US Mountain Standard Time	07/16/2009 11:49:10 AM US Mountain Standard Time			07/21/2009 05:26:43 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	018	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	019	0	1	09	04	H2762_019_0	2	05/27/2009	2010.02	05/27/2009 12:18:32 PM US Mountain Standard Time	07/16/2009 02:20:58 PM US Mountain Standard Time			07/21/2009 05:34:02 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	019	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	020	0	1	09	04	H2762_020_0	2	05/28/2009	2010.02	05/28/2009 01:11:47 PM US Mountain Standard Time	07/16/2009 11:50:38 AM US Mountain Standard Time			07/21/2009 05:40:51 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	020	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	021	0	1	09	04	H2762_021_0	2	05/28/2009	2010.02	05/28/2009 01:14:21 PM US Mountain Standard Time	07/16/2009 02:41:48 PM US Mountain Standard Time			07/21/2009 05:48:12 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	021	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	022	0	1	09	04	H2762_022_0	2	05/28/2009	2010.02	05/28/2009 01:15:34 PM US Mountain Standard Time	07/16/2009 11:50:54 AM US Mountain Standard Time			07/21/2009 05:55:33 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	022	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	023	0	1	09	04	H2762_023_0	2	05/28/2009	2010.02	05/28/2009 01:16:46 PM US Mountain Standard Time	07/16/2009 03:05:30 PM US Mountain Standard Time			07/21/2009 06:03:32 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan One (PFFS)	04	09	2	1			H2762	023	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	024	0	1	09	04	H2762_024_0	2	05/27/2009	2010.02	05/27/2009 07:08:42 AM US Mountain Standard Time	07/16/2009 11:51:38 AM US Mountain Standard Time			07/21/2009 06:10:40 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	024	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	025	0	1	09	04	H2762_025_0	2	05/27/2009	2010.02	05/27/2009 07:31:39 AM US Mountain Standard Time	05/29/2009 10:25:16 AM US Mountain Standard Time			07/22/2009 12:08:00 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	025	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	026	0	1	09	04	H2762_026_0	2	05/27/2009	2010.02	05/27/2009 07:31:48 AM US Mountain Standard Time	07/16/2009 11:51:54 AM US Mountain Standard Time			07/21/2009 06:17:35 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	026	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	027	0	1	09	04	H2762_027_0	3	05/27/2009	2010.02	05/27/2009 07:31:57 AM US Mountain Standard Time	05/29/2009 09:11:57 AM US Mountain Standard Time			07/22/2009 12:17:13 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plan Three (PFFS)	04	09	2	1			H2762	027	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	028	0	1	09	04	H2762_028_0	4	07/21/2009	2010.02	07/21/2009 12:47:06 PM US Mountain Standard Time	08/14/2009 01:03:32 PM US Mountain Standard Time	08/14/2009 10:01:24 AM US Mountain Standard Time		08/17/2009 11:31:46 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	028	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	030	0	1	09	04	H2762_030_0	4	07/21/2009	2010.02	07/21/2009 12:47:32 PM US Mountain Standard Time	08/14/2009 01:06:26 PM US Mountain Standard Time	08/14/2009 10:01:28 AM US Mountain Standard Time		08/17/2009 11:41:02 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	030	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	032	0	1	09	04	H2762_032_0	4	07/21/2009	2010.02	07/21/2009 12:47:55 PM US Mountain Standard Time	08/14/2009 01:08:44 PM US Mountain Standard Time	08/14/2009 10:01:32 AM US Mountain Standard Time		08/17/2009 11:48:08 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	032	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	034	0	1	09	04	H2762_034_0	4	07/21/2009	2010.02	07/21/2009 12:48:15 PM US Mountain Standard Time	08/14/2009 01:11:48 PM US Mountain Standard Time	08/14/2009 10:01:36 AM US Mountain Standard Time		08/17/2009 11:55:05 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	034	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	036	0	1	09	04	H2762_036_0	4	05/27/2009	2010.02	05/27/2009 11:30:35 AM US Mountain Standard Time	08/14/2009 01:15:10 PM US Mountain Standard Time	08/14/2009 10:01:40 AM US Mountain Standard Time		08/17/2009 12:01:26 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	036	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	038	0	1	09	04	H2762_038_0	4	05/27/2009	2010.02	05/27/2009 12:17:38 PM US Mountain Standard Time	08/14/2009 01:17:20 PM US Mountain Standard Time	08/14/2009 10:01:44 AM US Mountain Standard Time		08/17/2009 12:10:06 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	038	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	040	0	1	09	04	H2762_040_0	4	05/27/2009	2010.02	05/27/2009 12:17:48 PM US Mountain Standard Time	08/14/2009 01:19:24 PM US Mountain Standard Time	08/14/2009 10:01:48 AM US Mountain Standard Time		08/17/2009 12:22:01 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	040	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	042	0	1	09	04	H2762_042_0	3	05/26/2009	2010.02	05/26/2009 05:49:11 PM US Mountain Standard Time	08/14/2009 01:25:24 PM US Mountain Standard Time	08/14/2009 10:01:54 AM US Mountain Standard Time		08/17/2009 12:30:53 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	042	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	044	0	1	09	04	H2762_044_0	3	05/26/2009	2010.02	05/27/2009 07:32:50 AM US Mountain Standard Time	08/14/2009 01:21:38 PM US Mountain Standard Time	08/14/2009 10:01:58 AM US Mountain Standard Time		08/17/2009 12:37:50 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	044	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	046	0	1	09	04	H2762_046_0	3	05/26/2009	2010.02	05/27/2009 07:33:00 AM US Mountain Standard Time	08/14/2009 12:42:30 PM US Mountain Standard Time	08/14/2009 10:02:02 AM US Mountain Standard Time		08/17/2009 12:46:41 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	046	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	048	0	1	09	04	H2762_048_0	3	05/26/2009	2010.02	05/27/2009 07:33:10 AM US Mountain Standard Time	08/14/2009 12:46:26 PM US Mountain Standard Time	08/14/2009 10:02:06 AM US Mountain Standard Time		08/17/2009 12:53:37 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Two (PFFS)	04	09	2	1			H2762	048	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	050	0	1	09	04	H2762_050_0	3	05/27/2009	2010.02	05/27/2009 07:29:25 AM US Mountain Standard Time	08/14/2009 12:49:48 PM US Mountain Standard Time	08/14/2009 10:02:10 AM US Mountain Standard Time		08/17/2009 12:59:51 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	050	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	052	0	1	09	04	H2762_052_0	5	05/27/2009	2010.02	05/27/2009 07:30:29 AM US Mountain Standard Time	08/14/2009 12:51:54 PM US Mountain Standard Time	08/14/2009 10:02:12 AM US Mountain Standard Time		08/17/2009 01:05:44 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	052	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	054	0	1	09	04	H2762_054_0	3	05/27/2009	2010.02	05/27/2009 07:30:39 AM US Mountain Standard Time	08/14/2009 12:59:02 PM US Mountain Standard Time	08/14/2009 10:02:18 AM US Mountain Standard Time		08/17/2009 01:13:13 PM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX Plan Four (PFFS)	04	09	2	1			H2762	054	0	2010	select counties in select states		2		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-577-9410		(800)-577-9410		(800)-577-9409		(800)-577-9409		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	802	0	1	09	04	H2762_802_0	2	05/26/2009	2010.02	05/26/2009 03:43:06 PM US Mountain Standard Time	07/20/2009 08:35:16 AM US Mountain Standard Time			07/20/2009 11:19:47 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access - ER (PFFS)	04	09	2	1			H2762	802	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	803	0	1	09	04	H2762_803_0	2	05/26/2009	2010.02	05/26/2009 03:51:45 PM US Mountain Standard Time	07/20/2009 08:38:46 AM US Mountain Standard Time			07/20/2009 11:34:39 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus Rx - ER CY (PFFS)	04	09	2	1			H2762	803	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	804	0	1	09	04	H2762_804_0	2	05/26/2009	2010.02	05/26/2009 03:52:13 PM US Mountain Standard Time	05/27/2009 02:02:32 PM US Mountain Standard Time			07/27/2009 07:34:14 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus Rx - ER NCY (PFFS)	04	09	2	1			H2762	804	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	808	0	2	09	04	H2762_808_0	2	05/26/2009	2010.02	05/26/2009 03:54:39 PM US Mountain Standard Time	05/27/2009 02:04:08 PM US Mountain Standard Time			07/27/2009 07:42:35 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access - ER Part B Only (PFFS)	04	09	2	2	2		H2762	808	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340										(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314										1		
H2762	809	0	2	09	04	H2762_809_0	2	05/26/2009	2010.02	05/26/2009 03:55:36 PM US Mountain Standard Time	05/28/2009 11:13:30 AM US Mountain Standard Time			07/27/2009 07:48:03 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX- ER Part B Only CY (PFFS)	04	09	2	2	2		H2762	809	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2762	810	0	2	09	04	H2762_810_0	2	05/26/2009	2010.02	05/26/2009 03:56:49 PM US Mountain Standard Time	05/28/2009 11:19:49 AM US Mountain Standard Time			07/27/2009 07:53:50 AM US Mountain Standard Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Access	www.cignamedicare.com	CIGNA Medicare Access Plus RX- ER Part B Only NCY (PFFS)	04	09	2	2	2		H2762	810	0	2010	Employer National Service Area		1		2				2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	(800)-669-2340		(800)-669-2340		(800)-669-2340		(800)-669-2340		(800)-577-9410		(800)-577-9410		(800)-669-2340		(800)-669-2340		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		(800)-576-1314		1		
H2773	001	0	1	01	01	H2773_001_0	6	08/07/2009	2010.02	08/07/2009 12:32:14 PM Eastern Daylight Time	08/19/2009 05:46:06 PM Eastern Daylight Time	08/18/2009 02:00:52 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Platinum NY (HMO)	01	01		1			H2773	001	0	2010	Nassau, Queens, and Staten Island		2	700	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2773	002	0	1	01	01	H2773_002_0	6	07/30/2009	2010.02	07/30/2009 04:03:03 PM Eastern Daylight Time	08/19/2009 05:47:42 PM Eastern Daylight Time	08/18/2009 02:01:08 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Silver NY (HMO)	01	01		1			H2773	002	0	2010	Nassau, Queens, and Staten Island		2	700	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2773	003	0	1	01	01	H2773_003_0	5	07/30/2009	2010.02	07/30/2009 04:42:58 PM Eastern Daylight Time	08/19/2009 05:47:18 PM Eastern Daylight Time	08/18/2009 02:37:20 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Health NY - SNP (HMO)	01	01		1			H2773	003	0	2010	Nassau, Queens, and Staten Island		2	700	2				1	4		1		000110100000000	www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2773	004	0	1	01	01	H2773_004_0	4	08/20/2009	2010.02	08/20/2009 01:41:52 PM Eastern Daylight Time	08/20/2009 03:36:15 PM Eastern Daylight Time	08/18/2009 02:28:06 PM Eastern Daylight Time		08/20/2009 03:42:08 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Value One NY - Dual (HMO)	01	01		1			H2773	004	0	2010	Nassau, Queens, Richmond, and Suffolk Counties		2	750	2		2		1	3		1	5		www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2773	005	0	1	01	01	H2773_005_0	5	07/30/2009	2010.02	07/30/2009 04:43:31 PM Eastern Daylight Time	08/19/2009 05:46:58 PM Eastern Daylight Time	08/18/2009 02:01:26 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Platinum NY - Suffolk (HMO)	01	01		1			H2773	005	0	2010	Suffolk County		2	50	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2773	006	0	1	01	01	H2773_006_0	6	07/30/2009	2010.02	07/30/2009 04:43:50 PM Eastern Daylight Time	08/19/2009 05:48:14 PM Eastern Daylight Time	08/18/2009 02:37:40 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Health Suffolk - SNP (HMO)	01	01		1			H2773	006	0	2010	Suffolk County		2	50	2				1	4		1		000110100000000	www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-233-7058		(727)-945-8400		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1		
H2775	076	0	1	04	01	H2775_076_0	6	08/19/2009	2010.02	08/19/2009 05:40:47 PM Central Daylight Time	08/19/2009 05:38:31 PM Central Daylight Time	08/15/2009 08:18:34 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	076	0	2010	T1		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	077	0	1	04	01	H2775_077_0	6	08/19/2009	2010.02	08/19/2009 05:41:35 PM Central Daylight Time	08/19/2009 05:44:10 PM Central Daylight Time	08/15/2009 08:18:54 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	077	0	2010	T2		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	078	0	1	04	01	H2775_078_0	6	08/19/2009	2010.02	08/19/2009 05:41:36 PM Central Daylight Time	08/19/2009 06:58:42 PM Central Daylight Time	08/15/2009 08:19:13 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	078	0	2010	T3		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	079	0	1	04	01	H2775_079_0	6	08/19/2009	2010.02	08/19/2009 05:41:36 PM Central Daylight Time	08/19/2009 05:53:48 PM Central Daylight Time	08/15/2009 08:19:33 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	079	0	2010	T4		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	080	0	1	04	01	H2775_080_0	5	08/19/2009	2010.02	08/19/2009 05:41:36 PM Central Daylight Time	08/19/2009 05:57:58 PM Central Daylight Time	08/15/2009 08:19:55 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	080	0	2010	T5		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	081	0	1	04	01	H2775_081_0	5	08/19/2009	2010.02	08/19/2009 05:41:37 PM Central Daylight Time	08/19/2009 06:00:41 PM Central Daylight Time	08/15/2009 08:18:14 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H2775	081	0	2010	T6		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	082	0	1	04	01	H2775_082_0	6	07/14/2009	2010.02	07/14/2009 02:17:16 PM Central Daylight Time	08/19/2009 11:55:55 AM Central Daylight Time	08/15/2009 08:21:26 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	082	0	2010	T1		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	083	0	1	04	01	H2775_083_0	6	07/14/2009	2010.02	07/14/2009 02:21:53 PM Central Daylight Time	08/19/2009 11:57:02 AM Central Daylight Time	08/15/2009 08:21:46 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	083	0	2010	T2		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	084	0	1	04	01	H2775_084_0	6	07/14/2009	2010.02	07/14/2009 02:21:53 PM Central Daylight Time	08/19/2009 11:52:17 AM Central Daylight Time	08/15/2009 08:22:06 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	084	0	2010	T3		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	085	0	1	04	01	H2775_085_0	6	07/14/2009	2010.02	07/14/2009 02:21:53 PM Central Daylight Time	08/19/2009 11:54:46 AM Central Daylight Time	08/15/2009 08:22:23 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	085	0	2010	T4		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	086	0	1	04	01	H2775_086_0	6	07/14/2009	2010.02	07/14/2009 02:21:53 PM Central Daylight Time	08/19/2009 04:04:46 PM Central Daylight Time	08/15/2009 08:22:45 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	086	0	2010	T5		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	087	0	1	04	01	H2775_087_0	6	07/14/2009	2010.02	07/14/2009 02:21:53 PM Central Daylight Time	08/19/2009 12:13:05 PM Central Daylight Time	08/15/2009 08:21:09 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H2775	087	0	2010	T6		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	088	0	1	04	01	H2775_088_0	5	05/31/2009	2010.02	05/31/2009 02:11:11 PM Central Daylight Time	08/19/2009 12:19:32 PM Central Daylight Time	08/15/2009 08:35:54 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H2775	088	0	2010	T1		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	089	0	1	04	01	H2775_089_0	5	05/31/2009	2010.02	05/31/2009 03:27:51 PM Central Daylight Time	08/19/2009 12:22:28 PM Central Daylight Time	08/15/2009 08:36:18 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H2775	089	0	2010	T2		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	090	0	1	04	01	H2775_090_0	5	05/31/2009	2010.02	05/31/2009 03:27:55 PM Central Daylight Time	08/19/2009 12:23:48 PM Central Daylight Time	08/15/2009 08:36:40 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H2775	090	0	2010	T3		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	091	0	1	04	01	H2775_091_0	5	05/31/2009	2010.02	05/31/2009 03:27:58 PM Central Daylight Time	08/19/2009 12:39:18 PM Central Daylight Time	08/15/2009 08:37:00 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H2775	091	0	2010	T4		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	092	0	1	04	01	H2775_092_0	5	05/31/2009	2010.02	05/31/2009 03:28:01 PM Central Daylight Time	08/19/2009 12:42:00 PM Central Daylight Time	08/15/2009 08:37:21 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H2775	092	0	2010	T5		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	093	0	1	04	01	H2775_093_0	5	05/31/2009	2010.02	05/31/2009 03:28:04 PM Central Daylight Time	08/19/2009 12:43:51 PM Central Daylight Time	08/15/2009 08:35:32 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 2  powered by CCRx (PPO)	01	04		1			H2775	093	0	2010	T6		2		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	801	0	1	04	01	H2775_801_0	5	08/06/2009	2010.02	08/06/2009 09:32:56 AM Central Daylight Time	05/31/2009 05:11:48 PM Central Daylight Time			08/06/2009 09:41:33 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MA Group Plan (PPO)	01	04		1			H2775	801	0	2010	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H2775	802	0	1	04	01	H2775_802_0	5	08/06/2009	2010.02	08/06/2009 09:33:01 AM Central Daylight Time	05/31/2009 05:12:40 PM Central Daylight Time			08/06/2009 09:41:33 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan (PPO)	01	04		1			H2775	802	0	2010	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2775	803	0	1	04	01	H2775_803_0	6	08/06/2009	2010.02	08/06/2009 09:33:06 AM Central Daylight Time	05/31/2009 05:13:44 PM Central Daylight Time			08/06/2009 09:41:33 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan -NCY (PPO)	01	04		1			H2775	803	0	2010	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H2802	001	0	1	02	01	H2802_001_0	3	07/17/2009	2010.02	07/17/2009 11:56:15 AM Central Daylight Time	08/17/2009 10:33:09 AM Central Daylight Time	08/13/2009 05:47:22 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan 2 (HMO-POS)	01	02		1			H2802	001	0	2010	Douglas and Pottawattamie Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2803	001	0	1	02	01	H2803_001_0	4	07/17/2009	2010.02	07/17/2009 11:57:31 AM Central Daylight Time	09/03/2009 03:08:11 PM Central Daylight Time	09/04/2009 10:47:49 AM Central Daylight Time		09/04/2009 12:42:19 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan1 (HMO-POS)	01	02		1			H2803	001	0	2010	Douglas and Pottawattamie Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2803	002	0	1	02	01	H2803_002_0	4	07/23/2009	2010.02	07/23/2009 01:15:38 PM Central Daylight Time	08/17/2009 10:44:44 AM Central Daylight Time	08/13/2009 05:47:29 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan1 (HMO-POS)	01	02		1			H2803	002	0	2010	Select rural counties in Nebraska and Iowa		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H2803	010	0	1	02	01	H2803_010_0	4	08/27/2009	2010.02	08/27/2009 09:29:41 AM Central Daylight Time	08/26/2009 11:22:14 AM Central Daylight Time	08/13/2009 05:47:33 PM Central Daylight Time		08/27/2009 09:36:59 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	Evercare Plan DH-POS (HMO-POS)	01	02		1			H2803	010	0	2010	Omaha, NE and Council Bluffs, IA area		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2803	012	0	1	02	01	H2803_012_0	3	08/18/2009	2010.02	08/18/2009 11:24:38 AM Central Daylight Time	08/17/2009 10:43:06 AM Central Daylight Time	08/13/2009 05:47:38 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	Evercare Plan DH-POS (HMO-POS)	01	02		1			H2803	012	0	2010	Polk, Dallas and Warren Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H2803	801	0	1	02	01	H2803_801_0	3	05/28/2009	2010.02	05/28/2009 12:31:41 PM Central Daylight Time	07/20/2009 03:41:25 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	801	0	2010	Select Counties in Nebraska and Iowa		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H2803	803	0	1	02	01	H2803_803_0	3	05/28/2009	2010.02	05/28/2009 12:32:01 PM Central Daylight Time	07/20/2009 03:41:01 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	803	0	2010	Select counties in Iowa and Nebraska		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H2803	804	0	1	02	01	H2803_804_0	3	05/28/2009	2010.02	05/28/2009 12:32:17 PM Central Daylight Time	07/20/2009 03:40:38 PM Central Daylight Time			07/23/2009 04:01:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	804	0	2010	NE/IA Select Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H2810	001	0	1	04	01	H2810_001_0	13	08/25/2009	2010.02	08/25/2009 02:57:18 PM Pacific Daylight Time	08/18/2009 11:22:00 AM Pacific Daylight Time	08/18/2009 09:49:00 AM Pacific Daylight Time		08/26/2009 10:47:55 AM Pacific Daylight Time	GROUP HEALTH OPTIONS	Group Health Options, Inc.	www.ghc.org	Clear Care Prestige (PPO)	01	04		1			H2810	001	0	2010	All Counties Servied by Group Health Options Inc.		2	709	2				2						http://www.ghc.org/provider/index.jhtml	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H2810	002	0	1	04	01	H2810_002_0	13	08/25/2009	2010.02	08/25/2009 02:58:18 PM Pacific Daylight Time	08/18/2009 11:22:00 AM Pacific Daylight Time	08/18/2009 09:49:00 AM Pacific Daylight Time		08/26/2009 10:47:55 AM Pacific Daylight Time	GROUP HEALTH OPTIONS	Group Health Options, Inc.	www.ghc.org	Clear Care Elite (PPO)	01	04		1			H2810	002	0	2010	All Counties Servied by Group Health Options Inc.		2	708	2				2						http://www.ghc.org/provider/index.jhtml	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H2815	001	0	1	20	08	H2815_001_0	2	05/29/2009	2010.02	05/29/2009 02:51:28 PM Mountain Daylight Time		10/13/2009 10:42:53 PM Mountain Daylight Time		10/15/2009 07:38:07 AM Mountain Daylight Time	VOLUNTEERS OF AMERICA NATIONAL SERVICES	Senior CommUnity Care of Colorado	www.voa.org	Senior CommUnity Care of Colorado (PACE)	08	20		1			H2815	001	0	2010	Senior CommUnity Care of Colorado		2		2				2							www.voa.org									(800)-901-5020		(970)-901-5020		(800)-901-5020		(970)-901-5020																		1		
H2815	002	0	1	20	08	H2815_002_0	2	05/29/2009	2010.02	05/29/2009 02:51:49 PM Mountain Daylight Time		10/13/2009 10:42:54 PM Mountain Daylight Time		10/15/2009 07:38:07 AM Mountain Daylight Time	VOLUNTEERS OF AMERICA NATIONAL SERVICES	Senior CommUnity Care of Colorado	www.voa.org	Senior CommUnity Care of Colorado (PACE)	08	20		1			H2815	002	0	2010	Senior CommUnity Care of Colorado		2		2				2							www.voa.org									(800)-901-5020		(970)-901-5020		(800)-901-5020		(970)-901-5020																		1		
H2899	001	0	1	01	01	H2899_001_0	10	08/19/2009	2010.02	08/19/2009 04:02:42 PM Pacific Daylight Time	08/19/2009 11:15:22 AM Pacific Daylight Time	08/19/2009 11:11:06 AM Pacific Daylight Time		08/19/2009 04:04:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	001	0	2010	Eastern North Carolina		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(919)-781-4402		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	002	0	1	01	01	H2899_002_0	10	08/20/2009	2010.02	08/20/2009 12:44:20 PM Pacific Daylight Time	08/19/2009 11:15:28 AM Pacific Daylight Time	08/19/2009 11:11:02 AM Pacific Daylight Time		08/20/2009 03:25:24 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO)	01	01		1			H2899	002	0	2010	Eastern North Carolina		2		2		2		1	3		1	1			www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	003	0	1	01	01	H2899_003_0	6	08/19/2009	2010.02	08/19/2009 11:16:14 PM Pacific Daylight Time	08/19/2009 11:15:56 AM Pacific Daylight Time	08/19/2009 11:11:02 AM Pacific Daylight Time		08/20/2009 10:17:10 AM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	003	0	2010	Guilford		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	004	0	1	01	01	H2899_004_0	6	08/19/2009	2010.02	08/19/2009 11:17:06 PM Pacific Daylight Time	08/20/2009 12:15:00 PM Pacific Daylight Time	08/20/2009 12:19:54 PM Pacific Daylight Time		08/20/2009 03:23:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	004	0	2010	Craven		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	006	0	1	01	01	H2899_006_0	7	08/20/2009	2010.02	08/20/2009 12:11:06 PM Pacific Daylight Time	08/20/2009 12:14:46 PM Pacific Daylight Time	08/20/2009 12:19:50 PM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	006	0	2010	Carteret		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	008	0	1	01	01	H2899_008_0	8	08/19/2009	2010.02	08/19/2009 11:53:37 PM Pacific Daylight Time	08/20/2009 12:14:18 PM Pacific Daylight Time	08/20/2009 12:19:46 PM Pacific Daylight Time		08/20/2009 03:23:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Enhanced (HMO)	01	01		1			H2899	008	0	2010	North Carolina		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	009	0	1	01	01	H2899_009_0	7	08/20/2009	2010.02	08/20/2009 12:11:20 PM Pacific Daylight Time	08/20/2009 12:14:04 PM Pacific Daylight Time	08/20/2009 12:19:42 PM Pacific Daylight Time		08/20/2009 04:12:51 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	009	0	2010	Beaufort		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H2899	801	0	1	01	01	H2899_801_0	3	05/29/2009	2010.02	05/29/2009 02:08:58 PM Eastern Daylight Time	07/14/2009 12:14:56 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care EGWP (NC) (HMO)	01	01		1			H2899	801	0	2010	North Carolina		1		2				2							www.southeastcommunitycare.com	(800)-573-8597		(919)-781-4402		(877)-268-3866		(919)-781-4402		(877)-268-3866		(919)-781-4402		(877)-268-3866		(919)-781-4402		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8613		(866)-573-8613		(866)-573-8613		(866)-573-8613		1		
H2905	001	0	1	04	01	H2905_001_0	9	08/06/2009	2010.02	08/06/2009 04:29:07 PM Pacific Daylight Time	08/18/2009 10:15:59 AM Pacific Daylight Time	08/18/2009 10:16:15 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraspectrumppo.com	Sierra Spectrum (PPO)	01	04		1			H2905	001	0	2010	Washington county, UT		2		2				2						http://www.sierraspectrumppo.com	http://www.sierraspectrumppo.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2906	003	0	1	04	01	H2906_003_0	6	09/11/2009	2010.02	09/11/2009 12:13:04 PM Pacific Daylight Time	09/23/2009 03:26:15 PM Pacific Daylight Time	08/17/2009 05:17:00 PM Pacific Daylight Time		09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	SeniorCarePlus.com	Senior Care Plus: Freedom Rx Premier Plan (PPO)	01	04		1			H2906	003	0	2010	Washoe County, NV		2	437	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/SCPlus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8579		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-5703		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2906	801	0	1	04	01	H2906_801_0	5	08/26/2009	2010.02	08/26/2009 01:58:15 PM Pacific Daylight Time	06/01/2009 06:39:03 PM Pacific Daylight Time			09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	SeniorCarePlus.com	Senior Care Plus: Freedom Group (PPO)	01	04		1			H2906	801	0	2010	Washoe County, Nevada		1	50	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/SCPlus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8579		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-5703		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2926	001	0	1	01	01	H2926_001_0	3	06/01/2009	2010.02	06/01/2009 08:20:56 PM Central Daylight Time	08/17/2009 10:59:42 AM Central Daylight Time	08/17/2009 11:01:27 AM Central Daylight Time		08/18/2009 11:57:51 AM Central Daylight Time	PRIMEWEST HEALTH SYSTEM	PrimeWest Health	http://www.primewest.org	Prime Health Complete (HMO)	01	01		1			H2926	001	0	2010	West Central and Southwest Minnesota		2	400	2		2		1	3		1	5		http://www.primewest.org/find_doctor.xml	http://www.myrxassistant.com	(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1		
H2931	002	0	1	02	01	H2931_002_0	9	08/19/2009	2010.02	08/19/2009 09:18:23 AM Pacific Daylight Time	08/18/2009 10:39:12 AM Pacific Daylight Time	08/18/2009 10:39:27 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Southern Nevada Plan (HMO-POS)	01	02		1			H2931	002	0	2010	Clark and Nye counties, NV		2		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2931	004	0	1	01	01	H2931_004_0	7	07/10/2009	2010.02	07/10/2009 02:36:07 PM Pacific Daylight Time	08/18/2009 10:41:24 AM Pacific Daylight Time	08/18/2009 10:41:41 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Greater Nevada  Plan (HMO)	01	01		1			H2931	004	0	2010	Lyon, Mineral, Esmeralda, and portions of Washoe		2		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2931	015	0	1	01	01	H2931_015_0	5	09/24/2009	2010.02	09/24/2009 10:33:17 AM Pacific Daylight Time		08/18/2009 10:45:57 AM Pacific Daylight Time		09/24/2009 10:41:23 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.sierravillagehealth.com	Sierra VillageHealth (HMO)	01	01		1			H2931	015	0	2010	Clark, Nye and Portions of Washoe County		2		2				1	4		1		000000001000000	www.seniordimensions.com	www.seniordimensions.com	(866)-421-4386		(866)-421-4386		(800)-274-6648		(702)-304-6981		(866)-421-4386		(866)-421-4386		(800)-274-6648		(702)-304-6981		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		1		
H2931	016	0	1	01	01	H2931_016_0	7	07/17/2009	2010.02	07/17/2009 09:08:15 AM Pacific Daylight Time	08/19/2009 09:18:47 AM Pacific Daylight Time	08/18/2009 10:43:56 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.spectrumcareplus.com	Spectrum Care Plus (HMO)	01	01		1			H2931	016	0	2010	Clark county, NV		2		2				1	4		1		000110100000000	www.seniordimensions.com	www.seniordimensions.com	(877)-545-7384		(702)-242-7609		(800)-274-6648		(702)-821-2300		(877)-545-7384		(702)-242-7609		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2931	801	0	1	01	01	H2931_801_0	4	07/17/2009	2010.02	07/17/2009 09:09:30 AM Pacific Daylight Time	08/07/2009 11:46:28 AM Pacific Daylight Time			08/07/2009 04:22:48 PM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group (with Drug) Coverage (HMO)	01	01		1			H2931	801	0	2010	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2931	803	0	1	01	01	H2931_803_0	4	05/14/2009	2010.02	05/14/2009 01:59:52 PM Pacific Daylight Time	08/07/2009 01:39:34 PM Pacific Daylight Time			08/07/2009 04:22:48 PM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group MA Only Coverage (HMO)	01	01		1			H2931	803	0	2010	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1		
H2931	804	0	1	01	01	H2931_804_0	4	05/14/2009	2010.02	05/14/2009 02:03:55 PM Pacific Daylight Time	08/07/2009 12:59:14 PM Pacific Daylight Time			08/07/2009 04:22:48 PM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	(NCY) Basic Group (With Drug) Coverage (HMO)	01	01		1			H2931	804	0	2010	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2936	001	0	1	20	08	H2936_001_0	1	05/27/2009	2010.02	05/27/2009 12:59:59 PM Eastern Daylight Time		05/16/2009 11:28:35 AM Eastern Daylight Time		05/27/2009 01:47:58 PM Eastern Daylight Time	LIFECIRCLES	LIFECIRCLES	www.lifecircles-pace.org	LifeCircles (PACE)	08	20		1			H2936	001	0	2010	Muskegon, Ottawa		2		2				2							www.lifecircles-pace.org									(231)-733-8686		(231)-733-8686		(231)-733-8686		(231)-733-8686																		1		
H2936	002	0	1	20	08	H2936_002_0	1	05/22/2009	2010.02	05/22/2009 10:51:58 AM Eastern Daylight Time		05/16/2009 11:28:35 AM Eastern Daylight Time		05/27/2009 01:47:58 PM Eastern Daylight Time	LIFECIRCLES	LIFECIRCLES	www.lifecircles-pace.org	002 - Medicare Only (PACE)	08	20		1			H2936	002	0	2010	002 - Medicare Only		2		2				2							www.lifecircles-pace.org									(231)-733-8686		(231)-733-8686		(231)-733-8686		(231)-733-8686																		1		
H2941	001	0	1	20	08	H2941_001_0	2	05/18/2009	2010.02	05/18/2009 02:43:15 PM Eastern Daylight Time		10/14/2009 09:22:33 AM Eastern Daylight Time		10/14/2009 09:28:18 AM Eastern Daylight Time	SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	Sentara Senior Community Care Dual (PACE)	08	20		1			H2941	001	0	2010	Chesapeake, Norfolk, Portsmouth and Virginia Beach		2		2				2							www.sentara.com									(800)-736-8272		(757)-502-7800		(800)-736-8272		(757)-502-7800																		1		
H2941	002	0	1	20	08	H2941_002_0	2	05/18/2009	2010.02	05/18/2009 02:43:20 PM Eastern Daylight Time		10/14/2009 09:22:27 AM Eastern Daylight Time		10/14/2009 09:28:18 AM Eastern Daylight Time	SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	Sentara Senior Community Care Private (PACE)	08	20		1			H2941	002	0	2010	Chesapeake, Norfolk, Portsmouth and Virginia Beach		2		2				2							www.sentara.com									(800)-736-8272		(757)-502-7800		(800)-736-8272		(757)-502-7800																		1		
H2944	002	0	1	09	04	H2944_002_0	3	08/17/2009	2010.02	08/17/2009 08:02:37 AM Eastern Daylight Time	08/19/2009 04:06:16 PM Eastern Daylight Time	08/19/2009 10:34:57 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-002 (PFFS)	04	09	3	1			H2944	002	0	2010	Minnesota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	003	0	1	09	04	H2944_003_0	3	07/08/2009	2010.02	07/08/2009 01:18:08 PM Eastern Daylight Time	08/19/2009 04:06:38 PM Eastern Daylight Time	08/19/2009 10:35:05 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-003 (PFFS)	04	09	3	1			H2944	003	0	2010	Minnesota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	004	0	1	09	04	H2944_004_0	3	07/08/2009	2010.02	07/08/2009 01:31:59 PM Eastern Daylight Time	08/19/2009 04:04:58 PM Eastern Daylight Time	08/19/2009 10:35:13 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-004 (PFFS)	04	09	3	1			H2944	004	0	2010	Iowa		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	005	0	1	09	04	H2944_005_0	5	07/08/2009	2010.02	07/08/2009 01:32:02 PM Eastern Daylight Time	08/19/2009 04:05:18 PM Eastern Daylight Time	08/19/2009 10:35:21 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-005 (PFFS)	04	09	3	1			H2944	005	0	2010	Iowa		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	006	0	1	09	04	H2944_006_0	7	07/08/2009	2010.02	07/08/2009 01:32:05 PM Eastern Daylight Time	08/18/2009 05:55:08 PM Eastern Daylight Time	08/19/2009 10:35:29 AM Eastern Daylight Time		08/20/2009 09:01:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-006 (PFFS)	04	09	3	1			H2944	006	0	2010	Colorado		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	007	0	1	09	04	H2944_007_0	5	07/08/2009	2010.02	07/08/2009 01:32:09 PM Eastern Daylight Time	08/18/2009 05:55:27 PM Eastern Daylight Time	08/19/2009 10:35:37 AM Eastern Daylight Time		08/20/2009 09:01:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-007 (PFFS)	04	09	3	1			H2944	007	0	2010	Colorado		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	008	0	1	09	04	H2944_008_0	6	07/16/2009	2010.02	07/16/2009 03:49:51 PM Eastern Daylight Time	08/18/2009 05:55:46 PM Eastern Daylight Time	08/19/2009 10:35:45 AM Eastern Daylight Time		08/20/2009 09:01:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-008 (PFFS)	04	09	3	1			H2944	008	0	2010	New Mexico		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	009	0	1	09	04	H2944_009_0	4	07/08/2009	2010.02	07/08/2009 01:32:12 PM Eastern Daylight Time	08/19/2009 04:27:10 PM Eastern Daylight Time	08/19/2009 10:35:53 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-009 (PFFS)	04	09	3	1			H2944	009	0	2010	Select Counties in Arkansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	010	0	1	09	04	H2944_010_0	5	07/08/2009	2010.02	07/08/2009 01:32:16 PM Eastern Daylight Time	08/19/2009 04:27:28 PM Eastern Daylight Time	08/19/2009 10:36:01 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-010 (PFFS)	04	09	3	1			H2944	010	0	2010	Select Counties in Arkansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	011	0	1	09	04	H2944_011_0	4	07/08/2009	2010.02	07/08/2009 01:32:19 PM Eastern Daylight Time	08/19/2009 04:27:48 PM Eastern Daylight Time	08/19/2009 10:36:09 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-011 (PFFS)	04	09	3	1			H2944	011	0	2010	Select Counties in Kansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	012	0	1	09	04	H2944_012_0	4	07/08/2009	2010.02	07/08/2009 03:43:27 PM Eastern Daylight Time	08/19/2009 04:28:08 PM Eastern Daylight Time	08/19/2009 10:36:17 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-012 (PFFS)	04	09	3	1			H2944	012	0	2010	Select Counties in Kansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	013	0	1	09	04	H2944_013_0	4	07/08/2009	2010.02	07/08/2009 03:43:31 PM Eastern Daylight Time	08/19/2009 04:25:10 PM Eastern Daylight Time	08/19/2009 10:36:26 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-013 (PFFS)	04	09	3	1			H2944	013	0	2010	Select Counties in Missouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	014	0	1	09	04	H2944_014_0	3	07/08/2009	2010.02	07/08/2009 03:43:34 PM Eastern Daylight Time	08/19/2009 04:28:26 PM Eastern Daylight Time	08/19/2009 10:36:34 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-014 (PFFS)	04	09	3	1			H2944	014	0	2010	Select Counties in MIssouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	015	0	1	09	04	H2944_015_0	3	07/08/2009	2010.02	07/08/2009 03:43:37 PM Eastern Daylight Time	08/19/2009 04:06:58 PM Eastern Daylight Time	08/19/2009 10:36:42 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-015 (PFFS)	04	09	3	1			H2944	015	0	2010	Select Counties in North Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	016	0	1	09	04	H2944_016_0	4	07/08/2009	2010.02	07/08/2009 03:43:41 PM Eastern Daylight Time	08/19/2009 04:07:14 PM Eastern Daylight Time	08/19/2009 10:36:50 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-016 (PFFS)	04	09	3	1			H2944	016	0	2010	Select Counties in North Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	017	0	1	09	04	H2944_017_0	4	07/08/2009	2010.02	07/08/2009 03:43:44 PM Eastern Daylight Time	08/19/2009 04:07:34 PM Eastern Daylight Time	08/19/2009 10:36:58 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-017 (PFFS)	04	09	3	1			H2944	017	0	2010	Select Counties in Nebraska		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	019	0	1	09	04	H2944_019_0	3	07/08/2009	2010.02	07/08/2009 03:43:47 PM Eastern Daylight Time	08/19/2009 04:07:56 PM Eastern Daylight Time	08/19/2009 10:37:07 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-019 (PFFS)	04	09	3	1			H2944	019	0	2010	Select Counties in South Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	020	0	1	09	04	H2944_020_0	3	07/08/2009	2010.02	07/08/2009 03:43:51 PM Eastern Daylight Time	08/19/2009 04:08:14 PM Eastern Daylight Time	08/19/2009 10:37:15 AM Eastern Daylight Time		08/20/2009 01:43:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-020 (PFFS)	04	09	3	1			H2944	020	0	2010	Select Counties in South Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	021	0	1	09	04	H2944_021_0	3	07/08/2009	2010.02	07/08/2009 03:43:54 PM Eastern Daylight Time	08/19/2009 04:28:44 PM Eastern Daylight Time	08/19/2009 10:37:27 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-021 (PFFS)	04	09	3	1			H2944	021	0	2010	Select Counties in Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	022	0	1	09	04	H2944_022_0	3	07/08/2009	2010.02	07/08/2009 03:44:26 PM Eastern Daylight Time	08/19/2009 04:29:04 PM Eastern Daylight Time	08/19/2009 10:37:35 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-022 (PFFS)	04	09	3	1			H2944	022	0	2010	Select Counties in Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	023	0	1	09	04	H2944_023_0	3	08/10/2009	2010.02	08/10/2009 01:02:27 PM Eastern Daylight Time	08/19/2009 04:29:26 PM Eastern Daylight Time	08/19/2009 10:37:44 AM Eastern Daylight Time		08/20/2009 11:50:10 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-023 (PFFS)	04	09	3	1			H2944	023	0	2010	Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	024	0	1	09	04	H2944_024_0	3	07/08/2009	2010.02	07/08/2009 03:44:29 PM Eastern Daylight Time	08/18/2009 05:56:12 PM Eastern Daylight Time	08/19/2009 10:37:53 AM Eastern Daylight Time		08/20/2009 09:07:56 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-024 (PFFS)	04	09	3	1			H2944	024	0	2010	Select Counties in Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	026	0	1	09	04	H2944_026_0	3	07/08/2009	2010.02	07/08/2009 03:44:33 PM Eastern Daylight Time	08/18/2009 05:56:33 PM Eastern Daylight Time	08/19/2009 10:38:01 AM Eastern Daylight Time		08/20/2009 09:07:56 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-026 (PFFS)	04	09	3	1			H2944	026	0	2010	Select Counties in Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	027	0	1	09	04	H2944_027_0	3	07/08/2009	2010.02	07/08/2009 03:44:36 PM Eastern Daylight Time	08/18/2009 05:56:52 PM Eastern Daylight Time	08/19/2009 10:38:09 AM Eastern Daylight Time		08/20/2009 09:07:56 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-027 (PFFS)	04	09	3	1			H2944	027	0	2010	Select Counties in Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	028	0	1	09	04	H2944_028_0	3	07/08/2009	2010.02	07/08/2009 01:35:05 PM Eastern Daylight Time	08/18/2009 04:40:24 PM Eastern Daylight Time	08/19/2009 10:38:17 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-028 (PFFS)	04	09	3	1			H2944	028	0	2010	Select Counties in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	029	0	1	09	04	H2944_029_0	3	07/08/2009	2010.02	07/08/2009 01:36:16 PM Eastern Daylight Time	08/18/2009 04:40:54 PM Eastern Daylight Time	08/19/2009 10:38:26 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-029 (PFFS)	04	09	3	1			H2944	029	0	2010	Select Counties in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	030	0	1	09	04	H2944_030_0	3	07/08/2009	2010.02	07/08/2009 01:38:35 PM Eastern Daylight Time	08/18/2009 04:41:24 PM Eastern Daylight Time	08/19/2009 10:38:36 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-030 (PFFS)	04	09	3	1			H2944	030	0	2010	Select County in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	031	0	1	09	04	H2944_031_0	3	07/08/2009	2010.02	07/08/2009 01:39:53 PM Eastern Daylight Time	08/18/2009 04:41:54 PM Eastern Daylight Time	08/19/2009 10:38:46 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-031 (PFFS)	04	09	3	1			H2944	031	0	2010	Select Counties in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	032	0	1	09	04	H2944_032_0	6	07/08/2009	2010.02	07/08/2009 01:41:14 PM Eastern Daylight Time	08/18/2009 04:42:24 PM Eastern Daylight Time	08/19/2009 10:39:10 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-032 (PFFS)	04	09	3	1			H2944	032	0	2010	Select Counties in California		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	033	0	1	09	04	H2944_033_0	10	07/08/2009	2010.02	07/08/2009 01:42:23 PM Eastern Daylight Time	08/18/2009 04:42:54 PM Eastern Daylight Time	08/19/2009 10:39:20 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-033 (PFFS)	04	09	3	1			H2944	033	0	2010	Select Counties in California		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	034	0	1	09	04	H2944_034_0	3	07/08/2009	2010.02	07/08/2009 01:43:36 PM Eastern Daylight Time	08/18/2009 04:43:24 PM Eastern Daylight Time	08/19/2009 10:39:33 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-034 (PFFS)	04	09	3	1			H2944	034	0	2010	Select Counties in California		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	035	0	1	09	04	H2944_035_0	3	07/08/2009	2010.02	07/08/2009 01:45:10 PM Eastern Daylight Time	08/18/2009 04:52:58 PM Eastern Daylight Time	08/19/2009 10:39:42 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-035 (PFFS)	04	09	3	1			H2944	035	0	2010	Hawaii		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	036	0	1	09	04	H2944_036_0	3	07/08/2009	2010.02	07/08/2009 01:46:38 PM Eastern Daylight Time	08/18/2009 04:43:54 PM Eastern Daylight Time	08/19/2009 10:39:52 AM Eastern Daylight Time		08/20/2009 08:32:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-036 (PFFS)	04	09	3	1			H2944	036	0	2010	Select Counties in Idaho		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	037	0	1	09	04	H2944_037_0	3	07/08/2009	2010.02	07/08/2009 01:48:26 PM Eastern Daylight Time	08/18/2009 04:44:24 PM Eastern Daylight Time	08/19/2009 10:40:03 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-037 (PFFS)	04	09	3	1			H2944	037	0	2010	Select Counties in Idaho		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	038	0	1	09	04	H2944_038_0	3	07/08/2009	2010.02	07/08/2009 01:49:26 PM Eastern Daylight Time	08/18/2009 04:44:54 PM Eastern Daylight Time	08/19/2009 10:40:12 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-038 (PFFS)	04	09	3	1			H2944	038	0	2010	Select Counties in Idaho		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	039	0	1	09	04	H2944_039_0	3	07/08/2009	2010.02	07/08/2009 01:50:35 PM Eastern Daylight Time	08/18/2009 04:45:24 PM Eastern Daylight Time	08/19/2009 10:40:22 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-039 (PFFS)	04	09	3	1			H2944	039	0	2010	Select Counties in Idaho		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	040	0	1	09	04	H2944_040_0	3	07/08/2009	2010.02	07/08/2009 01:53:24 PM Eastern Daylight Time	08/18/2009 03:12:52 PM Eastern Daylight Time	08/19/2009 10:40:30 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-040 (PFFS)	04	09	3	1			H2944	040	0	2010	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	041	0	1	09	04	H2944_041_0	7	07/08/2009	2010.02	07/08/2009 01:54:45 PM Eastern Daylight Time	08/18/2009 03:13:26 PM Eastern Daylight Time	08/19/2009 10:40:38 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-041 (PFFS)	04	09	3	1			H2944	041	0	2010	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	042	0	1	09	04	H2944_042_0	3	07/08/2009	2010.02	07/08/2009 01:55:50 PM Eastern Daylight Time	08/18/2009 03:13:58 PM Eastern Daylight Time	08/19/2009 10:40:46 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-042 (PFFS)	04	09	3	1			H2944	042	0	2010	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	043	0	1	09	04	H2944_043_0	3	07/08/2009	2010.02	07/08/2009 02:10:06 PM Eastern Daylight Time	08/18/2009 03:14:30 PM Eastern Daylight Time	08/19/2009 10:40:55 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-043 (PFFS)	04	09	3	1			H2944	043	0	2010	Select County in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	044	0	1	09	04	H2944_044_0	3	07/08/2009	2010.02	07/08/2009 02:11:40 PM Eastern Daylight Time	08/18/2009 03:16:08 PM Eastern Daylight Time	08/19/2009 10:41:03 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-044 (PFFS)	04	09	3	1			H2944	044	0	2010	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	046	0	1	09	04	H2944_046_0	3	07/08/2009	2010.02	07/08/2009 02:39:45 PM Eastern Daylight Time	08/18/2009 03:15:04 PM Eastern Daylight Time	08/19/2009 10:41:13 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-046 (PFFS)	04	09	3	1			H2944	046	0	2010	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	047	0	1	09	04	H2944_047_0	3	07/08/2009	2010.02	07/08/2009 02:42:02 PM Eastern Daylight Time	08/18/2009 03:16:42 PM Eastern Daylight Time	08/19/2009 10:41:29 AM Eastern Daylight Time		08/20/2009 09:42:55 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-047 (PFFS)	04	09	3	1			H2944	047	0	2010	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	049	0	1	09	04	H2944_049_0	3	07/08/2009	2010.02	07/08/2009 02:43:49 PM Eastern Daylight Time	08/18/2009 03:17:16 PM Eastern Daylight Time	08/19/2009 10:41:43 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-049 (PFFS)	04	09	3	1			H2944	049	0	2010	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	051	0	1	09	04	H2944_051_0	3	07/08/2009	2010.02	07/08/2009 02:52:44 PM Eastern Daylight Time	08/18/2009 03:15:36 PM Eastern Daylight Time	08/19/2009 10:41:55 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-051 (PFFS)	04	09	3	1			H2944	051	0	2010	Select County in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	052	0	1	09	04	H2944_052_0	5	07/08/2009	2010.02	07/08/2009 02:47:23 PM Eastern Daylight Time	08/18/2009 04:51:28 PM Eastern Daylight Time	08/19/2009 10:42:07 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-052 (PFFS)	04	09	3	1			H2944	052	0	2010	Montana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	053	0	1	09	04	H2944_053_0	3	07/08/2009	2010.02	07/08/2009 02:48:52 PM Eastern Daylight Time	08/18/2009 04:51:58 PM Eastern Daylight Time	08/19/2009 10:42:35 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-053 (PFFS)	04	09	3	1			H2944	053	0	2010	Nevada		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	054	0	1	09	04	H2944_054_0	5	07/08/2009	2010.02	07/08/2009 02:55:09 PM Eastern Daylight Time	08/18/2009 04:45:54 PM Eastern Daylight Time	08/19/2009 10:42:53 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-054 (PFFS)	04	09	3	1			H2944	054	0	2010	Oregon		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	055	0	1	09	04	H2944_055_0	5	07/08/2009	2010.02	07/08/2009 02:54:48 PM Eastern Daylight Time	08/18/2009 04:46:24 PM Eastern Daylight Time	08/19/2009 10:43:13 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-055 (PFFS)	04	09	3	1			H2944	055	0	2010	Select Counties in Utah		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	056	0	1	09	04	H2944_056_0	3	07/08/2009	2010.02	07/08/2009 02:56:39 PM Eastern Daylight Time	08/18/2009 04:46:56 PM Eastern Daylight Time	08/19/2009 10:43:29 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-056 (PFFS)	04	09	3	1			H2944	056	0	2010	Select Counties in Utah		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	057	0	1	09	04	H2944_057_0	3	07/08/2009	2010.02	07/08/2009 03:00:15 PM Eastern Daylight Time	08/18/2009 04:47:26 PM Eastern Daylight Time	08/19/2009 10:44:00 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-057 (PFFS)	04	09	3	1			H2944	057	0	2010	Select Counties in Utah		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	058	0	1	09	04	H2944_058_0	3	07/09/2009	2010.02	07/09/2009 08:35:45 AM Eastern Daylight Time	08/18/2009 04:47:56 PM Eastern Daylight Time	08/19/2009 10:44:15 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-058 (PFFS)	04	09	3	1			H2944	058	0	2010	Select Counties in Utah		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	059	0	1	09	04	H2944_059_0	4	07/09/2009	2010.02	07/09/2009 08:36:42 AM Eastern Daylight Time	08/18/2009 04:48:26 PM Eastern Daylight Time	08/19/2009 10:44:36 AM Eastern Daylight Time		08/20/2009 10:46:31 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-059 (PFFS)	04	09	3	1			H2944	059	0	2010	Select Counties in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	060	0	1	09	04	H2944_060_0	3	07/09/2009	2010.02	07/09/2009 08:37:44 AM Eastern Daylight Time	08/18/2009 04:48:56 PM Eastern Daylight Time	08/19/2009 10:44:58 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-060 (PFFS)	04	09	3	1			H2944	060	0	2010	Select Counties in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	061	0	1	09	04	H2944_061_0	3	07/09/2009	2010.02	07/09/2009 08:38:46 AM Eastern Daylight Time	08/18/2009 04:49:26 PM Eastern Daylight Time	08/19/2009 10:45:14 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-061 (PFFS)	04	09	3	1			H2944	061	0	2010	Select Counties in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	062	0	1	09	04	H2944_062_0	3	07/09/2009	2010.02	07/09/2009 08:39:56 AM Eastern Daylight Time	08/18/2009 04:49:56 PM Eastern Daylight Time	08/19/2009 10:45:23 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-062 (PFFS)	04	09	3	1			H2944	062	0	2010	Select Counties in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	063	0	1	09	04	H2944_063_0	3	07/09/2009	2010.02	07/09/2009 08:41:02 AM Eastern Daylight Time	08/18/2009 04:50:26 PM Eastern Daylight Time	08/19/2009 10:45:31 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-063 (PFFS)	04	09	3	1			H2944	063	0	2010	Select County in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	064	0	1	09	04	H2944_064_0	3	07/09/2009	2010.02	07/09/2009 08:42:06 AM Eastern Daylight Time	08/18/2009 04:50:56 PM Eastern Daylight Time	08/19/2009 10:45:39 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-064 (PFFS)	04	09	3	1			H2944	064	0	2010	Select County in Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	065	0	1	09	04	H2944_065_0	6	07/09/2009	2010.02	07/09/2009 08:43:31 AM Eastern Daylight Time	08/18/2009 03:17:48 PM Eastern Daylight Time	08/19/2009 10:45:47 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-065 (PFFS)	04	09	3	1			H2944	065	0	2010	Select Counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	066	0	1	09	04	H2944_066_0	6	07/09/2009	2010.02	07/09/2009 08:44:47 AM Eastern Daylight Time	08/18/2009 03:19:58 PM Eastern Daylight Time	08/19/2009 10:45:55 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-066 (PFFS)	04	09	3	1			H2944	066	0	2010	Selecct Counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	067	0	1	09	04	H2944_067_0	3	07/09/2009	2010.02	07/09/2009 08:46:04 AM Eastern Daylight Time	08/18/2009 03:18:22 PM Eastern Daylight Time	08/19/2009 10:46:03 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-067 (PFFS)	04	09	3	1			H2944	067	0	2010	Select Counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	069	0	1	09	04	H2944_069_0	3	07/09/2009	2010.02	07/09/2009 08:48:03 AM Eastern Daylight Time	08/18/2009 03:18:54 PM Eastern Daylight Time	08/19/2009 10:46:11 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-069 (PFFS)	04	09	3	1			H2944	069	0	2010	Select County in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	070	0	1	09	04	H2944_070_0	6	07/09/2009	2010.02	07/09/2009 08:49:22 AM Eastern Daylight Time	08/18/2009 03:19:26 PM Eastern Daylight Time	08/19/2009 10:46:19 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-070 (PFFS)	04	09	3	1			H2944	070	0	2010	Select Counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	071	0	1	09	04	H2944_071_0	5	07/09/2009	2010.02	07/09/2009 08:50:31 AM Eastern Daylight Time	08/18/2009 04:52:30 PM Eastern Daylight Time	08/19/2009 10:46:27 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-071 (PFFS)	04	09	3	1			H2944	071	0	2010	Wyoming		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	072	0	1	09	04	H2944_072_0	3	07/09/2009	2010.02	07/09/2009 08:51:30 AM Eastern Daylight Time	08/18/2009 03:54:41 PM Eastern Daylight Time	08/19/2009 10:46:35 AM Eastern Daylight Time		08/20/2009 12:08:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-072 (PFFS)	04	09	3	1			H2944	072	0	2010	CA, MA, MN, ND, NE, NV, SD, VT, WA and WY		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	073	0	1	09	04	H2944_073_0	5	06/01/2009	2010.02	06/01/2009 06:59:44 AM Eastern Daylight Time	08/18/2009 04:23:48 PM Eastern Daylight Time	08/19/2009 10:46:43 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-073 (PFFS)	04	09	3	1			H2944	073	0	2010	New Hampshire		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	074	0	1	09	04	H2944_074_0	7	07/10/2009	2010.02	07/10/2009 10:08:18 AM Eastern Daylight Time	08/18/2009 04:16:24 PM Eastern Daylight Time	08/19/2009 10:46:51 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-074 (PFFS)	04	09	3	1			H2944	074	0	2010	Select counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	075	0	1	09	04	H2944_075_0	7	07/10/2009	2010.02	07/10/2009 10:21:55 AM Eastern Daylight Time	08/18/2009 04:16:53 PM Eastern Daylight Time	08/19/2009 10:46:59 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-075 (PFFS)	04	09	3	1			H2944	075	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	076	0	1	09	04	H2944_076_0	7	07/22/2009	2010.02	07/22/2009 10:32:04 AM Eastern Daylight Time	08/18/2009 04:17:19 PM Eastern Daylight Time	08/19/2009 10:47:07 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-076 (PFFS)	04	09	3	1			H2944	076	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	077	0	1	09	04	H2944_077_0	7	07/10/2009	2010.02	07/10/2009 10:31:43 AM Eastern Daylight Time	08/18/2009 04:17:45 PM Eastern Daylight Time	08/19/2009 10:47:16 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-077 (PFFS)	04	09	3	1			H2944	077	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	078	0	1	09	04	H2944_078_0	7	07/10/2009	2010.02	07/10/2009 10:33:40 AM Eastern Daylight Time	08/18/2009 04:18:14 PM Eastern Daylight Time	08/19/2009 10:47:27 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-078 (PFFS)	04	09	3	1			H2944	078	0	2010	Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	079	0	1	09	04	H2944_079_0	7	07/10/2009	2010.02	07/10/2009 10:35:47 AM Eastern Daylight Time	08/18/2009 04:18:40 PM Eastern Daylight Time	08/19/2009 10:47:35 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-079 (PFFS)	04	09	3	1			H2944	079	0	2010	Viriginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	080	0	1	09	04	H2944_080_0	7	07/10/2009	2010.02	07/10/2009 10:45:56 AM Eastern Daylight Time	08/18/2009 04:19:08 PM Eastern Daylight Time	08/19/2009 10:47:43 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-080 (PFFS)	04	09	3	1			H2944	080	0	2010	Select Counties West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	081	0	1	09	04	H2944_081_0	10	07/10/2009	2010.02	07/10/2009 10:45:38 AM Eastern Daylight Time	08/18/2009 04:19:37 PM Eastern Daylight Time	08/19/2009 10:47:52 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-081 (PFFS)	04	09	3	1			H2944	081	0	2010	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	082	0	1	09	04	H2944_082_0	7	07/10/2009	2010.02	07/10/2009 10:45:24 AM Eastern Daylight Time	08/18/2009 04:20:05 PM Eastern Daylight Time	08/19/2009 10:48:00 AM Eastern Daylight Time		08/20/2009 10:27:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-082 (PFFS)	04	09	3	1			H2944	082	0	2010	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	084	0	1	09	04	H2944_084_0	4	06/01/2009	2010.02	06/01/2009 07:07:04 AM Eastern Daylight Time	08/18/2009 03:43:09 PM Eastern Daylight Time	08/19/2009 10:48:07 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-084 (PFFS)	04	09	3	1			H2944	084	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	085	0	1	09	04	H2944_085_0	7	07/10/2009	2010.02	07/10/2009 10:50:11 AM Eastern Daylight Time	08/18/2009 03:42:42 PM Eastern Daylight Time	08/19/2009 10:48:15 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-085 (PFFS)	04	09	3	1			H2944	085	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	086	0	1	09	04	H2944_086_0	7	07/10/2009	2010.02	07/10/2009 10:52:07 AM Eastern Daylight Time	08/18/2009 03:43:33 PM Eastern Daylight Time	08/19/2009 10:48:22 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-086 (PFFS)	04	09	3	1			H2944	086	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	087	0	1	09	04	H2944_087_0	3	06/01/2009	2010.02	06/01/2009 07:08:40 AM Eastern Daylight Time	08/18/2009 03:43:54 PM Eastern Daylight Time	08/19/2009 10:48:30 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-087 (PFFS)	04	09	3	1			H2944	087	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	088	0	1	09	04	H2944_088_0	3	06/01/2009	2010.02	06/01/2009 07:09:39 AM Eastern Daylight Time	08/18/2009 03:44:36 PM Eastern Daylight Time	08/19/2009 10:48:39 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-088 (PFFS)	04	09	3	1			H2944	088	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	089	0	1	09	04	H2944_089_0	6	07/10/2009	2010.02	07/10/2009 10:55:34 AM Eastern Daylight Time	08/18/2009 03:44:15 PM Eastern Daylight Time	08/19/2009 10:48:47 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-089 (PFFS)	04	09	3	1			H2944	089	0	2010	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	090	0	1	09	04	H2944_090_0	6	07/10/2009	2010.02	07/10/2009 10:59:31 AM Eastern Daylight Time	08/18/2009 03:41:12 PM Eastern Daylight Time	08/19/2009 10:48:55 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-090 (PFFS)	04	09	3	1			H2944	090	0	2010	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	091	0	1	09	04	H2944_091_0	3	06/01/2009	2010.02	06/01/2009 07:11:48 AM Eastern Daylight Time	08/18/2009 03:41:34 PM Eastern Daylight Time	08/19/2009 10:49:02 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-091 (PFFS)	04	09	3	1			H2944	091	0	2010	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	092	0	1	09	04	H2944_092_0	6	07/10/2009	2010.02	07/10/2009 11:01:36 AM Eastern Daylight Time	08/18/2009 03:41:56 PM Eastern Daylight Time	08/19/2009 10:49:10 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-092 (PFFS)	04	09	3	1			H2944	092	0	2010	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	093	0	1	09	04	H2944_093_0	3	06/01/2009	2010.02	06/01/2009 07:13:28 AM Eastern Daylight Time	08/18/2009 03:42:19 PM Eastern Daylight Time	08/19/2009 10:49:18 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-093 (PFFS)	04	09	3	1			H2944	093	0	2010	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H2944	094	0	1	09	04	H2944_094_0	7	08/18/2009	2010.02	08/18/2009 02:01:53 PM Eastern Daylight Time	08/18/2009 04:29:28 PM Eastern Daylight Time	08/19/2009 10:49:25 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-094 (PFFS)	04	09	3	1			H2944	094	0	2010	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	095	0	1	09	04	H2944_095_0	4	08/18/2009	2010.02	08/18/2009 03:31:57 PM Eastern Daylight Time	08/18/2009 04:29:55 PM Eastern Daylight Time	08/19/2009 10:49:33 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-095 (PFFS)	04	09	3	1			H2944	095	0	2010	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	096	0	1	09	04	H2944_096_0	4	08/18/2009	2010.02	08/18/2009 01:42:05 PM Eastern Daylight Time	08/18/2009 04:30:20 PM Eastern Daylight Time	08/19/2009 10:49:40 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-096 (PFFS)	04	09	3	1			H2944	096	0	2010	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	097	0	1	09	04	H2944_097_0	4	08/18/2009	2010.02	08/18/2009 03:37:45 PM Eastern Daylight Time	08/18/2009 04:28:27 PM Eastern Daylight Time	08/19/2009 10:49:49 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-097 (PFFS)	04	09	3	1			H2944	097	0	2010	Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	098	0	1	09	04	H2944_098_0	5	08/18/2009	2010.02	08/18/2009 03:50:08 PM Eastern Daylight Time	08/18/2009 04:28:59 PM Eastern Daylight Time	08/19/2009 10:49:57 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-098 (PFFS)	04	09	3	1			H2944	098	0	2010	Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	099	0	1	09	04	H2944_099_0	4	08/18/2009	2010.02	08/18/2009 04:05:26 PM Eastern Daylight Time	08/18/2009 04:27:04 PM Eastern Daylight Time	08/19/2009 10:50:05 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-099 (PFFS)	04	09	3	1			H2944	099	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	100	0	1	09	04	H2944_100_0	4	08/18/2009	2010.02	08/18/2009 04:06:40 PM Eastern Daylight Time	08/18/2009 04:27:29 PM Eastern Daylight Time	08/19/2009 10:50:13 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-100 (PFFS)	04	09	3	1			H2944	100	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	101	0	1	09	04	H2944_101_0	4	08/18/2009	2010.02	08/18/2009 04:50:32 PM Eastern Daylight Time	08/18/2009 04:27:54 PM Eastern Daylight Time	08/19/2009 10:50:20 AM Eastern Daylight Time		08/20/2009 10:03:17 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-101 (PFFS)	04	09	3	1			H2944	101	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	102	0	1	09	04	H2944_102_0	4	07/22/2009	2010.02	07/22/2009 10:43:12 AM Eastern Daylight Time	07/21/2009 09:35:48 AM Eastern Daylight Time			07/22/2009 12:53:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-102 (PFFS)	04	09	3	1			H2944	102	0	2010	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2944	104	0	1	09	04	H2944_104_0	3	07/22/2009	2010.02	07/22/2009 10:46:33 AM Eastern Daylight Time	07/21/2009 09:35:20 AM Eastern Daylight Time			07/22/2009 12:53:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-104 (PFFS)	04	09	3	1			H2944	104	0	2010	Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2944	106	0	1	09	04	H2944_106_0	4	08/18/2009	2010.02	08/18/2009 12:13:44 PM Eastern Daylight Time	08/18/2009 04:13:24 PM Eastern Daylight Time	08/19/2009 10:50:29 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-106 (PFFS)	04	09	3	1			H2944	106	0	2010	New Hampshire		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	107	0	1	09	04	H2944_107_0	5	08/18/2009	2010.02	08/18/2009 12:48:02 PM Eastern Daylight Time	09/01/2009 01:35:02 PM Eastern Daylight Time	08/19/2009 10:50:36 AM Eastern Daylight Time		09/02/2009 09:35:32 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-107 (PFFS)	04	09	3	1			H2944	107	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	108	0	1	09	04	H2944_108_0	2	08/18/2009	2010.02	08/18/2009 04:11:20 PM Eastern Daylight Time	08/20/2009 09:35:30 AM Eastern Daylight Time	08/19/2009 10:50:44 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-108 (PFFS)	04	09	3	1			H2944	108	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	109	0	1	09	04	H2944_109_0	4	08/18/2009	2010.02	08/18/2009 12:14:11 PM Eastern Daylight Time	08/18/2009 03:39:37 PM Eastern Daylight Time	08/19/2009 10:50:52 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-109 (PFFS)	04	09	3	1			H2944	109	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	110	0	1	09	04	H2944_110_0	2	08/18/2009	2010.02	08/18/2009 04:12:36 PM Eastern Daylight Time	08/20/2009 09:36:09 AM Eastern Daylight Time	08/19/2009 10:51:00 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-110 (PFFS)	04	09	3	1			H2944	110	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	111	0	1	09	04	H2944_111_0	6	08/18/2009	2010.02	08/18/2009 12:14:56 PM Eastern Daylight Time	08/18/2009 03:40:23 PM Eastern Daylight Time	08/19/2009 10:51:08 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-111 (PFFS)	04	09	3	1			H2944	111	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	112	0	1	09	04	H2944_112_0	2	08/18/2009	2010.02	08/18/2009 04:13:45 PM Eastern Daylight Time	08/20/2009 09:36:45 AM Eastern Daylight Time	08/19/2009 10:51:16 AM Eastern Daylight Time		08/20/2009 11:10:24 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-112 (PFFS)	04	09	3	1			H2944	112	0	2010	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	113	0	1	09	04	H2944_113_0	4	08/18/2009	2010.02	08/18/2009 04:14:53 PM Eastern Daylight Time	08/20/2009 09:40:34 AM Eastern Daylight Time	08/19/2009 10:51:24 AM Eastern Daylight Time		08/20/2009 11:18:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-113 (PFFS)	04	09	3	1			H2944	113	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	114	0	1	09	04	H2944_114_0	5	09/16/2009	2010.02	09/16/2009 01:50:58 PM Eastern Daylight Time	08/18/2009 03:44:59 PM Eastern Daylight Time	08/19/2009 10:51:31 AM Eastern Daylight Time		09/23/2009 04:27:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-114 (PFFS)	04	09	3	1			H2944	114	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	115	0	1	09	04	H2944_115_0	5	09/16/2009	2010.02	09/16/2009 02:01:20 PM Eastern Daylight Time	08/18/2009 03:45:45 PM Eastern Daylight Time	08/19/2009 10:51:39 AM Eastern Daylight Time		09/23/2009 04:27:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-115 (PFFS)	04	09	3	1			H2944	115	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	116	0	1	09	04	H2944_116_0	3	08/18/2009	2010.02	08/18/2009 04:16:08 PM Eastern Daylight Time	08/20/2009 09:42:06 AM Eastern Daylight Time	08/19/2009 10:51:47 AM Eastern Daylight Time		08/20/2009 11:18:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-116 (PFFS)	04	09	3	1			H2944	116	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	117	0	1	09	04	H2944_117_0	4	08/18/2009	2010.02	08/18/2009 12:17:21 PM Eastern Daylight Time	08/20/2009 09:42:47 AM Eastern Daylight Time	08/19/2009 10:51:55 AM Eastern Daylight Time		08/20/2009 11:18:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-117 (PFFS)	04	09	3	1			H2944	117	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	118	0	1	09	04	H2944_118_0	4	08/18/2009	2010.02	08/18/2009 12:49:19 PM Eastern Daylight Time	08/18/2009 03:46:26 PM Eastern Daylight Time	08/19/2009 10:52:03 AM Eastern Daylight Time		08/20/2009 11:18:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-118 (PFFS)	04	09	3	1			H2944	118	0	2010	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	119	0	1	09	04	H2944_119_0	5	05/31/2009	2010.02	05/31/2009 11:59:29 AM Eastern Daylight Time	08/18/2009 04:22:51 PM Eastern Daylight Time	08/19/2009 10:52:11 AM Eastern Daylight Time		08/19/2009 05:07:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-119 (PFFS)	04	09	3	1			H2944	119	0	2010	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	120	0	1	09	04	H2944_120_0	5	05/31/2009	2010.02	05/31/2009 12:00:11 PM Eastern Daylight Time	08/18/2009 04:23:20 PM Eastern Daylight Time	08/19/2009 10:52:19 AM Eastern Daylight Time		08/19/2009 05:07:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-120 (PFFS)	04	09	3	1			H2944	120	0	2010	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	121	0	1	09	04	H2944_121_0	5	05/31/2009	2010.02	05/31/2009 12:00:54 PM Eastern Daylight Time	08/18/2009 04:25:42 PM Eastern Daylight Time	08/19/2009 10:52:27 AM Eastern Daylight Time		08/19/2009 05:07:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-121 (PFFS)	04	09	3	1			H2944	121	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	122	0	1	09	04	H2944_122_0	5	08/17/2009	2010.02	08/17/2009 02:29:43 PM Eastern Daylight Time	08/18/2009 04:26:08 PM Eastern Daylight Time	08/19/2009 10:52:35 AM Eastern Daylight Time		08/19/2009 05:07:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-122 (PFFS)	04	09	3	1			H2944	122	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	123	0	1	09	04	H2944_123_0	6	05/31/2009	2010.02	05/31/2009 01:49:32 PM Eastern Daylight Time	08/18/2009 04:26:38 PM Eastern Daylight Time	08/19/2009 10:52:42 AM Eastern Daylight Time		08/19/2009 05:07:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-123 (PFFS)	04	09	3	1			H2944	123	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	124	0	1	09	04	H2944_124_0	4	07/22/2009	2010.02	07/22/2009 11:01:54 AM Eastern Daylight Time	08/18/2009 04:12:21 PM Eastern Daylight Time	08/19/2009 10:52:49 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-124 (PFFS)	04	09	3	1			H2944	124	0	2010	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	125	0	1	09	04	H2944_125_0	5	07/22/2009	2010.02	07/22/2009 11:01:20 AM Eastern Daylight Time	08/18/2009 04:12:51 PM Eastern Daylight Time	08/19/2009 10:52:57 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-125 (PFFS)	04	09	3	1			H2944	125	0	2010	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	127	0	1	09	04	H2944_127_0	4	07/22/2009	2010.02	07/22/2009 11:02:56 AM Eastern Daylight Time	08/18/2009 04:11:22 PM Eastern Daylight Time	08/19/2009 10:53:05 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-127 (PFFS)	04	09	3	1			H2944	127	0	2010	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	128	0	1	09	04	H2944_128_0	4	07/22/2009	2010.02	07/22/2009 11:03:31 AM Eastern Daylight Time	08/18/2009 04:11:51 PM Eastern Daylight Time	08/19/2009 10:53:13 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-128 (PFFS)	04	09	3	1			H2944	128	0	2010	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	129	0	1	09	04	H2944_129_0	4	07/22/2009	2010.02	07/22/2009 01:36:26 PM Eastern Daylight Time	08/18/2009 04:13:51 PM Eastern Daylight Time	08/19/2009 10:53:21 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-129 (PFFS)	04	09	3	1			H2944	129	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	131	0	1	09	04	H2944_131_0	4	07/22/2009	2010.02	07/22/2009 01:36:52 PM Eastern Daylight Time	08/18/2009 04:14:17 PM Eastern Daylight Time	08/19/2009 10:53:30 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-131 (PFFS)	04	09	3	1			H2944	131	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	132	0	1	09	04	H2944_132_0	4	07/22/2009	2010.02	07/22/2009 11:05:38 AM Eastern Daylight Time	08/18/2009 04:15:53 PM Eastern Daylight Time	08/19/2009 10:53:38 AM Eastern Daylight Time		08/19/2009 05:51:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-132 (PFFS)	04	09	3	1			H2944	132	0	2010	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	133	0	1	09	04	H2944_133_0	4	07/22/2009	2010.02	07/22/2009 11:06:15 AM Eastern Daylight Time	08/18/2009 03:47:10 PM Eastern Daylight Time	08/19/2009 10:53:46 AM Eastern Daylight Time		08/19/2009 06:21:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-133 (PFFS)	04	09	3	1			H2944	133	0	2010	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	134	0	1	09	04	H2944_134_0	6	09/16/2009	2010.02	09/16/2009 01:36:51 PM Eastern Daylight Time	08/18/2009 03:47:35 PM Eastern Daylight Time	08/19/2009 10:53:54 AM Eastern Daylight Time		09/23/2009 04:35:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-134 (PFFS)	04	09	3	1			H2944	134	0	2010	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	135	0	1	09	04	H2944_135_0	4	07/22/2009	2010.02	07/22/2009 11:06:49 AM Eastern Daylight Time	08/18/2009 03:47:59 PM Eastern Daylight Time	08/19/2009 10:54:02 AM Eastern Daylight Time		08/19/2009 06:21:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-135 (PFFS)	04	09	3	1			H2944	135	0	2010	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	136	0	1	09	04	H2944_136_0	6	09/16/2009	2010.02	09/16/2009 01:46:48 PM Eastern Daylight Time	08/18/2009 03:48:21 PM Eastern Daylight Time	08/19/2009 10:54:10 AM Eastern Daylight Time		09/23/2009 04:35:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-136 (PFFS)	04	09	3	1			H2944	136	0	2010	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	137	0	1	09	04	H2944_137_0	5	07/22/2009	2010.02	07/22/2009 11:07:23 AM Eastern Daylight Time	08/20/2009 01:39:12 PM Eastern Daylight Time	08/19/2009 10:54:18 AM Eastern Daylight Time		08/20/2009 03:26:43 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-137 (PFFS)	04	09	3	1			H2944	137	0	2010	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	138	0	1	09	04	H2944_138_0	3	07/22/2009	2010.02	07/22/2009 12:15:44 PM Eastern Daylight Time	08/18/2009 05:22:11 PM Eastern Daylight Time	08/19/2009 10:54:25 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-138 (PFFS)	04	09	3	1			H2944	138	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	139	0	1	09	04	H2944_139_0	3	07/09/2009	2010.02	07/09/2009 02:38:41 PM Eastern Daylight Time	08/18/2009 05:22:28 PM Eastern Daylight Time	08/19/2009 10:54:33 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-139 (PFFS)	04	09	3	1			H2944	139	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	140	0	1	09	04	H2944_140_0	4	07/08/2009	2010.02	07/08/2009 02:32:27 PM Eastern Daylight Time	08/18/2009 05:22:44 PM Eastern Daylight Time	08/19/2009 10:54:42 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-140 (PFFS)	04	09	3	1			H2944	140	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	141	0	1	09	04	H2944_141_0	3	07/09/2009	2010.02	07/09/2009 02:46:32 PM Eastern Daylight Time	08/18/2009 05:23:00 PM Eastern Daylight Time	08/19/2009 10:54:51 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-141 (PFFS)	04	09	3	1			H2944	141	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	142	0	1	09	04	H2944_142_0	3	07/08/2009	2010.02	07/08/2009 02:35:17 PM Eastern Daylight Time	08/18/2009 05:25:15 PM Eastern Daylight Time	08/19/2009 10:55:00 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-142 (PFFS)	04	09	3	1			H2944	142	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	143	0	1	09	04	H2944_143_0	3	07/16/2009	2010.02	07/16/2009 03:33:39 PM Eastern Daylight Time	08/18/2009 05:25:27 PM Eastern Daylight Time	08/19/2009 10:55:08 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-143 (PFFS)	04	09	3	1			H2944	143	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	144	0	1	09	04	H2944_144_0	3	07/16/2009	2010.02	07/16/2009 03:40:06 PM Eastern Daylight Time	08/18/2009 05:25:43 PM Eastern Daylight Time	08/19/2009 10:55:16 AM Eastern Daylight Time		08/20/2009 03:09:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-144 (PFFS)	04	09	3	1			H2944	144	0	2010	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	146	0	1	09	04	H2944_146_0	3	07/20/2009	2010.02	07/20/2009 03:44:33 PM Eastern Daylight Time	08/18/2009 03:48:43 PM Eastern Daylight Time	08/19/2009 10:55:24 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-146 (PFFS)	04	09	3	1			H2944	146	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	147	0	1	09	04	H2944_147_0	3	07/08/2009	2010.02	07/08/2009 02:42:13 PM Eastern Daylight Time	08/18/2009 03:49:06 PM Eastern Daylight Time	08/19/2009 10:55:32 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-147 (PFFS)	04	09	3	1			H2944	147	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	148	0	1	09	04	H2944_148_0	2	05/30/2009	2010.02	05/30/2009 02:56:40 PM Eastern Daylight Time	08/18/2009 03:49:28 PM Eastern Daylight Time	08/19/2009 10:55:40 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-148 (PFFS)	04	09	3	1			H2944	148	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	149	0	1	09	04	H2944_149_0	3	07/20/2009	2010.02	07/20/2009 03:40:49 PM Eastern Daylight Time	08/18/2009 03:49:52 PM Eastern Daylight Time	08/19/2009 10:55:48 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-149 (PFFS)	04	09	3	1			H2944	149	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	150	0	1	09	04	H2944_150_0	2	05/30/2009	2010.02	05/30/2009 02:54:42 PM Eastern Daylight Time	08/18/2009 03:50:14 PM Eastern Daylight Time	08/19/2009 10:55:56 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-150 (PFFS)	04	09	3	1			H2944	150	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	151	0	1	09	04	H2944_151_0	4	07/20/2009	2010.02	07/20/2009 03:40:09 PM Eastern Daylight Time	08/18/2009 03:50:38 PM Eastern Daylight Time	08/19/2009 10:56:03 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-151 (PFFS)	04	09	3	1			H2944	151	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2944	152	0	1	09	04	H2944_152_0	2	05/30/2009	2010.02	05/30/2009 03:11:23 PM Eastern Daylight Time	08/18/2009 03:50:57 PM Eastern Daylight Time	08/19/2009 10:56:11 AM Eastern Daylight Time		08/20/2009 09:55:25 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-152 (PFFS)	04	09	3	1			H2944	152	0	2010	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H2949	002	0	1	01	01	H2949_002_0	6	08/19/2009	2010.02	08/19/2009 02:17:07 PM Eastern Daylight Time	08/18/2009 04:36:46 PM Eastern Daylight Time	08/19/2009 10:56:18 AM Eastern Daylight Time		08/20/2009 12:26:18 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-002 (HMO)	01	01		1			H2949	002	0	2010	Clark (Partial) County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2949	007	0	1	01	01	H2949_007_0	5	08/19/2009	2010.02	08/19/2009 02:17:51 PM Eastern Daylight Time	08/18/2009 04:37:16 PM Eastern Daylight Time	08/19/2009 10:56:26 AM Eastern Daylight Time		08/20/2009 12:26:18 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-007 (HMO)	01	01		1			H2949	007	0	2010	Nye (Partial) County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2949	009	0	1	01	01	H2949_009_0	3	08/14/2009	2010.02	08/14/2009 10:27:13 AM Eastern Daylight Time	08/14/2009 09:44:12 AM Eastern Daylight Time			08/14/2009 01:27:57 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-009 (HMO)	01	01		1			H2949	009	0	2010	Clark (Partial) County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2949	012	0	1	01	01	H2949_012_0	5	08/19/2009	2010.02	08/19/2009 02:18:30 PM Eastern Daylight Time	08/18/2009 04:38:14 PM Eastern Daylight Time	08/19/2009 10:56:34 AM Eastern Daylight Time		08/20/2009 12:26:18 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-012 (HMO)	01	01		1			H2949	012	0	2010	Clark (Partial) County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2949	805	0	1	01	01	H2949_805_0	3	05/26/2009	2010.02	05/26/2009 04:02:55 PM Eastern Daylight Time	07/21/2009 03:29:12 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2949	805	0	2010	Select counties in Nevada		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2949	807	0	1	01	01	H2949_807_0	3	05/26/2009	2010.02	05/26/2009 04:03:19 PM Eastern Daylight Time	07/21/2009 04:17:40 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2949	807	0	2010	Select counties in Nevada		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H2949	808	0	1	01	01	H2949_808_0	3	05/26/2009	2010.02	05/26/2009 04:03:41 PM Eastern Daylight Time	07/21/2009 04:18:40 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2949	808	0	2010	Select counties in Nevada		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H2960	004	0	1	01	01	H2960_004_0	6	09/09/2009	2010.02	09/09/2009 09:33:55 AM Pacific Daylight Time	09/23/2009 03:26:24 PM Pacific Daylight Time	08/17/2009 05:39:00 PM Pacific Daylight Time		09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Enhanced Plan (HMO)	01	01		1			H2960	004	0	2010	Washoe County, NV		2	2771	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2960	009	0	1	01	01	H2960_009_0	6	08/21/2009	2010.02	08/21/2009 10:49:41 AM Pacific Daylight Time	09/23/2009 03:26:33 PM Pacific Daylight Time			09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Basic Plan (HMO)	01	01		1			H2960	009	0	2010	Washoe County, NV		2	348	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158										(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240										1		
H2960	010	0	1	01	01	H2960_010_0	6	08/21/2009	2010.02	08/21/2009 10:17:51 AM Pacific Daylight Time	09/23/2009 03:26:50 PM Pacific Daylight Time	08/17/2009 05:18:00 PM Pacific Daylight Time		09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Premier Plan (HMO)	01	01		1			H2960	010	0	2010	Washoe County, NV		2	1257	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2960	012	0	1	01	01	H2960_012_0	7	08/21/2009	2010.02	08/21/2009 10:51:28 AM Pacific Daylight Time	09/23/2009 03:26:42 PM Pacific Daylight Time	08/17/2009 11:23:00 AM Pacific Daylight Time		09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Plan (HMO)	01	01		1			H2960	012	0	2010	Washoe County, NV		2	1159	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2960	803	0	1	01	01	H2960_803_0	3	08/20/2009	2010.02	08/20/2009 07:47:45 PM Pacific Daylight Time	06/01/2009 07:49:56 PM Pacific Daylight Time			09/28/2009 02:14:32 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Group Plan (HMO)	01	01		1			H2960	803	0	2010	Washoe County, Nevada		1	50	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1		
H2961	002	0	1	02	01	H2961_002_0	13	08/19/2009	2010.02	08/19/2009 08:32:54 AM Pacific Daylight Time	08/18/2009 10:47:46 AM Pacific Daylight Time	08/18/2009 10:48:10 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Southern Nevada Plan (HMO-POS)	01	02		1			H2961	002	0	2010	Clark and Nye counties		2		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2961	011	0	1	02	01	H2961_011_0	10	07/10/2009	2010.02	07/10/2009 03:04:28 PM Pacific Daylight Time	08/18/2009 10:49:50 AM Pacific Daylight Time	08/18/2009 10:50:07 AM Pacific Daylight Time		08/19/2009 10:30:38 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Northern Nevada Plan (HMO-POS)	01	02		1			H2961	011	0	2010	Portions of Washoe county		2		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2961	801	0	1	01	01	H2961_801_0	5	07/17/2009	2010.02	07/17/2009 09:11:51 AM Pacific Daylight Time	08/06/2009 01:29:01 PM Pacific Daylight Time			08/07/2009 11:17:44 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group (with Drug) Coverage (HMO)	01	01		1			H2961	801	0	2010	Clark, Nye and portions of Washoe county		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2961	805	0	1	01	01	H2961_805_0	4	05/14/2009	2010.02	05/14/2009 04:17:53 PM Pacific Daylight Time	08/04/2009 10:30:42 AM Pacific Daylight Time			08/06/2009 10:16:01 AM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group MA Only Coverage (HMO)	01	01		1			H2961	805	0	2010	Clark, Nye and portions of Washoe county		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1		
H2961	806	0	1	01	01	H2961_806_0	4	05/14/2009	2010.02	05/14/2009 04:18:07 PM Pacific Daylight Time	08/07/2009 11:23:27 AM Pacific Daylight Time			08/07/2009 04:22:48 PM Pacific Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	(NCY) Basic Group (With Drug) Coverage (HMO)	01	01		1			H2961	806	0	2010	Clark, Nye and portions of Washoe county		1		2				2						www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H2997	001	0	1	04	01	H2997_001_0	13	08/24/2009	2010.02	08/24/2009 04:20:20 PM Pacific Daylight Time	08/27/2009 05:39:05 AM Pacific Daylight Time	08/17/2009 03:52:15 PM Pacific Daylight Time		08/27/2009 09:03:11 AM Pacific Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred Premier (PPO)	01	04		1			H2997	001	0	2010	Clark and Washoe Counties		2	508	2				2							www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H2997	002	0	1	04	01	H2997_002_0	16	11/19/2009	2010.02	11/19/2009 11:32:50 AM Pacific Standard Time	11/16/2009 02:03:51 PM Pacific Standard Time	11/16/2009 02:03:49 PM Pacific Standard Time		11/19/2009 11:50:37 AM Pacific Standard Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred Select (PPO)	01	04		1			H2997	002	0	2010	Clark and Washoe Counties		2	508	2				2							www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H2997	803	0	1	04	01	H2997_803_0	6	08/05/2009	2010.02	08/05/2009 03:06:40 PM Pacific Daylight Time	07/24/2009 08:39:37 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	803	0	2010	NV- Las Vegas and Reno		1	10	2				2							www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H2997	804	0	1	04	01	H2997_804_0	5	08/05/2009	2010.02	08/05/2009 03:07:20 PM Pacific Daylight Time	07/24/2009 08:44:06 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	804	0	2010	NV - Las Vegas and Reno		1	10	2				2							www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
H2997	805	0	1	04	01	H2997_805_0	5	08/05/2009	2010.02	08/05/2009 03:07:55 PM Pacific Daylight Time	07/24/2009 08:47:28 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	805	0	2010	NV - Las Vegas and Reno		1	10	2				2							www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H3028	001	0	1	01	01	H3028_001_0	7	07/21/2009	2010.02	07/21/2009 03:40:56 PM Eastern Daylight Time	08/18/2009 05:50:40 PM Eastern Daylight Time	08/19/2009 10:56:42 AM Eastern Daylight Time		08/21/2009 09:44:32 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H3028-001 (HMO)	01	01		1			H3028	001	0	2010	Albuquerque Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3028	801	0	1	01	01	H3028_801_0	3	05/26/2009	2010.02	05/26/2009 04:04:03 PM Eastern Daylight Time	07/21/2009 03:36:54 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H3028	801	0	2010	Select counties in New Mexico		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3028	803	0	1	01	01	H3028_803_0	3	05/26/2009	2010.02	05/26/2009 04:04:27 PM Eastern Daylight Time	07/21/2009 04:20:04 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H3028	803	0	2010	Select counties in New Mexico		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H3028	804	0	1	01	01	H3028_804_0	3	05/26/2009	2010.02	05/26/2009 04:04:49 PM Eastern Daylight Time	07/21/2009 04:21:22 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H3028	804	0	2010	Select counties in New Mexico		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3044	001	0	1	01	01	H3044_001_0	4	08/17/2009	2010.02	08/18/2009 05:01:54 PM Central Daylight Time	08/18/2009 04:35:38 PM Central Daylight Time	08/18/2009 04:35:38 PM Central Daylight Time		08/18/2009 05:03:57 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Silver Rx (HMO)	01	01		1			H3044	001	0	2010	Eight Southwestern Indiana Counties		2	800	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H3044	002	0	1	01	01	H3044_002_0	3	06/30/2009	2010.02	06/30/2009 04:49:51 PM Central Daylight Time	07/28/2009 08:43:01 PM Central Daylight Time			07/28/2009 09:48:18 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Silver (HMO)	01	01		1			H3044	002	0	2010	Eight Southwestern Indiana Counties		2	355	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1		
H3044	003	0	1	01	01	H3044_003_0	5	08/07/2009	2010.02	08/18/2009 05:01:57 PM Central Daylight Time	08/18/2009 04:37:29 PM Central Daylight Time	08/18/2009 04:37:25 PM Central Daylight Time		08/18/2009 05:09:54 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Platinum Rx (HMO)	01	01		1			H3044	003	0	2010	Eight Southwestern Indiana Counties		2	1042	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H3044	004	0	1	02	01	H3044_004_0	4	08/17/2009	2010.02	08/18/2009 05:02:00 PM Central Daylight Time	08/18/2009 04:40:34 PM Central Daylight Time	08/18/2009 04:40:33 PM Central Daylight Time		08/18/2009 05:13:20 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Platinum Select Rx (HMO-POS)	01	02		1			H3044	004	0	2010	Eight Southwestern Indiana Counties		2	1042	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H3044	801	0	1	02	01	H3044_801_0	1	06/01/2009	2010.02	06/01/2009 07:49:39 PM Central Daylight Time	06/01/2009 07:19:41 PM Central Daylight Time			06/01/2009 07:52:06 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Access (HMO-POS)	01	02		1			H3044	801	0	2010	Indiana, Illinois, Ohio, and Kentucky areas		1	355	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1		
H3044	802	0	1	02	01	H3044_802_0	1	06/01/2009	2010.02	06/01/2009 07:59:03 PM Central Daylight Time	06/01/2009 07:20:38 PM Central Daylight Time			06/01/2009 07:59:50 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Access Rx (HMO-POS)	01	02		1			H3044	802	0	2010	Indiana, Illinois, Ohio, Kentucky area		1	355	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H3044	803	0	1	02	01	H3044_803_0	1	06/01/2009	2010.02	06/01/2009 07:51:11 PM Central Daylight Time	06/01/2009 07:21:07 PM Central Daylight Time			06/01/2009 07:55:40 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Select (HMO-POS)	01	02		1			H3044	803	0	2010	Indiana, Illinois, Ohio, Kentucky area		1	355	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1		
H3044	804	0	1	02	01	H3044_804_0	1	06/01/2009	2010.02	06/01/2009 07:59:24 PM Central Daylight Time	06/01/2009 07:21:43 PM Central Daylight Time			06/01/2009 08:02:20 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Select Rx (HMO-POS)	01	02		1			H3044	804	0	2010	Indiana, Illinois, Ohio, Kentucky area		1	355	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H3059	001	0	1	01	01	H3059_001_0	3	07/14/2009	2010.02	07/14/2009 02:50:01 PM Central Daylight Time	05/31/2009 11:51:28 AM Central Daylight Time			07/15/2009 12:21:24 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	WWW.PHYSICIANSHEALTHCHOICE.COM	Physicians Health Choice Basic (HMO)	01	01		1			H3059	001	0	2010	Dona Ana and Otero Counties		2		2				2						WWW.PHYSICIANSHEALTHCHOICE.COM	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H3059	002	0	1	01	01	H3059_002_0	4	08/20/2009	2010.02	08/20/2009 10:11:27 AM Central Daylight Time	08/20/2009 04:47:40 PM Central Daylight Time	08/20/2009 04:49:27 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	WWW.PHYSICIANSHEALTHCHOICE.COM	Physicians Health Choice Standard (HMO)	01	01		1			H3059	002	0	2010	Dona Ana and Otero Counties		2		2				2						WWW.PHYSICIANSHEALTHCHOICE.COM	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H3059	004	0	1	01	01	H3059_004_0	3	07/07/2009	2010.02	07/07/2009 04:43:30 PM Central Daylight Time	08/20/2009 04:47:41 PM Central Daylight Time	08/20/2009 04:49:27 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	WWW.PHYSICIANSHEALTHCHOICE.COM	Physicians Health Choice Select (HMO)	01	01		1			H3059	004	0	2010	Dona Ana and Otero Counties		2		2		2		1	3		1	3		WWW.PHYSICIANSHEALTHCHOICE.COM	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H3059	005	0	1	01	01	H3059_005_0	4	08/20/2009	2010.02	08/20/2009 10:12:01 AM Central Daylight Time	08/20/2009 04:47:42 PM Central Daylight Time	08/20/2009 04:49:28 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	PHYSICIANS HEALTH CHOICE OF NEW MEXICO	WWW.PHYSICIANSHEALTHCHOICE.COM	Physicians Health Choice Extra (HMO)	01	01		1			H3059	005	0	2010	Dona Ana and Otero Counties		2		2				2						WWW.PHYSICIANSHEALTHCHOICE.COM	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H3107	004	0	1	02	01	H3107_004_0	4	08/18/2009	2010.02	08/18/2009 10:36:33 AM Central Daylight Time	08/14/2009 11:19:08 AM Central Daylight Time	08/13/2009 05:47:42 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3107	004	0	2010	Northern and Central New Jersey		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H3107	005	0	1	02	01	H3107_005_0	5	08/24/2009	2010.02	08/24/2009 01:48:52 PM Central Daylight Time	08/24/2009 01:19:08 PM Central Daylight Time	08/13/2009 05:47:46 PM Central Daylight Time		08/24/2009 04:33:00 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Balance Plus (HMO-POS)	01	02		1			H3107	005	0	2010	Northern and Central New Jersey		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H3107	008	0	1	02	01	H3107_008_0	3	07/23/2009	2010.02	07/23/2009 03:05:12 PM Central Daylight Time	07/20/2009 03:51:23 PM Central Daylight Time			07/23/2009 03:16:12 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H3107	008	0	2010	Northern and Central New Jersey		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514										(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480										1		
H3107	801	0	1	01	01	H3107_801_0	3	05/30/2009	2010.02	05/30/2009 08:13:28 PM Central Daylight Time	07/20/2009 03:51:10 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	801	0	2010	State of New Jersey Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
H3107	803	0	1	01	01	H3107_803_0	3	05/30/2009	2010.02	05/30/2009 08:13:39 PM Central Daylight Time	07/20/2009 03:50:56 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	803	0	2010	State of New Jersey Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720										(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874										1		
H3107	804	0	1	01	01	H3107_804_0	3	05/30/2009	2010.02	05/30/2009 08:13:44 PM Central Daylight Time	07/20/2009 03:50:42 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	804	0	2010	Morris NJ		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
H3113	001	0	1	01	01	H3113_001_0	3	08/20/2009	2010.02	08/20/2009 02:52:52 PM Central Daylight Time	08/19/2009 11:45:52 AM Central Daylight Time	08/13/2009 05:47:50 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H3113	001	0	2010	Bergen,Essex,Hudson,Passaic,Union,Morris,Somerset		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3132	001	0	1	01	01	H3132_001_0	6	06/01/2009	2010.02	06/01/2009 06:37:07 PM Pacific Daylight Time	08/17/2009 07:14:46 PM Pacific Daylight Time	08/17/2009 07:07:21 PM Pacific Daylight Time		08/17/2009 07:43:23 PM Pacific Daylight Time	AIDS HEALTHCARE FOUNDATION MCO OF FLORIDA, INC.	Positive Healthcare Partners	www.positivehealthcare.org	POSITIVE HEALTHCARE PARTNERS (HMO)	01	01		1			H3132	001	0	2010	PHP BROWARD  MIAMI-DADE COUNTIES		2	285	2				1	4		1		000000000010000	www.positivehealthcare.org	https://www.catalystrx.com/www/MedicareD/index.jsp?src=ahf	(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(866)-763-9096		(866)-763-9096		(866)-763-9096		(866)-763-9096		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(888)-206-8041		(888)-206-8041		(888)-206-8041		(888)-206-8041		1		
H3152	022	0	1	01	01	H3152_022_0	5	08/19/2009	2010.02	08/19/2009 12:21:04 PM Eastern Daylight Time	08/17/2009 02:15:07 PM Eastern Daylight Time	08/17/2009 02:34:48 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3152	022	0	2010	Southern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3152	041	0	1	01	01	H3152_041_0	3	07/24/2009	2010.02	07/24/2009 10:08:00 AM Eastern Daylight Time	07/22/2009 09:40:50 AM Eastern Daylight Time			07/24/2009 10:27:45 AM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3152	041	0	2010	Southern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3152	045	0	1	01	01	H3152_045_0	3	07/23/2009	2010.02	07/23/2009 12:50:27 PM Eastern Daylight Time	07/14/2009 07:34:31 AM Eastern Daylight Time			07/23/2009 02:20:34 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3152	045	0	2010	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3152	046	0	1	01	01	H3152_046_0	6	08/19/2009	2010.02	08/19/2009 12:22:16 PM Eastern Daylight Time	08/17/2009 10:47:10 AM Eastern Daylight Time	08/17/2009 02:35:14 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3152	046	0	2010	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3152	048	0	1	01	01	H3152_048_0	7	08/19/2009	2010.02	08/19/2009 12:29:34 PM Eastern Daylight Time	08/17/2009 10:47:42 AM Eastern Daylight Time	08/17/2009 02:35:42 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3152	048	0	2010	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3152	053	0	1	01	01	H3152_053_0	5	08/19/2009	2010.02	08/19/2009 12:28:59 PM Eastern Daylight Time	08/17/2009 02:26:31 PM Eastern Daylight Time	08/17/2009 02:36:12 PM Eastern Daylight Time		08/20/2009 07:30:10 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3152	053	0	2010	Southern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3152	074	0	1	01	01	H3152_074_0	8	09/23/2009	2010.02	09/23/2009 10:39:47 AM Eastern Daylight Time	08/17/2009 10:54:32 AM Eastern Daylight Time	08/17/2009 02:36:42 PM Eastern Daylight Time		09/23/2009 10:43:21 AM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Dual Advantage Plan (HMO)	01	01		1			H3152	074	0	2010	Northern New Jersey		2		2		2		1	3		1	2		http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3152	801	0	1	01	01	H3152_801_0	2	05/19/2009	2010.02	05/19/2009 01:05:22 PM Eastern Daylight Time	06/01/2009 09:50:32 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3152	801	0	2010	New Jersey		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3152	804	0	1	01	01	H3152_804_0	2	05/19/2009	2010.02	05/19/2009 01:06:41 PM Eastern Daylight Time	06/01/2009 09:52:58 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3152	804	0	2010	New Jersey		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3154	004	0	1	01	01	H3154_004_0	5	07/29/2009	2010.02	07/29/2009 08:58:07 AM Eastern Daylight Time	08/19/2009 03:30:00 PM Eastern Daylight Time	08/19/2009 03:28:12 PM Eastern Daylight Time		08/19/2009 03:33:34 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value w/ Rx Std (HMO)	01	01		1			H3154	004	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3154	005	0	1	02	01	H3154_005_0	3	07/29/2009	2010.02	07/29/2009 08:58:55 AM Eastern Daylight Time	07/29/2009 02:39:46 PM Eastern Daylight Time			07/29/2009 03:14:30 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access (HMO-POS)	01	02		1			H3154	005	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1		
H3154	006	0	1	02	01	H3154_006_0	5	07/29/2009	2010.02	07/29/2009 08:59:25 AM Eastern Daylight Time	08/19/2009 03:30:23 PM Eastern Daylight Time	08/19/2009 03:28:32 PM Eastern Daylight Time		08/19/2009 03:33:34 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS)	01	02		1			H3154	006	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3154	012	0	1	02	01	H3154_012_0	5	07/29/2009	2010.02	07/29/2009 08:59:54 AM Eastern Daylight Time	08/19/2009 03:30:44 PM Eastern Daylight Time	08/19/2009 03:29:08 PM Eastern Daylight Time		08/19/2009 03:33:34 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access w/ Rx Std (HMO-POS)	01	02		1			H3154	012	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3154	013	0	1	01	01	H3154_013_0	3	07/29/2009	2010.02	07/29/2009 08:54:11 AM Eastern Daylight Time	07/29/2009 02:44:06 PM Eastern Daylight Time			07/29/2009 03:14:30 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value (HMO)	01	01		1			H3154	013	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1		
H3154	016	0	1	01	01	H3154_016_0	5	07/29/2009	2010.02	07/29/2009 09:00:33 AM Eastern Daylight Time	08/19/2009 03:31:28 PM Eastern Daylight Time	08/19/2009 03:29:35 PM Eastern Daylight Time		08/19/2009 03:33:34 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value w/ Rx Enhanced (HMO)	01	01		1			H3154	016	0	2010	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3154	801	0	1	02	01	H3154_801_0	3	05/28/2009	2010.02	05/28/2009 11:33:59 AM Eastern Daylight Time	06/01/2009 02:51:30 PM Eastern Daylight Time			06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Group (HMO-POS)	01	02		1			H3154	801	0	2010	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1		
H3154	802	0	1	02	01	H3154_802_0	3	05/28/2009	2010.02	05/28/2009 12:54:18 PM Eastern Daylight Time	06/01/2009 02:51:55 PM Eastern Daylight Time			06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Grp w/ Rx (HMO-POS)	01	02		1			H3154	802	0	2010	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3154	805	0	1	02	01	H3154_805_0	3	05/28/2009	2010.02	05/28/2009 11:34:20 AM Eastern Daylight Time	06/01/2009 02:53:18 PM Eastern Daylight Time			06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Grp w/ Rx (HMO-POS)	01	02		1			H3154	805	0	2010	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
H3156	027	0	1	01	01	H3156_027_0	4	08/06/2009	2010.02	08/06/2009 08:47:28 PM Eastern Daylight Time	07/27/2009 12:40:50 PM Eastern Daylight Time			08/06/2009 08:59:38 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	AmeriHealth 65 NJ Medical Only (HMO)	01	01		1			H3156	027	0	2010	Salem, Burlington, Camden, Cumberland, Gloucester		2	20	2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3156	028	0	1	01	01	H3156_028_0	5	08/06/2009	2010.02	08/06/2009 08:48:27 PM Eastern Daylight Time	08/20/2009 03:00:34 PM Eastern Daylight Time	08/18/2009 09:15:22 PM Eastern Daylight Time		08/20/2009 04:26:30 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	AmeriHealth 65 NJ Rx (HMO)	01	01		1			H3156	028	0	2010	Salem, Burlington, Camden, Cumberland, Gloucester		2	20	2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3156	801	0	1	01	01	H3156_801_0	3	07/29/2009	2010.02	07/29/2009 02:03:52 PM Eastern Daylight Time	06/01/2009 06:58:00 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	AmeriHealth 65 NJ Group Medical Only (HMO)	01	01		1			H3156	801	0	2010	State of New Jersey		1		2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3156	803	0	1	01	01	H3156_803_0	3	07/29/2009	2010.02	07/29/2009 02:02:58 PM Eastern Daylight Time	06/01/2009 06:58:00 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealth65.com	AmeriHealth 65 NJ Group Rx (HMO)	01	01		1			H3156	803	0	2010	State of New Jersey		1		2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3164	003	0	1	01	01	H3164_003_0	3	07/16/2009	2010.02	07/16/2009 10:30:54 AM Central Daylight Time	08/19/2009 05:36:10 PM Central Daylight Time	08/20/2009 05:13:35 PM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	AMERICHOICE OF NEW JERSEY, INC	AmeriChoice Personal Care Plus	www.AmeriChoice.com	AmeriChoice Personal Care Plus (HMO)	01	01		1			H3164	003	0	2010	Northern, Central, and Southern New Jersey		2		2		2		1	3		1	2		www.AmeriChoice.com	www.americhoice.com	(800)-514-4911		(973)-297-5546		(877)-779-9785		(877)-779-9785		(800)-514-4911		(973)-297-5546		(877)-779-9785		(877)-779-9785		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3204	001	0	1	01	01	H3204_001_0	7	08/20/2009	2010.02	08/20/2009 10:23:12 AM Mountain Daylight Time	08/19/2009 04:44:25 PM Mountain Daylight Time	08/19/2009 04:45:52 PM Mountain Daylight Time		08/20/2009 11:22:50 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Presbyterian Senior Care Plan 2 with Rx (HMO)	01	01		1			H3204	001	0	2010	Greater Albuquerque Area		2	11200	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3204	007	0	1	01	01	H3204_007_0	8	08/20/2009	2010.02	08/20/2009 10:16:51 AM Mountain Daylight Time	08/19/2009 04:45:19 PM Mountain Daylight Time	08/19/2009 04:46:27 PM Mountain Daylight Time		08/20/2009 11:22:50 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Presbyterian Senior Care Plan 3 with Rx (HMO)	01	01		1			H3204	007	0	2010	Greater Albuquerque Area		2	6170	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3204	008	0	1	01	01	H3204_008_0	3	08/06/2009	2010.02	08/06/2009 03:50:27 PM Mountain Daylight Time	05/30/2009 08:09:30 PM Mountain Daylight Time			08/06/2009 04:11:18 PM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Presbyterian Senior Care Plan 1 (HMO)	01	01		1			H3204	008	0	2010	Greater Albuquerque Area		2	11200	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1		
H3204	801	0	1	01	01	H3204_801_0	2	08/10/2009	2010.02	08/10/2009 10:42:52 AM Mountain Daylight Time	05/29/2009 06:54:46 PM Mountain Daylight Time			08/10/2009 10:56:20 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Pres Senior Care Emp Group Plan 2 with Rx (HMO)	01	01		1			H3204	801	0	2010	Greater Albuquerque Area		1	1520	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3204	802	0	1	01	01	H3204_802_0	2	08/10/2009	2010.02	08/10/2009 10:43:03 AM Mountain Daylight Time	05/29/2009 06:55:48 PM Mountain Daylight Time			08/10/2009 10:56:20 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Pres Senior Care Emp Group Plan 1 (HMO)	01	01		1			H3204	802	0	2010	Greater Albuquerque Area		1	500	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1		
H3204	803	0	1	01	01	H3204_803_0	2	08/10/2009	2010.02	08/10/2009 10:43:13 AM Mountain Daylight Time	05/29/2009 06:56:38 PM Mountain Daylight Time			08/10/2009 10:56:20 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care	www.phs.org	Pres Senior Care Emp Group Plan 2 w/ Rx NC (HMO)	01	01		1			H3204	803	0	2010	Greater Albuquerque Area		1	500	2				2							http://www.phs.org/resources/documents/psc2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3206	001	0	1	04	01	H3206_001_0	7	08/20/2009	2010.02	08/20/2009 10:39:16 AM Mountain Daylight Time	08/19/2009 04:45:29 PM Mountain Daylight Time	08/19/2009 04:46:43 PM Mountain Daylight Time		08/20/2009 11:22:50 AM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 2 with Rx (PPO)	01	04		1			H3206	001	0	2010	New Mexico		2	2120	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3206	002	0	1	04	01	H3206_002_0	8	08/20/2009	2010.02	08/20/2009 10:21:49 AM Mountain Daylight Time	08/19/2009 04:46:24 PM Mountain Daylight Time	08/19/2009 04:47:01 PM Mountain Daylight Time		08/20/2009 11:22:50 AM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 3 with Rx (PPO)	01	04		1			H3206	002	0	2010	New Mexico		2	1110	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3206	003	0	1	04	01	H3206_003_0	5	08/19/2009	2010.02	08/19/2009 05:24:31 PM Mountain Daylight Time	05/30/2009 08:11:33 PM Mountain Daylight Time			08/19/2009 05:32:34 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 1 (PPO)	01	04		1			H3206	003	0	2010	New Mexico		2	340	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1		
H3206	801	0	1	04	01	H3206_801_0	3	08/12/2009	2010.02	08/12/2009 02:03:16 PM Mountain Daylight Time	05/29/2009 07:21:23 PM Mountain Daylight Time			08/19/2009 05:32:34 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres MediCare PPO Emp Group Plan 2 with Rx (PPO)	01	04		1			H3206	801	0	2010	New Mexico		1	1010	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3206	802	0	1	04	01	H3206_802_0	3	08/12/2009	2010.02	08/12/2009 02:03:35 PM Mountain Daylight Time	05/29/2009 07:22:09 PM Mountain Daylight Time			08/19/2009 05:32:34 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres Medicare PPO Employer Group Plan 1 (PPO)	01	04		1			H3206	802	0	2010	New Mexico		1	200	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1		
H3206	803	0	1	04	01	H3206_803_0	3	08/12/2009	2010.02	08/12/2009 02:04:06 PM Mountain Daylight Time	05/29/2009 07:22:56 PM Mountain Daylight Time			08/19/2009 05:32:34 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres MediCare PPO Empl Group Plan 2 +Rx NC (PPO)	01	04		1			H3206	803	0	2010	New Mexico		1	200	2				2							http://www.phs.org/resources/documents/ppo2007_formulary.pdf	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1		
H3209	001	0	1	04	01	H3209_001_0	5	08/26/2009	2010.02	08/26/2009 02:17:23 PM Central Daylight Time	08/19/2009 09:16:51 AM Central Daylight Time	08/13/2009 05:47:59 PM Central Daylight Time		08/26/2009 02:29:14 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H3209	001	0	2010	Bernalillo County		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3209	002	0	1	04	01	H3209_002_0	4	07/15/2009	2010.02	07/15/2009 04:44:09 PM Central Daylight Time	08/19/2009 09:17:15 AM Central Daylight Time	08/13/2009 05:48:03 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H3209	002	0	2010	Bernalillo, Sandoval, Santa Fe,  Valencia Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3240	008	0	1	01	01	H3240_008_0	7	08/19/2009	2010.02	08/19/2009 05:04:02 PM Eastern Daylight Time	08/19/2009 09:30:31 PM Eastern Daylight Time	08/20/2009 11:35:49 AM Eastern Daylight Time		08/20/2009 03:12:26 PM Eastern Daylight Time	AMERIGROUP NEW JERSEY, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H3240	008	0	2010	Eastern / Central New Jersey		2	300	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H3240	010	0	1	01	01	H3240_010_0	6	08/19/2009	2010.02	08/19/2009 05:04:48 PM Eastern Daylight Time	08/19/2009 09:31:21 PM Eastern Daylight Time	08/20/2009 11:36:26 AM Eastern Daylight Time		08/20/2009 03:12:26 PM Eastern Daylight Time	AMERIGROUP NEW JERSEY, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Balance + Rx (HMO)	01	01		1			H3240	010	0	2010	Eastern / Central New Jersey		2	238	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H3240	013	0	1	01	01	H3240_013_0	7	07/28/2009	2010.02	07/28/2009 08:07:23 AM Eastern Daylight Time	08/19/2009 09:32:11 PM Eastern Daylight Time	08/20/2009 11:36:55 AM Eastern Daylight Time		08/20/2009 03:12:26 PM Eastern Daylight Time	AMERIGROUP NEW JERSEY, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H3240	013	0	2010	Eastern / Central New Jersey		2	995	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H3251	002	0	1	01	01	H3251_002_0	8	08/20/2009	2010.02	08/20/2009 09:19:40 AM Mountain Daylight Time	08/19/2009 02:44:58 PM Mountain Daylight Time	08/18/2009 01:09:04 PM Mountain Daylight Time		08/20/2009 12:54:40 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan -- Standard Plan (HMO)	01	01		1			H3251	002	0	2010	Greater Albuquerque / Santa Fe Area		2	15760	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		1		
H3251	021	0	1	01	01	H3251_021_0	8	07/30/2009	2010.02	07/30/2009 12:59:20 PM Mountain Daylight Time	08/20/2009 08:03:00 AM Mountain Daylight Time	08/18/2009 01:09:12 PM Mountain Daylight Time		08/20/2009 01:26:04 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan -- Enhanced Plan (HMO)	01	01		1			H3251	021	0	2010	Greater Albuquerque / Santa Fe Area		2	5282	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		1		
H3251	023	0	1	01	01	H3251_023_0	5	08/10/2009	2010.02	08/10/2009 04:32:05 PM Mountain Daylight Time	08/11/2009 01:38:47 PM Mountain Daylight Time			08/11/2009 02:12:42 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan - Medical Only (HMO)	01	01		1			H3251	023	0	2010	Greater Albuquerque / Santa Fe Area		2	244	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580										(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331										1		
H3251	804	0	1	01	01	H3251_804_0	5	08/20/2009	2010.02	08/20/2009 10:56:52 AM Mountain Daylight Time	08/11/2009 01:17:54 PM Mountain Daylight Time			08/20/2009 10:58:27 AM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Employer Group Senior Plan (HMO)	01	01		1			H3251	804	0	2010	New Mexico Statewide		1	5920	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331		1		
H3251	805	0	1	01	01	H3251_805_0	6	08/20/2009	2010.02	08/20/2009 10:11:41 AM Mountain Daylight Time	08/20/2009 09:37:39 AM Mountain Daylight Time			08/20/2009 11:37:01 AM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Employer Group Senior Plan Medical Only (HMO)	01	01		1			H3251	805	0	2010	New Mexico Statewide		1	250	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580										(800)-659-8331		(800)-659-8331		(800)-659-8331		(800)-659-8331										1		
H3305	007	0	1	01	01	H3305_007_0	4	07/14/2009	2010.02	07/14/2009 03:46:53 PM Eastern Daylight Time	05/30/2009 01:34:00 PM Eastern Daylight Time			07/20/2009 09:18:53 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H3305	007	0	2010	Rochester and Western New York		2	6327	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760										(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629										1		
H3305	011	0	1	01	01	H3305_011_0	8	07/28/2009	2010.02	07/28/2009 11:13:20 AM Eastern Daylight Time	08/18/2009 12:36:00 PM Eastern Daylight Time	08/18/2009 12:36:00 PM Eastern Daylight Time		08/18/2009 02:16:16 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H3305	011	0	2010	Rochester and Western New York		2	21027	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H3305	015	0	1	01	01	H3305_015_0	10	07/29/2009	2010.02	07/29/2009 12:48:46 PM Eastern Daylight Time	08/18/2009 12:44:00 PM Eastern Daylight Time	08/18/2009 12:37:00 PM Eastern Daylight Time		08/18/2009 02:16:16 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Value Rx (HMO)	01	01		1			H3305	015	0	2010	Rochester and Western New York		2	3000	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H3305	801	0	1	01	01	H3305_801_0	4	07/15/2009	2010.02	07/15/2009 10:13:05 AM Eastern Daylight Time	05/30/2009 04:11:00 PM Eastern Daylight Time			07/20/2009 09:18:53 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold - Employer Group (HMO)	01	01		1			H3305	801	0	2010	Rochester and Western New York		1	1683	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760										(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629										1		
H3305	803	0	1	01	01	H3305_803_0	3	07/15/2009	2010.02	07/15/2009 10:13:18 AM Eastern Daylight Time	05/30/2009 01:52:00 PM Eastern Daylight Time			07/20/2009 09:18:53 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H3305	803	0	2010	Rochester and Western New York		1	28317	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H3307	002	0	1	01	01	H3307_002_0	4	07/20/2009	2010.02	07/20/2009 01:23:50 PM Central Daylight Time	08/17/2009 10:07:28 AM Central Daylight Time	08/13/2009 05:48:07 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3307	002	0	2010	New York City		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		1		
H3307	011	0	1	01	01	H3307_011_0	5	08/24/2009	2010.02	08/24/2009 01:50:19 PM Central Daylight Time	08/24/2009 01:19:45 PM Central Daylight Time	08/13/2009 05:48:11 PM Central Daylight Time		08/24/2009 04:33:00 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Balance (HMO)	01	01		1			H3307	011	0	2010	Kings, New York, Queens, and Richmond Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		1		
H3307	012	0	1	01	01	H3307_012_0	4	07/20/2009	2010.02	07/20/2009 01:08:11 PM Central Daylight Time	08/17/2009 10:07:44 AM Central Daylight Time	08/13/2009 05:48:15 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H3307	012	0	2010	Rockland, Orange and Westchester		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		1		
H3307	015	0	1	01	01	H3307_015_0	4	08/18/2009	2010.02	08/18/2009 10:40:06 AM Central Daylight Time	08/17/2009 10:07:59 AM Central Daylight Time	08/13/2009 05:48:19 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Mosaic (HMO)	01	01		1			H3307	015	0	2010	New York City		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		1		
H3307	018	0	1	01	01	H3307_018_0	3	07/20/2009	2010.02	07/20/2009 01:09:34 PM Central Daylight Time	07/20/2009 04:17:40 PM Central Daylight Time			07/23/2009 03:16:12 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H3307	018	0	2010	NYC and Rockland, Orange, and Westchester Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514										(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671										1		
H3307	020	0	1	01	01	H3307_020_0	3	07/15/2009	2010.02	07/15/2009 04:49:42 PM Central Daylight Time	08/17/2009 10:08:16 AM Central Daylight Time	08/13/2009 05:48:23 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H3307	020	0	2010	Bronx,Kings,New York,Queens and Richmond Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(888)-834-3721		(800)-834-3721		(800)-234-1228		(800)-234-1228		(888)-834-3721		(888)-834-3721		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(888)-685-8480		(888)-685-8480		1		
H3307	021	0	1	01	01	H3307_021_0	4	07/21/2009	2010.02	07/21/2009 03:23:46 PM Central Daylight Time	08/17/2009 10:08:32 AM Central Daylight Time	08/13/2009 05:48:27 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 4 (HMO)	01	01		1			H3307	021	0	2010	Bronx and Kings Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		1		
H3307	022	0	1	01	01	H3307_022_0	4	08/18/2009	2010.02	08/18/2009 10:39:17 AM Central Daylight Time	08/17/2009 10:08:54 AM Central Daylight Time	08/13/2009 05:48:31 PM Central Daylight Time		08/18/2009 03:02:43 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H3307	022	0	2010	Kings, Queens, Richmond		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-665-4654		(800)-665-4654		(800)-201-4874		(800)-201-4874		(866)-832-8671		(866)-832-8671		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
H3307	802	0	1	01	01	H3307_802_0	3	05/30/2009	2010.02	05/30/2009 08:13:48 PM Central Daylight Time	07/20/2009 04:19:07 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	802	0	2010	New York Metropolitan Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-665-4654		(800)-665-4654		(800)-303-6720		(800)-303-6720		(800)-665-4654		(800)-665-4654		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
H3307	804	0	1	01	01	H3307_804_0	3	05/30/2009	2010.02	05/30/2009 08:13:59 PM Central Daylight Time	07/20/2009 04:19:33 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	804	0	2010	New York Metropolitan Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-665-4654		(800)-665-4654		(800)-303-6720		(800)-303-6720										(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874										1		
H3307	805	0	1	01	01	H3307_805_0	3	05/30/2009	2010.02	05/30/2009 08:14:02 PM Central Daylight Time	07/20/2009 04:19:52 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	805	0	2010	State of New York		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-665-4654		(800)-665-4654		(800)-303-6720		(800)-303-6720		(800)-665-4654		(800)-665-4654		(800)-303-6720		(800)-303-6720		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
H3312	002	0	1	01	01	H3312_002_0	7	08/19/2009	2010.02	08/19/2009 12:33:29 PM Eastern Daylight Time	08/19/2009 12:43:17 PM Eastern Daylight Time	08/17/2009 02:37:12 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	002	0	2010	Bronx and Kings Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	018	0	1	01	01	H3312_018_0	6	07/23/2009	2010.02	07/23/2009 12:56:37 PM Eastern Daylight Time	08/18/2009 01:59:08 PM Eastern Daylight Time	08/17/2009 02:37:46 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	018	0	2010	Rockland and Westchester Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	025	0	1	01	01	H3312_025_0	6	07/23/2009	2010.02	07/23/2009 12:56:42 PM Eastern Daylight Time	08/18/2009 01:57:52 PM Eastern Daylight Time	08/17/2009 02:38:18 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3312	025	0	2010	New York,  Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	028	0	1	01	01	H3312_028_0	7	07/08/2009	2010.02	07/08/2009 09:43:29 AM Eastern Daylight Time	08/18/2009 01:56:37 PM Eastern Daylight Time	08/17/2009 02:38:54 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3312	028	0	2010	Bronx and Kings Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	040	0	1	01	01	H3312_040_0	3	07/23/2009	2010.02	07/23/2009 12:56:51 PM Eastern Daylight Time	07/14/2009 01:49:58 PM Eastern Daylight Time			07/23/2009 01:50:30 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3312	040	0	2010	Rockland and Westchester Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3312	043	0	1	01	01	H3312_043_0	6	07/23/2009	2010.02	07/23/2009 12:56:55 PM Eastern Daylight Time	08/18/2009 01:55:42 PM Eastern Daylight Time	08/17/2009 02:39:24 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	043	0	2010	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	044	0	1	01	01	H3312_044_0	7	07/23/2009	2010.02	07/23/2009 12:56:58 PM Eastern Daylight Time	08/18/2009 01:54:47 PM Eastern Daylight Time	08/17/2009 02:39:58 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3312	044	0	2010	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	048	0	1	01	01	H3312_048_0	4	08/19/2009	2010.02	08/19/2009 12:35:16 PM Eastern Daylight Time	08/19/2009 12:41:59 PM Eastern Daylight Time	08/17/2009 02:40:28 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	048	0	2010	Upstate New York		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	052	0	1	01	01	H3312_052_0	7	07/23/2009	2010.02	07/23/2009 12:57:03 PM Eastern Daylight Time	08/18/2009 01:52:53 PM Eastern Daylight Time	08/17/2009 02:41:00 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3312	052	0	2010	Rockland and Westchester Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	055	0	1	01	01	H3312_055_0	6	07/08/2009	2010.02	07/08/2009 09:47:20 AM Eastern Daylight Time	08/18/2009 01:51:47 PM Eastern Daylight Time	08/17/2009 02:41:30 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3312	055	0	2010	Upstate New York		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	057	0	1	01	01	H3312_057_0	5	07/23/2009	2010.02	07/23/2009 12:57:08 PM Eastern Daylight Time	08/18/2009 01:50:44 PM Eastern Daylight Time	08/17/2009 02:42:06 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	057	0	2010	Long Island		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	058	0	1	01	01	H3312_058_0	6	07/23/2009	2010.02	07/23/2009 12:57:13 PM Eastern Daylight Time	08/18/2009 01:47:50 PM Eastern Daylight Time	08/17/2009 02:42:34 PM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3312	058	0	2010	Long Island		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	059	0	1	01	01	H3312_059_0	6	07/23/2009	2010.02	07/23/2009 12:57:16 PM Eastern Daylight Time	08/18/2009 01:49:46 PM Eastern Daylight Time	08/18/2009 09:47:04 AM Eastern Daylight Time		08/20/2009 07:55:44 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H3312	059	0	2010	Long Island		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3312	801	0	1	01	01	H3312_801_0	2	05/19/2009	2010.02	05/19/2009 01:09:34 PM Eastern Daylight Time	06/01/2009 10:15:59 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3312	801	0	2010	New York		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3312	804	0	1	01	01	H3312_804_0	2	05/19/2009	2010.02	05/19/2009 01:20:14 PM Eastern Daylight Time	06/01/2009 10:19:04 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3312	804	0	2010	New York		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3321	001	0	1	20	08	H3321_001_0	2	05/19/2009	2010.02	05/19/2009 08:23:20 AM Eastern Daylight Time		10/13/2009 03:34:28 PM Eastern Daylight Time		10/13/2009 04:47:21 PM Eastern Daylight Time	INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	Loretto Independent Living Services, Inc (PACE)	08	20		1			H3321	001	0	2010	Onondaga County		2		2				2							Independent Living Services of Central New York, Inc									(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800																		1		
H3321	003	0	1	20	08	H3321_003_0	2	05/19/2009	2010.02	05/19/2009 08:23:37 AM Eastern Daylight Time		10/13/2009 03:34:28 PM Eastern Daylight Time		10/13/2009 04:47:21 PM Eastern Daylight Time	INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	Loretto Independent Living Services, Inc (PACE)	08	20		1			H3321	003	0	2010	Onondaga County		2		2				2							Independent Living Services of Central New York, Inc									(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800																		1		
H3322	001	0	1	20	08	H3322_001_0	4	05/07/2009	2010.02	05/07/2009 01:48:57 PM Eastern Daylight Time		10/15/2009 09:34:08 AM Eastern Daylight Time		10/16/2009 12:21:58 PM Eastern Daylight Time	SENIOR CARE CONNECTION, INC.	Senior Care Connection, Inc.	www.nehealth.com	Senior Care Connection dba Eddy SeniorCare (PACE)	08	20		1			H3322	001	0	2010	Schenectady County, Albany County, NY		2	125	1	1			2							www.northeasthealth.com									(518)-382-3290		(518)-382-3290	215	(518)-382-3290		(518)-382-3290	215																	1		
H3322	002	0	1	20	08	H3322_002_0	3	05/07/2009	2010.02	05/07/2009 01:49:05 PM Eastern Daylight Time		10/15/2009 09:34:12 AM Eastern Daylight Time		10/16/2009 11:13:40 AM Eastern Daylight Time	SENIOR CARE CONNECTION, INC.	Senior Care Connection, Inc.	www.nehealth.com	Senior Care Connection (PACE)	08	20		1			H3322	002	0	2010	Schenectady County, Albany County		2	15	1	1			2							www.northeasthealth.com									(518)-382-3290		(518)-382-3290	215	(518)-382-3290		(518)-382-3290	215																	1		
H3327	001	0	1	01	01	H3327_001_0	9	08/19/2009	2010.02	08/19/2009 10:44:03 AM Eastern Standard Time	08/19/2009 03:08:00 PM Eastern Standard Time	08/19/2009 03:08:00 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	001	0	2010	New York City and Hudson Counties		2	7150	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	002	0	1	01	01	H3327_002_0	6	08/19/2009	2010.02	08/19/2009 10:46:14 AM Eastern Standard Time	08/19/2009 03:08:00 PM Eastern Standard Time	08/19/2009 03:08:02 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Total (HMO)	01	01		1			H3327	002	0	2010	New York City, Westchester Counties		2	4700	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	021	0	1	01	01	H3327_021_0	5	08/19/2009	2010.02	08/19/2009 10:52:40 AM Eastern Standard Time	08/19/2009 03:08:02 PM Eastern Standard Time	08/19/2009 03:08:02 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	021	0	2010	Central Counties		2	1950	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	022	0	1	02	01	H3327_022_0	5	07/20/2009	2010.02	07/20/2009 03:52:08 PM Eastern Standard Time	07/15/2009 11:45:00 AM Eastern Standard Time			07/21/2009 03:07:02 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO-POS)	01	02		1			H3327	022	0	2010	New York City, Hudson and Central Counties		2	1100	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368										1		
H3327	023	0	1	02	01	H3327_023_0	6	08/19/2009	2010.02	08/19/2009 04:14:55 PM Eastern Standard Time	08/19/2009 03:08:02 PM Eastern Standard Time	08/19/2009 03:08:02 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	023	0	2010	New York City, Hudson and Central Counties		2	14200	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	026	0	1	01	01	H3327_026_0	5	08/19/2009	2010.02	08/19/2009 10:57:01 AM Eastern Standard Time	08/19/2009 03:08:04 PM Eastern Standard Time	08/19/2009 03:08:04 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Prestige (HMO)	01	01		1			H3327	026	0	2010	Kings, Queens, Bronx, Richmond and Hudson Counties		2	17600	2		2		1	3		1	5		http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	027	0	1	01	01	H3327_027_0	7	08/19/2009	2010.02	08/19/2009 11:00:18 AM Eastern Standard Time	08/19/2009 03:08:04 PM Eastern Standard Time	08/19/2009 03:08:04 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Prestige (HMO)	01	01		1			H3327	027	0	2010	Central Counties		2	900	2		2		1	3		1	5		http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	801	0	1	01	01	H3327_801_0	1	05/28/2009	2010.02	05/28/2009 04:50:05 PM Eastern Standard Time	05/31/2009 12:07:46 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	801	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	802	0	1	01	01	H3327_802_0	1	05/28/2009	2010.02	05/28/2009 04:42:02 PM Eastern Standard Time	05/31/2009 12:07:46 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO)	01	01		1			H3327	802	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368										1		
H3327	803	0	1	01	01	H3327_803_0	1	05/28/2009	2010.02	05/28/2009 04:42:19 PM Eastern Standard Time	05/31/2009 12:07:48 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	803	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	805	0	1	02	01	H3327_805_0	1	05/28/2009	2010.02	05/28/2009 04:47:38 PM Eastern Standard Time	05/31/2009 12:07:50 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	805	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3327	806	0	1	02	01	H3327_806_0	1	05/28/2009	2010.02	05/28/2009 04:54:47 PM Eastern Standard Time	05/31/2009 12:07:52 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO-POS)	01	02		1			H3327	806	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368										1		
H3327	807	0	1	02	01	H3327_807_0	1	05/28/2009	2010.02	05/28/2009 04:55:01 PM Eastern Standard Time	05/31/2009 12:07:44 PM Eastern Standard Time			05/31/2009 12:11:40 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	807	0	2010	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3328	001	0	1	02	01	H3328_001_0	4	07/30/2009	2010.02	07/30/2009 03:50:47 PM Eastern Daylight Time	05/26/2009 03:34:44 PM Eastern Daylight Time			07/31/2009 08:59:25 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage without Rx (HMO-POS)	01	02		1			H3328	001	0	2010	NY Counties		2	357	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707										(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125										1		
H3328	002	0	1	01	01	H3328_002_0	4	08/17/2009	2010.02	08/17/2009 02:12:48 PM Eastern Daylight Time	08/17/2009 12:53:26 PM Eastern Daylight Time	08/13/2009 04:53:48 PM Eastern Daylight Time		08/17/2009 05:01:38 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Dual Advantage (HMO)	01	01		1			H3328	002	0	2010	NY Counties		2	486	2		2		1	3		1	3		http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	003	0	1	02	01	H3328_003_0	5	08/17/2009	2010.02	08/17/2009 02:19:33 PM Eastern Daylight Time	08/17/2009 04:59:38 PM Eastern Daylight Time	08/13/2009 05:52:20 PM Eastern Daylight Time		08/17/2009 05:01:38 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Flex Plan (HMO-POS)	01	02		1			H3328	003	0	2010	NY Counties		2	3711	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	012	0	1	02	01	H3328_012_0	4	08/17/2009	2010.02	08/17/2009 02:34:38 PM Eastern Daylight Time	08/17/2009 10:58:36 AM Eastern Daylight Time	08/13/2009 05:56:58 PM Eastern Daylight Time		08/17/2009 05:01:38 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage (HMO-POS)	01	02		1			H3328	012	0	2010	NY Counties		2	2449	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	013	0	1	01	01	H3328_013_0	4	08/17/2009	2010.02	08/17/2009 02:25:55 PM Eastern Daylight Time	08/13/2009 07:51:26 PM Eastern Daylight Time	08/13/2009 06:12:20 PM Eastern Daylight Time		08/17/2009 05:01:38 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Dual Advantage Flex Plan (HMO)	01	01		1			H3328	013	0	2010	NY Counties		2	929	2		2		1	3		1	1		http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	014	0	1	02	01	H3328_014_0	4	08/17/2009	2010.02	08/17/2009 02:40:57 PM Eastern Daylight Time	08/17/2009 11:07:28 AM Eastern Daylight Time	08/13/2009 06:15:44 PM Eastern Daylight Time		08/17/2009 05:01:38 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Part B Reduction (HMO-POS)	01	02		1			H3328	014	0	2010	NY Counties		2	76	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	801	0	1	02	01	H3328_801_0	2	05/28/2009	2010.02	05/28/2009 07:01:43 AM Eastern Daylight Time	05/26/2009 07:45:14 PM Eastern Daylight Time			05/28/2009 07:07:44 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer without RX (HMO-POS)	01	02		1			H3328	801	0	2010	New York Counties		1	30	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707										(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125										1		
H3328	802	0	1	02	01	H3328_802_0	1	05/26/2009	2010.02	05/26/2009 07:41:23 PM Eastern Daylight Time	05/26/2009 08:02:08 PM Eastern Daylight Time			05/26/2009 08:03:43 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer (HMO-POS)	01	02		1			H3328	802	0	2010	New York Counties		1	580	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1		
H3328	803	0	1	02	01	H3328_803_0	2	05/28/2009	2010.02	05/28/2009 06:51:46 AM Eastern Daylight Time	05/26/2009 08:07:14 PM Eastern Daylight Time			05/28/2009 07:07:44 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer Non-calendar (HMO-POS)	01	02		1			H3328	803	0	2010	New York Counties		1	15	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		1		
H3329	001	0	1	20	08	H3329_001_0	3	09/24/2009	2010.02	09/24/2009 11:31:08 AM Eastern Daylight Time		10/13/2009 03:40:38 PM Eastern Daylight Time		10/14/2009 07:23:20 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCMC PACE Dual Eligible (PACE)	08	20		1			H3329	001	0	2010	NYC  and Westchester Counties		2		2				2							N/A									(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600										(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H3329	002	0	1	20	08	H3329_002_0	2	05/19/2009	2010.02	05/19/2009 12:02:19 PM Eastern Daylight Time		10/13/2009 03:40:37 PM Eastern Daylight Time		10/14/2009 07:23:20 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCMC - PACE - Medicare only (PACE)	08	20		1			H3329	002	0	2010	NYC and Westchester Counties		2		2				2							N/A									(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600										(800)-650-2774		(718)-515-8600		(800)-650-2774		(800)-650-2774		1		
H3330	021	1	1	01	01	H3330_021_1	5	08/18/2009	2010.02	08/18/2009 09:27:49 AM Eastern Daylight Time	08/18/2009 04:46:14 PM Eastern Daylight Time	08/18/2009 04:46:43 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP (HMO)	01	01		1			H3330	021	1	2010	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	021	2	1	01	01	H3330_021_2	5	08/17/2009	2010.02	08/17/2009 04:07:57 PM Eastern Daylight Time	08/18/2009 04:47:17 PM Eastern Daylight Time	08/18/2009 04:47:45 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP (HMO)	01	01		1			H3330	021	2	2010	Counties of NYC, Westchester and Long Island	Nassau County	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	021	3	1	01	01	H3330_021_3	5	08/17/2009	2010.02	08/17/2009 04:08:11 PM Eastern Daylight Time	08/18/2009 04:48:23 PM Eastern Daylight Time	08/18/2009 04:48:59 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP (HMO)	01	01		1			H3330	021	3	2010	Counties of NYC, Westchester and Long Island	Suffolk and Westchester Counties	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	023	1	1	01	01	H3330_023_1	4	05/22/2009	2010.02	05/22/2009 01:19:17 PM Eastern Daylight Time	08/18/2009 04:50:12 PM Eastern Daylight Time	08/18/2009 04:51:02 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Plus (HMO)	01	01		1			H3330	023	1	2010	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	023	2	1	01	01	H3330_023_2	4	05/22/2009	2010.02	05/22/2009 01:19:23 PM Eastern Daylight Time	08/18/2009 04:52:03 PM Eastern Daylight Time	08/18/2009 04:52:33 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Plus (HMO)	01	01		1			H3330	023	2	2010	Counties of NYC, Westchester and Long Island	Nassau County	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	023	3	1	01	01	H3330_023_3	4	08/05/2009	2010.02	08/05/2009 02:36:14 PM Eastern Daylight Time	08/18/2009 04:53:05 PM Eastern Daylight Time	08/18/2009 04:53:33 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Plus (HMO)	01	01		1			H3330	023	3	2010	Counties of NYC, Westchester and Long Island	Suffolk and Westchester Counties	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	025	1	1	01	01	H3330_025_1	3	05/22/2009	2010.02	05/22/2009 01:19:33 PM Eastern Daylight Time	07/20/2009 01:18:14 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Rx Carveout (HMO)	01	01		1			H3330	025	1	2010	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833										1		
H3330	025	2	1	01	01	H3330_025_2	3	05/22/2009	2010.02	05/22/2009 01:19:38 PM Eastern Daylight Time	07/20/2009 01:18:38 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Rx Carveout (HMO)	01	01		1			H3330	025	2	2010	Counties of NYC, Westchester and Long Island	Nassau County	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833										1		
H3330	025	3	1	01	01	H3330_025_3	3	05/22/2009	2010.02	05/22/2009 01:19:49 PM Eastern Daylight Time	07/20/2009 01:19:03 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Rx Carveout (HMO)	01	01		1			H3330	025	3	2010	Counties of NYC, Westchester and Long Island	Suffolk and Westchester Counties	2		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833										1		
H3330	029	0	1	01	01	H3330_029_0	3	08/17/2009	2010.02	08/17/2009 04:34:11 PM Eastern Daylight Time	08/18/2009 04:54:05 PM Eastern Daylight Time	08/18/2009 04:54:33 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Dual Eligible (HMO)	01	01		1			H3330	029	0	2010	Counties of NYC, Westchester and Long Island		2		2		2		1	3		1	2			hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	031	1	1	01	01	H3330_031_1	4	08/17/2009	2010.02	08/17/2009 04:36:40 PM Eastern Daylight Time	08/18/2009 04:55:08 PM Eastern Daylight Time	08/18/2009 04:55:34 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Medicaid Advantage (HMO)	01	01		1			H3330	031	1	2010	Counties of NYC, Westchester and Long Island	New York City counties	2		2		2		1	3		1	5			hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	031	2	1	01	01	H3330_031_2	3	08/17/2009	2010.02	08/17/2009 04:38:25 PM Eastern Daylight Time	08/18/2009 04:56:01 PM Eastern Daylight Time	08/18/2009 04:56:26 PM Eastern Daylight Time		08/18/2009 05:14:22 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Medicaid Advantage (HMO)	01	01		1			H3330	031	2	2010	Counties of NYC, Westchester and Long Island	Nassau, Suffolk and Westchester counties	2		2		2		1	3		1	5			hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	808	0	2	01	01	H3330_808_0	3	05/22/2009	2010.02	05/22/2009 11:50:06 AM Eastern Daylight Time	07/20/2009 01:22:06 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP Part A Payers (HMO)	01	01		2	1		H3330	808	0	2010	Counties of NYC:, Westchester and Long Island		1		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	810	0	1	01	01	H3330_810_0	3	05/19/2009	2010.02	05/19/2009 04:30:25 PM Eastern Daylight Time	07/20/2009 01:23:04 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Dual Eligible (HMO)	01	01		1			H3330	810	0	2010	Counties of NYC, Westchester and Long Island		1		2		2		1	3		1	2			hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	814	0	1	01	01	H3330_814_0	2	05/19/2009	2010.02	05/19/2009 04:29:47 PM Eastern Daylight Time	07/20/2009 01:24:06 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP VIP Premier (HMO)	01	01		1			H3330	814	0	2010	Counties of NYC, Nassau, Suffolk, Westchester		1		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
H3330	815	0	1	01	01	H3330_815_0	2	05/19/2009	2010.02	05/19/2009 04:30:06 PM Eastern Daylight Time	07/20/2009 01:24:37 PM Eastern Daylight Time			07/20/2009 03:11:05 PM Eastern Daylight Time	HIP OF GREATER NEW YORK	HIP Medicare HMO	www.hipusa.com	HIP Rx Carveout (HMO)	01	01		1			H3330	815	0	2010	Counties of NYC, Nassau, Suffolk, Westchester		1		2				2							hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833										1		
H3331	001	0	1	20	08	H3331_001_0	3	05/18/2009	2010.02	05/18/2009 02:11:51 PM Eastern Daylight Time		10/13/2009 04:03:00 PM Eastern Daylight Time		10/14/2009 01:31:13 PM Eastern Daylight Time	INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	Living for Seniors Dually Eligible (PACE)	08	20		1			H3331	001	0	2010	Monroe County		2		2				2							www.viahealth.org/body_senior.cfm?id=65									(585)-922-2800		(585)-922-2831		(585)-922-2800		(585)-922-2836																		1		
H3331	002	0	1	20	08	H3331_002_0	2	05/18/2009	2010.02	05/18/2009 02:12:24 PM Eastern Daylight Time		10/13/2009 04:03:00 PM Eastern Daylight Time		10/14/2009 01:04:11 PM Eastern Daylight Time	INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	Independent Living for Seniors Care only (PACE)	08	20		1			H3331	002	0	2010	Monroe County		2		2				2							www.viahealth.org/body_senior.cfm?id=65									(585)-922-2800		(585)-922-2831		(585)-922-2800		(585)-922-2836																		1		
H3333	031	0	1	09	04	H3333_031_0	3	05/30/2009	2010.02	05/30/2009 02:33:55 PM Central Daylight Time	07/15/2009 10:19:17 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	031	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	032	0	1	09	04	H3333_032_0	3	05/30/2009	2010.02	05/30/2009 10:21:31 PM Central Daylight Time	07/21/2009 10:45:26 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	032	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	033	0	1	09	04	H3333_033_0	3	05/30/2009	2010.02	05/30/2009 10:21:34 PM Central Daylight Time	07/15/2009 10:28:43 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	033	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	034	0	1	09	04	H3333_034_0	3	05/30/2009	2010.02	05/30/2009 10:21:36 PM Central Daylight Time	07/15/2009 10:33:12 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	034	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	035	0	1	09	04	H3333_035_0	3	05/30/2009	2010.02	05/30/2009 10:21:39 PM Central Daylight Time	07/15/2009 10:36:27 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	035	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	036	0	1	09	04	H3333_036_0	3	05/30/2009	2010.02	05/30/2009 10:21:41 PM Central Daylight Time	07/15/2009 10:39:40 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	036	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	037	0	1	09	04	H3333_037_0	3	05/30/2009	2010.02	05/30/2009 11:04:41 PM Central Daylight Time	07/15/2009 10:48:19 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	037	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	038	0	1	09	04	H3333_038_0	3	05/30/2009	2010.02	05/30/2009 11:06:02 PM Central Daylight Time	07/15/2009 10:54:49 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	038	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	039	0	1	09	04	H3333_039_0	3	05/30/2009	2010.02	05/30/2009 11:06:03 PM Central Daylight Time	07/15/2009 11:42:34 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	039	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	040	0	1	09	04	H3333_040_0	3	05/30/2009	2010.02	05/30/2009 11:06:03 PM Central Daylight Time	07/15/2009 11:46:04 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	040	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	041	0	1	09	04	H3333_041_0	3	05/30/2009	2010.02	05/30/2009 11:06:03 PM Central Daylight Time	07/15/2009 11:48:06 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	041	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	042	0	1	09	04	H3333_042_0	3	05/30/2009	2010.02	05/30/2009 11:06:03 PM Central Daylight Time	07/15/2009 11:51:30 AM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	042	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	049	0	1	09	04	H3333_049_0	6	06/16/2009	2010.02	06/16/2009 01:10:40 PM Central Daylight Time	08/18/2009 02:40:20 PM Central Daylight Time	08/15/2009 09:01:17 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	049	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	050	0	1	09	04	H3333_050_0	6	06/16/2009	2010.02	06/16/2009 01:13:42 PM Central Daylight Time	08/18/2009 03:11:33 PM Central Daylight Time	08/15/2009 09:01:41 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	050	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	051	0	1	09	04	H3333_051_0	6	06/16/2009	2010.02	06/16/2009 01:13:42 PM Central Daylight Time	08/18/2009 03:10:52 PM Central Daylight Time	08/15/2009 09:01:59 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	051	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	052	0	1	09	04	H3333_052_0	6	06/16/2009	2010.02	06/16/2009 01:13:43 PM Central Daylight Time	08/18/2009 03:05:57 PM Central Daylight Time	08/15/2009 09:02:21 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	052	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	053	0	1	09	04	H3333_053_0	6	06/16/2009	2010.02	06/16/2009 01:13:43 PM Central Daylight Time	08/18/2009 02:56:21 PM Central Daylight Time	08/15/2009 09:02:42 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	053	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	054	0	1	09	04	H3333_054_0	6	06/16/2009	2010.02	06/16/2009 01:13:44 PM Central Daylight Time	08/18/2009 03:12:23 PM Central Daylight Time	08/15/2009 09:00:55 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	054	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	055	0	1	09	04	H3333_055_0	5	05/30/2009	2010.02	05/30/2009 11:06:04 PM Central Daylight Time	08/18/2009 03:22:51 PM Central Daylight Time	08/15/2009 09:04:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	055	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	056	0	1	09	04	H3333_056_0	5	05/30/2009	2010.02	05/30/2009 11:06:05 PM Central Daylight Time	08/18/2009 03:22:15 PM Central Daylight Time	08/15/2009 09:04:23 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	056	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	057	0	1	09	04	H3333_057_0	5	05/30/2009	2010.02	05/30/2009 11:06:05 PM Central Daylight Time	08/18/2009 03:21:19 PM Central Daylight Time	08/15/2009 09:04:44 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	057	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	058	0	1	09	04	H3333_058_0	5	05/30/2009	2010.02	05/30/2009 11:06:06 PM Central Daylight Time	08/18/2009 03:17:01 PM Central Daylight Time	08/15/2009 09:05:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	058	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	059	0	1	09	04	H3333_059_0	5	05/30/2009	2010.02	05/30/2009 11:06:07 PM Central Daylight Time	08/18/2009 03:14:15 PM Central Daylight Time	08/15/2009 09:05:21 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	059	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	060	0	1	09	04	H3333_060_0	6	05/30/2009	2010.02	05/30/2009 11:06:07 PM Central Daylight Time	08/18/2009 03:24:38 PM Central Daylight Time	08/15/2009 09:03:45 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	060	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	104	0	1	09	04	H3333_104_0	3	05/30/2009	2010.02	05/30/2009 11:00:19 PM Central Daylight Time	07/15/2009 03:30:11 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	104	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	105	0	1	09	04	H3333_105_0	6	06/16/2009	2010.02	06/16/2009 01:13:44 PM Central Daylight Time	08/18/2009 03:41:40 PM Central Daylight Time	08/15/2009 09:06:30 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	105	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	106	0	1	09	04	H3333_106_0	3	07/20/2009	2010.02	07/20/2009 03:10:28 PM Central Daylight Time	07/15/2009 03:35:03 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	106	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	107	0	1	09	04	H3333_107_0	5	07/20/2009	2010.02	07/20/2009 03:12:01 PM Central Daylight Time	08/18/2009 03:34:07 PM Central Daylight Time	08/15/2009 09:06:55 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	107	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	112	0	1	09	04	H3333_112_0	3	05/30/2009	2010.02	05/30/2009 11:01:19 PM Central Daylight Time	07/15/2009 03:40:49 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	112	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	113	0	1	09	04	H3333_113_0	6	06/16/2009	2010.02	06/16/2009 01:13:44 PM Central Daylight Time	08/18/2009 03:32:54 PM Central Daylight Time	08/15/2009 09:07:14 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	113	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	114	0	1	09	04	H3333_114_0	3	07/20/2009	2010.02	07/20/2009 03:12:02 PM Central Daylight Time	07/15/2009 03:50:46 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	114	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	115	0	1	09	04	H3333_115_0	5	07/20/2009	2010.02	07/20/2009 03:12:02 PM Central Daylight Time	08/18/2009 03:30:24 PM Central Daylight Time	08/15/2009 09:07:34 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	115	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	120	0	1	09	04	H3333_120_0	3	05/30/2009	2010.02	05/30/2009 11:01:20 PM Central Daylight Time	07/15/2009 03:58:55 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	120	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	121	0	1	09	04	H3333_121_0	6	06/16/2009	2010.02	06/16/2009 01:13:45 PM Central Daylight Time	08/18/2009 03:26:19 PM Central Daylight Time	08/15/2009 09:07:57 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	121	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	122	0	1	09	04	H3333_122_0	3	07/20/2009	2010.02	07/20/2009 03:12:03 PM Central Daylight Time	07/15/2009 04:05:00 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	122	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	123	0	1	09	04	H3333_123_0	5	07/20/2009	2010.02	07/20/2009 03:12:03 PM Central Daylight Time	08/18/2009 03:43:18 PM Central Daylight Time	08/15/2009 09:06:11 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	123	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	128	0	1	09	04	H3333_128_0	3	05/30/2009	2010.02	05/30/2009 11:01:21 PM Central Daylight Time	07/15/2009 04:15:54 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	128	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	129	0	1	09	04	H3333_129_0	6	06/16/2009	2010.02	06/16/2009 01:13:45 PM Central Daylight Time	08/18/2009 04:10:37 PM Central Daylight Time	08/15/2009 09:09:03 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	129	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	130	0	1	09	04	H3333_130_0	3	07/20/2009	2010.02	07/20/2009 03:12:04 PM Central Daylight Time	07/15/2009 04:20:15 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options  Value (PFFS)	04	09	2	1			H3333	130	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	131	0	1	09	04	H3333_131_0	5	07/20/2009	2010.02	07/20/2009 03:12:04 PM Central Daylight Time	08/18/2009 04:04:57 PM Central Daylight Time	08/15/2009 09:09:24 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	131	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	136	0	1	09	04	H3333_136_0	3	05/30/2009	2010.02	05/30/2009 11:01:22 PM Central Daylight Time	07/15/2009 04:30:26 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	136	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	137	0	1	09	04	H3333_137_0	6	06/16/2009	2010.02	06/16/2009 01:13:46 PM Central Daylight Time	08/18/2009 04:02:46 PM Central Daylight Time	08/15/2009 09:09:44 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	137	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	138	0	1	09	04	H3333_138_0	3	07/20/2009	2010.02	07/20/2009 03:12:05 PM Central Daylight Time	07/15/2009 04:39:24 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	138	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	139	0	1	09	04	H3333_139_0	5	07/20/2009	2010.02	07/20/2009 03:12:05 PM Central Daylight Time	08/18/2009 04:01:19 PM Central Daylight Time	08/15/2009 09:10:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	139	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	144	0	1	09	04	H3333_144_0	3	05/30/2009	2010.02	05/30/2009 11:01:23 PM Central Daylight Time	07/15/2009 04:46:24 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	2	1			H3333	144	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	145	0	1	09	04	H3333_145_0	6	06/16/2009	2010.02	06/16/2009 01:13:46 PM Central Daylight Time	08/18/2009 03:59:55 PM Central Daylight Time	08/15/2009 09:10:26 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	2	1			H3333	145	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	146	0	1	09	04	H3333_146_0	3	07/20/2009	2010.02	07/20/2009 03:12:06 PM Central Daylight Time	07/15/2009 04:56:30 PM Central Daylight Time			07/21/2009 05:54:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	2	1			H3333	146	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	147	0	1	09	04	H3333_147_0	5	07/20/2009	2010.02	07/20/2009 03:12:06 PM Central Daylight Time	08/18/2009 04:12:16 PM Central Daylight Time	08/15/2009 09:08:41 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	2	1			H3333	147	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	801	0	1	09	04	H3333_801_0	3	05/28/2009	2010.02	05/28/2009 11:51:19 PM Central Daylight Time	06/01/2009 06:38:06 PM Central Daylight Time			06/02/2009 12:19:26 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Group (PFFS)	04	09	2	1			H3333	801	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H3333	805	0	1	09	04	H3333_805_0	3	05/28/2009	2010.02	05/28/2009 11:47:37 PM Central Daylight Time	06/01/2009 06:48:11 PM Central Daylight Time			06/02/2009 12:19:26 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Group Plus (PFFS)	04	09	2	1			H3333	805	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3333	806	0	1	09	04	H3333_806_0	3	05/28/2009	2010.02	05/28/2009 11:51:19 PM Central Daylight Time	06/01/2009 06:52:33 PM Central Daylight Time			06/02/2009 12:19:26 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Group Plus NCY (PFFS)	04	09	2	1			H3333	806	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H3335	002	0	1	04	01	H3335_002_0	5	07/31/2009	2010.02	07/31/2009 10:30:50 AM Eastern Daylight Time	08/17/2009 05:25:00 PM Eastern Daylight Time	08/13/2009 05:55:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO 102 (PPO)	01	04		1			H3335	002	0	2010	Western New York		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	005	0	1	04	01	H3335_005_0	6	07/31/2009	2010.02	07/31/2009 10:34:22 AM Eastern Daylight Time	08/18/2009 12:41:00 PM Eastern Daylight Time	08/13/2009 05:50:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	005	0	2010	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	006	0	1	04	01	H3335_006_0	6	07/31/2009	2010.02	07/31/2009 10:35:37 AM Eastern Daylight Time	08/18/2009 12:42:00 PM Eastern Daylight Time	08/13/2009 05:51:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	006	0	2010	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	008	0	1	04	01	H3335_008_0	6	07/31/2009	2010.02	07/31/2009 10:34:16 AM Eastern Daylight Time	08/18/2009 12:42:00 PM Eastern Daylight Time	08/13/2009 05:55:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	008	0	2010	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	009	0	1	04	01	H3335_009_0	6	07/31/2009	2010.02	07/31/2009 10:35:51 AM Eastern Daylight Time	08/18/2009 12:43:00 PM Eastern Daylight Time	08/13/2009 05:50:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	009	0	2010	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	014	0	1	04	01	H3335_014_0	6	07/31/2009	2010.02	07/31/2009 10:34:37 AM Eastern Daylight Time	08/18/2009 12:43:00 PM Eastern Daylight Time	08/13/2009 05:39:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	014	0	2010	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	015	0	1	04	01	H3335_015_0	6	07/31/2009	2010.02	07/31/2009 10:36:02 AM Eastern Daylight Time	08/18/2009 12:44:00 PM Eastern Daylight Time	08/13/2009 05:40:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	015	0	2010	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	017	0	1	04	01	H3335_017_0	6	07/31/2009	2010.02	07/31/2009 10:34:50 AM Eastern Daylight Time	08/18/2009 12:44:00 PM Eastern Daylight Time	08/13/2009 05:38:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	017	0	2010	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	018	0	1	04	01	H3335_018_0	6	07/31/2009	2010.02	07/31/2009 10:36:14 AM Eastern Daylight Time	08/18/2009 12:45:00 PM Eastern Daylight Time	08/13/2009 05:37:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	018	0	2010	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	020	0	1	04	01	H3335_020_0	6	07/31/2009	2010.02	07/31/2009 10:35:03 AM Eastern Daylight Time	08/18/2009 12:45:00 PM Eastern Daylight Time	08/13/2009 05:35:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	020	0	2010	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	021	0	1	04	01	H3335_021_0	6	07/31/2009	2010.02	07/31/2009 10:36:28 AM Eastern Daylight Time	08/18/2009 12:46:00 PM Eastern Daylight Time	08/13/2009 05:23:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	021	0	2010	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	032	0	1	04	01	H3335_032_0	4	07/31/2009	2010.02	07/31/2009 10:31:12 AM Eastern Daylight Time	08/18/2009 09:10:00 AM Eastern Daylight Time	08/13/2009 05:31:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - Plan 201 (PPO)	01	04		1			H3335	032	0	2010	Rochester Metro Area		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	036	0	1	04	01	H3335_036_0	6	07/31/2009	2010.02	07/31/2009 10:31:50 AM Eastern Daylight Time	08/18/2009 12:46:00 PM Eastern Daylight Time	08/13/2009 05:24:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	036	0	2010	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	037	0	1	04	01	H3335_037_0	6	07/31/2009	2010.02	07/31/2009 10:32:02 AM Eastern Daylight Time	08/18/2009 12:47:00 PM Eastern Daylight Time	08/13/2009 05:30:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	037	0	2010	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	038	0	1	04	01	H3335_038_0	6	07/31/2009	2010.02	07/31/2009 10:32:13 AM Eastern Daylight Time	08/18/2009 12:47:00 PM Eastern Daylight Time	08/13/2009 05:17:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	038	0	2010	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	039	0	1	04	01	H3335_039_0	6	07/31/2009	2010.02	07/31/2009 10:32:24 AM Eastern Daylight Time	08/18/2009 12:48:00 PM Eastern Daylight Time	08/13/2009 05:23:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	039	0	2010	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	040	0	1	04	01	H3335_040_0	6	07/31/2009	2010.02	07/31/2009 10:32:34 AM Eastern Daylight Time	08/18/2009 12:48:00 PM Eastern Daylight Time	08/13/2009 05:18:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	040	0	2010	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	041	0	1	04	01	H3335_041_0	5	07/31/2009	2010.02	07/31/2009 10:32:52 AM Eastern Daylight Time	06/01/2009 09:43:00 AM Eastern Daylight Time			07/31/2009 12:12:31 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	041	0	2010	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	042	0	1	04	01	H3335_042_0	5	07/31/2009	2010.02	07/31/2009 10:33:02 AM Eastern Daylight Time	06/01/2009 09:43:00 AM Eastern Daylight Time			07/31/2009 12:12:31 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	042	0	2010	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	043	0	1	04	01	H3335_043_0	5	07/31/2009	2010.02	07/31/2009 10:33:13 AM Eastern Daylight Time	06/01/2009 09:44:00 AM Eastern Daylight Time			07/31/2009 12:12:31 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	043	0	2010	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	044	0	1	04	01	H3335_044_0	5	07/31/2009	2010.02	07/31/2009 10:33:25 AM Eastern Daylight Time	06/01/2009 09:44:00 AM Eastern Daylight Time			07/31/2009 12:12:31 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	044	0	2010	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	045	0	1	04	01	H3335_045_0	5	07/31/2009	2010.02	07/31/2009 10:33:35 AM Eastern Daylight Time	06/01/2009 09:45:00 AM Eastern Daylight Time			07/31/2009 12:12:31 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	045	0	2010	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	801	0	1	04	01	H3335_801_0	2	08/05/2009	2010.02	08/05/2009 04:02:03 PM Eastern Daylight Time	05/30/2009 02:26:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group (PPO)	01	04		1			H3335	801	0	2010	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	811	0	1	04	01	H3335_811_0	2	08/05/2009	2010.02	08/05/2009 04:02:14 PM Eastern Daylight Time	05/30/2009 03:01:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group (PPO)	01	04		1			H3335	811	0	2010	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	813	0	1	04	01	H3335_813_0	2	08/05/2009	2010.02	08/05/2009 04:02:22 PM Eastern Daylight Time	05/30/2009 01:16:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group (PPO)	01	04		1			H3335	813	0	2010	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	819	0	1	04	01	H3335_819_0	2	08/05/2009	2010.02	08/05/2009 04:02:32 PM Eastern Daylight Time	05/30/2009 03:00:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group (PPO)	01	04		1			H3335	819	0	2010	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3335	820	0	1	04	01	H3335_820_0	2	08/05/2009	2010.02	08/05/2009 04:02:47 PM Eastern Daylight Time	05/30/2009 12:32:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group Non-Calendar (PPO)	01	04		1			H3335	820	0	2010	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3335	822	0	1	04	01	H3335_822_0	2	08/05/2009	2010.02	08/05/2009 04:02:56 PM Eastern Daylight Time	05/30/2009 02:52:00 PM Eastern Daylight Time			08/05/2009 04:04:58 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group Non-Calendar (PPO)	01	04		1			H3335	822	0	2010	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3337	001	0	1	01	01	H3337_001_0	6	08/27/2009	2010.02	08/27/2009 11:09:21 AM Pacific Daylight Time	08/27/2009 10:42:06 AM Pacific Daylight Time	08/14/2009 10:26:12 AM Pacific Daylight Time		08/27/2009 11:53:35 AM Pacific Daylight Time	LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage	http://lhany.com/	Liberty Health Advantage Preferred Choice (HMO)	01	01		1			H3337	001	0	2010	Bronx, Kings, New York, Queens, Richmond, Nassau		2		2				2						www.lhany.com	http://www.lhany.com/	(866)-542-4269		(866)-542-4269		(866)-542-4269		(866)-542-4269		(800)-546-5677		(800)-546-5677		(866)-542-4269		(866)-542-4269		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220						(800)-662-1220		(800)-662-1220		1		
H3337	002	0	1	01	01	H3337_002_0	5	08/18/2009	2010.02	08/18/2009 08:16:46 PM Pacific Daylight Time	08/18/2009 08:09:17 PM Pacific Daylight Time	08/14/2009 10:29:43 AM Pacific Daylight Time		08/18/2009 08:33:17 PM Pacific Daylight Time	LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage	http://lhany.com/	Liberty Health Advantage Dual Power - Nassau (HMO)	01	01		1			H3337	002	0	2010	Nassau		2		2		2		1	3		1	3		www.lhany.com	http://www.lhany.com/	(866)-542-4269		(866)-542-4269		(866)-542-4269		(866)-542-4269		(800)-546-5677		(800)-546-5677		(866)-542-4269		(866)-542-4269		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220						(800)-662-1220		(800)-662-1220		1		
H3337	003	0	1	01	01	H3337_003_0	5	08/18/2009	2010.02	08/18/2009 08:17:08 PM Pacific Daylight Time	08/18/2009 08:10:38 PM Pacific Daylight Time	08/14/2009 08:48:49 AM Pacific Daylight Time		08/18/2009 08:33:17 PM Pacific Daylight Time	LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage	http://lhany.com/	Liberty Health Advantage Dual Power - NYC (HMO)	01	01		1			H3337	003	0	2010	NYC - Bronx, Kings, New York, Queens, Richmond		2		2		2		1	3		1	3		www.lhany.com	http://www.lhany.com/	(866)-542-4269		(866)-542-4269		(866)-542-4269		(866)-542-4269		(800)-546-5677		(800)-546-5677		(866)-542-4269		(866)-542-4269		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220						(800)-662-1220		(800)-662-1220		1		
H3342	001	0	1	04	01	H3342_001_0	12	08/05/2009	2010.02	08/05/2009 02:57:29 PM Pacific Daylight Time	08/20/2009 04:58:44 PM Pacific Daylight Time	08/17/2009 03:52:57 PM Pacific Daylight Time		08/20/2009 05:15:01 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue Plus (PPO)	01	04		1			H3342	001	0	2010	New York City and Nassau		2	2723	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3342	002	0	1	04	01	H3342_002_0	11	08/05/2009	2010.02	08/05/2009 02:56:47 PM Pacific Daylight Time	08/20/2009 05:01:15 PM Pacific Daylight Time	08/17/2009 03:53:15 PM Pacific Daylight Time		08/20/2009 05:15:01 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue Plus (PPO)	01	04		1			H3342	002	0	2010	Rockland, Westchester, Mid-Hudson, Capital Region		2	985	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3342	004	0	1	04	01	H3342_004_0	13	08/05/2009	2010.02	08/05/2009 02:58:26 PM Pacific Daylight Time	08/20/2009 05:01:16 PM Pacific Daylight Time	08/17/2009 03:53:34 PM Pacific Daylight Time		08/20/2009 05:15:01 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue Plus (PPO)	01	04		1			H3342	004	0	2010	Suffolk County		2	540	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3342	012	0	1	04	01	H3342_012_0	12	08/26/2009	2010.02	08/26/2009 04:51:06 PM Pacific Daylight Time	08/26/2009 04:57:13 PM Pacific Daylight Time	08/17/2009 03:53:52 PM Pacific Daylight Time		08/26/2009 05:02:57 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue Value (PPO)	01	04		1			H3342	012	0	2010	NYC, Long Island, Mid-Hudson and Capital Region		2	3766	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3342	808	0	1	04	01	H3342_808_0	6	08/05/2009	2010.02	08/05/2009 03:09:13 PM Pacific Daylight Time	07/31/2009 03:40:51 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	808	0	2010	New York - select counties		1	50	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3342	809	0	1	04	01	H3342_809_0	5	08/05/2009	2010.02	08/05/2009 03:09:43 PM Pacific Daylight Time	07/31/2009 03:41:53 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	809	0	2010	New York - select counties		1	50	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328												(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H3342	810	0	1	04	01	H3342_810_0	5	08/05/2009	2010.02	08/05/2009 03:10:21 PM Pacific Daylight Time	07/31/2009 03:42:53 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	810	0	2010	New York - select counties		1	50	2				2						www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3344	001	0	1	04	01	H3344_001_0	8	08/19/2009	2010.02	08/19/2009 01:22:14 PM Eastern Daylight Time	08/20/2009 12:37:00 PM Eastern Daylight Time	08/20/2009 12:44:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport (PPO)	01	04		1			H3344	001	0	2010	Western New York		2	750	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3344	003	0	1	04	01	H3344_003_0	8	08/11/2009	2010.02	08/11/2009 03:54:52 PM Eastern Daylight Time	08/20/2009 12:37:00 PM Eastern Daylight Time	08/20/2009 12:45:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport Premier (PPO)	01	04		1			H3344	003	0	2010	Western New York		2	1000	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3344	005	0	1	04	01	H3344_005_0	12	08/24/2009	2010.02	08/24/2009 11:21:12 AM Eastern Daylight Time	08/24/2009 11:06:29 AM Eastern Daylight Time	08/20/2009 12:45:00 PM Eastern Daylight Time		08/24/2009 11:52:55 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport Advantage (PPO)	01	04		1			H3344	005	0	2010	Western New York		2	1500	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3344	801	0	1	04	01	H3344_801_0	3	08/06/2009	2010.02	08/06/2009 01:08:31 PM Eastern Daylight Time	05/31/2009 11:12:28 PM Eastern Daylight Time			08/07/2009 10:32:10 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	801	0	2010	IH Network and Medicare Deemed Network		1	620	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3344	803	0	1	04	01	H3344_803_0	4	08/06/2009	2010.02	08/06/2009 01:08:59 PM Eastern Daylight Time	05/31/2009 11:14:06 PM Eastern Daylight Time			08/07/2009 10:32:10 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	803	0	2010	IH Network and Medicare Deemed Network		1	100	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3344	804	0	1	04	01	H3344_804_0	3	08/06/2009	2010.02	08/06/2009 01:09:42 PM Eastern Daylight Time	06/02/2009 09:37:03 AM Eastern Daylight Time			08/07/2009 09:52:00 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	804	0	2010	IH Network and Medicare Deemed Network		1	100	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1		
H3346	002	0	1	04	01	H3346_002_0	12	08/28/2009	2010.02	08/28/2009 07:29:40 AM Eastern Daylight Time	08/18/2009 12:45:00 PM Eastern Daylight Time	08/24/2009 01:48:00 PM Eastern Daylight Time		08/28/2009 11:51:26 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H3346	002	0	2010	Rochester and Western New York		2	545	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H3346	802	0	1	04	01	H3346_802_0	4	08/28/2009	2010.02	08/28/2009 07:30:52 AM Eastern Daylight Time	05/31/2009 05:12:00 PM Eastern Daylight Time			08/28/2009 11:51:26 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H3346	802	0	2010	Rochester and Western New York		1	427	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-665-7924		(585)-327-2480		(888)-280-6205		(585)-327-5760		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H3347	001	0	1	01	01	H3347_001_0	4	08/20/2009	2010.02	08/20/2009 02:09:45 PM Eastern Daylight Time	08/20/2009 12:48:26 PM Eastern Daylight Time	08/19/2009 10:41:24 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Classic I: Medicare Extra Needs (HMO)	01	01		1			H3347	001	0	2010	New York City Metropolitan Area		2		2				1	1	2	1			www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	002	0	1	01	01	H3347_002_0	6	06/01/2009	2010.02	06/01/2009 02:57:46 PM Eastern Daylight Time	08/19/2009 02:25:30 PM Eastern Daylight Time	08/19/2009 10:21:16 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare For Medicaid Beneficiaries (HMO)	01	01		1			H3347	002	0	2010	New York City Metropolitan Area		2		2		2		1	3		1	1		www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	003	0	1	01	01	H3347_003_0	6	07/07/2009	2010.02	07/07/2009 08:21:39 AM Eastern Daylight Time	08/19/2009 02:25:50 PM Eastern Daylight Time	08/19/2009 10:22:30 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare For Nursing Home Residents (HMO)	01	01		1			H3347	003	0	2010	New York City Metropolitan Area		2		2				1	1	1	1			www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	004	0	1	01	01	H3347_004_0	6	08/20/2009	2010.02	08/20/2009 02:11:50 PM Eastern Daylight Time	08/19/2009 05:56:04 PM Eastern Daylight Time	08/19/2009 10:23:06 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Part B Premium Reduction (HMO)	01	01		1			H3347	004	0	2010	New York City Metropolitan Area		2		2				2						www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	005	0	1	01	01	H3347_005_0	4	08/20/2009	2010.02	08/20/2009 02:10:11 PM Eastern Daylight Time	08/20/2009 12:48:50 PM Eastern Daylight Time	08/19/2009 10:42:22 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Classic II: Medicare Zero Premium (HMO)	01	01		1			H3347	005	0	2010	New York City Metropolitan Area		2		2				2						www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	007	0	1	01	01	H3347_007_0	4	06/01/2009	2010.02	06/01/2009 05:59:43 PM Eastern Daylight Time	08/19/2009 02:26:38 PM Eastern Daylight Time	08/19/2009 10:18:18 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Plus Managed Long Term Care (HMO)	01	01		1			H3347	007	0	2010	New York Metropolitan Area		2		2		2		1	3		1	4		www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	008	0	1	01	01	H3347_008_0	4	06/01/2009	2010.02	06/01/2009 06:00:01 PM Eastern Daylight Time	08/19/2009 02:26:56 PM Eastern Daylight Time	08/19/2009 10:48:28 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Plus Medicaid Advantage (HMO)	01	01		1			H3347	008	0	2010	New York City Metropolitan Area		2		2		2		1	3		1	4		www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	009	0	1	01	01	H3347_009_0	4	07/07/2009	2010.02	07/07/2009 08:23:17 AM Eastern Daylight Time	08/19/2009 02:27:10 PM Eastern Daylight Time	08/19/2009 10:43:24 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Extra Help (HMO)	01	01		1			H3347	009	0	2010	New York City Metropolitan Area		2		2				2						www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	010	0	1	02	01	H3347_010_0	4	08/06/2009	2010.02	08/06/2009 12:59:36 PM Eastern Daylight Time	08/19/2009 05:56:38 PM Eastern Daylight Time	08/19/2009 10:44:18 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Premium Benefit (HMO-POS)	01	02		1			H3347	010	0	2010	New York City Metropolitan Area		2		2				2						www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3347	011	0	1	01	01	H3347_011_0	3	06/01/2009	2010.02	06/01/2009 02:59:36 PM Eastern Daylight Time	06/01/2009 08:23:28 PM Eastern Daylight Time			08/06/2009 01:34:16 PM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicare Part B Premium Reduction w/o Rx (HMO)	01	01		1			H3347	011	0	2010	New York City Metropolitan Area		2		2				2						www.Elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1		
H3351	001	0	1	01	01	H3351_001_0	4	07/27/2009	2010.02	07/27/2009 08:28:43 AM Eastern Daylight Time	05/28/2009 02:21:00 PM Eastern Daylight Time			07/28/2009 04:31:21 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Select (HMO)	01	01		1			H3351	001	0	2010	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3351	002	0	1	01	01	H3351_002_0	6	07/27/2009	2010.02	07/27/2009 08:28:09 AM Eastern Daylight Time	08/17/2009 05:26:00 PM Eastern Daylight Time	08/13/2009 05:14:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Secure (HMO)	01	01		1			H3351	002	0	2010	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	006	0	1	01	01	H3351_006_0	7	07/27/2009	2010.02	07/27/2009 08:30:43 AM Eastern Daylight Time	08/18/2009 09:10:00 AM Eastern Daylight Time	08/13/2009 05:15:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Optimum (HMO)	01	01		1			H3351	006	0	2010	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	007	0	1	01	01	H3351_007_0	5	07/27/2009	2010.02	07/27/2009 08:31:11 AM Eastern Daylight Time	05/28/2009 04:19:00 PM Eastern Daylight Time			07/28/2009 04:31:21 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Platinum (HMO)	01	01		1			H3351	007	0	2010	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3351	010	0	1	01	01	H3351_010_0	7	07/27/2009	2010.02	07/27/2009 08:26:15 AM Eastern Daylight Time	08/17/2009 05:26:00 PM Eastern Daylight Time	08/13/2009 05:14:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Value (HMO)	01	01		1			H3351	010	0	2010	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	011	0	1	01	01	H3351_011_0	7	07/27/2009	2010.02	07/27/2009 08:29:28 AM Eastern Daylight Time	08/18/2009 12:10:00 PM Eastern Daylight Time	08/13/2009 05:15:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Value (HMO)	01	01		1			H3351	011	0	2010	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	012	0	1	01	01	H3351_012_0	5	07/27/2009	2010.02	07/27/2009 08:27:19 AM Eastern Daylight Time	08/17/2009 05:27:00 PM Eastern Daylight Time	08/13/2009 05:20:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Value Plus (HMO)	01	01		1			H3351	012	0	2010	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	013	0	1	01	01	H3351_013_0	6	07/27/2009	2010.02	07/27/2009 08:31:23 AM Eastern Daylight Time	08/18/2009 09:11:00 AM Eastern Daylight Time	08/13/2009 05:13:00 PM Eastern Daylight Time		08/19/2009 01:40:01 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Value Plus (HMO)	01	01		1			H3351	013	0	2010	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	801	0	1	01	01	H3351_801_0	1	05/22/2009	2010.02	05/22/2009 09:20:16 AM Eastern Daylight Time	05/30/2009 01:17:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice - Group (HMO)	01	01		1			H3351	801	0	2010	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	802	0	1	01	01	H3351_802_0	1	05/22/2009	2010.02	05/22/2009 09:18:44 AM Eastern Daylight Time	05/30/2009 12:29:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice - Group (HMO)	01	01		1			H3351	802	0	2010	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	803	0	1	01	01	H3351_803_0	1	05/22/2009	2010.02	05/22/2009 09:18:50 AM Eastern Daylight Time	05/30/2009 01:18:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice - Group (HMO)	01	01		1			H3351	803	0	2010	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3351	804	0	1	01	01	H3351_804_0	1	05/22/2009	2010.02	05/22/2009 09:18:57 AM Eastern Daylight Time	05/30/2009 12:30:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice - Group (HMO)	01	01		1			H3351	804	0	2010	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1		
H3351	805	0	1	01	01	H3351_805_0	1	05/22/2009	2010.02	05/22/2009 09:19:04 AM Eastern Daylight Time	05/30/2009 01:18:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Group Non-Calendar (HMO)	01	01		1			H3351	805	0	2010	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3351	806	0	1	01	01	H3351_806_0	1	05/22/2009	2010.02	05/22/2009 09:19:12 AM Eastern Daylight Time	05/30/2009 12:30:00 PM Eastern Daylight Time			06/01/2009 08:08:20 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Group Non-Calendar (HMO)	01	01		1			H3351	806	0	2010	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3356	001	0	1	18	06	H3356_001_0	4	09/02/2009	2010.02	09/02/2009 10:55:33 AM Eastern Daylight Time		08/19/2009 12:36:24 PM Eastern Daylight Time		09/02/2009 11:14:52 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Blue Choice Senior (Cost)	06	18		1			H3356	001	0	2010	Metro Rochester and Finger Lakes area		2		2				2							www.excellusbcbs.com	(800)-462-0108		(800)-462-0108		(800)-659-1986		(800)-659-1986		(800)-462-0108		(800)-462-0108		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3356	801	0		18	06	H3356_801_0	3	05/29/2009	2010.02						EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Blue Choice Senior - Group (Cost)	06	18					H3356	801	0	2010	Metro Rochester		1						2							www.excellusbcbs.com	(800)-462-0108		(800)-462-0108		(800)-659-1986				(800)-462-0108		(800)-462-0108		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3359	001	0	1	01	01	H3359_001_0	9	08/19/2009	2010.02	08/19/2009 12:12:55 PM Eastern Daylight Time	08/24/2009 03:31:55 PM Eastern Daylight Time	08/19/2009 05:26:20 PM Eastern Daylight Time		08/24/2009 03:35:30 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst 65 Plus Plan (HMO)	01	01		1			H3359	001	0	2010	New York City and Nassau County		2	16676	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	019	0	1	01	01	H3359_019_0	9	08/19/2009	2010.02	08/19/2009 03:49:06 PM Eastern Daylight Time	08/24/2009 03:31:15 PM Eastern Daylight Time	08/19/2009 05:25:33 PM Eastern Daylight Time		08/24/2009 03:35:30 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Increased Benefits Plan (HMO)	01	01		1			H3359	019	0	2010	New York City, Nassau and Westchester Counties		2	22535	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	021	0	1	01	01	H3359_021_0	11	11/19/2009	2010.02	11/19/2009 06:18:49 PM Eastern Standard Time	11/19/2009 04:56:41 PM Eastern Standard Time	08/19/2009 05:25:09 PM Eastern Standard Time		11/19/2009 06:20:56 PM Eastern Standard Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Life Improvement Plan (HMO)	01	01		1			H3359	021	0	2010	New York City, Nassau and Westchester Counties		2	44372	2		2		1	3		1	2		www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	027	0	1	01	01	H3359_027_0	6	07/23/2009	2010.02	07/23/2009 12:06:48 PM Eastern Daylight Time	07/16/2009 12:49:40 PM Eastern Daylight Time			07/27/2009 10:45:37 AM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Coordinated Benefits Plan (HMO)	01	01		1			H3359	027	0	2010	New York City, Nassau and Westchester Counties		2	2291	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1		
H3359	031	0	1	01	01	H3359_031_0	9	08/19/2009	2010.02	08/19/2009 04:13:57 PM Eastern Daylight Time	08/19/2009 05:17:27 PM Eastern Daylight Time	08/19/2009 05:24:18 PM Eastern Daylight Time		08/19/2009 08:17:45 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Medicare Plus Plan (HMO)	01	01		1			H3359	031	0	2010	Westchester County		2	19	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	032	0	1	01	01	H3359_032_0	9	08/19/2009	2010.02	08/19/2009 04:15:33 PM Eastern Daylight Time	08/19/2009 05:16:58 PM Eastern Daylight Time	08/19/2009 05:23:48 PM Eastern Daylight Time		08/19/2009 08:17:45 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Jade Benefits Plan (HMO)	01	01		1			H3359	032	0	2010	New York, Kings, and Queens Counties		2	42	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	033	0	1	01	01	H3359_033_0	8	08/19/2009	2010.02	08/19/2009 04:03:01 PM Eastern Daylight Time	08/19/2009 05:17:54 PM Eastern Daylight Time	08/19/2009 05:23:12 PM Eastern Daylight Time		08/19/2009 08:17:45 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Maximum Plan (HMO)	01	01		1			H3359	033	0	2010	New York City, Nassau and Westchester Counties		2	68	2		2		1	3		1	5		www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	804	0	1	01	01	H3359_804_0	6	07/17/2009	2010.02	07/17/2009 01:35:56 PM Eastern Daylight Time	07/16/2009 02:33:30 PM Eastern Daylight Time			07/27/2009 10:48:57 AM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Employer Group 1 (HMO)	01	01		1			H3359	804	0	2010	All New York State Counties		1	4	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H3359	805	0	1	01	01	H3359_805_0	6	07/17/2009	2010.02	07/17/2009 01:37:46 PM Eastern Daylight Time	07/16/2009 02:34:07 PM Eastern Daylight Time			07/27/2009 10:48:57 AM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Employer Group 2 (HMO)	01	01		1			H3359	805	0	2010	All New York State Counties		1	4	2				2						www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1		
H3361	039	0	1	01	01	H3361_039_0	4	07/21/2009	2010.02	07/21/2009 11:29:23 AM Eastern Daylight Time	07/23/2009 01:24:33 PM Eastern Daylight Time			07/24/2009 03:25:11 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H3361	039	0	2010	Counties: Bronx, Kings, Queens, New York		2		2				2							www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1		
H3361	043	0	1	02	01	H3361_043_0	5	08/18/2009	2010.02	08/18/2009 12:49:07 PM Eastern Daylight Time	08/18/2009 02:33:33 PM Eastern Daylight Time	08/17/2009 11:13:43 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS)	01	02		1			H3361	043	0	2010	Counties: Bronx, Kings, Queens, New York, Nassau		2		2		2		1	3		1	2			www.wellcare.com	(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	047	0	1	01	01	H3361_047_0	5	08/18/2009	2010.02	08/18/2009 12:49:18 PM Eastern Daylight Time	08/18/2009 02:33:50 PM Eastern Daylight Time	08/17/2009 11:13:54 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Liberty (HMO)	01	01		1			H3361	047	0	2010	Albany County		2		2		2		1	3		1	3			www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	059	0	1	01	01	H3361_059_0	4	07/21/2009	2010.02	07/21/2009 11:33:04 AM Eastern Daylight Time	07/23/2009 01:25:41 PM Eastern Daylight Time			07/24/2009 03:25:11 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H3361	059	0	2010	Upstate New York		2		2				2							www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1		
H3361	065	0	1	01	01	H3361_065_0	5	08/18/2009	2010.02	08/18/2009 12:49:33 PM Eastern Daylight Time	08/18/2009 02:34:31 PM Eastern Daylight Time	08/17/2009 11:14:07 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H3361	065	0	2010	Upstate New York		2		2		2		1	3		1	5			www.wellcare.com	(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	098	0	1	02	01	H3361_098_0	5	08/18/2009	2010.02	08/18/2009 12:49:45 PM Eastern Daylight Time	08/18/2009 02:34:50 PM Eastern Daylight Time	08/17/2009 11:14:18 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS)	01	02		1			H3361	098	0	2010	Upstate New York		2		2		2		1	3		1	2			www.wellcare.com	(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	099	0	1	02	01	H3361_099_0	5	07/21/2009	2010.02	07/21/2009 11:33:36 AM Eastern Daylight Time	08/18/2009 02:35:09 PM Eastern Daylight Time	08/17/2009 11:14:30 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H3361	099	0	2010	Upstate New York		2		2				2							www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	105	0	1	01	01	H3361_105_0	5	08/18/2009	2010.02	08/18/2009 12:49:58 PM Eastern Daylight Time	08/18/2009 02:35:29 PM Eastern Daylight Time	08/17/2009 11:14:43 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Advocate Complete (HMO)	01	01		1			H3361	105	0	2010	Counties: Bronx, Kings, Queens, New York		2		2		2		1	3		1	4			www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	106	0	1	02	01	H3361_106_0	5	07/21/2009	2010.02	07/21/2009 11:33:47 AM Eastern Daylight Time	08/18/2009 02:35:48 PM Eastern Daylight Time	08/17/2009 11:14:54 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H3361	106	0	2010	Counties: Bronx, Kings, Queens, New York, Nassau		2		2				2							www.wellcare.com	(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(800)-278-5155		(800)-278-5155		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3361	109	0	1	01	01	H3361_109_0	5	08/18/2009	2010.02	08/18/2009 12:50:16 PM Eastern Daylight Time	08/18/2009 02:36:08 PM Eastern Daylight Time	08/17/2009 11:15:06 AM Eastern Daylight Time		08/20/2009 03:38:12 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Access (HMO)	01	01		1			H3361	109	0	2010	Counties: Bronx, Kings, Queens, New York, Nassau		2		2		2		1	3		1	5			www.wellcare.com	(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(866)-482-3363		(866)-482-3363		(866)-238-4258		(866)-238-4258		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1		
H3362	003	0	1	01	01	H3362_003_0	6	08/19/2009	2010.02	08/19/2009 11:57:06 AM Eastern Daylight Time	08/20/2009 12:39:00 PM Eastern Daylight Time	08/20/2009 12:46:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 (HMO)	01	01		1			H3362	003	0	2010	Western New York		2	13300	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	004	0	1	01	01	H3362_004_0	6	07/31/2009	2010.02	07/31/2009 09:46:15 AM Eastern Daylight Time	08/20/2009 12:41:00 PM Eastern Daylight Time	08/20/2009 12:46:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 Extra (HMO)	01	01		1			H3362	004	0	2010	Western New York		2	10800	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	016	0	1	01	01	H3362_016_0	2	07/31/2009	2010.02	07/31/2009 09:46:34 AM Eastern Daylight Time	05/31/2009 11:28:32 PM Eastern Daylight Time			07/31/2009 10:41:39 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 (HMO)	01	01		1			H3362	016	0	2010	Western New York		2	10400	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1		
H3362	017	0	1	01	01	H3362_017_0	7	10/19/2009	2010.02	10/19/2009 01:06:40 PM Eastern Daylight Time	08/20/2009 12:42:00 PM Eastern Daylight Time	08/20/2009 12:46:00 PM Eastern Daylight Time		10/19/2009 02:20:41 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 Basic (HMO)	01	01		1			H3362	017	0	2010	Western New York		2	3775	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	020	0	1	01	01	H3362_020_0	5	08/18/2009	2010.02	08/18/2009 04:10:12 PM Eastern Daylight Time	08/20/2009 12:43:00 PM Eastern Daylight Time	08/20/2009 12:47:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Family Choice (HMO)	01	01		1			H3362	020	0	2010	Erie and Niagara Counties		2	1400	2				1	1	1	1			www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	801	0	1	01	01	H3362_801_0	1	05/29/2009	2010.02	05/29/2009 01:58:11 PM Eastern Daylight Time	05/31/2009 11:16:28 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass (HMO)	01	01		1			H3362	801	0	2010	New York State		1	2300	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	807	0	1	02	01	H3362_807_0	1	05/29/2009	2010.02	05/29/2009 04:40:52 PM Eastern Daylight Time	05/31/2009 11:21:26 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	807	0	2010	IH Network and Medicare Deemed Network		1	9190	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	817	0	1	02	01	H3362_817_0	1	05/29/2009	2010.02	05/29/2009 04:41:16 PM Eastern Daylight Time	05/31/2009 11:24:52 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	817	0	2010	IH Network and Medicare Deemed Network		1	100	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H3362	819	0	1	02	01	H3362_819_0	1	05/29/2009	2010.02	05/29/2009 04:37:43 PM Eastern Daylight Time	05/31/2009 11:26:18 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	819	0	2010	IH Network and Medicare Deemed Network		1	179	1	1			2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1		
H3362	820	0	1	01	01	H3362_820_0	1	05/29/2009	2010.02	05/29/2009 01:58:40 PM Eastern Daylight Time	05/31/2009 11:19:28 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass (HMO)	01	01		1			H3362	820	0	2010	New York State		1	100	2				2						www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1		
H3366	022	0	1	01	01	H3366_022_0	6	08/19/2009	2010.02	08/19/2009 04:01:30 PM Eastern Standard Time	08/19/2009 03:08:04 PM Eastern Standard Time	08/19/2009 03:08:00 PM Eastern Standard Time		08/19/2009 04:23:25 PM Eastern Standard Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Grand (HMO)	01	01		1			H3366	022	0	2010	New York City		2	170	2		2		1	3		1	2		www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		(888)-777-0301		(888)-777-0301		(888)-777-0368		(888)-777-0368		1		
H3370	001	0	1	01	01	H3370_001_0	14	08/20/2009	2010.02	08/20/2009 11:13:12 PM Eastern Daylight Time	08/21/2009 09:18:49 AM Eastern Daylight Time	08/20/2009 08:07:00 PM Eastern Daylight Time		08/21/2009 09:23:13 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Plus (HMO)	01	01		1			H3370	001	0	2010	New York City		2	29222	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	002	0	1	01	01	H3370_002_0	13	08/20/2009	2010.02	08/20/2009 03:07:16 PM Eastern Daylight Time	08/20/2009 08:08:49 PM Eastern Daylight Time	08/20/2009 08:07:10 PM Eastern Daylight Time		08/20/2009 08:36:57 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Select (HMO)	01	01		1			H3370	002	0	2010	Rockland, Westchester and Mid-Hudson Valley		2	12882	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	003	0	1	01	01	H3370_003_0	11	08/20/2009	2010.02	08/20/2009 08:22:02 PM Eastern Daylight Time	08/20/2009 08:09:01 PM Eastern Daylight Time	08/20/2009 08:07:17 PM Eastern Daylight Time		08/20/2009 08:39:01 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Plus (HMO)	01	01		1			H3370	003	0	2010	Nassau County		2	8653	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	004	0	1	01	01	H3370_004_0	13	08/20/2009	2010.02	08/20/2009 11:13:29 PM Eastern Daylight Time	08/20/2009 09:22:35 PM Eastern Daylight Time	08/20/2009 08:07:24 PM Eastern Daylight Time		08/21/2009 07:14:01 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Plus (HMO)	01	01		1			H3370	004	0	2010	Suffolk County		2	15194	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	009	0	1	01	01	H3370_009_0	7	07/30/2009	2010.02	07/30/2009 01:54:16 PM Pacific Daylight Time	07/27/2009 07:28:28 AM Pacific Daylight Time			07/30/2009 03:24:46 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Essential (HMO)	01	01		1			H3370	009	0	2010	Suffolk County		2	1707	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H3370	010	0	1	01	01	H3370_010_0	6	07/30/2009	2010.02	07/30/2009 01:58:33 PM Pacific Daylight Time	07/27/2009 07:28:32 AM Pacific Daylight Time			07/30/2009 03:24:46 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Essential (HMO)	01	01		1			H3370	010	0	2010	Rockland, Westchester, and Mid Hudson Valley		2	496	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H3370	014	0	1	01	01	H3370_014_0	10	08/17/2009	2010.02	08/17/2009 05:42:54 PM Eastern Daylight Time	08/20/2009 08:18:26 PM Eastern Daylight Time	08/20/2009 08:07:31 PM Eastern Daylight Time		08/20/2009 08:46:10 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Plus (HMO)	01	01		1			H3370	014	0	2010	Albany, Rensselaer, Saratoga and Schenectady		2	835	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	019	0	1	01	01	H3370_019_0	6	07/30/2009	2010.02	07/30/2009 02:05:19 PM Pacific Daylight Time	07/27/2009 07:28:39 AM Pacific Daylight Time			07/30/2009 03:24:46 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Essential (HMO)	01	01		1			H3370	019	0	2010	New York City, Nassau, and Capital Region		2	637	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H3370	021	0	1	01	01	H3370_021_0	12	08/20/2009	2010.02	08/20/2009 03:05:36 PM Eastern Daylight Time	08/20/2009 08:18:35 PM Eastern Daylight Time	08/20/2009 08:07:38 PM Eastern Daylight Time		08/20/2009 08:48:40 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Value (HMO)	01	01		1			H3370	021	0	2010	New York City		2	6500	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	022	0	1	01	01	H3370_022_0	13	08/17/2009	2010.02	08/17/2009 05:43:26 PM Eastern Daylight Time	08/20/2009 08:18:48 PM Eastern Daylight Time	08/20/2009 08:07:45 PM Eastern Daylight Time		08/20/2009 08:52:29 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue Select (HMO)	01	01		1			H3370	022	0	2010	Nassau County		2	500	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	801	0	1	01	01	H3370_801_0	5	07/30/2009	2010.02	07/30/2009 04:23:12 PM Pacific Daylight Time	07/31/2009 09:16:35 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue (HMO)	01	01		1			H3370	801	0	2010	New York State		1	2895	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3370	803	0	1	01	01	H3370_803_0	5	07/30/2009	2010.02	07/30/2009 04:27:00 PM Pacific Daylight Time	07/31/2009 09:17:04 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue (HMO)	01	01		1			H3370	803	0	2010	New York State		1	2895	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H3370	805	0	1	01	01	H3370_805_0	5	07/30/2009	2010.02	07/30/2009 04:28:02 PM Pacific Daylight Time	07/31/2009 09:16:51 AM Pacific Daylight Time			07/31/2009 01:42:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield HMO	www.empireblue.com	MediBlue (HMO)	01	01		1			H3370	805	0	2010	New York State		1	2895	2				2						www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H3379	001	0	1	01	01	H3379_001_0	4	07/17/2009	2010.02	07/17/2009 10:38:27 AM Central Daylight Time	08/19/2009 09:06:31 AM Central Daylight Time	08/13/2009 05:48:34 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3379	001	0	2010	New York City		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3379	002	0	1	01	01	H3379_002_0	4	08/20/2009	2010.02	08/20/2009 02:55:20 PM Central Daylight Time	08/19/2009 09:06:16 AM Central Daylight Time	08/13/2009 05:48:38 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H3379	002	0	2010	New York Metropolitan Area		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3379	005	0	1	01	01	H3379_005_0	5	07/17/2009	2010.02	07/17/2009 10:40:56 AM Central Daylight Time	08/19/2009 09:05:55 AM Central Daylight Time	08/13/2009 05:48:42 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H3379	005	0	2010	Kings, New York, Queens Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3379	022	0	1	01	01	H3379_022_0	3	08/20/2009	2010.02	08/20/2009 02:55:51 PM Central Daylight Time	08/19/2009 12:22:14 PM Central Daylight Time	08/13/2009 05:48:46 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H3379	022	0	2010	Upstate New York		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3379	036	0	1	01	01	H3379_036_0	3	07/15/2009	2010.02	07/15/2009 04:43:24 PM Central Daylight Time	08/19/2009 09:05:23 AM Central Daylight Time	08/13/2009 05:48:51 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	Evercare Plan DH-U (HMO)	01	01		1			H3379	036	0	2010	Bronx,Kings,New York,Queens and Richmond Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3379	037	0	1	01	01	H3379_037_0	5	08/26/2009	2010.02	08/26/2009 02:57:44 PM Central Daylight Time	08/19/2009 09:05:08 AM Central Daylight Time	08/13/2009 05:48:55 PM Central Daylight Time		08/26/2009 03:02:00 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H3379	037	0	2010	New York Metropolitan Area		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3384	013	0	1	01	01	H3384_013_0	12	08/20/2009	2010.02	08/20/2009 10:56:31 AM Eastern Daylight Time	08/24/2009 04:32:51 PM Eastern Daylight Time	08/24/2009 03:55:59 PM Eastern Daylight Time		08/25/2009 02:00:31 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 652 PartD (HMO)	01	01		1			H3384	013	0	2010	Northeastern New York		2	4500	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1		
H3384	015	0	1	01	01	H3384_015_0	6	08/05/2009	2010.02	08/05/2009 01:11:35 PM Eastern Daylight Time	08/10/2009 05:48:13 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 601 (HMO)	01	01		1			H3384	015	0	2010	Northeastern New York		2	4100	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										1		
H3384	019	0	1	01	01	H3384_019_0	10	08/13/2009	2010.02	08/13/2009 01:34:02 PM Eastern Daylight Time	08/17/2009 01:18:22 PM Eastern Daylight Time	08/17/2009 11:44:16 AM Eastern Daylight Time		08/20/2009 04:08:23 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 651 PartD (HMO)	01	01		1			H3384	019	0	2010	Western New York		2	5500	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H3384	022	0	1	01	01	H3384_022_0	5	08/05/2009	2010.02	08/05/2009 01:12:36 PM Eastern Daylight Time	08/10/2009 05:48:58 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 601 (HMO)	01	01		1			H3384	022	0	2010	Western New York		2	8500	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1		
H3384	041	0	1	01	01	H3384_041_0	12	08/20/2009	2010.02	08/20/2009 09:51:37 AM Eastern Daylight Time	08/24/2009 04:34:02 PM Eastern Daylight Time	08/24/2009 03:56:48 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 653 PartD (HMO)	01	01		1			H3384	041	0	2010	Western New York		2	4000	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H3384	051	0	1	01	01	H3384_051_0	5	08/05/2009	2010.02	08/05/2009 01:13:33 PM Eastern Daylight Time	08/10/2009 05:40:55 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 602 (HMO)	01	01		1			H3384	051	0	2010	Western New York		2	750	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1		
H3384	052	0	1	01	01	H3384_052_0	10	08/13/2009	2010.02	08/13/2009 01:35:40 PM Eastern Daylight Time	08/17/2009 01:20:40 PM Eastern Daylight Time	08/17/2009 11:44:59 AM Eastern Daylight Time		08/20/2009 04:08:23 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 652 PartD (HMO)	01	01		1			H3384	052	0	2010	Western New York		2	2700	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H3384	053	0	1	01	01	H3384_053_0	11	08/14/2009	2010.02	08/14/2009 05:57:46 PM Eastern Daylight Time	08/24/2009 04:35:43 PM Eastern Daylight Time	08/24/2009 03:55:47 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 651 PartD (HMO)	01	01		1			H3384	053	0	2010	Northeastern New York		2	625	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1		
H3384	805	0	1	01	01	H3384_805_0	4	07/17/2009	2010.02	07/17/2009 10:56:04 AM Eastern Daylight Time	08/11/2009 03:11:59 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO MA Only Plan (HMO)	01	01		1			H3384	805	0	2010	Western and Northeastern New York		1	1056	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1		
H3384	806	0	1	01	01	H3384_806_0	4	07/17/2009	2010.02	07/17/2009 10:58:24 AM Eastern Daylight Time	08/11/2009 03:13:46 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO (MA-PD) Calendar Year (HMO)	01	01		1			H3384	806	0	2010	Western and Northeastern New York		1	3860	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H3384	807	0	1	01	01	H3384_807_0	4	07/17/2009	2010.02	07/17/2009 11:00:21 AM Eastern Daylight Time	08/11/2009 03:13:27 PM Eastern Daylight Time			08/11/2009 04:50:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO Group (MA-PD) Non-Cal Year (HMO)	01	01		1			H3384	807	0	2010	Western and Northeastern New York		1	100	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H3387	005	0	1	01	01	H3387_005_0	3	07/16/2009	2010.02	07/16/2009 10:31:44 AM Central Daylight Time	08/19/2009 05:45:12 PM Central Daylight Time	08/18/2009 08:24:31 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	AmeriChoice Personal Care Plus	www.americhoice.com	AmeriChoice Personal Care Plus (HMO)	01	01		1			H3387	005	0	2010	Kings, Queens, and Bronx Counties		2		2		2		1	3		1	2		www.americhoice.com	http://www.americhoice.com	(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3387	010	0	1	01	01	H3387_010_0	3	07/16/2009	2010.02	07/16/2009 10:32:09 AM Central Daylight Time	08/19/2009 05:46:16 PM Central Daylight Time	08/18/2009 08:48:51 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	AmeriChoice Personal Care Plus	www.americhoice.com	AmeriChoice Personal Care Plus (HMO)	01	01		1			H3387	010	0	2010	New York Counties		2		2		2		1	3		1	5		www.americhoice.com	http://www.americhoice.com	(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-514-4912		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
H3388	001	0	1	01	01	H3388_001_0	4	07/28/2009	2010.02	07/28/2009 03:34:26 PM Eastern Daylight Time	07/16/2009 05:30:00 PM Eastern Daylight Time			07/29/2009 08:53:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Choice (HMO)	01	01		1			H3388	001	0	2010	Capital Region of New York State		2	3965	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H3388	002	0	1	01	01	H3388_002_0	7	07/28/2009	2010.02	07/28/2009 03:34:35 PM Eastern Daylight Time	07/16/2009 05:31:00 PM Eastern Daylight Time	07/10/2009 04:50:00 PM Eastern Daylight Time		07/29/2009 08:53:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Choice Rx (HMO)	01	01		1			H3388	002	0	2010	Capital Region of New York State		2	9247	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H3388	003	0	1	01	01	H3388_003_0	4	07/28/2009	2010.02	07/28/2009 03:34:47 PM Eastern Daylight Time	07/16/2009 05:31:00 PM Eastern Daylight Time			07/29/2009 08:53:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Value (HMO)	01	01		1			H3388	003	0	2010	Capital Region of New York State		2	192	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H3388	004	0	1	01	01	H3388_004_0	6	07/28/2009	2010.02	07/28/2009 02:46:48 PM Eastern Daylight Time	07/16/2009 05:32:00 PM Eastern Daylight Time	07/10/2009 04:50:34 PM Eastern Daylight Time		07/29/2009 08:53:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Value Rx (HMO)	01	01		1			H3388	004	0	2010	Capital Region of New York State		2	1267	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H3388	801	0	1	01	01	H3388_801_0	2	05/28/2009	2010.02	05/28/2009 02:16:11 PM Eastern Daylight Time	05/31/2009 12:35:10 PM Eastern Daylight Time			06/01/2009 10:33:01 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (HMO)	01	01		1			H3388	801	0	2010	Upstate New York Region		1	177	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H3388	803	0	1	01	01	H3388_803_0	2	05/28/2009	2010.02	05/28/2009 02:25:08 PM Eastern Daylight Time	05/31/2009 12:35:30 PM Eastern Daylight Time			06/01/2009 10:33:01 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (HMO)	01	01		1			H3388	803	0	2010	Upstate New York Region		1	6490	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H3388	804	0	1	01	01	H3388_804_0	3	05/28/2009	2010.02	05/28/2009 02:25:21 PM Eastern Daylight Time	06/01/2009 11:39:24 AM Eastern Daylight Time			06/01/2009 12:47:47 PM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare (HMO)	01	01		1			H3388	804	0	2010	Upstate New York Region		1	633	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H3404	001	0	1	04	01	H3404_001_0	12	08/11/2009	2010.02	08/11/2009 01:45:00 PM Eastern Daylight Time	08/19/2009 08:07:00 AM Eastern Daylight Time	08/19/2009 07:46:00 AM Eastern Daylight Time		08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO Enhanced (PPO)	01	04		1			H3404	001	0	2010	Select North Carolina Counties		2		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3404	002	0	1	04	01	H3404_002_0	13	08/11/2009	2010.02	08/11/2009 01:44:29 PM Eastern Daylight Time	08/19/2009 02:38:00 PM Eastern Daylight Time	08/19/2009 07:47:00 AM Eastern Daylight Time		08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO Enhanced Freedom (PPO)	01	04		1			H3404	002	0	2010	Select North Carolina Counties		2		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3404	801	0	1	04	01	H3404_801_0	9	08/12/2009	2010.02	08/12/2009 02:40:48 PM Eastern Daylight Time	07/26/2009 09:44:52 PM Eastern Daylight Time			08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO EGWP Medical Only (PPO)	01	04		1			H3404	801	0	2010	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1		
H3404	803	0	1	04	01	H3404_803_0	10	08/12/2009	2010.02	08/12/2009 02:41:09 PM Eastern Daylight Time	07/27/2009 11:19:03 AM Eastern Daylight Time			08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO EGWP (PPO)	01	04		1			H3404	803	0	2010	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3404	807	0	1	04	01	H3404_807_0	8	08/12/2009	2010.02	08/12/2009 02:41:34 PM Eastern Daylight Time	07/27/2009 11:25:49 AM Eastern Daylight Time			08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO NC+ EGWP (PPO)	01	04		1			H3404	807	0	2010	South Atlantic		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3404	808	0	1	04	01	H3404_808_0	8	08/12/2009	2010.02	08/12/2009 02:41:58 PM Eastern Daylight Time	07/27/2009 11:32:27 AM Eastern Daylight Time			08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC INC	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare PPO NC+ EGWP Med Only (PPO)	01	04		1			H3404	808	0	2010	South Atlantic		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1		
H3405	001	0	1	04	01	H3405_001_0	4	07/20/2009	2010.02	07/20/2009 03:09:16 PM Eastern Daylight Time	08/18/2009 03:57:19 PM Eastern Daylight Time	08/19/2009 10:56:50 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-001 (PPO)	01	04		1			H3405	001	0	2010	Raleigh Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3405	002	0	1	04	01	H3405_002_0	4	07/20/2009	2010.02	07/20/2009 03:09:45 PM Eastern Daylight Time	08/18/2009 03:24:11 PM Eastern Daylight Time	08/19/2009 10:56:58 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-002 (PPO)	01	04		1			H3405	002	0	2010	Greensboro/Winston-Salem Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3405	005	0	1	04	01	H3405_005_0	4	07/20/2009	2010.02	07/20/2009 03:10:09 PM Eastern Daylight Time	08/18/2009 03:32:52 PM Eastern Daylight Time	08/19/2009 10:57:06 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-005 (PPO)	01	04		1			H3405	005	0	2010	Statesville Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3405	801	0	1	04	01	H3405_801_0	4	07/10/2009	2010.02	07/16/2009 08:04:45 AM Eastern Daylight Time	07/21/2009 03:45:52 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H3405	801	0	2010	Raleigh, Greensboro, Winston, Hickory Metro Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3405	802	0	1	04	01	H3405_802_0	3	07/10/2009	2010.02	07/16/2009 08:05:10 AM Eastern Daylight Time	07/21/2009 04:38:46 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H3405	802	0	2010	Raleigh, Greensboro, Winston, Hickory Metro Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H3405	803	0	1	04	01	H3405_803_0	3	07/10/2009	2010.02	07/16/2009 08:05:33 AM Eastern Daylight Time	07/21/2009 04:39:02 PM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H3405	803	0	2010	Raleigh, Greensboro, Winston, Hickory Metro Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3430	001	0	1	20	08	H3430_001_0	1	05/29/2009	2010.02	05/29/2009 03:15:56 PM Mountain Daylight Time		05/29/2009 01:14:04 PM Mountain Daylight Time		05/29/2009 03:17:42 PM Mountain Daylight Time	NEIGHBORLY CARE NETWORK, INC.	Neighborly Care PACE Center	www.neighborly.org	Neighborly Care PACE Center (PACE)	08	20		1			H3430	001	0	2010	Neighborly Care PACE Center		2		2				2							http://www.neighborly.org/									(866)-859-3378		(727)-573-9444	271	(866)-859-3378		(727)-573-9444	271																	1		
H3430	002	0	1	20	08	H3430_002_0	1	05/29/2009	2010.02	05/29/2009 03:16:10 PM Mountain Daylight Time		05/29/2009 01:14:04 PM Mountain Daylight Time		05/29/2009 03:17:42 PM Mountain Daylight Time	NEIGHBORLY CARE NETWORK, INC.	Neighborly Care PACE Center	www.neighborly.org	Neighborly Care PACE Center (PACE)	08	20		1			H3430	002	0	2010	Neighborly Plan PACE Center		2		2				2							http://www.neighborly.org/									(866)-859-3378		(727)-573-9444	271	(866)-859-3378		(727)-573-9444	271																	1		
H3435	001	0	1	37	05	H3435_001_0	4	07/07/2009	2010.02	07/07/2009 09:37:56 AM Central Daylight Time	08/14/2009 09:48:41 AM Central Daylight Time	08/13/2009 05:48:59 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H3435	001	0	2010	DuPage and Lake Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3435	002	0	1	37	05	H3435_002_0	2	07/07/2009	2010.02	07/07/2009 09:38:13 AM Central Daylight Time	07/16/2009 06:36:58 PM Central Daylight Time			07/23/2009 03:05:42 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H3435	002	0	2010	DuPage and Lake Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H3435	003	0	1	37	05	H3435_003_0	4	07/07/2009	2010.02	07/07/2009 09:38:34 AM Central Daylight Time	08/14/2009 09:49:12 AM Central Daylight Time	08/13/2009 05:49:03 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H3435	003	0	2010	DuPage and Lake Counties		2		2				1	4		1		000110100000000	www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3449	005	0	1	01	01	H3449_005_0	8	07/30/2009	2010.02	07/30/2009 02:12:19 PM Eastern Daylight Time	08/19/2009 02:42:00 PM Eastern Daylight Time	08/19/2009 07:49:00 AM Eastern Daylight Time		08/20/2009 08:58:36 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO Enhanced (HMO)	01	01		1			H3449	005	0	2010	Select North Carolina Counties		2		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3449	012	0	1	01	01	H3449_012_0	5	06/01/2009	2010.02	06/01/2009 01:02:21 PM Eastern Daylight Time	07/14/2009 11:39:00 AM Eastern Daylight Time			07/24/2009 09:03:48 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO Medical Only (HMO)	01	01		1			H3449	012	0	2010	Select North Carolina Counties		2		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1		
H3449	013	0	1	01	01	H3449_013_0	10	08/20/2009	2010.02	08/20/2009 11:46:04 AM Eastern Daylight Time	08/20/2009 10:04:00 AM Eastern Daylight Time	08/19/2009 07:50:00 AM Eastern Daylight Time		08/20/2009 12:07:07 PM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO Standard (HMO)	01	01		1			H3449	013	0	2010	Select North Carolina Counties		2		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3449	801	0	1	01	01	H3449_801_0	4	05/29/2009	2010.02	05/29/2009 07:01:06 AM Eastern Daylight Time	07/14/2009 11:49:00 AM Eastern Daylight Time			07/24/2009 09:03:48 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO EGWP (HMO)	01	01		1			H3449	801	0	2010	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3449	805	0	1	01	01	H3449_805_0	4	05/29/2009	2010.02	05/29/2009 06:59:27 AM Eastern Daylight Time	07/22/2009 03:09:00 PM Eastern Daylight Time			07/24/2009 09:03:48 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO EGWP Medical Only (HMO)	01	01		1			H3449	805	0	2010	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1		
H3449	810	0	1	01	01	H3449_810_0	4	05/29/2009	2010.02	05/29/2009 06:59:31 AM Eastern Daylight Time	07/14/2009 12:09:00 PM Eastern Daylight Time			07/24/2009 09:03:48 AM Eastern Daylight Time	PARTNERS NATIONAL HEALTH PLANS OF NC, INC.	PARTNERS National Health Plans, a BCBSNC company	www.bcbsnc.com/member/medicare	Blue Medicare HMO (RAI) (HMO)	01	01		1			H3449	810	0	2010	North Carolina Empolyer Groups		1		2				2						www.bcbsnc.com/member/medicare	http://www.bcbsnc.com/member/medicare/formulary/index.jsp	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957				(800)-922-3140		(800)-922-3140		1		
H3456	001	0	1	02	01	H3456_001_0	3	07/17/2009	2010.02	07/17/2009 03:06:07 PM Central Daylight Time	08/18/2009 02:34:30 PM Central Daylight Time	08/13/2009 05:49:06 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3456	001	0	2010	Select Counties in North Carolina		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3456	010	0	1	01	01	H3456_010_0	3	08/20/2009	2010.02	08/20/2009 02:56:21 PM Central Daylight Time	08/18/2009 02:35:08 PM Central Daylight Time	08/13/2009 05:49:11 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H3456	010	0	2010	Select Counties in North Carolina		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3456	016	0	1	01	01	H3456_016_0	3	05/29/2009	2010.02	05/29/2009 09:53:58 AM Central Daylight Time	08/18/2009 02:36:18 PM Central Daylight Time	08/13/2009 05:49:15 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H3456	016	0	2010	Select Counties in North Carolina		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3456	020	0	1	02	01	H3456_020_0	3	07/17/2009	2010.02	07/17/2009 03:07:56 PM Central Daylight Time	07/20/2009 03:55:23 PM Central Daylight Time			07/23/2009 01:44:22 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H3456	020	0	2010	Select Counties in North Carolina		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H3456	022	0	1	01	01	H3456_022_0	3	07/17/2009	2010.02	07/17/2009 10:14:05 AM Central Daylight Time	08/18/2009 02:36:46 PM Central Daylight Time	08/13/2009 05:49:19 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlan.com	Evercare Plan MH (HMO)	01	01		1			H3456	022	0	2010	Select Counties in North Carolina		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3456	023	0	1	02	01	H3456_023_0	3	07/17/2009	2010.02	07/17/2009 03:08:55 PM Central Daylight Time	08/18/2009 02:37:12 PM Central Daylight Time	08/13/2009 05:49:23 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3456	023	0	2010	Wake and Durham Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3456	024	0	1	01	01	H3456_024_0	3	07/17/2009	2010.02	07/17/2009 10:26:53 AM Central Daylight Time	08/18/2009 02:37:34 PM Central Daylight Time	08/13/2009 05:49:27 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H3456	024	0	2010	Wake and Durham Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3456	801	0	1	01	01	H3456_801_0	2	05/29/2009	2010.02	05/29/2009 06:38:42 PM Central Daylight Time	07/20/2009 03:56:30 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	801	0	2010	Select Counties in North Carolina		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(888)-867-5548		(800)-643-4845		(888)-886-7554		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3456	803	0	1	01	01	H3456_803_0	2	05/26/2009	2010.02	05/28/2009 04:29:15 AM Central Daylight Time	07/20/2009 03:56:47 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	803	0	2010	Select Counties in NC		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(888)-867-5548		(800)-643-4845		(888)-886-7554		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3456	804	0	1	01	01	H3456_804_0	2	05/26/2009	2010.02	05/28/2009 04:29:30 AM Central Daylight Time	07/20/2009 03:57:04 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	804	0	2010	Select counties in NC		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(888)-867-5548		(800)-643-4845		(888)-886-7554										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H3456	805	0	2	01	01	H3456_805_0	2	05/29/2009	2010.02	05/29/2009 08:28:41 PM Central Daylight Time	07/20/2009 03:57:21 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H3456	805	0	2010	Select counties in NC		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(888)-867-5548		(800)-643-4845		(888)-886-7554		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3456	806	0	2	01	01	H3456_806_0	2	05/29/2009	2010.02	05/29/2009 08:28:42 PM Central Daylight Time	07/20/2009 03:57:37 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H3456	806	0	2010	Select counties in NC		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(888)-867-5548		(800)-643-4845		(888)-886-7554		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3493	001	0	1	20	08	H3493_001_0	1	05/19/2009	2010.02	05/19/2009 04:37:45 PM Eastern Daylight Time		05/18/2009 11:17:42 AM Eastern Daylight Time		05/19/2009 05:04:22 PM Eastern Daylight Time	LIFE AT LOURDES, INC.	LIFE at Lourdes	www.lourdesmed.org	LIFE at Lourdes, Inc (PACE)	08	20		1			H3493	001	0	2010	LIFE at Lourdes		2		2				2							www.lourdesmed.org									(000)-000-0000		(856)-675-3355		(000)-000-0000		(856)-675-3355																		1		
H3493	002	0	1	20	08	H3493_002_0	1	05/19/2009	2010.02	05/19/2009 04:39:45 PM Eastern Daylight Time		05/18/2009 11:17:42 AM Eastern Daylight Time		05/19/2009 05:04:22 PM Eastern Daylight Time	LIFE AT LOURDES, INC.	LIFE at Lourdes	www.lourdesmed.org	LIFE at Lourdes, Inc (PACE)	08	20		1			H3493	002	0	2010	LIFE at Lourdes		2		2				2							www.lourdesmed.org									(000)-000-0000		(856)-675-3355		(000)-000-0000		(856)-675-3355																		1		
H3518	001	0	1	09	04	H3518_001_0	7	08/10/2009	2010.02	08/10/2009 10:48:32 AM Eastern Daylight Time	08/20/2009 09:02:48 AM Eastern Daylight Time	08/20/2009 09:02:58 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare PFFS (PFFS)	04	09	2	1			H3518	001	0	2010	State of Florida		2		2				2							www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H3518	801	0	1	09	04	H3518_801_0	3	05/28/2009	2010.02	05/28/2009 01:47:12 PM Eastern Daylight Time	07/27/2009 03:23:34 PM Eastern Daylight Time			07/27/2009 03:25:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Group PFFS (PFFS)	04	09	2	1			H3518	801	0	2010	State of Florida		1		2				2							www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H3518	802	0	1	09	04	H3518_802_0	3	05/28/2009	2010.02	05/28/2009 01:47:47 PM Eastern Daylight Time	07/27/2009 03:23:20 PM Eastern Daylight Time			07/27/2009 03:25:56 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Group PFFS (PFFS)	04	09	2	1			H3518	802	0	2010	State of Florida		1		2				2							www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H3528	001	0	1	01	01	H3528_001_0	6	08/20/2009	2010.02	08/20/2009 10:37:42 AM Eastern Daylight Time	08/19/2009 10:21:49 AM Eastern Daylight Time	08/19/2009 10:23:11 AM Eastern Daylight Time		08/20/2009 10:40:16 AM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 1 (HMO)	01	01		1			H3528	001	0	2010	State of Connecticut		2	2374	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	002	0	1	01	01	H3528_002_0	6	06/16/2009	2010.02	06/16/2009 04:11:38 PM Eastern Daylight Time	08/19/2009 10:25:09 AM Eastern Daylight Time	08/19/2009 10:25:41 AM Eastern Daylight Time		08/20/2009 10:40:16 AM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 3 (HMO)	01	01		1			H3528	002	0	2010	State of Connecticut		2	8329	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	003	0	1	01	01	H3528_003_0	4	05/30/2009	2010.02	05/30/2009 01:55:34 PM Eastern Daylight Time	08/04/2009 12:16:43 PM Eastern Daylight Time			08/05/2009 01:10:36 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 4 (HMO)	01	01		1			H3528	003	0	2010	State of Connecticut		2	759	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1		
H3528	005	0	1	01	01	H3528_005_0	6	05/30/2009	2010.02	05/30/2009 01:55:49 PM Eastern Daylight Time	08/19/2009 10:33:25 AM Eastern Daylight Time	08/19/2009 10:29:37 AM Eastern Daylight Time		08/20/2009 10:40:16 AM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 2 (HMO)	01	01		1			H3528	005	0	2010	State of Connecticut		2	1073	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	006	0	1	02	01	H3528_006_0	6	08/03/2009	2010.02	08/03/2009 05:28:58 PM Eastern Daylight Time	08/19/2009 10:31:09 AM Eastern Daylight Time	08/19/2009 10:31:36 AM Eastern Daylight Time		08/20/2009 10:40:16 AM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Option 1 (HMO-POS)	01	02		1			H3528	006	0	2010	State of Connecticut		2	2296	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	007	0	1	02	01	H3528_007_0	4	05/24/2009	2010.02	05/24/2009 02:47:01 PM Eastern Daylight Time	08/04/2009 07:05:21 AM Eastern Daylight Time			08/05/2009 01:10:36 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Option 2 (HMO-POS)	01	02		1			H3528	007	0	2010	State of Connecticut		2	100	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1		
H3528	801	0	1	01	01	H3528_801_0	3	05/24/2009	2010.02	05/24/2009 02:30:51 PM Eastern Daylight Time	08/04/2009 02:02:52 PM Eastern Daylight Time			08/05/2009 01:10:36 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO)	01	01		1			H3528	801	0	2010	State of Connecticut		1	100	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	805	0	1	01	01	H3528_805_0	2	05/24/2009	2010.02	05/24/2009 02:31:27 PM Eastern Daylight Time	05/30/2009 01:29:07 PM Eastern Daylight Time			06/01/2009 12:34:17 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO)	01	01		1			H3528	805	0	2010	State of Connecticut		1	100	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1		
H3528	806	0	1	02	01	H3528_806_0	2	05/24/2009	2010.02	05/24/2009 02:44:00 PM Eastern Daylight Time	05/30/2009 01:32:27 PM Eastern Daylight Time			06/01/2009 12:34:17 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO-POS)	01	02		1			H3528	806	0	2010	State of Connecticut		1	100	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
H3528	807	0	1	02	01	H3528_807_0	2	05/24/2009	2010.02	05/24/2009 02:44:24 PM Eastern Daylight Time	05/30/2009 01:35:13 PM Eastern Daylight Time			06/01/2009 12:34:17 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO-POS)	01	02		1			H3528	807	0	2010	State of Connecticut		1	100	2				2						www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1		
H3533	001	0	1	01	01	H3533_001_0	9	08/19/2009	2010.02	08/19/2009 11:18:05 PM Pacific Daylight Time	08/20/2009 12:13:54 PM Pacific Daylight Time	08/20/2009 12:19:38 PM Pacific Daylight Time		08/20/2009 03:23:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Plus (HMO)	01	01		1			H3533	001	0	2010	Syracuse		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H3533	002	0	1	01	01	H3533_002_0	6	08/19/2009	2010.02	08/19/2009 11:54:04 PM Pacific Daylight Time	08/20/2009 12:13:36 PM Pacific Daylight Time	08/20/2009 12:19:36 PM Pacific Daylight Time		08/20/2009 03:23:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Dual Plus (HMO)	01	01		1			H3533	002	0	2010	Madison, Oneida, Onondaga		2		2		2		1	3		1	5			www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H3533	003	0	1	01	01	H3533_003_0	8	08/19/2009	2010.02	08/19/2009 11:54:19 PM Pacific Daylight Time	08/20/2009 12:13:28 PM Pacific Daylight Time	08/20/2009 12:19:34 PM Pacific Daylight Time		08/20/2009 03:23:22 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Enhanced (HMO)	01	01		1			H3533	003	0	2010	New York		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H3533	801	0	1	01	01	H3533_801_0	3	05/28/2009	2010.02	05/28/2009 11:14:15 PM Eastern Daylight Time	07/14/2009 12:14:52 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care EGWP (NY) (HMO)	01	01		1			H3533	801	0	2010	New York		1		2				2							www.northeastcommunitycare.com	(800)-573-8597		(207)-773-3920		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H3597	001	0	1	01	01	H3597_001_0	6	08/19/2009	2010.02	08/19/2009 12:40:22 PM Eastern Daylight Time	08/19/2009 12:32:14 PM Eastern Daylight Time	08/17/2009 02:43:36 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3597	001	0	2010	Cumberland, Penobscot and York Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3597	002	0	1	01	01	H3597_002_0	9	08/19/2009	2010.02	08/19/2009 12:37:30 PM Eastern Daylight Time	08/19/2009 12:33:26 PM Eastern Daylight Time	08/17/2009 02:44:04 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3597	002	0	2010	Cumberland, Penobscot and York Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3597	801	0	1	01	01	H3597_801_0	2	05/19/2009	2010.02	05/19/2009 01:21:15 PM Eastern Daylight Time	06/01/2009 10:08:33 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3597	801	0	2010	Cumberland, Penobscot, York Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3597	802	0	1	01	01	H3597_802_0	2	05/19/2009	2010.02	05/19/2009 01:22:44 PM Eastern Daylight Time	06/01/2009 10:11:22 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3597	802	0	2010	Cumberland, Penobscot, York Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3613	001	0	1	20	08	H3613_001_0	2	05/21/2009	2010.02	05/21/2009 10:58:42 AM Eastern Daylight Time		10/13/2009 04:29:16 PM Eastern Daylight Time		10/13/2009 04:33:48 PM Eastern Daylight Time	CONCORDIA CARE	Concordia Care	concordiacareohio.org	Concordia Care Duel Eligibles (PACE)	08	20		1			H3613	001	0	2010	Concordia Care Cuyahoga County		2		2				2							concordiacareohio.org									(216)-791-3580		(216)-791-3580		(216)-791-3580		(216)-791-3580																		1		
H3613	002	0	1	20	08	H3613_002_0	2	05/21/2009	2010.02	05/21/2009 10:59:11 AM Eastern Daylight Time		10/13/2009 04:29:24 PM Eastern Daylight Time		10/13/2009 04:33:48 PM Eastern Daylight Time	CONCORDIA CARE	Concordia Care	concordiacareohio.org	Concordia Care Medicare Only Eligibles (PACE)	08	20		1			H3613	002	0	2010	Concordia Care Cuyahoga County		2		2				2							concordiacareohio.org									(216)-791-3580		(216)-791-3580		(216)-791-3580		(216)-791-3580																		1		
H3614	001	0	1	20	08	H3614_001_0	2	05/19/2009	2010.02	05/19/2009 11:07:39 AM Eastern Daylight Time		05/18/2009 12:50:48 PM Eastern Daylight Time		05/19/2009 11:18:58 AM Eastern Daylight Time	TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	Medicare Part D (PACE)	08	20		1			H3614	001	0	2010	Cincinnati Metropolitan Area		2		2				2							www.trihealthseniorshealth.com									(000)-000-0000		(513)-531-5100		(000)-000-0000		(513)-531-5100																		1		
H3614	002	0	1	20	08	H3614_002_0	2	05/19/2009	2010.02	05/19/2009 11:08:48 AM Eastern Daylight Time		05/18/2009 12:50:47 PM Eastern Daylight Time		05/19/2009 11:18:58 AM Eastern Daylight Time	TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	Medicare Part D (PACE)	08	20		1			H3614	002	0	2010	Cincinnati Metropolitan Area		2		2				2							www.trihealthseniorshealth.com									(000)-000-0000		(513)-531-5100		(000)-000-0000		(513)-531-5100																		1		
H3619	001	0	1	04	01	H3619_001_0	9	07/22/2009	2010.02	07/22/2009 10:46:27 AM Eastern Daylight Time	08/18/2009 03:59:20 PM Eastern Daylight Time	08/19/2009 10:57:13 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-001 (PPO)	01	04		1			H3619	001	0	2010	Cincinnati and Dayton Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	004	0	1	04	01	H3619_004_0	8	07/22/2009	2010.02	07/22/2009 10:47:46 AM Eastern Daylight Time	08/18/2009 04:32:08 PM Eastern Daylight Time	08/19/2009 10:57:21 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-004 (PPO)	01	04		1			H3619	004	0	2010	Cleveland Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	012	0	1	04	01	H3619_012_0	6	07/22/2009	2010.02	07/22/2009 10:49:01 AM Eastern Daylight Time	08/18/2009 04:03:00 PM Eastern Daylight Time	08/19/2009 10:57:29 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-012 (PPO)	01	04		1			H3619	012	0	2010	Columbus Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	013	0	1	04	01	H3619_013_0	6	07/22/2009	2010.02	07/22/2009 10:50:08 AM Eastern Daylight Time	08/18/2009 04:09:33 PM Eastern Daylight Time	08/19/2009 10:57:36 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-013 (PPO)	01	04		1			H3619	013	0	2010	Toledo Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	014	0	1	04	01	H3619_014_0	7	07/22/2009	2010.02	07/22/2009 10:51:28 AM Eastern Daylight Time	08/18/2009 04:06:46 PM Eastern Daylight Time	08/19/2009 10:57:45 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-014 (PPO)	01	04		1			H3619	014	0	2010	Canton Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	015	0	1	04	01	H3619_015_0	8	07/22/2009	2010.02	07/22/2009 10:52:19 AM Eastern Daylight Time	08/18/2009 04:07:40 PM Eastern Daylight Time	08/19/2009 10:57:52 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-015 (PPO)	01	04		1			H3619	015	0	2010	Hancock County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	016	0	1	04	01	H3619_016_0	7	07/22/2009	2010.02	07/22/2009 10:53:05 AM Eastern Daylight Time	08/18/2009 04:08:09 PM Eastern Daylight Time	08/19/2009 10:58:00 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-016 (PPO)	01	04		1			H3619	016	0	2010	Marion County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	017	0	1	04	01	H3619_017_0	7	07/22/2009	2010.02	07/22/2009 10:54:15 AM Eastern Daylight Time	08/18/2009 04:10:00 PM Eastern Daylight Time	08/19/2009 10:58:07 AM Eastern Daylight Time		08/20/2009 09:08:47 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-017 (PPO)	01	04		1			H3619	017	0	2010	Upper Ohio Valley Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H3619	801	0	1	04	01	H3619_801_0	5	07/10/2009	2010.02	07/16/2009 08:05:56 AM Eastern Daylight Time	07/28/2009 03:13:40 PM Eastern Daylight Time			07/30/2009 09:43:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H3619	801	0	2010	Select Counties in Ohio, Kentucky and W. Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3619	804	0	1	04	01	H3619_804_0	4	07/10/2009	2010.02	07/16/2009 08:06:21 AM Eastern Daylight Time	07/22/2009 10:56:50 AM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H3619	804	0	2010	Select Counties in Ohio, Kentucky and W. Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H3619	806	0	1	04	01	H3619_806_0	4	07/10/2009	2010.02	07/16/2009 08:06:46 AM Eastern Daylight Time	07/22/2009 10:57:48 AM Eastern Daylight Time			07/27/2009 06:12:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H3619	806	0	2010	Select Counties in Ohio, Kentucky and W. Virginia		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H3620	001	0	1	04	01	H3620_001_0	3	07/29/2009	2010.02	07/29/2009 03:33:59 PM Eastern Daylight Time	08/16/2009 10:46:45 PM Eastern Daylight Time	08/16/2009 10:46:57 PM Eastern Daylight Time		08/16/2009 10:50:50 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Prime PPO (PPO)	01	04		1			H3620	001	0	2010	Stark, Tusc., Wayne, Holmes, and Carroll counties		2	700	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3620	801	0	1	04	01	H3620_801_0	3	07/29/2009	2010.02	07/29/2009 03:38:53 PM Eastern Daylight Time	05/31/2009 09:08:53 PM Eastern Daylight Time			07/29/2009 04:14:30 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / CY (PPO)	01	04		1			H3620	801	0	2010	All Ohio Counties		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3620	802	0	1	04	01	H3620_802_0	3	07/29/2009	2010.02	07/29/2009 03:39:05 PM Eastern Daylight Time	05/31/2009 09:08:54 PM Eastern Daylight Time			07/29/2009 04:14:30 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / MA Only CY (PPO)	01	04		1			H3620	802	0	2010	All Ohio Counties		1	100	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H3620	803	0	1	04	01	H3620_803_0	3	07/29/2009	2010.02	07/29/2009 03:39:14 PM Eastern Daylight Time	05/31/2009 09:08:54 PM Eastern Daylight Time			07/29/2009 04:14:30 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / Non CY (PPO)	01	04		1			H3620	803	0	2010	All Ohio Counties		1	100	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3620	805	0	2	04	01	H3620_805_0	3	07/29/2009	2010.02	07/29/2009 03:39:23 PM Eastern Daylight Time	05/31/2009 09:08:49 PM Eastern Daylight Time			07/29/2009 04:14:30 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA-PD (PPO)	01	04		2	2		H3620	805	0	2010	EGHP Part B Only MA-PD Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3620	806	0	2	04	01	H3620_806_0	3	07/29/2009	2010.02	07/29/2009 03:39:32 PM Eastern Daylight Time	05/31/2009 09:08:49 PM Eastern Daylight Time			07/29/2009 04:14:30 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA (PPO)	01	04		2	2		H3620	806	0	2010	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H3623	001	0	1	01	01	H3623_001_0	5	08/19/2009	2010.02	08/19/2009 12:40:39 PM Eastern Daylight Time	08/17/2009 10:13:52 AM Eastern Daylight Time	08/17/2009 02:44:34 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3623	001	0	2010	Delaware, Franklin, Hamilton and Lucas Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3623	003	0	1	01	01	H3623_003_0	6	07/21/2009	2010.02	07/21/2009 07:44:49 AM Eastern Daylight Time	08/17/2009 10:14:23 AM Eastern Daylight Time	08/17/2009 02:45:02 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3623	003	0	2010	Delaware, Franklin, Hamilton and Lucas Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3623	004	0	1	01	01	H3623_004_0	4	08/19/2009	2010.02	08/19/2009 12:41:26 PM Eastern Daylight Time	08/17/2009 10:14:46 AM Eastern Daylight Time	08/17/2009 02:45:32 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3623	004	0	2010	Cuyahoga and Summit Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3623	006	0	1	01	01	H3623_006_0	5	07/21/2009	2010.02	07/21/2009 07:45:21 AM Eastern Daylight Time	08/17/2009 10:15:16 AM Eastern Daylight Time	08/17/2009 02:45:58 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3623	006	0	2010	Cuyahoga and Summit Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3623	801	0	1	01	01	H3623_801_0	2	05/19/2009	2010.02	05/19/2009 01:23:47 PM Eastern Daylight Time	05/31/2009 06:54:24 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3623	801	0	2010	Cuyahoga,Franklin,Hamilton, Lucas, Summit Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3623	802	0	1	01	01	H3623_802_0	2	05/19/2009	2010.02	05/19/2009 01:25:22 PM Eastern Daylight Time	05/31/2009 06:53:35 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3623	802	0	2010	Cuyahoga,Franklin,Hamilton, Lucas, Summit Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3653	004	0	1	01	01	H3653_004_0	6	08/18/2009	2010.02	08/18/2009 07:15:00 AM Eastern Daylight Time	08/17/2009 11:24:15 AM Eastern Daylight Time	08/14/2009 01:21:40 PM Eastern Daylight Time		08/18/2009 01:02:17 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite - Enhanced Medical and Drug (HMO)	01	01		1			H3653	004	0	2010	Paramount Elite - Enhanced (NW Ohio / SE Mich)		2	12873	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1		
H3653	015	0	1	01	01	H3653_015_0	5	07/22/2009	2010.02	07/22/2009 05:48:19 PM Eastern Daylight Time	08/17/2009 09:38:57 AM Eastern Daylight Time	08/14/2009 01:22:30 PM Eastern Daylight Time		08/18/2009 01:02:17 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite - Standard Medical and Drug (HMO)	01	01		1			H3653	015	0	2010	Paramount Elite - Standard (NW Ohio / SE Mich)		2	366	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1		
H3653	018	0	1	01	01	H3653_018_0	5	07/22/2009	2010.02	07/22/2009 05:46:58 PM Eastern Daylight Time	07/23/2009 05:13:40 PM Eastern Daylight Time			07/27/2009 04:47:44 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite - Enhanced Medical only (HMO)	01	01		1			H3653	018	0	2010	Paramount Elite - Medical Only (NW Ohio / SE Mich)		2	153	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1		
H3653	803	0	1	01	01	H3653_803_0	3	07/22/2009	2010.02	07/22/2009 05:49:53 PM Eastern Daylight Time	07/23/2009 05:20:20 PM Eastern Daylight Time			07/27/2009 04:47:44 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite - Emp Group A/B No Rx (HMO)	01	01		1			H3653	803	0	2010	Paramount Elite - Emp Group A/B No Rx		1	1278	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1		
H3653	806	0	2	01	01	H3653_806_0	4	07/22/2009	2010.02	07/22/2009 05:50:28 PM Eastern Daylight Time	05/22/2009 03:49:01 PM Eastern Daylight Time			07/27/2009 04:47:44 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite - Emp Group B only No Rx (HMO)	01	01		2	1		H3653	806	0	2010	Paramount Elite - Emp Group B only No Rx		1	6	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1		
H3653	809	0	1	01	01	H3653_809_0	4	07/22/2009	2010.02	07/22/2009 05:51:01 PM Eastern Daylight Time	07/23/2009 05:20:06 PM Eastern Daylight Time			07/27/2009 04:47:44 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com	Paramount Elite-Emp Group A/B Rx (HMO)	01	01		1			H3653	809	0	2010	Paramount Elite-Emp Group A/B Rx		1	52	2				2						http://www.paramounthealthcare.com	http://www.paramounthealthcare.com/blank.cfm?id=1612	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1		
H3655	013	0	1	01	01	H3655_013_0	10	08/26/2009	2010.02	08/26/2009 11:04:34 AM Eastern Daylight Time	08/26/2009 11:16:58 AM Eastern Daylight Time	08/17/2009 02:38:14 PM Eastern Daylight Time		08/26/2009 12:38:21 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Basic (HMO)	01	01		1			H3655	013	0	2010	Ohio - Select Counties		2	80737	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H3655	030	0	1	01	01	H3655_030_0	9	08/20/2009	2010.02	08/20/2009 05:56:57 PM Eastern Daylight Time	08/19/2009 10:59:47 AM Eastern Daylight Time	08/17/2009 02:41:34 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Plus (HMO)	01	01		1			H3655	030	0	2010	Ohio-Select Counties		2	500	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H3655	031	0	1	01	01	H3655_031_0	9	08/20/2009	2010.02	08/20/2009 05:59:47 PM Eastern Daylight Time	08/20/2009 10:12:32 PM Eastern Daylight Time	08/17/2009 02:45:21 PM Eastern Daylight Time		08/20/2009 10:50:38 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Value (HMO)	01	01		1			H3655	031	0	2010	OH-Select Counties		2	3000	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H3655	801	0	1	01	01	H3655_801_0	8	08/07/2009	2010.02	08/07/2009 04:10:57 PM Pacific Daylight Time	08/10/2009 11:05:31 AM Pacific Daylight Time			08/10/2009 04:15:44 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	801	0	2010	Ohio		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H3655	803	0	1	01	01	H3655_803_0	8	08/07/2009	2010.02	08/07/2009 04:11:17 PM Pacific Daylight Time	08/10/2009 11:05:45 AM Pacific Daylight Time			08/10/2009 04:15:44 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	803	0	2010	Ohio		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H3655	804	0	1	01	01	H3655_804_0	8	08/07/2009	2010.02	08/07/2009 04:11:39 PM Pacific Daylight Time	08/10/2009 11:06:02 AM Pacific Daylight Time			08/10/2009 04:15:44 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	804	0	2010	Ohio		1	2895	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H3659	001	0	1	02	01	H3659_001_0	3	07/20/2009	2010.02	07/20/2009 10:57:32 AM Central Daylight Time	08/19/2009 04:15:00 PM Central Daylight Time	08/13/2009 05:49:30 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3659	001	0	2010	Cincinnati, Columbus and Dayton area Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3659	003	0	1	01	01	H3659_003_0	6	07/17/2009	2010.02	07/17/2009 02:52:13 PM Central Daylight Time	08/19/2009 04:15:44 PM Central Daylight Time	08/13/2009 05:49:34 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3659	003	0	2010	Cuyahoga, Mahoning, Stark, Summit and Trumbull		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3659	031	0	1	01	01	H3659_031_0	4	07/17/2009	2010.02	07/17/2009 02:53:31 PM Central Daylight Time	08/19/2009 04:16:08 PM Central Daylight Time	08/13/2009 05:49:38 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3659	031	0	2010	Select Counties in Ohio and Kentucky		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3659	054	0	1	01	01	H3659_054_0	2	07/20/2009	2010.02	07/20/2009 01:36:19 PM Central Daylight Time	07/20/2009 04:30:13 PM Central Daylight Time			07/23/2009 01:44:22 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H3659	054	0	2010	Select Ohio Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H3659	056	0	1	01	01	H3659_056_0	3	07/15/2009	2010.02	07/15/2009 04:50:08 PM Central Daylight Time	08/19/2009 04:16:32 PM Central Daylight Time	08/13/2009 05:49:42 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H3659	056	0	2010	Select Counties in Ohio		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3659	058	0	1	02	01	H3659_058_0	3	08/20/2009	2010.02	08/20/2009 05:27:38 PM Central Daylight Time	08/19/2009 04:16:56 PM Central Daylight Time	08/13/2009 05:49:47 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H3659	058	0	2010	Clark,Greene,Lake,Lorain,Lucas,and Warren Counties		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3659	059	0	1	01	01	H3659_059_0	4	07/17/2009	2010.02	07/17/2009 11:21:42 AM Central Daylight Time	08/19/2009 05:21:51 PM Central Daylight Time	08/13/2009 05:49:51 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H3659	059	0	2010	Select Counties in Ohio		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3659	801	0	1	01	01	H3659_801_0	3	05/26/2009	2010.02	05/28/2009 04:29:42 AM Central Daylight Time	07/20/2009 04:32:17 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	801	0	2010	OH Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3659	802	0	1	01	01	H3659_802_0	3	05/26/2009	2010.02	05/28/2009 04:29:57 AM Central Daylight Time	07/20/2009 04:32:45 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	802	0	2010	OH Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6080		(800)-711-6080		(800)-711-6080		(800)-504-4848										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H3659	803	0	1	01	01	H3659_803_0	3	05/26/2009	2010.02	05/28/2009 04:30:10 AM Central Daylight Time	07/20/2009 04:33:12 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	803	0	2010	OH Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3659	806	0	2	01	01	H3659_806_0	3	05/29/2009	2010.02	05/29/2009 08:28:43 PM Central Daylight Time	07/20/2009 04:33:42 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H3659	806	0	2010	Select counties in KY/OH		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(800)-711-6080		(800)-711-6080		(800)-504-4848		(800)-504-4848		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3660	028	0	1	02	01	H3660_028_0	7	08/20/2009	2010.02	08/20/2009 04:20:22 PM Eastern Daylight Time	08/27/2009 10:20:24 AM Eastern Daylight Time	08/20/2009 10:21:08 AM Eastern Daylight Time		08/27/2009 01:04:59 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Gold Plus (HMO-POS)	01	02		1			H3660	028	0	2010	Northeastern Ohio		2	7540	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H3660	029	0	1	02	01	H3660_029_0	7	08/19/2009	2010.02	08/19/2009 03:01:37 PM Eastern Daylight Time	08/20/2009 10:21:12 AM Eastern Daylight Time	08/20/2009 10:21:08 AM Eastern Daylight Time		08/20/2009 12:10:58 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Silver Plus (HMO-POS)	01	02		1			H3660	029	0	2010	Northeastern Ohio Area		2	8800	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H3660	032	0	1	02	01	H3660_032_0	7	08/20/2009	2010.02	08/20/2009 04:28:19 PM Eastern Daylight Time	08/27/2009 10:22:08 AM Eastern Daylight Time	08/20/2009 10:21:12 AM Eastern Daylight Time		08/27/2009 01:04:59 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Platinum (HMO-POS)	01	02		1			H3660	032	0	2010	Northeastern Ohio Area		2	1295	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H3660	043	0	1	02	01	H3660_043_0	4	05/22/2009	2010.02	05/22/2009 01:56:38 PM Eastern Daylight Time	07/20/2009 01:53:20 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Classic Medical Only (HMO-POS)	01	02		1			H3660	043	0	2010	Northeastern Ohio		2	300	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1		
H3660	801	0	1	01	01	H3660_801_0	4	05/22/2009	2010.02	05/22/2009 04:44:04 PM Eastern Daylight Time	07/20/2009 01:53:20 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Employer Plan HMO- PD (HMO)	01	01		1			H3660	801	0	2010	Northeastern Ohio Area		1	300	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H3660	802	0	1	01	01	H3660_802_0	4	05/20/2009	2010.02	05/20/2009 01:20:37 PM Eastern Daylight Time	07/20/2009 01:53:22 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Employer Plan -HMO- No D (HMO)	01	01		1			H3660	802	0	2010	Northeastern Ohio Area		1	300	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1		
H3660	805	0	1	02	01	H3660_805_0	4	06/02/2009	2010.02	06/02/2009 03:12:35 PM Eastern Daylight Time	07/20/2009 01:53:22 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure POS Employer Plan with D (HMO-POS)	01	02		1			H3660	805	0	2010	Northeastern Ohio Area		1	300	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1		
H3660	806	0	1	02	01	H3660_806_0	4	05/20/2009	2010.02	05/20/2009 01:23:05 PM Eastern Daylight Time	07/20/2009 01:53:24 PM Eastern Daylight Time			07/20/2009 03:36:47 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure POS Employer Plan - No D (HMO-POS)	01	02		1			H3660	806	0	2010	Northeastern Ohio Area		1	300	2				2						www.summacare.com	http://www.summacare.com/media/7919/2185.pdf	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1		
H3664	012	0	1	02	01	H3664_012_0	2	05/30/2009	2010.02	05/30/2009 06:54:58 AM Eastern Daylight Time	08/16/2009 10:47:13 PM Eastern Daylight Time	08/16/2009 10:47:28 PM Eastern Daylight Time		08/16/2009 10:50:50 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Premier (HMO-POS)	01	02		1			H3664	012	0	2010	Stark, Tusc, Wayne, Holmes, and Carroll Counties		2	400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3664	014	0	1	02	01	H3664_014_0	2	07/29/2009	2010.02	07/29/2009 08:31:23 AM Eastern Daylight Time	07/29/2009 08:20:30 PM Eastern Daylight Time			07/29/2009 08:23:03 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Basic - MA Only (HMO-POS)	01	02		1			H3664	014	0	2010	Stark, Tusc, Wayne, Holmes, and Carroll Counties		2	900	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H3664	017	0	1	02	01	H3664_017_0	2	05/30/2009	2010.02	05/30/2009 06:56:21 AM Eastern Daylight Time	08/16/2009 10:47:45 PM Eastern Daylight Time	08/16/2009 10:47:54 PM Eastern Daylight Time		08/16/2009 10:50:50 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Plus (HMO-POS)	01	02		1			H3664	017	0	2010	PrimeTime Health Plan Plus		2	10000	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3664	801	0	1	02	01	H3664_801_0	1	05/20/2009	2010.02	05/20/2009 09:54:25 AM Eastern Daylight Time	05/31/2009 09:08:50 PM Eastern Daylight Time			05/31/2009 10:03:42 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	EGHP HMO  - CY (HMO-POS)	01	02		1			H3664	801	0	2010	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3664	802	0	1	02	01	H3664_802_0	1	05/20/2009	2010.02	05/20/2009 09:54:27 AM Eastern Daylight Time	05/31/2009 09:08:50 PM Eastern Daylight Time			05/31/2009 10:03:42 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Employer Group HMO MA-Only (HMO-POS)	01	02		1			H3664	802	0	2010	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H3664	803	0	1	02	01	H3664_803_0	1	05/20/2009	2010.02	05/20/2009 09:54:27 AM Eastern Daylight Time	05/31/2009 09:08:50 PM Eastern Daylight Time			05/31/2009 10:03:42 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime EGHP - Non CY (HMO-POS)	01	02		1			H3664	803	0	2010	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3664	805	0	2	02	01	H3664_805_0	1	05/29/2009	2010.02	05/29/2009 02:45:31 PM Eastern Daylight Time	05/31/2009 09:08:51 PM Eastern Daylight Time			05/31/2009 10:03:42 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA-PD (HMO-POS)	01	02		2	2		H3664	805	0	2010	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H3664	806	0	2	02	01	H3664_806_0	1	05/29/2009	2010.02	05/29/2009 02:45:33 PM Eastern Daylight Time	05/31/2009 09:08:51 PM Eastern Daylight Time			05/31/2009 10:03:42 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA (HMO-POS)	01	02		2	2		H3664	806	0	2010	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H3668	005	0	1	01	01	H3668_005_0	4	08/18/2009	2010.02	08/18/2009 03:23:22 PM Eastern Daylight Time	08/19/2009 09:56:54 AM Eastern Daylight Time	08/19/2009 09:51:46 AM Eastern Daylight Time		08/19/2009 01:01:04 PM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Classic Preferred (HMO)	01	01		1			H3668	005	0	2010	Greater Central Ohio and Dayton Area		2	21278	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		1		
H3668	011	0	1	01	01	H3668_011_0	4	08/18/2009	2010.02	08/18/2009 03:23:46 PM Eastern Daylight Time	08/19/2009 09:58:18 AM Eastern Daylight Time	08/19/2009 09:50:48 AM Eastern Daylight Time		08/19/2009 01:01:04 PM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Essential Care (HMO)	01	01		1			H3668	011	0	2010	Greater Central Ohio and Dayton Area		2	1967	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		1		
H3668	013	0	1	01	01	H3668_013_0	3	05/28/2009	2010.02	05/28/2009 03:31:53 PM Eastern Daylight Time	08/04/2009 09:31:28 AM Eastern Daylight Time			08/04/2009 11:15:18 AM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Medical Only (HMO)	01	01		1			H3668	013	0	2010	Greater Central Ohio and Dayton Area		2	617	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122										1		
H3668	801	0	1	01	01	H3668_801_0	3	06/01/2009	2010.02	06/01/2009 08:13:38 AM Eastern Daylight Time	08/04/2009 09:23:37 AM Eastern Daylight Time			08/04/2009 11:15:18 AM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	EGWP MediGold Medical Only (HMO)	01	01		1			H3668	801	0	2010	Greater Central Ohio and Dayton Area		1	5	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122										1		
H3668	802	0	1	01	01	H3668_802_0	3	06/01/2009	2010.02	06/01/2009 08:13:51 AM Eastern Daylight Time	08/04/2009 09:23:37 AM Eastern Daylight Time			08/04/2009 11:15:18 AM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	EGWP MediGold (HMO)	01	01		1			H3668	802	0	2010	Greater Central Ohio and Dayton Area		1	151	2				2						www.medigold.com	www.medigold.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		(800)-750-0750		(614)-546-3122		1		
H3672	013	0	1	01	01	H3672_013_0	3	08/19/2009	2010.02	08/19/2009 09:29:26 AM Eastern Daylight Time	08/19/2009 10:26:49 AM Eastern Daylight Time	08/14/2009 10:24:59 AM Eastern Daylight Time		08/19/2009 10:50:48 AM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H3672	013	0	2010	East Central Ohio		2		2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6580		(877)-236-2290		(877)-236-2290		(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		1		
H3672	014	0	1	01	01	H3672_014_0	3	08/04/2009	2010.02	08/04/2009 09:48:24 AM Eastern Daylight Time	08/04/2009 11:10:42 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H3672	014	0	2010	East Central Ohio		2		2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6580		(877)-236-2290		(877)-236-2290										(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291										1		
H3672	804	0	1	01	01	H3672_804_0	4	08/04/2009	2010.02	08/04/2009 09:50:28 AM Eastern Daylight Time	08/04/2009 11:17:01 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H3672	804	0	2010	East Central Ohio		1		2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6580		(877)-236-2290		(877)-236-2290										(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291										1		
H3672	805	0	1	01	01	H3672_805_0	3	08/04/2009	2010.02	08/04/2009 09:51:43 AM Eastern Daylight Time	08/04/2009 11:20:02 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H3672	805	0	2010	East Central Ohio		1		2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6580		(877)-236-2290		(877)-236-2290		(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		1		
H3706	001	0	1	01	01	H3706_001_0	5	08/19/2009	2010.02	08/19/2009 11:23:57 AM Central Daylight Time	08/19/2009 09:58:21 AM Central Daylight Time	08/15/2009 08:14:15 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Classic powered by CCRx (HMO)	01	01		1			H3706	001	0	2010	Oklahoma City Area		2	5949	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3706	006	0	1	01	01	H3706_006_0	4	06/16/2009	2010.02	06/16/2009 12:42:37 PM Central Daylight Time	08/19/2009 09:59:13 AM Central Daylight Time	08/15/2009 08:14:36 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Classic powered by CCRx (HMO)	01	01		1			H3706	006	0	2010	Tulsa Area		2	1377	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3706	009	0	1	01	01	H3706_009_0	1	05/31/2009	2010.02	05/31/2009 08:28:29 PM Central Daylight Time	05/31/2009 10:35:39 PM Central Daylight Time			06/01/2009 02:17:43 AM Central Daylight Time	GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	Generations Healthcare Value (HMO)	01	01		1			H3706	009	0	2010	Oklahoma City Area		2	537	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H3706	010	0	1	01	01	H3706_010_0	1	05/28/2009	2010.02	05/28/2009 11:24:18 AM Central Daylight Time	05/31/2009 10:37:53 PM Central Daylight Time			06/01/2009 02:17:43 AM Central Daylight Time	GLOBALHEALTH, INC.	Generations Healthcare	www.generationshealthcare.cc	Generations Healthcare Value (HMO)	01	01		1			H3706	010	0	2010	Tulsa Area		2	455	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H3706	017	0	1	01	01	H3706_017_0	5	07/24/2009	2010.02	07/24/2009 12:16:16 PM Central Daylight Time	08/19/2009 09:59:55 AM Central Daylight Time	08/20/2009 07:38:59 AM Central Daylight Time		08/20/2009 10:36:52 AM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Premier powered by CCRx (HMO)	01	01		1			H3706	017	0	2010	Oklahoma City Area		2	537	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3706	803	0	1	01	01	H3706_803_0	2	05/28/2009	2010.02	05/28/2009 11:34:41 PM Central Daylight Time	07/23/2009 04:19:40 PM Central Daylight Time			07/24/2009 01:19:18 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP CY (HMO)	01	01		1			H3706	803	0	2010	Oklahoma City and Tulsa Metro Areas		1	700	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3706	804	0	1	01	01	H3706_804_0	2	05/28/2009	2010.02	05/28/2009 11:38:18 PM Central Daylight Time	07/24/2009 10:37:36 AM Central Daylight Time			07/24/2009 01:19:18 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP Non CY (HMO)	01	01		1			H3706	804	0	2010	Oklahoma City and Tulsa Metro Areas		1	700	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3706	807	0	1	01	01	H3706_807_0	2	05/28/2009	2010.02	05/28/2009 11:38:20 PM Central Daylight Time	07/24/2009 10:39:24 AM Central Daylight Time			07/24/2009 01:19:18 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP MA only (HMO)	01	01		1			H3706	807	0	2010	Oklahoma City and Tulsa Metro Areas		1	700	2				2							http://www.globalhealth.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H3708	001	0	1	01	01	H3708_001_0	3	08/20/2009	2010.02	08/20/2009 10:33:05 AM Central Daylight Time	08/19/2009 10:24:16 AM Central Daylight Time	08/20/2009 07:38:59 AM Central Daylight Time		08/20/2009 10:36:52 AM Central Daylight Time	SELECTCARE OF OKLAHOMA, INC.	Universal American	www.scoklahoma.com	Tribute powered by CCRx (HMO)	01	01		1			H3708	001	0	2010	Greater Ardmore and Surrounding Area		2		2				1	1	2	1			www.scoklahoma.com	http://www.scoklahoma.com/PresentFormulary	(800)-817-3515		(800)-817-3515		(866)-556-4607		(866)-556-4607		(800)-817-3515		(800)-817-3515		(866)-556-4607		(866)-556-4607		(888)-338-4681		(888)-338-4681		(866)-338-4681		(866)-338-4681		(888)-338-4681		(888)-338-4681		(866)-338-4681		(866)-338-4681		1		
H3709	001	0	1	04	01	H3709_001_0	6	08/24/2009	2010.02	08/24/2009 11:19:44 AM Central Daylight Time	08/24/2009 01:43:10 PM Central Daylight Time	08/24/2009 12:36:44 PM Central Daylight Time		08/24/2009 02:25:23 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO (PPO)	01	04		1			H3709	001	0	2010	Central and northeastern Oklahoma		2		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3709	003	0	1	04	01	H3709_003_0	4	08/24/2009	2010.02	08/24/2009 11:21:02 AM Central Daylight Time	08/06/2009 04:05:56 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Basic (PPO)	01	04		1			H3709	003	0	2010	Central and northeastern Oklahoma		2		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1		
H3709	801	0	1	04	01	H3709_801_0	5	08/24/2009	2010.02	08/24/2009 11:22:55 AM Central Daylight Time	08/06/2009 02:49:56 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Group Plan (PPO)	01	04		1			H3709	801	0	2010	Central and northeastern Oklahoma		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3709	802	0	1	04	01	H3709_802_0	4	08/24/2009	2010.02	08/24/2009 12:17:31 PM Central Daylight Time	08/06/2009 02:39:12 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Basic Group Plan (PPO)	01	04		1			H3709	802	0	2010	Central and northeastern Oklahoma		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1		
H3709	803	0	1	04	01	H3709_803_0	5	08/24/2009	2010.02	08/24/2009 12:17:34 PM Central Daylight Time	08/06/2009 02:41:12 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Group Plan (PPO)	01	04		1			H3709	803	0	2010	Central and northeastern Oklahoma		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3709	804	0	1	04	01	H3709_804_0	4	08/24/2009	2010.02	08/24/2009 12:17:38 PM Central Daylight Time	08/06/2009 02:40:48 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Basic Group Plan (PPO)	01	04		1			H3709	804	0	2010	Central and northeastern Oklahoma		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1		
H3709	805	0	1	04	01	H3709_805_0	5	08/24/2009	2010.02	08/24/2009 12:17:41 PM Central Daylight Time	08/06/2009 02:42:34 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Group Plan (PPO)	01	04		1			H3709	805	0	2010	National service area		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3709	806	0	1	04	01	H3709_806_0	5	08/24/2009	2010.02	08/24/2009 12:17:44 PM Central Daylight Time	08/06/2009 02:43:54 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Group Plan (PPO)	01	04		1			H3709	806	0	2010	National service area		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3709	807	0	1	04	01	H3709_807_0	4	08/24/2009	2010.02	08/24/2009 12:17:48 PM Central Daylight Time	08/06/2009 02:45:46 PM Central Daylight Time			08/24/2009 12:50:30 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross And Blue Shield Of Oklahoma	www.bcbsok.com	Medicare Blue PPO Basic Group Plan (PPO)	01	04		1			H3709	807	0	2010	National service area		1		2				2						http://www.hisc.net/okmember/2007/provider.htm	www.ccok.com/rxformulary?BusUnit=07	(800)-642-8065		(800)-642-8065		(866)-303-2583		(866)-303-2583										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1		
H3749	001	0	1	01	01	H3749_001_0	4	07/17/2009	2010.02	07/17/2009 03:47:34 PM Central Daylight Time	08/17/2009 10:38:29 AM Central Daylight Time	08/13/2009 05:49:55 PM Central Daylight Time		08/18/2009 02:23:31 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H3749	001	0	2010	Oklahoma City Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3749	004	0	1	01	01	H3749_004_0	4	07/17/2009	2010.02	07/17/2009 03:48:29 PM Central Daylight Time	08/17/2009 10:38:46 AM Central Daylight Time	08/13/2009 05:49:59 PM Central Daylight Time		08/18/2009 02:23:31 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3749	004	0	2010	Tulsa Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3749	011	0	1	01	01	H3749_011_0	3	07/15/2009	2010.02	07/15/2009 04:50:43 PM Central Daylight Time	08/17/2009 10:39:00 AM Central Daylight Time	08/13/2009 05:50:03 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H3749	011	0	2010	Oklahoma City Area		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3749	014	0	1	01	01	H3749_014_0	4	07/17/2009	2010.02	07/17/2009 10:35:05 AM Central Daylight Time	08/17/2009 10:39:14 AM Central Daylight Time	08/13/2009 05:50:07 PM Central Daylight Time		08/18/2009 02:23:31 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H3749	014	0	2010	Oklahoma City Area		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3749	016	0	1	01	01	H3749_016_0	4	07/17/2009	2010.02	07/17/2009 10:41:04 AM Central Daylight Time	08/17/2009 10:39:28 AM Central Daylight Time	08/13/2009 05:50:10 PM Central Daylight Time		08/18/2009 02:23:31 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H3749	016	0	2010	Creek, Rogers and Tulsa Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3749	017	0	1	01	01	H3749_017_0	4	07/17/2009	2010.02	07/17/2009 03:52:28 PM Central Daylight Time	08/17/2009 10:39:42 AM Central Daylight Time	08/13/2009 05:50:14 PM Central Daylight Time		08/18/2009 02:23:31 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3749	017	0	2010	Tulsa Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3749	801	0	1	01	01	H3749_801_0	3	05/26/2009	2010.02	05/28/2009 04:30:27 AM Central Daylight Time	07/20/2009 03:05:23 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	801	0	2010	OK Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H3749	803	0	1	01	01	H3749_803_0	3	05/26/2009	2010.02	05/28/2009 04:30:39 AM Central Daylight Time	07/20/2009 03:05:53 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	803	0	2010	OK Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3749	804	0	1	01	01	H3749_804_0	3	05/26/2009	2010.02	05/28/2009 04:30:52 AM Central Daylight Time	07/20/2009 03:06:20 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	804	0	2010	OK Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3755	001	0	1	01	01	H3755_001_0	7	07/28/2009	2010.02	07/28/2009 112734 AM Central Daylight Time	08/19/2009 03:08:19 PM Central Daylight Time	08/19/2009 03:08:20 PM Central Daylight Time		08/20/2009 10:26:39 AM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Platinum (HMO)	01	01		1			H3755	001	0	2010	Tulsa Metro Area		2	12840	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3755	002	0	1	01	01	H3755_002_0	4	07/28/2009	2010.02	07/28/2009 112926 AM Central Daylight Time	07/25/2009 12:02:49 PM Central Daylight Time			07/28/2009 01:38:42 PM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Silver (HMO)	01	01		1			H3755	002	0	2010	Tulsa Metro Area		2	5000	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1		
H3755	004	0	1	01	01	H3755_004_0	6	07/28/2009	2010.02	07/28/2009 112959 AM Central Daylight Time	08/19/2009 03:08:20 PM Central Daylight Time	08/19/2009 03:08:21 PM Central Daylight Time		08/20/2009 10:26:39 AM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Platinum Plus (HMO)	01	01		1			H3755	004	0	2010	Tulsa Metro Area		2	7241	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1		
H3755	801	0	1	01	01	H3755_801_0	4	07/28/2009	2010.02	07/28/2009 113035 AM Central Daylight Time	07/25/2009 12:06:00 PM Central Daylight Time			07/28/2009 01:38:42 PM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health EGHP+D (HMO)	01	01		1			H3755	801	0	2010	Tulsa Metro Area		1		2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2			(800)-642-8065				(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065				(800)-722-0353		(800)-722-0353		(800)-722-0353				(800)-722-0353				(800)-722-0353		1		
H3805	001	0	1	01	01	H3805_001_0	5	07/18/2009	2010.02	07/18/2009 12:25:17 PM Central Daylight Time	08/14/2009 10:08:30 AM Central Daylight Time	08/13/2009 05:50:18 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H3805	001	0	2010	Clackamas, Marion, Multnomah, Polk, Washington		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3805	007	0	1	01	01	H3805_007_0	5	07/18/2009	2010.02	07/18/2009 12:26:20 PM Central Daylight Time	08/14/2009 10:09:58 AM Central Daylight Time	08/13/2009 05:50:22 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H3805	007	0	2010	Benton, Lane, Linn		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3805	801	0	1	01	01	H3805_801_0	2	05/29/2009	2010.02	05/29/2009 08:53:50 PM Central Daylight Time	07/20/2009 03:55:23 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	801	0	2010	OR Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H3805	803	0	1	01	01	H3805_803_0	2	05/30/2009	2010.02	05/30/2009 04:02:41 PM Central Daylight Time	07/20/2009 03:56:20 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	803	0	2010	OR Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3805	804	0	1	01	01	H3805_804_0	2	05/30/2009	2010.02	05/30/2009 04:02:42 PM Central Daylight Time	07/20/2009 03:56:40 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	804	0	2010	OR Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3809	001	0	1	20	08	H3809_001_0	2	10/14/2009	2010.02	10/14/2009 07:47:20 AM Pacific Daylight Time		10/14/2009 06:51:09 AM Pacific Daylight Time		10/14/2009 07:53:12 AM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM - OREGON	Providence ElderPlace Portland	www.providence.org/elderplace	Providence ElderPlace Portland (dual) (PACE)	08	20		1			H3809	001	0	2010	Multnomah County		2		2				2							http://www.providence.org/oregon/Programs_and_Services/ElderPlace/formularies.htm									(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556										(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556		1		
H3809	002	0	1	20	08	H3809_002_0	2	10/14/2009	2010.02	10/14/2009 07:47:43 AM Pacific Daylight Time		10/14/2009 06:51:09 AM Pacific Daylight Time		10/14/2009 07:53:12 AM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM - OREGON	Providence ElderPlace Portland	www.providence.org/elderplace	Providence ElderPlace Portland (pvt pay) (PACE)	08	20		1			H3809	002	0	2010	Multnomah County		2		2				2							http://www.providence.org/oregon/Programs_and_Services/ElderPlace/formularies.htm									(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556										(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556		1		
H3810	001	0	1	01	01	H3810_001_0	6	08/07/2009	2010.02	08/07/2009 10:27:49 AM Pacific Daylight Time	08/07/2009 10:32:59 AM Pacific Daylight Time			08/07/2009 12:14:20 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold (HMO)	01	01		1			H3810	001	0	2010	Counties:  JO, JA*, DO*, CU.		2	658	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1		
H3810	002	0	1	01	01	H3810_002_0	5	08/20/2009	2010.02	08/20/2009 12:46:59 PM Pacific Daylight Time	08/20/2009 11:19:54 AM Pacific Daylight Time	08/20/2009 11:19:53 AM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource - SNP (HMO)	01	01		1			H3810	002	0	2010	Counties: JO, JA, DO*.		2	1053	2		2		1	3		1	2		http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3810	003	0	1	01	01	H3810_003_0	8	08/25/2009	2010.02	08/25/2009 11:13:46 AM Pacific Daylight Time	08/25/2009 12:53:15 PM Pacific Daylight Time	08/25/2009 12:53:15 PM Pacific Daylight Time		08/25/2009 01:05:24 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold Plus Rx (HMO)	01	01		1			H3810	003	0	2010	Counties: JO, JA*, DO*, CU.		2	1973	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3810	004	0	1	02	01	H3810_004_0	5	08/07/2009	2010.02	08/07/2009 10:32:05 AM Pacific Daylight Time	08/07/2009 10:37:41 AM Pacific Daylight Time			08/07/2009 12:14:20 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Platinum (HMO-POS)	01	02		1			H3810	004	0	2010	Counties: JO, JA, DO*, CU.		2	100	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1		
H3810	005	0	1	02	01	H3810_005_0	7	08/20/2009	2010.02	08/20/2009 12:47:41 PM Pacific Daylight Time	08/20/2009 11:23:37 AM Pacific Daylight Time	08/20/2009 11:23:37 AM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Platinum Plus Rx (HMO-POS)	01	02		1			H3810	005	0	2010	Counties: JO, JA, DO*, CU.		2	205	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3810	006	0	1	01	01	H3810_006_0	5	08/07/2009	2010.02	08/07/2009 11:05:10 AM Pacific Daylight Time	08/07/2009 10:37:57 AM Pacific Daylight Time			08/07/2009 12:14:20 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Silver (HMO)	01	01		1			H3810	006	0	2010	Counties: JO, JA, DO*, CU.		2	127	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1		
H3810	007	0	1	01	01	H3810_007_0	7	08/20/2009	2010.02	08/20/2009 12:47:56 PM Pacific Daylight Time	08/20/2009 11:25:02 AM Pacific Daylight Time	08/20/2009 11:25:02 AM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Silver Plus Rx (HMO)	01	01		1			H3810	007	0	2010	Counties: JO, JA, DO*, CU.		2	227	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3810	008	0	1	01	01	H3810_008_0	5	08/07/2009	2010.02	08/07/2009 11:10:19 AM Pacific Daylight Time	08/07/2009 10:41:42 AM Pacific Daylight Time			08/07/2009 12:14:20 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold (HMO)	01	01		1			H3810	008	0	2010	Jackson County* Excl Rogue River OR, Gold Hill OR		2	229	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1		
H3810	010	0	1	01	01	H3810_010_0	6	08/20/2009	2010.02	08/20/2009 12:48:08 PM Pacific Daylight Time	08/20/2009 11:26:27 AM Pacific Daylight Time	08/20/2009 11:26:27 AM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold Plus Rx (HMO)	01	01		1			H3810	010	0	2010	Jackson County* Excl Rogue River OR, Gold Hill OR.		2	658	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3810	017	0	1	01	01	H3810_017_0	6	08/20/2009	2010.02	08/20/2009 12:48:17 PM Pacific Daylight Time	08/20/2009 11:28:01 AM Pacific Daylight Time	08/20/2009 11:28:01 AM Pacific Daylight Time		08/20/2009 12:59:57 PM Pacific Daylight Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource SNP Curry County (HMO)	01	01		1			H3810	017	0	2010	Counties: Curry		2	105	2		2		1	3		1	5		http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1		
H3811	001	0	1	01	01	H3811_001_0	4	07/23/2009	2010.02	07/23/2009 12:52:21 PM Pacific Daylight Time	07/23/2009 12:08:16 PM Pacific Daylight Time			07/24/2009 08:35:16 AM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Conventional Plan (HMO)	01	01		1			H3811	001	0	2010	Benton, Lincoln and Linn county		2	440	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H3811	002	0	1	01	01	H3811_002_0	4	07/23/2009	2010.02	07/23/2009 12:52:11 PM Pacific Daylight Time	08/19/2009 02:00:49 PM Pacific Daylight Time	08/19/2009 01:59:19 PM Pacific Daylight Time		08/19/2009 02:13:41 PM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Premier Plan (HMO)	01	01		1			H3811	002	0	2010	Benton, Lincoln and Linn county		2	1330	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3811	003	0	1	01	01	H3811_003_0	5	08/26/2009	2010.02	08/26/2009 01:13:32 PM Pacific Daylight Time	08/19/2009 01:14:55 PM Pacific Daylight Time	08/19/2009 01:14:55 PM Pacific Daylight Time		08/26/2009 01:20:43 PM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Special Needs Plan (HMO)	01	01		1			H3811	003	0	2010	Benton and Linn counties		2	1850	2		2		1	3		1	2		www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3811	009	0	1	01	01	H3811_009_0	4	07/23/2009	2010.02	07/23/2009 12:51:37 PM Pacific Daylight Time	08/19/2009 01:58:07 PM Pacific Daylight Time	08/19/2009 01:58:55 PM Pacific Daylight Time		08/19/2009 02:17:16 PM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Premier Plan Plus (HMO)	01	01		1			H3811	009	0	2010	Benton, Lincoln, and Linn Counties		2	1800	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-317-7489		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3812	001	0	1	04	01	H3812_001_0	4	07/20/2009	2010.02	07/20/2009 08:21:48 AM Central Daylight Time	09/03/2009 03:07:59 PM Central Daylight Time	09/04/2009 10:47:52 AM Central Daylight Time		09/04/2009 12:42:19 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H3812	001	0	2010	Clackamas,Lane,Multnomah,Marion,Washington,Yamhill		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H3812	005	0	1	04	01	H3812_005_0	3	08/20/2009	2010.02	08/20/2009 02:57:19 PM Central Daylight Time	08/19/2009 11:15:33 AM Central Daylight Time	08/13/2009 05:50:30 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H3812	005	0	2010	Clackamas, Lane, Multnomah and Washington Counties		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3812	007	0	1	04	01	H3812_007_0	4	07/17/2009	2010.02	07/17/2009 09:45:39 AM Central Daylight Time	08/19/2009 11:15:57 AM Central Daylight Time	08/13/2009 05:50:34 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H3812	007	0	2010	Clackamas, Lane, Marion, Multnomah, and Washington		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3812	801	0	1	04	01	H3812_801_0	4	08/18/2009	2010.02	08/18/2009 11:42:38 AM Central Daylight Time	07/20/2009 04:20:07 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3812	801	0	2010	Clackamas, Multnomah, Marion, Washington Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-480-0073		(866)-480-0073		(866)-289-3831		(866)-289-3831		(866)-480-0073		(866)-480-0073		(866)-289-3831		(866)-289-3831		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3812	803	0	1	04	01	H3812_803_0	4	08/06/2009	2010.02	08/06/2009 04:04:53 PM Central Daylight Time	07/20/2009 04:20:30 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3812	803	0	2010	Select Counties in OR		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-480-0073		(866)-480-0073		(866)-289-3831		(866)-289-3831		(866)-480-0073		(866)-480-0073		(866)-289-3831		(866)-289-3831		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3812	804	0	1	04	01	H3812_804_0	4	08/06/2009	2010.02	08/06/2009 04:05:06 PM Central Daylight Time	07/20/2009 04:21:03 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3812	804	0	2010	Select counties in OR		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-480-0073		(866)-480-0073		(866)-289-3831		(866)-289-3831										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H3813	001	0	1	04	01	H3813_001_0	9	08/26/2009	2010.02	08/26/2009 02:32:28 PM Pacific Daylight Time	08/05/2009 02:17:15 PM Pacific Daylight Time			09/23/2009 03:52:16 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPO (PPO)	01	04		1			H3813	001	0	2010	State of Oregon		2	3000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975										(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958										1		
H3813	002	0	1	04	01	H3813_002_0	10	08/26/2009	2010.02	08/26/2009 02:34:05 PM Pacific Daylight Time	08/18/2009 10:45:05 AM Pacific Daylight Time	08/18/2009 10:44:08 AM Pacific Daylight Time		08/26/2009 03:54:09 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPORX (PPO)	01	04		1			H3813	002	0	2010	State of Oregon		2	3000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975		(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1		
H3813	003	0	1	04	01	H3813_003_0	9	08/26/2009	2010.02	08/26/2009 02:34:22 PM Pacific Daylight Time	08/18/2009 10:48:27 AM Pacific Daylight Time	08/18/2009 10:46:44 AM Pacific Daylight Time		08/26/2009 03:54:09 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPORX Select (PPO)	01	04		1			H3813	003	0	2010	State of Oregon		2	3000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975		(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1		
H3813	801	0	1	04	01	H3813_801_0	4	08/26/2009	2010.02	08/26/2009 02:34:31 PM Pacific Daylight Time	08/04/2009 02:29:15 PM Pacific Daylight Time			08/26/2009 03:54:09 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPO Employer Option (PPO)	01	04		1			H3813	801	0	2010	State of Oregon		1	3000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9061		(503)-265-4761		(888)-217-2375		(503)-265-2975										(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958										1		
H3813	802	0	1	04	01	H3813_802_0	4	08/26/2009	2010.02	08/26/2009 02:34:39 PM Pacific Daylight Time	08/04/2009 02:32:25 PM Pacific Daylight Time			08/26/2009 03:54:09 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPORX Employer Option (PPO)	01	04		1			H3813	802	0	2010	State of Oregon		1	3000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975		(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1		
H3814	005	0	1	01	01	H3814_005_0	4	05/27/2009	2010.02	05/27/2009 05:24:55 PM Pacific Daylight Time	05/31/2009 08:22:16 PM Pacific Daylight Time			06/01/2009 10:57:54 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage II (HMO)	01	01		1			H3814	005	0	2010	Douglas and Klamath Counties		2	350	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620										(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900										1		
H3814	006	0	1	01	01	H3814_006_0	6	07/24/2009	2010.01	07/24/2009 10:23:25 AM Pacific Daylight Time	08/19/2009 04:33:40 PM Pacific Daylight Time	08/19/2009 02:18:10 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage II Rx (HMO)	01	01		1			H3814	006	0	2010	Douglas and Klamath Counties		2	1382	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	007	0	1	01	01	H3814_007_0	10	08/20/2009	2010.01	08/20/2009 10:49:45 AM Pacific Daylight Time	08/20/2009 04:27:40 PM Pacific Daylight Time	08/20/2009 04:27:40 PM Pacific Daylight Time		08/24/2009 01:28:41 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage SNP (HMO)	01	01		1			H3814	007	0	2010	Douglas and Klamath Counties		2	1800	2		2		1	3		1	3		www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	011	0	1	01	01	H3814_011_0	4	05/28/2009	2010.02	05/28/2009 05:36:54 PM Pacific Daylight Time	05/31/2009 08:21:44 PM Pacific Daylight Time			06/01/2009 10:57:54 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage Active (HMO)	01	01		1			H3814	011	0	2010	Douglas and Klamath Counties		2	250	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620										(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900										1		
H3814	012	0	1	01	01	H3814_012_0	6	08/18/2009	2010.01	08/18/2009 01:20:30 PM Pacific Daylight Time	08/19/2009 04:40:48 PM Pacific Daylight Time	08/19/2009 02:22:04 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage Active Rx (HMO)	01	01		1			H3814	012	0	2010	Douglas and Klamath Counties		2	350	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	015	0	1	02	01	H3814_015_0	7	05/29/2009	2010.02	05/29/2009 02:37:58 PM Pacific Daylight Time	08/19/2009 04:40:08 PM Pacific Daylight Time	08/19/2009 02:23:36 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage Elite Rx (HMO-POS)	01	02		1			H3814	015	0	2010	Douglas and Klamath Counties		2	390	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	018	0	1	01	01	H3814_018_0	5	05/27/2009	2010.02	05/27/2009 05:24:56 PM Pacific Daylight Time	07/14/2009 09:02:38 AM Pacific Daylight Time			07/24/2009 10:38:27 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage II (HMO)	01	01		1			H3814	018	0	2010	Washington County		2	30	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620										(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900										1		
H3814	019	0	1	01	01	H3814_019_0	6	05/27/2009	2010.02	05/27/2009 05:26:00 PM Pacific Daylight Time	08/19/2009 04:45:28 PM Pacific Daylight Time	08/19/2009 02:25:52 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage II Rx (HMO)	01	01		1			H3814	019	0	2010	Washington County		2	45	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	021	0	1	02	01	H3814_021_0	7	05/29/2009	2010.02	05/29/2009 02:38:07 PM Pacific Daylight Time	08/19/2009 04:49:50 PM Pacific Daylight Time	08/19/2009 02:26:42 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage Elite Rx (HMO-POS)	01	02		1			H3814	021	0	2010	Washington County		2	125	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	023	0	1	01	01	H3814_023_0	5	05/28/2009	2010.02	05/28/2009 05:37:14 PM Pacific Daylight Time	07/14/2009 09:05:26 AM Pacific Daylight Time			07/24/2009 10:38:27 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage Active (HMO)	01	01		1			H3814	023	0	2010	Washington County		2	95	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620										(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900										1		
H3814	024	0	1	01	01	H3814_024_0	6	08/18/2009	2010.01	08/18/2009 01:44:06 PM Pacific Daylight Time	08/19/2009 04:47:38 PM Pacific Daylight Time	08/19/2009 02:27:34 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage Active Rx (HMO)	01	01		1			H3814	024	0	2010	Washington County		2	110	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	025	0	1	01	01	H3814_025_0	13	08/20/2009	2010.01	08/20/2009 10:53:24 AM Pacific Daylight Time	08/20/2009 04:27:40 PM Pacific Daylight Time	08/20/2009 04:27:40 PM Pacific Daylight Time		08/24/2009 01:28:41 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage Companion (HMO)	01	01		1			H3814	025	0	2010	Washington County		2	1800	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	026	0	1	02	01	H3814_026_0	7	08/18/2009	2010.01	08/18/2009 01:44:23 PM Pacific Daylight Time	08/19/2009 04:43:34 PM Pacific Daylight Time	08/19/2009 02:29:32 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO MyAdvantage Choice Rx (HMO-POS)	01	02		1			H3814	026	0	2010	Douglas and Klamath Counties		2	486	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3814	027	0	1	02	01	H3814_027_0	7	08/18/2009	2010.01	08/18/2009 01:44:35 PM Pacific Daylight Time	08/19/2009 04:51:16 PM Pacific Daylight Time	08/19/2009 02:30:16 PM Pacific Daylight Time		08/20/2009 01:30:23 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	MemberServices@atriohp.com	ATRIO Tuality MyAdvantage Choice Rx (HMO-POS)	01	02		1			H3814	027	0	2010	Washington County		2	50	2				2						www.atriohp.com	http://www.atriohp.com/formulary.html	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1		
H3815	001	0	1	01	01	H3815_001_0	6	08/19/2009	2010.02	08/19/2009 06:01:34 PM Pacific Daylight Time	08/19/2009 05:50:25 PM Pacific Daylight Time	08/19/2009 05:50:26 PM Pacific Daylight Time		08/19/2009 06:14:51 PM Pacific Daylight Time	CITIZENS CHOICE HEALTHPLAN	Citizens Choice Healthplan	www.citizenschoicehealth.com	Citizens Choice Healthplan (HMO)	01	01		1			H3815	001	0	2010	Los Angeles and Northern Orange Counties, CA		2	150	2				2						www.citizenschoicehealth.com	www.citizenschoicehealth.com	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		1		
H3815	005	0	1	01	01	H3815_005_0	6	08/19/2009	2010.02	08/19/2009 06:01:59 PM Pacific Daylight Time	08/19/2009 05:50:41 PM Pacific Daylight Time	08/19/2009 05:50:41 PM Pacific Daylight Time		08/19/2009 06:14:51 PM Pacific Daylight Time	CITIZENS CHOICE HEALTHPLAN	Citizens Choice Healthplan	www.citizenschoicehealth.com	Citizens Choice Healthplan (HMO)	01	01		1			H3815	005	0	2010	Riverside and San Bernardino Counties, CA		2	50	2				2						www.citizenschoicehealth.com	www.citizenschoicehealth.com	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		1		
H3817	001	0	1	04	01	H3817_001_0	3	07/28/2009	2010.02	07/28/2009 02:55:19 PM Pacific Daylight Time	05/31/2009 09:15:22 AM Pacific Daylight Time			07/29/2009 02:02:04 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	Regence MedAdvantage (PPO)	01	04		1			H3817	001	0	2010	Select Counties in Oregon/Clark Co, WA		2		2				2						http://www.or.regence.com/provider/directory/	www.or.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003										1		
H3817	002	0	1	04	01	H3817_002_0	7	07/28/2009	2010.02	07/28/2009 02:57:11 PM Pacific Daylight Time	08/18/2009 02:04:38 PM Pacific Daylight Time	08/17/2009 02:30:38 PM Pacific Daylight Time		08/19/2009 04:28:16 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H3817	002	0	2010	Select Counties in Oregon/Clark Co, WA		2		2				2						http://www.or.regence.com/provider/directory/	www.or.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H3817	003	0	1	04	01	H3817_003_0	6	07/28/2009	2010.02	07/28/2009 02:56:17 PM Pacific Daylight Time	08/18/2009 02:27:46 PM Pacific Daylight Time	08/17/2009 02:31:16 PM Pacific Daylight Time		08/19/2009 04:32:12 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	http://www.or.regence.com	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H3817	003	0	2010	Select Counties in Oregon/Clark Co,Wa		2		2				2						http://www.or.regence.com/provider/directory/	www.or.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H3818	001	0	1	01	01	H3818_001_0	7	08/19/2009	2010.02	08/19/2009 12:23:08 PM Pacific Daylight Time	08/19/2009 06:26:34 AM Pacific Daylight Time	08/18/2009 05:43:00 AM Pacific Daylight Time		08/19/2009 12:35:51 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare  Advantage Rx (HMO)	01	01		1			H3818	001	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3818	002	0	1	01	01	H3818_002_0	5	08/19/2009	2010.02	08/19/2009 07:29:00 AM Pacific Daylight Time	08/19/2009 06:45:45 AM Pacific Daylight Time	08/18/2009 05:43:34 AM Pacific Daylight Time		08/19/2009 11:28:00 AM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Plus (HMO)	01	01		1			H3818	002	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2		2		1	3		1	3		www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3818	003	0	1	01	01	H3818_003_0	7	08/19/2009	2010.02	08/19/2009 12:15:43 PM Pacific Daylight Time	08/18/2009 10:40:37 AM Pacific Daylight Time	08/18/2009 05:44:05 AM Pacific Daylight Time		08/19/2009 12:35:51 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Choice Rx (HMO)	01	01		1			H3818	003	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3818	004	0	1	01	01	H3818_004_0	2	05/27/2009	2010.02	05/27/2009 11:12:11 AM Pacific Daylight Time	07/29/2009 09:45:15 AM Pacific Daylight Time			07/29/2009 10:26:50 AM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Choice (HMO)	01	01		1			H3818	004	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H3818	014	0	1	01	01	H3818_014_0	6	08/19/2009	2010.02	08/19/2009 12:24:01 PM Pacific Daylight Time	08/19/2009 06:55:41 AM Pacific Daylight Time	08/18/2009 05:44:30 AM Pacific Daylight Time		08/19/2009 12:35:51 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Value Rx (HMO)	01	01		1			H3818	014	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3818	015	0	1	01	01	H3818_015_0	4	07/29/2009	2010.02	07/29/2009 01:46:48 PM Pacific Daylight Time	08/18/2009 10:48:43 AM Pacific Daylight Time	08/18/2009 05:46:31 AM Pacific Daylight Time		08/19/2009 11:28:00 AM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Select Rx (HMO)	01	01		1			H3818	015	0	2010	Portland Metro Clatsop Morrow Umatilla Counties		2		2				1	4		1		000000100000000	www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3864	001	0	1	02	01	H3864_001_0	3	07/28/2009	2010.02	07/28/2009 09:55:03 AM Pacific Daylight Time	07/29/2009 12:41:44 PM Pacific Daylight Time			07/29/2009 01:25:08 PM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Traditional Plan (HMO-POS)	01	02		1			H3864	001	0	2010	Central, Eastern Oregon and Mid-Columbia Gorge		2	1646	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H3864	002	0	1	01	01	H3864_002_0	3	07/28/2009	2010.02	07/28/2009 09:56:24 AM Pacific Daylight Time	07/29/2009 12:44:16 PM Pacific Daylight Time			07/29/2009 01:25:08 PM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Value Plan (HMO)	01	01		1			H3864	002	0	2010	Central, Eastern Oregon and Mid-Columbia Gorge		2	660	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H3864	006	0	1	01	01	H3864_006_0	5	07/29/2009	2010.02	07/29/2009 02:36:53 PM Pacific Daylight Time	08/19/2009 05:38:38 PM Pacific Daylight Time	08/19/2009 05:38:38 PM Pacific Daylight Time		08/20/2009 07:41:43 AM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Value + Rx Plan (HMO)	01	01		1			H3864	006	0	2010	Central, Eastern Oregon and Mid-Columbia Gorge		2	1202	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3864	007	0	1	02	01	H3864_007_0	5	07/29/2009	2010.02	07/29/2009 02:37:29 PM Pacific Daylight Time	08/19/2009 05:39:12 PM Pacific Daylight Time	08/19/2009 05:39:13 PM Pacific Daylight Time		08/20/2009 07:41:43 AM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Traditional + Rx Plan (HMO-POS)	01	02		1			H3864	007	0	2010	Central, Eastern Oregon and Mid-Columbia Gorge		2	4371	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H3864	801	0	1	01	01	H3864_801_0	3	07/29/2009	2010.02	07/29/2009 01:24:47 PM Pacific Daylight Time	06/01/2009 12:25:28 PM Pacific Daylight Time			07/29/2009 01:25:08 PM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	PERS Traditional Plan (HMO)	01	01		1			H3864	801	0	2010	Central, Eastern Oregon and Mid-Columbia Gorge		1	1417	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H3887	001	0	1	02	01	H3887_001_0	3	07/07/2009	2010.02	07/07/2009 09:40:14 AM Central Daylight Time	08/20/2009 12:52:57 PM Central Daylight Time	08/13/2009 05:50:38 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H3887	001	0	2010	Cook, Du Page, Kane and Lake Counties		2		2				1	1	1	1			www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3887	002	0	1	02	01	H3887_002_0	3	07/22/2009	2010.02	07/22/2009 01:58:57 PM Central Daylight Time	08/19/2009 12:16:10 PM Central Daylight Time	08/13/2009 05:50:43 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS)	01	02		1			H3887	002	0	2010	Cook, Du Page, Kane and Lake Counties		2		2		2		1	3		1	2		www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3887	003	0	1	02	01	H3887_003_0	6	07/17/2009	2010.02	07/17/2009 03:41:06 PM Central Daylight Time	08/19/2009 12:16:31 PM Central Daylight Time	08/13/2009 05:50:47 PM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3887	003	0	2010	Cook, Kane and Will Counties		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-865-8480		(888)-865-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3887	005	0	1	02	01	H3887_005_0	6	07/20/2009	2010.02	07/20/2009 02:12:13 PM Central Daylight Time	08/19/2009 12:16:54 PM Central Daylight Time	08/13/2009 05:50:51 PM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H3887	005	0	2010	Cook and Kane Counties		2		2				1	4		1		000110100000000	www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3887	801	0	1	02	01	H3887_801_0	3	05/28/2009	2010.02	05/28/2009 12:32:34 PM Central Daylight Time	07/20/2009 03:50:59 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	801	0	2010	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-865-8480		(888)-865-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3887	802	0	1	02	01	H3887_802_0	3	05/28/2009	2010.02	05/28/2009 12:32:51 PM Central Daylight Time	07/20/2009 03:52:30 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	802	0	2010	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580										(800)-387-1074		(800)-387-1074		(888)-865-8480		(888)-865-8480										1		
H3887	803	0	1	02	01	H3887_803_0	3	05/28/2009	2010.02	05/28/2009 12:33:06 PM Central Daylight Time	07/20/2009 03:53:51 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	803	0	2010	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-867-5580		(888)-865-8480		(888)-865-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3907	002	0	1	01	01	H3907_002_0	3	07/07/2009	2010.02	07/07/2009 11:54:31 AM Eastern Daylight Time	07/24/2009 02:00:15 PM Eastern Daylight Time			07/24/2009 02:22:23 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life (HMO)	01	01		1			H3907	002	0	2010	Western Pennsylvania		2	13000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H3907	006	0	1	01	01	H3907_006_0	6	07/07/2009	2010.02	08/25/2009 09:23:05 AM Eastern Daylight Time	08/20/2009 10:39:50 AM Eastern Daylight Time	08/25/2009 09:23:21 AM Eastern Daylight Time		08/25/2009 09:26:35 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx Enhanced (HMO)	01	01		1			H3907	006	0	2010	Western Pennsylvania		2	10000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H3907	020	0	1	01	01	H3907_020_0	5	08/19/2009	2010.02	08/20/2009 08:08:37 AM Eastern Daylight Time	08/20/2009 10:42:53 AM Eastern Daylight Time	08/20/2009 10:41:22 AM Eastern Daylight Time		08/20/2009 11:04:35 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life Specialty Plan (HMO)	01	01		1			H3907	020	0	2010	Western Pennsylvania		2	17200	2		2		1	3		1	3		http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		1		
H3907	029	0	1	01	01	H3907_029_0	5	07/07/2009	2010.02	08/20/2009 08:08:39 AM Eastern Daylight Time	08/20/2009 10:40:39 AM Eastern Daylight Time	08/20/2009 10:38:15 AM Eastern Daylight Time		08/20/2009 11:04:35 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx (HMO)	01	01		1			H3907	029	0	2010	Western Pennsylvania		2	12000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H3907	030	0	1	01	01	H3907_030_0	6	08/19/2009	2010.02	08/20/2009 08:08:42 AM Eastern Daylight Time	08/20/2009 10:43:37 AM Eastern Daylight Time	08/20/2009 11:02:34 AM Eastern Daylight Time		08/20/2009 11:04:35 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Community Living (HMO)	01	01		1			H3907	030	0	2010	Allegheny County		2	800	2		2		1	3		1	5		http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		1		
H3907	031	0	1	01	01	H3907_031_0	6	08/19/2009	2010.02	08/20/2009 08:08:45 AM Eastern Daylight Time	08/20/2009 10:44:50 AM Eastern Daylight Time	08/20/2009 10:44:12 AM Eastern Daylight Time		08/20/2009 11:04:35 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Community Living (HMO)	01	01		1			H3907	031	0	2010	Non-Allegheny Counties		2	1300	2		2		1	3		1	5		http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		1		
H3907	801	0	1	01	01	H3907_801_0	5	05/27/2009	2010.02	05/27/2009 05:49:03 PM Eastern Daylight Time	06/17/2009 10:57:11 AM Eastern Daylight Time			06/17/2009 11:15:26 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (HMO)	01	01		1			H3907	801	0	2010	Western Pennsylvania		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H3907	802	0	1	01	01	H3907_802_0	5	05/27/2009	2010.02	05/27/2009 05:51:35 PM Eastern Daylight Time	06/17/2009 11:01:23 AM Eastern Daylight Time			06/17/2009 11:15:26 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H3907	802	0	2010	Western Pennsylvania		1	5000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H3907	803	0	1	01	01	H3907_803_0	5	05/27/2009	2010.02	05/27/2009 05:53:40 PM Eastern Daylight Time	06/17/2009 11:06:18 AM Eastern Daylight Time			06/17/2009 11:15:26 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H3907	803	0	2010	Western Pennsylvania		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H3908	001	0	1	20	08	H3908_001_0	2	05/19/2009	2010.02	05/19/2009 11:10:50 AM Eastern Daylight Time		10/13/2009 04:17:52 PM Eastern Daylight Time		10/14/2009 11:05:46 AM Eastern Daylight Time	TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	www.LIFEUPenn.org	Trustees of the University of Pennsylvania (PACE)	08	20		1			H3908	001	0	2010	Philadelphia, PA		2		2				2							www.LIFEUPENN.org									(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200																		1		
H3908	002	0	1	20	08	H3908_002_0	2	05/19/2009	2010.02	05/19/2009 11:08:46 AM Eastern Daylight Time		10/13/2009 04:17:52 PM Eastern Daylight Time		10/14/2009 11:05:46 AM Eastern Daylight Time	TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	www.LIFEUPenn.org	Trustees of the University of Pennsylvania (PACE)	08	20		1			H3908	002	0	2010	Philadelphia, PA		2		2				2							www.LIFEUPENN.org									(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200																		1		
H3909	001	0	1	04	01	H3909_001_0	7	09/24/2009	2010.02	09/24/2009 10:27:32 AM Eastern Daylight Time	08/14/2009 11:21:40 AM Eastern Daylight Time	08/14/2009 09:46:34 AM Eastern Daylight Time		09/24/2009 04:14:34 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Rx (PPO)	01	04		1			H3909	001	0	2010	Bucks, Philadelphia Counties		2	408	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3909	007	0	1	04	01	H3909_007_0	6	09/24/2009	2010.02	09/24/2009 10:28:01 AM Eastern Daylight Time	07/27/2009 10:57:23 AM Eastern Daylight Time			09/24/2009 04:14:34 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Medical Only (PPO)	01	04		1			H3909	007	0	2010	Bucks, Philadelphia Counties		2	408	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3909	801	0	1	04	01	H3909_801_0	3	07/29/2009	2010.02	07/29/2009 02:06:08 PM Eastern Daylight Time	07/27/2009 01:21:24 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Group Medical Only (PPO)	01	04		1			H3909	801	0	2010	County: Bucks, Chester, Delaware, Montgomery,Phila		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3909	802	0	1	04	01	H3909_802_0	3	07/29/2009	2010.02	07/29/2009 02:06:22 PM Eastern Daylight Time	07/27/2009 01:22:23 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Group Rx (PPO)	01	04		1			H3909	802	0	2010	County: Bucks, Chester, Delaware, Montgomery,Phila		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3912	001	0	1	04	01	H3912_001_0	3	08/20/2009	2010.02	08/20/2009 02:59:14 PM Central Daylight Time	08/19/2009 03:27:43 PM Central Daylight Time	08/13/2009 05:50:55 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H3912	001	0	2010	Philadelphia,Harrisburg,York and Surrounding Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3912	005	0	1	04	01	H3912_005_0	3	07/15/2009	2010.02	07/15/2009 04:51:18 PM Central Daylight Time	08/19/2009 03:27:04 PM Central Daylight Time	08/13/2009 05:51:00 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H3912	005	0	2010	Lancaster and York Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3912	008	0	1	04	01	H3912_008_0	5	07/17/2009	2010.02	07/17/2009 10:46:44 AM Central Daylight Time	08/19/2009 03:26:34 PM Central Daylight Time	08/13/2009 05:51:04 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H3912	008	0	2010	Lancaster, Lehigh, Northampton and York Counties		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3916	001	0	1	04	01	H3916_001_0	5	07/30/2009	2010.02	07/30/2009 04:46:03 PM Eastern Daylight Time	08/17/2009 04:49:42 PM Eastern Daylight Time	08/14/2009 09:08:06 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Classic (PPO)	01	04		1			H3916	001	0	2010	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	002	0	1	04	01	H3916_002_0	5	07/30/2009	2010.02	07/30/2009 04:46:18 PM Eastern Daylight Time	08/17/2009 05:15:33 PM Eastern Daylight Time	08/14/2009 09:09:29 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Classic (PPO)	01	04		1			H3916	002	0	2010	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	005	0	1	04	01	H3916_005_0	5	07/30/2009	2010.02	07/30/2009 04:46:25 PM Eastern Daylight Time	08/17/2009 05:31:35 PM Eastern Daylight Time	08/14/2009 09:10:27 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Deluxe (PPO)	01	04		1			H3916	005	0	2010	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H3916	012	0	1	04	01	H3916_012_0	4	07/30/2009	2010.02	07/30/2009 04:46:32 PM Eastern Daylight Time	07/15/2009 11:27:16 AM Eastern Daylight Time			07/31/2009 12:13:04 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Value (PPO)	01	04		1			H3916	012	0	2010	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589										(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210										1		
H3916	015	0	1	04	01	H3916_015_0	5	07/30/2009	2010.02	07/30/2009 04:46:38 PM Eastern Daylight Time	08/17/2009 05:30:18 PM Eastern Daylight Time	08/14/2009 09:11:32 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Standard (PPO)	01	04		1			H3916	015	0	2010	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H3916	018	0	1	04	01	H3916_018_0	5	07/30/2009	2010.02	07/30/2009 04:46:46 PM Eastern Daylight Time	08/17/2009 05:29:01 PM Eastern Daylight Time	08/14/2009 09:12:46 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Basic Rx (PPO)	01	04		1			H3916	018	0	2010	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H3916	019	0	1	04	01	H3916_019_0	5	07/30/2009	2010.02	07/30/2009 04:46:53 PM Eastern Daylight Time	08/17/2009 04:40:45 PM Eastern Daylight Time	08/14/2009 09:13:54 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue HD Rx (PPO)	01	04		1			H3916	019	0	2010	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	020	0	1	04	01	H3916_020_0	5	07/30/2009	2010.02	07/30/2009 04:30:50 PM Eastern Daylight Time	08/17/2009 05:14:05 PM Eastern Daylight Time	08/14/2009 09:15:02 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue HD Rx (PPO)	01	04		1			H3916	020	0	2010	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	022	0	1	04	01	H3916_022_0	5	07/30/2009	2010.02	07/30/2009 04:30:06 PM Eastern Daylight Time	08/17/2009 04:37:11 PM Eastern Daylight Time	08/14/2009 09:16:00 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Select (PPO)	01	04		1			H3916	022	0	2010	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	024	0	1	04	01	H3916_024_0	5	07/30/2009	2010.02	07/30/2009 04:30:22 PM Eastern Daylight Time	08/17/2009 05:12:48 PM Eastern Daylight Time	08/14/2009 09:16:56 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Select (PPO)	01	04		1			H3916	024	0	2010	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	025	0	1	04	01	H3916_025_0	6	08/20/2009	2010.02	08/20/2009 05:19:49 PM Eastern Daylight Time	08/17/2009 05:32:52 PM Eastern Daylight Time	08/14/2009 09:17:54 AM Eastern Daylight Time		08/20/2009 05:22:05 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue HD Rx (PPO)	01	04		1			H3916	025	0	2010	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-550-8722		(800)-550-8722		(800)-511-0589		(800)-511-0589		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H3916	026	0	1	04	01	H3916_026_0	5	07/30/2009	2010.02	07/30/2009 04:31:09 PM Eastern Daylight Time	08/17/2009 04:54:22 PM Eastern Daylight Time	08/14/2009 09:18:49 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Platinum (PPO)	01	04		1			H3916	026	0	2010	Southwestern Pennsylvania counties		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	027	0	1	04	01	H3916_027_0	5	07/30/2009	2010.02	07/30/2009 04:31:25 PM Eastern Daylight Time	08/17/2009 05:16:59 PM Eastern Daylight Time	08/14/2009 09:19:54 AM Eastern Daylight Time		08/20/2009 12:14:20 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue Platinum (PPO)	01	04		1			H3916	027	0	2010	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	801	0	1	04	01	H3916_801_0	3	07/23/2009	2010.02	07/23/2009 05:55:35 PM Eastern Daylight Time	05/31/2009 08:13:22 PM Eastern Daylight Time			07/24/2009 04:09:52 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue MA Pennsylvania (PPO)	01	04		1			H3916	801	0	2010	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973										(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709										1		
H3916	802	0	1	04	01	H3916_802_0	3	07/23/2009	2010.02	07/23/2009 05:55:55 PM Eastern Daylight Time	05/31/2009 08:14:08 PM Eastern Daylight Time			07/24/2009 04:09:52 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue MA-PD Pennsylvania (PPO)	01	04		1			H3916	802	0	2010	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3916	804	0	1	04	01	H3916_804_0	3	07/23/2009	2010.02	07/23/2009 05:56:42 PM Eastern Daylight Time	05/31/2009 08:14:52 PM Eastern Daylight Time			07/24/2009 04:09:52 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue MA-PD PA Non-Calendar (PPO)	01	04		1			H3916	804	0	2010	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-550-8722		(800)-550-8722		(800)-350-1973		(800)-350-1973		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3917	001	0	1	20	08	H3917_001_0	2	10/14/2009	2010.02	10/14/2009 08:04:59 AM Eastern Daylight Time		10/13/2009 02:57:27 PM Eastern Daylight Time		10/14/2009 08:07:21 AM Eastern Daylight Time	PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	www.commlife.org	Pittsburgh Care Partnership, Inc. (PACE)	08	20		1			H3917	001	0	2010	Pittsburgh Metro Area		2		2				2							www.commlife.org									(412)-675-3100		(412)-675-3100		(866)-419-1693		(412)-436-1320																		1		
H3917	002	0	1	20	08	H3917_002_0	2	10/14/2009	2010.02	10/14/2009 08:05:16 AM Eastern Daylight Time		10/13/2009 02:57:27 PM Eastern Daylight Time		10/14/2009 08:07:21 AM Eastern Daylight Time	PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	www.commlife.org	Pittsburgh Care Partnership, Inc. (PACE)	08	20		1			H3917	002	0	2010	Pittsburgh Metro Area		2		2				2							www.commlife.org									(412)-675-3100		(412)-675-3100		(866)-419-1693		(412)-436-1320																		1		
H3918	001	0	1	20	08	H3918_001_0	2	10/14/2009	2010.02	10/14/2009 07:48:28 AM Eastern Daylight Time		10/14/2009 07:41:54 AM Eastern Daylight Time		10/14/2009 05:00:12 PM Eastern Daylight Time	LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	LIFE Pittsburgh Dual Eligibles Pharmacy (PACE)	08	20		1			H3918	001	0	2010	Partial Allegheny*		2	350	2				2							not applicable -- no formulary									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228																	1		
H3918	002	0	1	20	08	H3918_002_0	2	10/14/2009	2010.02	10/14/2009 07:48:16 AM Eastern Daylight Time		10/14/2009 07:41:05 AM Eastern Daylight Time		10/14/2009 05:00:12 PM Eastern Daylight Time	LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	LIFE Pittsburgh Medicare Only Pharmacy (PACE)	08	20		1			H3918	002	0	2010	Allegheny *		2	5	2				2							not applicable -- no formulary									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228																	1		
H3919	001	0	1	20	08	H3919_001_0	2	05/19/2009	2010.02	05/19/2009 11:07:47 AM Eastern Daylight Time		10/14/2009 09:38:33 AM Eastern Daylight Time		10/14/2009 09:54:12 AM Eastern Daylight Time	ST. AGNES CONTINUING CARE CENTER	Mercy LIFE	www.mercyhealth.org/life	Mercy LIFE (PACE)	08	20		1			H3919	001	0	2010	Philadelphia		2		2				2							www.stagnesphila.org									(800)-820-4512	4747	(215)-339-4747		(800)-820-4512	4747	(215)-339-4747																		1		
H3919	002	0	1	20	08	H3919_002_0	2	05/19/2009	2010.02	05/19/2009 11:08:51 AM Eastern Daylight Time		10/14/2009 09:38:09 AM Eastern Daylight Time		10/14/2009 09:54:12 AM Eastern Daylight Time	ST. AGNES CONTINUING CARE CENTER	Mercy LIFE	www.mercyhealth.org/life	Mercy LIFE (PACE)	08	20		1			H3919	002	0	2010	Philadelphia		2		2				2							www.stagnesphila.org									(800)-820-4512	4747	(215)-339-4747		(800)-820-4512	4747	(215)-339-4747																		1		
H3920	001	0	1	01	01	H3920_001_0	5	07/20/2009	2010.02	07/20/2009 09:28:10 AM Central Daylight Time	08/19/2009 05:03:00 PM Central Daylight Time	08/18/2009 10:17:27 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Choice (HMO)	01	01		1			H3920	001	0	2010	Select counties in Pennsylvania		2		2				2						www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		1		
H3920	003	0	1	01	01	H3920_003_0	4	08/20/2009	2010.02	08/20/2009 03:39:05 PM Central Daylight Time	08/19/2009 05:04:07 PM Central Daylight Time	08/18/2009 10:15:41 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Plus (HMO)	01	01		1			H3920	003	0	2010	Select counties in Pennsylvania		2		2		2		1	3		1	2		www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		1		
H3920	007	0	1	01	01	H3920_007_0	2	07/20/2009	2010.02	07/20/2009 09:29:08 AM Central Daylight Time	07/20/2009 03:11:34 PM Central Daylight Time			07/23/2009 04:44:20 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Basic (HMO)	01	01		1			H3920	007	0	2010	Select counties in Pennsylvania		2		2				2						www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180										(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021										1		
H3920	009	0	1	01	01	H3920_009_0	4	08/20/2009	2010.02	08/20/2009 03:39:19 PM Central Daylight Time	08/19/2009 05:04:53 PM Central Daylight Time	08/18/2009 10:19:25 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Plus Integrated Care (HMO)	01	01		1			H3920	009	0	2010	Pennsylvania Counties		2		2		2		1	3		1	5		www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(800)-290-4009		(412)-858-4000		(888)-565-8180		(888)-565-8180		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		1		
H3921	001	0	1	04	01	H3921_001_0	5	07/17/2009	2010.02	07/17/2009 02:47:52 PM Central Daylight Time	08/14/2009 10:55:14 AM Central Daylight Time	08/13/2009 05:51:07 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	SecureHorizons MedicareComplete Choice (PPO)	01	04		1			H3921	001	0	2010	Lancaster and York Counties		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-387-1074		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3921	008	0	1	04	01	H3921_008_0	5	07/17/2009	2010.02	07/17/2009 10:57:01 AM Central Daylight Time	08/14/2009 10:55:34 AM Central Daylight Time	08/13/2009 05:51:11 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H3921	008	0	2010	Erie, Lehigh, Northampton		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H3921	801	0	1	04	01	H3921_801_0	4	08/06/2009	2010.02	08/06/2009 04:05:22 PM Central Daylight Time	07/21/2009 09:54:03 AM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3921	801	0	2010	PA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3921	803	0	1	04	01	H3921_803_0	4	08/06/2009	2010.02	08/06/2009 04:06:24 PM Central Daylight Time	07/21/2009 09:54:20 AM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3921	803	0	2010	PA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H3921	804	0	1	04	01	H3921_804_0	4	08/06/2009	2010.02	08/06/2009 04:06:12 PM Central Daylight Time	07/21/2009 09:54:40 AM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H3921	804	0	2010	PA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H3923	013	0	1	04	01	H3923_013_0	9	07/28/2009	2010.02	07/28/2009 10:45:51 AM Eastern Daylight Time	07/28/2009 12:22:22 PM Eastern Daylight Time	07/24/2009 05:41:44 PM Eastern Daylight Time		07/28/2009 12:27:35 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	SeniorBlue - Option 2 (PPO)	01	04		1			H3923	013	0	2010	21 Counties in Central PA		2	1470	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3923	017	0	1	04	01	H3923_017_0	8	07/28/2009	2010.02	07/28/2009 10:46:02 AM Eastern Daylight Time	07/25/2009 07:31:51 PM Eastern Daylight Time	07/24/2009 06:04:41 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	SeniorBlue - Option 1 (PPO)	01	04		1			H3923	017	0	2010	21 Counties in Central PA		2	3897	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3923	021	0	1	04	01	H3923_021_0	8	07/28/2009	2010.02	07/28/2009 10:46:13 AM Eastern Daylight Time	07/25/2009 07:34:11 PM Eastern Daylight Time	07/24/2009 06:08:46 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	SeniorBlue - Option 3 (PPO)	01	04		1			H3923	021	0	2010	21 Counties in Central PA		2	273	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3923	801	0	1	04	01	H3923_801_0	6	07/15/2009	2010.02	07/15/2009 04:35:21 PM Eastern Daylight Time	06/02/2009 02:53:13 AM Eastern Daylight Time			07/24/2009 05:59:44 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER with Rx (PPO)	01	04		1			H3923	801	0	2010	National		1	3783	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3923	802	0	1	04	01	H3923_802_0	6	07/15/2009	2010.02	07/15/2009 04:35:36 PM Eastern Daylight Time	06/02/2009 02:54:40 AM Eastern Daylight Time			07/24/2009 05:59:44 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER w/o Rx (PPO)	01	04		1			H3923	802	0	2010	National		1	100	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961										1		
H3923	803	0	1	04	01	H3923_803_0	6	07/15/2009	2010.02	07/15/2009 04:35:46 PM Eastern Daylight Time	06/02/2009 02:56:13 AM Eastern Daylight Time			07/24/2009 05:59:44 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER Non-Calendar w Rx (PPO)	01	04		1			H3923	803	0	2010	National		1	100	2				2							https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3924	001	0	1	04	01	H3924_001_0	3	05/30/2009	2010.02	05/30/2009 07:44:03 AM Eastern Daylight Time	07/20/2009 10:39:41 AM Eastern Daylight Time			07/20/2009 01:55:19 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred (PPO)	01	04		1			H3924	001	0	2010	Central PA - Region 1		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3924	002	0	1	04	01	H3924_002_0	4	05/30/2009	2010.02	05/30/2009 07:43:29 AM Eastern Daylight Time	08/18/2009 11:58:38 AM Eastern Daylight Time	08/18/2009 12:01:42 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred Standard Rx (PPO)	01	04		1			H3924	002	0	2010	Central PA - Region 1		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	003	0	1	04	01	H3924_003_0	4	05/30/2009	2010.02	05/30/2009 07:48:34 AM Eastern Daylight Time	08/18/2009 11:58:39 AM Eastern Daylight Time	08/18/2009 12:01:43 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred $0 Deductible Rx (PPO)	01	04		1			H3924	003	0	2010	Central PA - Region 1		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	017	0	1	04	01	H3924_017_0	3	05/30/2009	2010.02	05/30/2009 07:39:54 AM Eastern Daylight Time	07/20/2009 10:39:45 AM Eastern Daylight Time			07/20/2009 01:55:19 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred (PPO)	01	04		1			H3924	017	0	2010	Central PA - Region 2		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3924	018	0	1	04	01	H3924_018_0	4	05/30/2009	2010.02	05/30/2009 07:56:40 AM Eastern Daylight Time	08/18/2009 11:58:40 AM Eastern Daylight Time	08/18/2009 12:01:44 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred Standard Rx (PPO)	01	04		1			H3924	018	0	2010	Central PA - Region 2		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	019	0	1	04	01	H3924_019_0	4	05/30/2009	2010.02	05/30/2009 07:58:04 AM Eastern Daylight Time	08/18/2009 11:58:42 AM Eastern Daylight Time	08/18/2009 12:01:44 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred $0 Deductible Rx (PPO)	01	04		1			H3924	019	0	2010	Central PA - Region 2		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	021	0	1	04	01	H3924_021_0	3	05/30/2009	2010.02	05/30/2009 07:30:56 AM Eastern Daylight Time	07/20/2009 10:39:50 AM Eastern Daylight Time			07/20/2009 01:55:19 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred (PPO)	01	04		1			H3924	021	0	2010	Counties: Adams, Dauphin, Lancaster, Lebanon, York		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3924	022	0	1	04	01	H3924_022_0	4	05/30/2009	2010.02	05/30/2009 07:57:05 AM Eastern Daylight Time	08/18/2009 11:58:43 AM Eastern Daylight Time	08/18/2009 12:01:45 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred Standard Rx (PPO)	01	04		1			H3924	022	0	2010	Counties: Adams, Dauphin, Lancaster, Lebanon, York		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	023	0	1	04	01	H3924_023_0	4	05/30/2009	2010.02	05/30/2009 07:58:31 AM Eastern Daylight Time	08/18/2009 11:58:45 AM Eastern Daylight Time	08/18/2009 12:01:46 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred $0 Deductible Rx (PPO)	01	04		1			H3924	023	0	2010	Counties: Adams, Dauphin, Lancaster, Lebanon, York		2		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3924	801	0	1	04	01	H3924_801_0	1	05/30/2009	2010.02	05/30/2009 02:29:24 PM Eastern Daylight Time	05/31/2009 04:04:55 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred (Employer Group) (PPO)	01	04		1			H3924	801	0	2010	Pennsylvania		1		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3924	802	0	1	04	01	H3924_802_0	1	05/30/2009	2010.02	05/30/2009 05:50:54 PM Eastern Daylight Time	05/31/2009 04:04:57 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred Rx (Employer Group) (PPO)	01	04		1			H3924	802	0	2010	Pennsylvania		1		2				2						www.geisingergold.com	https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3925	001	0	1	20	08	H3925_001_0	2	10/13/2009	2010.02	10/13/2009 08:33:48 PM Eastern Daylight Time		10/13/2009 08:24:17 PM Eastern Daylight Time		10/13/2009 08:37:25 PM Eastern Daylight Time	PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown	www.seniorlifejohnstown.com	PA PACE 001 (PACE)	08	20		1			H3925	001	0	2010	Cambria Somerset PACE Senior LIFE JTown		2	175	1	1			2							NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1		
H3925	002	0	1	20	08	H3925_002_0	3	10/13/2009	2010.02	10/13/2009 08:35:29 PM Eastern Daylight Time		10/13/2009 08:22:22 PM Eastern Daylight Time		10/13/2009 08:55:44 PM Eastern Daylight Time	PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown	www.seniorlifejohnstown.com	PA PACE 002 (PACE)	08	20		1			H3925	002	0	2010	Cambria Somerset PACE Senior LIFE JTown		2	0	1	1			2							NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1		
H3931	004	0	1	01	01	H3931_004_0	5	08/19/2009	2010.02	08/19/2009 12:43:07 PM Eastern Daylight Time	08/18/2009 10:16:26 AM Eastern Daylight Time	08/17/2009 02:46:24 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3931	004	0	2010	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	054	0	1	01	01	H3931_054_0	3	07/24/2009	2010.02	07/24/2009 06:52:39 AM Eastern Daylight Time	07/20/2009 10:23:36 AM Eastern Daylight Time			07/24/2009 11:26:06 AM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3931	054	0	2010	Philadelphia County and Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3931	055	0	1	01	01	H3931_055_0	3	07/24/2009	2010.02	07/24/2009 06:52:43 AM Eastern Daylight Time	07/20/2009 10:25:04 AM Eastern Daylight Time			07/24/2009 11:26:06 AM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3931	055	0	2010	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3931	058	0	1	01	01	H3931_058_0	5	08/19/2009	2010.02	08/19/2009 12:43:19 PM Eastern Daylight Time	08/18/2009 10:31:28 AM Eastern Daylight Time	08/17/2009 02:46:54 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3931	058	0	2010	Philadelphia County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	064	0	1	01	01	H3931_064_0	5	08/19/2009	2010.02	08/19/2009 12:43:34 PM Eastern Daylight Time	08/18/2009 11:40:41 AM Eastern Daylight Time	08/17/2009 02:47:22 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	064	0	2010	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	065	0	1	01	01	H3931_065_0	5	08/19/2009	2010.02	08/19/2009 12:43:47 PM Eastern Daylight Time	08/18/2009 12:08:51 PM Eastern Daylight Time	08/17/2009 02:47:58 PM Eastern Daylight Time		08/20/2009 08:34:26 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	065	0	2010	Philadelphia County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	070	0	1	01	01	H3931_070_0	6	08/19/2009	2010.02	08/19/2009 12:44:59 PM Eastern Daylight Time	08/18/2009 12:14:46 PM Eastern Daylight Time	08/24/2009 06:30:35 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	070	0	2010	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	077	0	1	01	01	H3931_077_0	6	08/19/2009	2010.02	08/19/2009 12:45:39 PM Eastern Daylight Time	08/18/2009 12:25:33 PM Eastern Daylight Time	08/25/2009 10:43:38 AM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3931	077	0	2010	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3931	801	0	1	01	01	H3931_801_0	4	05/19/2009	2010.02	05/19/2009 01:27:34 PM Eastern Daylight Time	06/01/2009 12:17:40 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3931	801	0	2010	Pennsylvania		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H3931	804	0	1	01	01	H3931_804_0	3	05/19/2009	2010.02	05/19/2009 01:29:45 PM Eastern Daylight Time	06/01/2009 12:22:13 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3931	804	0	2010	Pennsylvania		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H3942	001	0	1	20	08	H3942_001_0	3	05/20/2009	2010.02	05/20/2009 01:18:29 PM Eastern Daylight Time		05/18/2009 08:42:59 AM Eastern Daylight Time		05/20/2009 01:32:54 PM Eastern Daylight Time	ELDERHAUS INC.	Elderhaus PACE	http://www.elderhaus.com	Elderhaus PACE (PACE)	08	20		1			H3942	001	0	2010	Elderhaus PACE		2	40	2				2							www.elderhaus.com									(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209																		1		
H3942	002	0	1	20	08	H3942_002_0	3	05/20/2009	2010.02	05/20/2009 01:19:46 PM Eastern Daylight Time		05/18/2009 08:42:59 AM Eastern Daylight Time		05/20/2009 01:32:54 PM Eastern Daylight Time	ELDERHAUS INC.	Elderhaus PACE	http://www.elderhaus.com	Elderhaus PACE (PACE)	08	20		1			H3942	002	0	2010	Elderhaus PACE		2	2	2				2							www.elderhaus.com									(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209																		1		
H3949	002	0	1	01	01	H3949_002_0	3	08/18/2009	2010.02	08/18/2009 09:35:48 AM Eastern Daylight Time	08/19/2009 01:06:44 PM Eastern Daylight Time	08/14/2009 11:25:18 AM Eastern Daylight Time		08/20/2009 06:42:40 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H3949	002	0	2010	Philadelphia and Pittsburgh Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	009	0	1	01	01	H3949_009_0	1	05/22/2009	2010.02	05/22/2009 05:15:32 PM Eastern Daylight Time	05/29/2009 03:43:48 PM Eastern Daylight Time	05/25/2009 01:28:52 PM Eastern Daylight Time		05/30/2009 11:41:16 AM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H3949	009	0	2010	Allegheny, Philadelphia and surrounding Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	013	0	1	01	01	H3949_013_0	2	08/18/2009	2010.02	08/18/2009 09:36:33 AM Eastern Daylight Time	08/19/2009 01:17:26 PM Eastern Daylight Time	08/14/2009 11:26:02 AM Eastern Daylight Time		08/20/2009 06:42:40 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Premier (HMO)	01	01		1			H3949	013	0	2010	Philadelphia and Pittsburgh Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	016	0	1	01	01	H3949_016_0	2	05/22/2009	2010.02	05/22/2009 02:42:24 PM Eastern Daylight Time	08/20/2009 07:09:24 PM Eastern Daylight Time	08/20/2009 02:06:45 PM Eastern Daylight Time		08/24/2009 02:47:50 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO)	01	01		1			H3949	016	0	2010	Select PA counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	022	0	1	01	01	H3949_022_0	3	08/24/2009	2010.02	08/24/2009 01:16:24 PM Eastern Daylight Time	08/20/2009 08:11:58 AM Eastern Daylight Time	08/14/2009 11:26:44 AM Eastern Daylight Time		08/24/2009 02:47:50 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H3949	022	0	2010	Central PA Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	023	0	1	01	01	H3949_023_0	2	05/22/2009	2010.02	05/22/2009 02:43:32 PM Eastern Daylight Time	08/20/2009 08:08:12 AM Eastern Daylight Time	08/20/2009 02:06:45 PM Eastern Daylight Time		08/24/2009 02:47:50 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H3949	023	0	2010	Select PA counties		2		2		2		1	3		1	4		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	024	0	1	01	01	H3949_024_0	2	08/18/2009	2010.02	08/18/2009 09:38:30 AM Eastern Daylight Time	08/19/2009 01:37:10 PM Eastern Daylight Time	08/14/2009 11:27:36 AM Eastern Daylight Time		08/20/2009 06:42:40 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H3949	024	0	2010	Philadelphia and Pittsburgh Metro Areas		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3949	025	0	1	01	01	H3949_025_0	3	08/18/2009	2010.02	08/18/2009 09:39:20 AM Eastern Daylight Time	08/20/2009 08:02:04 AM Eastern Daylight Time	08/14/2009 11:27:52 AM Eastern Daylight Time		08/24/2009 02:47:50 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H3949	025	0	2010	Central PA Counties		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-291-0396		(800)-291-0396		(866)-464-0703		(866)-464-0703		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3952	008	0	1	01	01	H3952_008_0	4	09/24/2009	2010.02	09/24/2009 10:24:21 AM Eastern Daylight Time	07/27/2009 10:41:57 AM Eastern Daylight Time			09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Medical Only (HMO)	01	01		1			H3952	008	0	2010	Bucks, Philadelphia Counties		2	22727	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3952	020	0	1	01	01	H3952_020_0	7	09/24/2009	2010.02	09/24/2009 10:24:41 AM Eastern Daylight Time	08/14/2009 11:16:36 AM Eastern Daylight Time	08/14/2009 09:42:47 AM Eastern Daylight Time		09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Rx (HMO)	01	01		1			H3952	020	0	2010	Bucks, Philadelphia Counties		2	22727	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3952	042	0	1	01	01	H3952_042_0	7	09/24/2009	2010.02	09/24/2009 10:25:03 AM Eastern Daylight Time	08/27/2009 12:24:06 PM Eastern Daylight Time			09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Medical Only (HMO)	01	01		1			H3952	042	0	2010	Bucks, Philadelphia Counties		2	939	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3952	043	0	1	01	01	H3952_043_0	9	09/24/2009	2010.02	09/24/2009 10:25:26 AM Eastern Daylight Time	08/27/2009 12:31:48 PM Eastern Daylight Time	08/14/2009 09:44:41 AM Eastern Daylight Time		09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Rx (HMO)	01	01		1			H3952	043	0	2010	Bucks, Philadelphia Counties		2	939	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3952	044	0	1	01	01	H3952_044_0	4	09/24/2009	2010.02	09/24/2009 10:25:52 AM Eastern Daylight Time	07/27/2009 10:46:24 AM Eastern Daylight Time			09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Medical Only (HMO)	01	01		1			H3952	044	0	2010	Chester, Delaware, Montgomery Counties		2	22727	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3952	045	0	1	01	01	H3952_045_0	5	09/24/2009	2010.02	09/24/2009 10:26:13 AM Eastern Daylight Time	08/14/2009 11:18:50 AM Eastern Daylight Time	08/14/2009 09:43:43 AM Eastern Daylight Time		09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Rx (HMO)	01	01		1			H3952	045	0	2010	Chester, Delaware, Montgomery Counties		2	22727	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3952	046	0	1	01	01	H3952_046_0	7	09/24/2009	2010.02	09/24/2009 10:26:40 AM Eastern Daylight Time	08/27/2009 01:09:51 PM Eastern Daylight Time			09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Medical Only (HMO)	01	01		1			H3952	046	0	2010	Chester, Delaware, Montgomery Counties		2	939	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3952	047	0	1	01	01	H3952_047_0	7	09/24/2009	2010.02	09/24/2009 10:27:07 AM Eastern Daylight Time	08/27/2009 12:30:03 PM Eastern Daylight Time	08/14/2009 09:45:22 AM Eastern Daylight Time		09/24/2009 02:50:00 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Rx (HMO)	01	01		1			H3952	047	0	2010	Chester, Delaware, Montgomery Counties		2	939	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3952	802	0	1	01	01	H3952_802_0	2	07/29/2009	2010.02	07/29/2009 02:09:02 PM Eastern Daylight Time	07/27/2009 01:25:12 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Group Medical Only (HMO)	01	01		1			H3952	802	0	2010	Bucks,Chester,Delaware,Montgomery,Phila Cty		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1		
H3952	804	0	1	01	01	H3952_804_0	2	07/29/2009	2010.02	07/29/2009 02:09:15 PM Eastern Daylight Time	07/27/2009 01:26:34 PM Eastern Daylight Time			07/29/2009 02:59:56 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Group Rx (HMO)	01	01		1			H3952	804	0	2010	Bucks,Chester,Delaware, Montgomery,Phila Cty		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1		
H3954	003	0	1	01	01	H3954_003_0	2	05/29/2009	2010.02	05/29/2009 02:57:13 PM Eastern Daylight Time	05/31/2009 11:36:40 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	003	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	004	0	1	01	01	H3954_004_0	2	05/29/2009	2010.02	05/30/2009 09:12:43 AM Eastern Daylight Time	05/31/2009 11:36:59 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	004	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	005	0	1	01	01	H3954_005_0	2	05/29/2009	2010.02	05/30/2009 09:13:05 AM Eastern Daylight Time	05/31/2009 11:37:00 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	005	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	007	0	1	01	01	H3954_007_0	2	05/29/2009	2010.02	05/30/2009 09:13:29 AM Eastern Daylight Time	05/31/2009 11:37:02 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	007	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	009	0	1	01	01	H3954_009_0	2	05/29/2009	2010.02	05/29/2009 03:52:58 PM Eastern Daylight Time	05/31/2009 11:37:03 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	009	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	010	0	1	01	01	H3954_010_0	2	05/29/2009	2010.02	05/30/2009 11:54:21 AM Eastern Daylight Time	05/31/2009 11:37:05 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	010	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	011	0	1	01	01	H3954_011_0	2	05/29/2009	2010.02	05/30/2009 12:00:37 PM Eastern Daylight Time	05/31/2009 11:37:06 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	011	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	013	0	1	01	01	H3954_013_0	2	05/29/2009	2010.02	05/30/2009 12:05:03 PM Eastern Daylight Time	05/31/2009 11:37:08 AM Eastern Daylight Time			05/31/2009 12:12:58 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	013	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	015	0	1	01	01	H3954_015_0	2	05/29/2009	2010.02	05/30/2009 12:09:16 PM Eastern Daylight Time	05/31/2009 01:01:42 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	015	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	018	0	1	01	01	H3954_018_0	2	05/29/2009	2010.02	05/30/2009 12:13:34 PM Eastern Daylight Time	05/31/2009 01:01:43 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	018	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	019	0	1	01	01	H3954_019_0	2	05/29/2009	2010.02	05/30/2009 12:17:46 PM Eastern Daylight Time	05/31/2009 01:01:45 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	019	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	020	0	1	01	01	H3954_020_0	3	05/30/2009	2010.02	05/30/2009 10:18:41 AM Eastern Daylight Time	08/18/2009 11:58:47 AM Eastern Daylight Time	08/18/2009 12:01:46 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	020	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	021	0	1	01	01	H3954_021_0	4	06/09/2009	2010.02	06/09/2009 11:12:07 AM Eastern Daylight Time	08/18/2009 11:58:48 AM Eastern Daylight Time	08/18/2009 12:01:47 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	021	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	023	0	1	01	01	H3954_023_0	3	05/30/2009	2010.02	05/30/2009 10:25:44 AM Eastern Daylight Time	08/18/2009 11:58:50 AM Eastern Daylight Time	08/18/2009 12:01:48 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	023	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	024	0	1	01	01	H3954_024_0	4	06/09/2009	2010.02	06/09/2009 11:25:56 AM Eastern Daylight Time	08/18/2009 11:58:51 AM Eastern Daylight Time	08/18/2009 12:01:48 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	024	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	026	0	1	01	01	H3954_026_0	3	05/30/2009	2010.02	05/30/2009 10:26:06 AM Eastern Daylight Time	08/18/2009 11:58:53 AM Eastern Daylight Time	08/18/2009 12:01:49 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	026	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	027	0	1	01	01	H3954_027_0	4	06/09/2009	2010.02	06/09/2009 11:25:59 AM Eastern Daylight Time	08/18/2009 11:58:55 AM Eastern Daylight Time	08/18/2009 12:01:50 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	027	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	032	0	1	01	01	H3954_032_0	3	05/30/2009	2010.02	05/30/2009 10:26:29 AM Eastern Daylight Time	08/18/2009 11:58:56 AM Eastern Daylight Time	08/18/2009 12:01:51 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	032	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	033	0	1	01	01	H3954_033_0	5	06/09/2009	2010.02	06/09/2009 11:26:03 AM Eastern Daylight Time	08/18/2009 11:58:57 AM Eastern Daylight Time	08/21/2009 04:21:47 PM Eastern Daylight Time		08/21/2009 04:25:00 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	033	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	038	0	1	01	01	H3954_038_0	3	05/30/2009	2010.02	05/30/2009 10:38:28 AM Eastern Daylight Time	08/18/2009 11:58:59 AM Eastern Daylight Time	08/18/2009 12:01:52 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	038	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	039	0	1	01	01	H3954_039_0	4	06/09/2009	2010.02	06/09/2009 11:26:06 AM Eastern Daylight Time	08/18/2009 11:59:01 AM Eastern Daylight Time	08/18/2009 12:01:53 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	039	0	2010	Counties: Cli, Col, Lyc, Mont, Pot, Sch, Sny, Uni		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	041	0	1	01	01	H3954_041_0	3	05/30/2009	2010.02	05/30/2009 01:03:22 PM Eastern Daylight Time	08/18/2009 11:59:02 AM Eastern Daylight Time	08/18/2009 12:01:53 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	041	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	042	0	1	01	01	H3954_042_0	4	06/09/2009	2010.02	06/09/2009 11:26:10 AM Eastern Daylight Time	08/18/2009 11:59:04 AM Eastern Daylight Time	08/18/2009 12:01:54 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	042	0	2010	Wyoming County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	044	0	1	01	01	H3954_044_0	3	05/30/2009	2010.02	05/30/2009 01:05:54 PM Eastern Daylight Time	08/18/2009 11:59:06 AM Eastern Daylight Time	08/18/2009 12:01:55 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	044	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	045	0	1	01	01	H3954_045_0	4	06/09/2009	2010.02	06/09/2009 11:26:13 AM Eastern Daylight Time	08/18/2009 11:59:07 AM Eastern Daylight Time	08/18/2009 12:01:55 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	045	0	2010	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	050	0	1	01	01	H3954_050_0	3	05/30/2009	2010.02	05/30/2009 01:08:45 PM Eastern Daylight Time	08/18/2009 11:59:09 AM Eastern Daylight Time	08/18/2009 12:01:56 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	050	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	051	0	1	01	01	H3954_051_0	4	06/09/2009	2010.02	06/09/2009 11:26:16 AM Eastern Daylight Time	08/18/2009 11:59:10 AM Eastern Daylight Time	08/18/2009 12:01:57 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	051	0	2010	Cen, Cle, Cum, Dau, Lan, Leb, Jef, Mif, Per County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	056	0	1	01	01	H3954_056_0	3	05/30/2009	2010.02	05/30/2009 01:12:02 PM Eastern Daylight Time	08/18/2009 11:59:11 AM Eastern Daylight Time	08/18/2009 12:01:57 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	056	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	057	0	1	01	01	H3954_057_0	4	06/09/2009	2010.02	06/09/2009 11:26:20 AM Eastern Daylight Time	08/18/2009 11:59:13 AM Eastern Daylight Time	08/18/2009 12:01:58 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	057	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	059	0	1	01	01	H3954_059_0	3	05/30/2009	2010.02	05/30/2009 01:16:38 PM Eastern Daylight Time	08/18/2009 11:59:14 AM Eastern Daylight Time	08/18/2009 12:01:59 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	059	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	060	0	1	01	01	H3954_060_0	4	06/09/2009	2010.02	06/09/2009 11:26:23 AM Eastern Daylight Time	08/18/2009 11:59:16 AM Eastern Daylight Time	08/18/2009 12:01:59 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	060	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	062	0	1	01	01	H3954_062_0	3	05/30/2009	2010.02	05/30/2009 01:20:58 PM Eastern Daylight Time	08/18/2009 11:59:17 AM Eastern Daylight Time	08/18/2009 12:02:00 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	062	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	063	0	1	01	01	H3954_063_0	4	06/09/2009	2010.02	06/09/2009 11:26:27 AM Eastern Daylight Time	08/18/2009 11:59:19 AM Eastern Daylight Time	08/18/2009 12:02:01 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	063	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	089	0	1	01	01	H3954_089_0	2	05/29/2009	2010.02	05/30/2009 12:22:02 PM Eastern Daylight Time	05/31/2009 01:01:15 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	089	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	090	0	1	01	01	H3954_090_0	3	05/30/2009	2010.02	05/30/2009 01:21:12 PM Eastern Daylight Time	08/18/2009 11:59:21 AM Eastern Daylight Time	08/18/2009 12:02:01 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 Standard Rx (HMO)	01	01		1			H3954	090	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	091	0	1	01	01	H3954_091_0	4	06/09/2009	2010.02	06/09/2009 11:26:30 AM Eastern Daylight Time	08/18/2009 11:59:22 AM Eastern Daylight Time	08/18/2009 12:02:02 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	091	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	097	0	1	01	01	H3954_097_0	5	08/21/2009	2010.02	08/21/2009 12:11:49 PM Eastern Daylight Time	08/18/2009 11:59:24 AM Eastern Daylight Time	08/18/2009 12:02:03 PM Eastern Daylight Time		08/21/2009 12:42:09 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 1 (HMO)	01	01		1			H3954	097	0	2010	Central Pennsylvania		2		2		2		1	3		1	2		https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	098	0	1	01	01	H3954_098_0	3	05/30/2009	2010.02	05/30/2009 10:04:08 AM Eastern Daylight Time	07/24/2009 03:47:34 PM Eastern Daylight Time			08/12/2009 05:48:12 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 3 (HMO)	01	01		1			H3954	098	0	2010	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	099	0	1	01	01	H3954_099_0	4	05/30/2009	2010.02	05/30/2009 10:02:46 AM Eastern Daylight Time	08/18/2009 11:59:25 AM Eastern Daylight Time	08/18/2009 12:02:03 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 3 Standard Rx (HMO)	01	01		1			H3954	099	0	2010	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	100	0	1	01	01	H3954_100_0	5	06/09/2009	2010.02	06/09/2009 11:26:34 AM Eastern Daylight Time	08/18/2009 11:59:26 AM Eastern Daylight Time	08/18/2009 12:02:04 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 3 $0 Deductible Rx (HMO)	01	01		1			H3954	100	0	2010	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	106	0	1	01	01	H3954_106_0	6	06/01/2009	2010.02	06/01/2009 01:18:09 PM Eastern Daylight Time	08/18/2009 11:59:28 AM Eastern Daylight Time	08/18/2009 12:02:05 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 2 (HMO)	01	01		1			H3954	106	0	2010	Central Pennsylvania		2		2				1	1	1	1			https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	110	0	1	01	01	H3954_110_0	2	05/29/2009	2010.02	05/30/2009 09:13:52 AM Eastern Daylight Time	05/31/2009 01:01:24 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	110	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	111	0	1	01	01	H3954_111_0	3	05/30/2009	2010.02	05/30/2009 10:26:52 AM Eastern Daylight Time	08/18/2009 11:59:29 AM Eastern Daylight Time	08/18/2009 12:02:06 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	111	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	112	0	1	01	01	H3954_112_0	4	06/09/2009	2010.02	06/09/2009 11:26:37 AM Eastern Daylight Time	08/18/2009 11:59:31 AM Eastern Daylight Time	08/18/2009 12:01:35 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	112	0	2010	Adams, Sullivan, Susquehanna and York Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	113	0	1	01	01	H3954_113_0	2	05/29/2009	2010.02	05/30/2009 09:14:17 AM Eastern Daylight Time	05/31/2009 01:01:29 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	113	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	114	0	1	01	01	H3954_114_0	3	05/30/2009	2010.02	05/30/2009 10:27:14 AM Eastern Daylight Time	08/18/2009 11:59:32 AM Eastern Daylight Time	08/18/2009 12:01:35 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	114	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	115	0	1	01	01	H3954_115_0	4	06/09/2009	2010.02	06/09/2009 11:26:40 AM Eastern Daylight Time	08/18/2009 11:59:34 AM Eastern Daylight Time	08/18/2009 12:01:36 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	115	0	2010	Berks Lehigh Northampton Northumberland Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	122	0	1	01	01	H3954_122_0	2	05/29/2009	2010.02	05/30/2009 09:14:42 AM Eastern Daylight Time	05/31/2009 01:01:33 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	122	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	123	0	1	01	01	H3954_123_0	3	05/30/2009	2010.02	05/30/2009 10:27:36 AM Eastern Daylight Time	08/18/2009 11:59:36 AM Eastern Daylight Time	08/18/2009 12:01:37 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	123	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	124	0	1	01	01	H3954_124_0	4	06/09/2009	2010.02	06/09/2009 11:26:44 AM Eastern Daylight Time	08/18/2009 11:59:37 AM Eastern Daylight Time	08/18/2009 12:01:37 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	124	0	2010	Blair, Cambria, Huntingdon and Juniata Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	125	0	1	01	01	H3954_125_0	2	05/29/2009	2010.02	05/30/2009 09:15:04 AM Eastern Daylight Time	05/31/2009 01:01:37 PM Eastern Daylight Time			05/31/2009 01:13:20 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	125	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	126	0	1	01	01	H3954_126_0	3	05/30/2009	2010.02	05/30/2009 10:27:58 AM Eastern Daylight Time	08/18/2009 11:59:39 AM Eastern Daylight Time	08/18/2009 12:01:38 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 Standard Rx (HMO)	01	01		1			H3954	126	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	127	0	1	01	01	H3954_127_0	4	06/09/2009	2010.02	06/09/2009 11:26:47 AM Eastern Daylight Time	08/18/2009 11:59:40 AM Eastern Daylight Time	08/18/2009 12:01:39 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	127	0	2010	Carbon, Monroe, Pike and Wayne Counties		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	134	0	1	01	01	H3954_134_0	6	06/01/2009	2010.02	06/01/2009 12:47:42 PM Eastern Daylight Time	08/18/2009 11:59:42 AM Eastern Daylight Time	08/18/2009 12:01:39 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 3 (HMO)	01	01		1			H3954	134	0	2010	Central PA - Region 1		2		2				1	4		1		000010100000000	https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	135	0	1	01	01	H3954_135_0	5	06/01/2009	2010.02	06/01/2009 12:48:05 PM Eastern Daylight Time	08/18/2009 11:59:43 AM Eastern Daylight Time	08/18/2009 12:01:40 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 3 (HMO)	01	01		1			H3954	135	0	2010	Central PA - Region 2		2		2				1	4		1		000010100000000	https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3954	801	0	1	01	01	H3954_801_0	1	05/30/2009	2010.02	05/30/2009 02:32:54 PM Eastern Daylight Time	05/31/2009 04:05:02 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic (Employer Group) (HMO)	01	01		1			H3954	801	0	2010	Pennsylvania		1		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H3954	802	0	1	01	01	H3954_802_0	1	05/30/2009	2010.02	05/30/2009 05:53:32 PM Eastern Daylight Time	05/31/2009 04:05:03 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic Rx (Employer Group) (HMO)	01	01		1			H3954	802	0	2010	Central Pennsylvania		1		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/formulary/index.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H3957	003	0	1	01	01	H3957_003_0	7	07/23/2009	2010.02	07/23/2009 11:57:45 AM Eastern Daylight Time	08/17/2009 04:57:05 PM Eastern Daylight Time	08/14/2009 09:21:12 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Standard (HMO)	01	01		1			H3957	003	0	2010	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	006	0	1	01	01	H3957_006_0	10	07/23/2009	2010.02	07/23/2009 11:57:55 AM Eastern Daylight Time	08/17/2009 05:18:16 PM Eastern Daylight Time	08/14/2009 09:22:14 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Standard (HMO)	01	01		1			H3957	006	0	2010	Bedford, Blair, Crawford, Erie, Mercer, Somerset		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	020	0	1	01	01	H3957_020_0	9	07/23/2009	2010.02	07/23/2009 11:59:24 AM Eastern Daylight Time	08/17/2009 04:55:40 PM Eastern Daylight Time	08/14/2009 09:23:23 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Deluxe (HMO)	01	01		1			H3957	020	0	2010	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	021	0	1	01	01	H3957_021_0	9	07/23/2009	2010.02	07/23/2009 11:59:34 AM Eastern Daylight Time	08/17/2009 05:21:02 PM Eastern Daylight Time	08/14/2009 09:24:19 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Deluxe (HMO)	01	01		1			H3957	021	0	2010	Bedford, Blair, Crawford, Erie, Mercer, Somerset		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	024	0	1	01	01	H3957_024_0	7	08/19/2009	2010.02	08/19/2009 09:48:37 AM Eastern Daylight Time	07/15/2009 11:33:58 AM Eastern Daylight Time			08/20/2009 11:30:17 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Value (HMO)	01	01		1			H3957	024	0	2010	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343										(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709										1		
H3957	025	0	1	01	01	H3957_025_0	7	08/19/2009	2010.02	08/19/2009 09:48:02 AM Eastern Daylight Time	07/15/2009 11:34:24 AM Eastern Daylight Time			08/20/2009 11:30:17 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Value (HMO)	01	01		1			H3957	025	0	2010	Bedford, Blair, Crawford, Erie, Mercer, Somerset		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343										(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709										1		
H3957	030	0	1	01	01	H3957_030_0	7	07/23/2009	2010.02	07/23/2009 12:00:11 PM Eastern Daylight Time	08/17/2009 05:45:43 PM Eastern Daylight Time	08/14/2009 09:25:16 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Care (HMO)	01	01		1			H3957	030	0	2010	Western Region		2		2		2		1	3		1	3		www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-652-9491		(800)-652-9491		(800)-576-6343		(800)-576-6343		(800)-652-9491		(800)-652-9491		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	031	0	1	01	01	H3957_031_0	9	07/23/2009	2010.02	07/23/2009 12:00:40 PM Eastern Daylight Time	08/17/2009 04:58:30 PM Eastern Daylight Time	08/14/2009 09:26:19 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Basic (HMO)	01	01		1			H3957	031	0	2010	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	032	0	1	01	01	H3957_032_0	9	08/19/2009	2010.02	08/19/2009 09:02:10 AM Eastern Daylight Time	08/17/2009 05:19:43 PM Eastern Daylight Time	08/14/2009 09:28:11 AM Eastern Daylight Time		08/19/2009 09:17:20 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Basic (HMO)	01	01		1			H3957	032	0	2010	Bedford, Blair, Crawford, Erie, Mercer, Somerset		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	805	0	1	01	01	H3957_805_0	3	07/20/2009	2010.02	07/20/2009 09:52:18 AM Eastern Daylight Time	05/31/2009 08:19:32 PM Eastern Daylight Time			07/23/2009 04:34:55 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA (HMO)	01	01		1			H3957	805	0	2010	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343										(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709										1		
H3957	806	0	1	01	01	H3957_806_0	3	07/20/2009	2010.02	07/21/2009 02:05:29 PM Eastern Daylight Time	05/31/2009 08:19:58 PM Eastern Daylight Time			07/23/2009 04:34:55 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA-PD (HMO)	01	01		1			H3957	806	0	2010	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3957	808	0	1	01	01	H3957_808_0	3	07/20/2009	2010.02	07/20/2009 09:52:31 AM Eastern Daylight Time	05/31/2009 08:20:26 PM Eastern Daylight Time			07/23/2009 04:34:55 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA-PD Non-Calendar (HMO)	01	01		1			H3957	808	0	2010	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-935-2583		(800)-935-2583		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		(800)-988-0668		(800)-988-0668		(800)-862-0709		(800)-862-0709		1		
H3959	001	0	1	01	01	H3959_001_0	7	08/20/2009	2010.02	08/20/2009 04:16:29 PM Eastern Daylight Time	08/17/2009 04:15:18 PM Eastern Daylight Time	08/18/2009 10:54:12 AM Eastern Daylight Time		08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	001	0	2010	Allegheny County		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3959	002	0	1	01	01	H3959_002_0	8	08/20/2009	2010.02	08/20/2009 04:17:16 PM Eastern Daylight Time	08/17/2009 04:18:19 PM Eastern Daylight Time	08/18/2009 10:55:26 AM Eastern Daylight Time		08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	002	0	2010	Western Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3959	010	0	1	01	01	H3959_010_0	10	08/20/2009	2010.02	08/20/2009 04:17:52 PM Eastern Daylight Time	08/17/2009 04:23:25 PM Eastern Daylight Time	08/18/2009 10:57:29 AM Eastern Daylight Time		08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Silver (HMO)	01	01		1			H3959	010	0	2010	Allegheny County		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3959	011	0	1	01	01	H3959_011_0	8	08/20/2009	2010.02	08/20/2009 04:18:27 PM Eastern Daylight Time	08/17/2009 04:28:19 PM Eastern Daylight Time	08/18/2009 10:58:49 AM Eastern Daylight Time		08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Silver (HMO)	01	01		1			H3959	011	0	2010	Central and Western Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3959	803	0	1	01	01	H3959_803_0	6	08/20/2009	2010.02	08/20/2009 04:23:38 PM Eastern Daylight Time	06/01/2009 07:09:44 AM Eastern Daylight Time			08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra MA Only (HMO)	01	01		1			H3959	803	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262										1		
H3959	804	0	1	01	01	H3959_804_0	6	08/20/2009	2010.02	08/20/2009 04:23:24 PM Eastern Daylight Time	06/01/2009 06:02:12 AM Eastern Daylight Time			08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	804	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3959	806	0	1	01	01	H3959_806_0	6	08/20/2009	2010.02	08/20/2009 04:23:12 PM Eastern Daylight Time	06/01/2009 06:09:39 AM Eastern Daylight Time			08/20/2009 04:29:10 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	806	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/home.asp?community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H3962	001	0	1	01	01	H3962_001_0	6	07/28/2009	2010.02	07/28/2009 10:45:15 AM Eastern Daylight Time	07/25/2009 07:28:31 PM Eastern Daylight Time	07/24/2009 07:46:26 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue - Option 1 (HMO)	01	01		1			H3962	001	0	2010	16 Counties in Central PA		2	11858	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3962	004	0	1	01	01	H3962_004_0	6	07/28/2009	2010.02	07/28/2009 10:45:26 AM Eastern Daylight Time	07/25/2009 07:29:34 PM Eastern Daylight Time	07/24/2009 07:52:24 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue - Option 2 (HMO)	01	01		1			H3962	004	0	2010	16 Counties in Central PA		2	1459	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3962	007	0	1	01	01	H3962_007_0	6	07/28/2009	2010.02	07/28/2009 10:45:37 AM Eastern Daylight Time	07/25/2009 07:30:41 PM Eastern Daylight Time	07/24/2009 07:56:23 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue - Option 3 (HMO)	01	01		1			H3962	007	0	2010	16 Counties in Central PA		2	100	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
H3962	801	0	1	01	01	H3962_801_0	4	05/11/2009	2010.02	05/11/2009 04:00:55 PM Eastern Daylight Time	06/02/2009 01:28:01 AM Eastern Daylight Time			06/02/2009 02:08:24 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue ER - With Rx (HMO)	01	01		1			H3962	801	0	2010	National		1	3051	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/			(800)-779-6962				(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201				(800)-779-6961				(800)-779-6961				(800)-779-6961				(800)-779-6961		1		
H3962	802	0	1	01	01	H3962_802_0	4	05/11/2009	2010.02	05/11/2009 04:01:31 PM Eastern Daylight Time	06/02/2009 01:30:38 AM Eastern Daylight Time			06/02/2009 02:08:24 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue ER - w/o Rx (HMO)	01	01		1			H3962	802	0	2010	National		1	881	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/			(800)-779-6962				(800)-990-4201												(800)-779-6961				(800)-779-6961										1		
H3962	803	0	1	01	01	H3962_803_0	4	05/11/2009	2010.02	05/11/2009 04:01:32 PM Eastern Daylight Time	06/02/2009 01:32:54 AM Eastern Daylight Time			06/02/2009 02:08:24 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorblue.capbluecross.com	SeniorBlue ER - Non-Calendar - with Rx (HMO)	01	01		1			H3962	803	0	2010	National		1	100	2				2						seniorblue.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/			(800)-779-6962				(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201				(800)-779-6961				(800)-779-6961				(800)-779-6961				(800)-779-6961		1		
H3964	001	0	1	01	01	H3964_001_0	1	05/27/2009	2010.02	05/27/2009 01:38:21 PM Eastern Daylight Time	05/29/2009 03:54:04 PM Eastern Daylight Time			05/29/2009 06:07:19 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Senior Partners	www.mybravohealth.com	Senior Partners Gold (HMO)	01	01		1			H3964	001	0	2010	Philadelphia, Montgomery and Bucks Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561										1		
H3964	002	0	1	01	01	H3964_002_0	3	08/12/2009	2010.02	08/12/2009 07:53:30 AM Eastern Daylight Time	07/22/2009 03:50:00 PM Eastern Daylight Time	05/26/2009 01:16:42 PM Eastern Daylight Time		08/12/2009 07:58:09 AM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Senior Partners	www.mybravohealth.com	Senior Partners Silver (HMO)	01	01		1			H3964	002	0	2010	Philadelphia, Bucks and Montgomery Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H3964	003	0	1	01	01	H3964_003_0	2	05/27/2009	2010.02	05/27/2009 01:38:42 PM Eastern Daylight Time	08/19/2009 12:42:38 PM Eastern Daylight Time	08/14/2009 11:28:46 AM Eastern Daylight Time		08/20/2009 06:42:40 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Senior Partners	www.mybravohealth.com	Senior Partners Gold Rx (HMO)	01	01		1			H3964	003	0	2010	Philadelphia, Montgomery and Bucks Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4003	001	0	1	01	01	H4003_001_0	5	07/09/2009	2010.02	07/09/2009 02:19:45 PM SA Western Standard Time	08/13/2009 06:33:04 PM SA Western Standard Time	08/14/2009 11:52:42 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - ELITE (HMO)	01	01		1			H4003	001	0	2010	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	009	0	1	01	01	H4003_009_0	6	08/03/2009	2010.02	08/03/2009 09:04:41 AM SA Western Standard Time	08/13/2009 06:32:20 PM SA Western Standard Time	08/14/2009 11:53:02 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - SUPREMO (HMO)	01	01		1			H4003	009	0	2010	Puerto Rico		2		2				1	4		1		000110100000000	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	015	0	1	01	01	H4003_015_0	5	07/09/2009	2010.02	07/09/2009 02:20:58 PM SA Western Standard Time	08/13/2009 06:33:54 PM SA Western Standard Time	08/14/2009 11:53:22 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - BASICO SELECT (HMO)	01	01		1			H4003	015	0	2010	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	017	0	1	01	01	H4003_017_0	4	07/09/2009	2010.02	07/09/2009 02:20:58 PM SA Western Standard Time	08/13/2009 06:34:28 PM SA Western Standard Time	08/14/2009 11:53:42 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - DIAMANTE CHOICE (HMO)	01	01		1			H4003	017	0	2010	Puerto Rico		2		2		1	1	1	3		1	3		www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	018	0	1	01	01	H4003_018_0	3	07/27/2009	2010.02	07/27/2009 04:04:07 PM SA Western Standard Time	08/05/2009 03:35:10 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - Original (HMO)	01	01		1			H4003	018	0	2010	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4003	019	0	1	01	01	H4003_019_0	5	07/09/2009	2010.02	07/09/2009 02:20:58 PM SA Western Standard Time	08/17/2009 10:00:20 AM SA Western Standard Time	08/14/2009 11:54:04 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - Unico (HMO)	01	01		1			H4003	019	0	2010	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	020	0	1	01	01	H4003_020_0	3	07/27/2009	2010.02	07/27/2009 04:04:38 PM SA Western Standard Time	08/05/2009 03:33:24 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - VIP (HMO)	01	01		1			H4003	020	0	2010	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4003	801	0	1	01	01	H4003_801_0	4	05/29/2009	2010.02	05/29/2009 05:08:42 PM SA Western Standard Time	08/05/2009 03:23:08 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA FLEX (HMO)	01	01		1			H4003	801	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4003	803	0	1	01	01	H4003_803_0	4	05/29/2009	2010.02	05/29/2009 05:14:55 PM SA Western Standard Time	08/05/2009 03:28:18 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX (HMO)	01	01		1			H4003	803	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	804	0	1	01	01	H4003_804_0	4	05/29/2009	2010.02	05/29/2009 04:58:31 PM SA Western Standard Time	08/05/2009 03:20:04 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX I (HMO)	01	01		1			H4003	804	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	805	0	1	01	01	H4003_805_0	4	05/29/2009	2010.02	05/29/2009 04:57:25 PM SA Western Standard Time	08/05/2009 03:34:06 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA Flex II (HMO)	01	01		1			H4003	805	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4003	806	0	1	01	01	H4003_806_0	4	05/29/2009	2010.02	05/29/2009 04:58:33 PM SA Western Standard Time	08/05/2009 03:27:22 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex II (HMO)	01	01		1			H4003	806	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	807	0	1	01	01	H4003_807_0	4	05/29/2009	2010.02	05/29/2009 04:58:34 PM SA Western Standard Time	08/05/2009 03:26:02 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex III (HMO)	01	01		1			H4003	807	0	2010	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1		
H4003	808	0	1	01	01	H4003_808_0	4	05/29/2009	2010.02	05/29/2009 04:57:32 PM SA Western Standard Time	08/05/2009 03:20:42 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc. -MA Flex III (HMO)	01	01		1			H4003	808	0	2010	MMM Healthcare, Inc.		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4003	809	0	1	01	01	H4003_809_0	4	05/29/2009	2010.02	05/29/2009 04:57:34 PM SA Western Standard Time	08/05/2009 03:22:30 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc - MA Flex IV (HMO)	01	01		1			H4003	809	0	2010	MMM Healthcare, Inc.		1		2				2						www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5470		(787)-620-2397										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1		
H4004	015	0	1	01	01	H4004_015_0	5	07/09/2009	2010.02	07/09/2009 02:20:58 PM SA Western Standard Time	08/17/2009 10:00:44 AM SA Western Standard Time	08/14/2009 11:54:24 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Elite Dorado (HMO)	01	01		1			H4004	015	0	2010	Puerto Rico		2		2				2							http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
H4004	025	0	1	01	01	H4004_025_0	3	07/27/2009	2010.02	07/27/2009 04:04:58 PM SA Western Standard Time	08/05/2009 03:36:34 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Dorado (HMO)	01	01		1			H4004	025	0	2010	Puerto Rico		2		2				2							http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1		
H4004	035	0	1	01	01	H4004_035_0	5	07/09/2009	2010.02	07/09/2009 02:20:59 PM SA Western Standard Time	08/13/2009 06:38:10 PM SA Western Standard Time	08/14/2009 11:54:44 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Medicare en el Hogar Plus (HMO)	01	01		1			H4004	035	0	2010	Puerto Rico		2		2				1	1	1	1				http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
H4004	048	0	1	01	01	H4004_048_0	4	07/09/2009	2010.02	07/09/2009 02:20:59 PM SA Western Standard Time	08/13/2009 06:35:32 PM SA Western Standard Time	08/14/2009 11:55:04 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Premier Preferred (HMO)	01	01		1			H4004	048	0	2010	Puerto Rico		2		2		1	1	1	3		1	3			http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
H4004	049	0	1	01	01	H4004_049_0	5	07/09/2009	2010.02	07/09/2009 02:20:59 PM SA Western Standard Time	08/13/2009 06:39:36 PM SA Western Standard Time	08/14/2009 11:55:26 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Dorado Select (HMO)	01	01		1			H4004	049	0	2010	Puerto Rico		2		2				2							http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
H4004	050	0	1	01	01	H4004_050_0	5	07/09/2009	2010.02	07/09/2009 02:20:59 PM SA Western Standard Time	08/13/2009 06:39:04 PM SA Western Standard Time	08/14/2009 11:55:46 AM SA Western Standard Time		08/17/2009 12:58:36 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Max (HMO)	01	01		1			H4004	050	0	2010	Puerto Rico		2		2				2							http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
H4004	051	0	1	01	01	H4004_051_0	3	07/27/2009	2010.02	07/27/2009 04:05:20 PM SA Western Standard Time	08/05/2009 03:21:50 PM SA Western Standard Time			08/07/2009 10:18:23 AM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Ideal (HMO)	01	01		1			H4004	051	0	2010	Puerto Rico		2		2				2							http://www.pmcpr.org	(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1		
H4005	001	0	1	04	01	H4005_001_0	4	08/20/2009	2010.02	08/20/2009 04:47:58 PM Atlantic Standard Time	07/29/2009 11:12:00 AM Atlantic Standard Time			08/20/2009 06:16:13 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo (PPO)	01	04		1			H4005	001	0	2010	Island of Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059										1		
H4005	003	0	1	04	01	H4005_003_0	4	08/20/2009	2010.02	08/20/2009 04:49:34 PM Atlantic Standard Time	08/20/2009 05:26:45 PM Atlantic Standard Time	08/20/2009 05:28:53 PM Atlantic Standard Time		08/20/2009 06:23:24 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Superior (PPO)	01	04		1			H4005	003	0	2010	Island of Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4005	004	0	1	04	01	H4005_004_0	4	08/20/2009	2010.02	08/20/2009 04:50:15 PM Atlantic Standard Time	08/20/2009 05:03:55 PM Atlantic Standard Time	08/20/2009 05:31:12 PM Atlantic Standard Time		08/20/2009 06:23:24 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus (PPO)	01	04		1			H4005	004	0	2010	Island of Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4005	801	0	1	04	01	H4005_801_0	5	08/21/2009	2010.02	08/21/2009 03:14:38 PM Atlantic Standard Time	08/21/2009 03:17:54 PM Atlantic Standard Time			08/21/2009 03:38:57 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo (PPO)	01	04		1			H4005	801	0	2010	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059										1		
H4005	802	0	1	04	01	H4005_802_0	5	08/21/2009	2010.02	08/21/2009 03:07:32 PM Atlantic Standard Time	08/21/2009 03:10:38 PM Atlantic Standard Time			08/21/2009 03:38:57 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus A (PPO)	01	04		1			H4005	802	0	2010	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4005	804	0	1	04	01	H4005_804_0	5	08/21/2009	2010.02	08/21/2009 02:41:57 PM Atlantic Standard Time	08/21/2009 02:45:07 PM Atlantic Standard Time			08/21/2009 02:49:27 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus B (PPO)	01	04		1			H4005	804	0	2010	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4005	807	0	1	04	01	H4005_807_0	5	08/21/2009	2010.02	08/21/2009 02:58:20 PM Atlantic Standard Time	08/21/2009 03:24:56 PM Atlantic Standard Time			08/21/2009 03:27:07 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple S Medicare ptimo Plus C (PPO)	01	04		1			H4005	807	0	2010	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4006	001	0	1	01	01	H4006_001_0	6	07/28/2009	2010.02	07/28/2009 12:33:11 PM Atlantic Standard Time	07/17/2009 10:30:24 AM Atlantic Standard Time			07/30/2009 11:09:43 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA (HMO)	01	01		1			H4006	001	0	2010	Puerto Rico		2	1500	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182										1		
H4006	007	0	1	01	01	H4006_007_0	10	08/17/2009	2010.02	08/17/2009 10:21:55 AM Atlantic Standard Time	08/17/2009 10:52:04 AM Atlantic Standard Time	08/24/2009 04:39:10 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Premium A (HMO)	01	01		1			H4006	007	0	2010	Puerto Rico		2	25500	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	008	0	1	02	01	H4006_008_0	9	07/28/2009	2010.02	07/28/2009 12:33:37 PM Atlantic Standard Time	08/17/2009 10:57:32 AM Atlantic Standard Time	08/24/2009 04:39:34 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Premium B (HMO-POS)	01	02		1			H4006	008	0	2010	Puerto Rico		2	4100	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	013	0	1	01	01	H4006_013_0	8	07/28/2009	2010.02	07/28/2009 12:33:53 PM Atlantic Standard Time	08/17/2009 11:59:38 AM Atlantic Standard Time	08/24/2009 04:39:52 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Ideal D (HMO)	01	01		1			H4006	013	0	2010	Puerto Rico		2	300	2		1	1	1	3		1	3		www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	015	0	1	01	01	H4006_015_0	8	07/28/2009	2010.02	07/28/2009 12:34:08 PM Atlantic Standard Time	08/17/2009 01:42:00 PM Atlantic Standard Time	08/24/2009 04:40:08 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Ideal C (HMO)	01	01		1			H4006	015	0	2010	Puerto Rico		2	20	2		1	1	1	3		1	3		www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	020	0	1	01	01	H4006_020_0	10	07/28/2009	2010.02	07/28/2009 12:34:30 PM Atlantic Standard Time	08/17/2009 01:44:38 PM Atlantic Standard Time	08/24/2009 04:40:26 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Access (HMO)	01	01		1			H4006	020	0	2010	Puerto Rico		2	2700	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	022	0	1	01	01	H4006_022_0	10	07/28/2009	2010.02	07/28/2009 12:34:46 PM Atlantic Standard Time	08/17/2009 01:46:30 PM Atlantic Standard Time	08/24/2009 04:41:06 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Ideal (HMO)	01	01		1			H4006	022	0	2010	Puerto Rico		2	200	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	803	0	1	01	01	H4006_803_0	2	05/30/2009	2010.02	05/30/2009 09:23:59 AM Atlantic Standard Time	05/28/2009 07:45:02 PM Atlantic Standard Time			05/30/2009 09:37:10 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA Group (HMO)	01	01		1			H4006	803	0	2010	Puerto Rico		1	20	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182										1		
H4006	807	0	1	01	01	H4006_807_0	2	05/30/2009	2010.02	05/30/2009 09:24:25 AM Atlantic Standard Time	05/28/2009 07:46:50 PM Atlantic Standard Time			05/30/2009 09:37:10 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group (C) (HMO)	01	01		1			H4006	807	0	2010	Puerto Rico		1	1500	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	809	0	1	01	01	H4006_809_0	2	05/30/2009	2010.02	05/30/2009 09:24:42 AM Atlantic Standard Time	05/28/2009 07:48:40 PM Atlantic Standard Time			05/30/2009 09:37:10 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group 25 (C) (HMO)	01	01		1			H4006	809	0	2010	Puerto Rico		1	90	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	811	0	1	01	01	H4006_811_0	2	05/30/2009	2010.02	05/30/2009 09:24:58 AM Atlantic Standard Time	05/28/2009 07:50:12 PM Atlantic Standard Time			05/30/2009 09:37:10 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group 50 (C) (HMO)	01	01		1			H4006	811	0	2010	Puerto Rico		1	6800	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4006	813	0	1	01	01	H4006_813_0	2	05/30/2009	2010.02	05/30/2009 09:25:25 AM Atlantic Standard Time	05/28/2009 07:52:28 PM Atlantic Standard Time			05/30/2009 09:37:10 AM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group 94 (C) (HMO)	01	01		1			H4006	813	0	2010	Puerto Rico		1	20	2				2						www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H4007	002	0	1	01	01	H4007_002_0	4	08/19/2009	2010.02	08/19/2009 03:06:44 PM Eastern Daylight Time	08/19/2009 03:49:43 PM Eastern Daylight Time	08/19/2009 01:53:33 PM Eastern Daylight Time		08/20/2009 02:47:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H4007-002 (HMO)	01	01		1			H4007	002	0	2010	Puerto Rico Island Wide		2		2		1	1	1	3		1	2			http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4007	005	0	1	01	01	H4007_005_0	3	08/19/2009	2010.02	08/19/2009 03:08:43 PM Eastern Daylight Time	08/19/2009 03:50:31 PM Eastern Daylight Time	08/19/2009 10:58:24 AM Eastern Daylight Time		08/20/2009 12:38:16 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H4007-005 (HMO)	01	01		1			H4007	005	0	2010	Puerto Rico Island Wide		2		2		1	1	1	3		1	2			http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4007	010	0	1	01	01	H4007_010_0	4	08/18/2009	2010.02	08/18/2009 11:38:02 AM Eastern Daylight Time	08/24/2009 02:20:28 PM Eastern Daylight Time	08/19/2009 10:58:33 AM Eastern Daylight Time		08/24/2009 04:21:16 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus H4007-010 (HMO)	01	01		1			H4007	010	0	2010	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4007	012	0	1	01	01	H4007_012_0	3	08/19/2009	2010.02	08/19/2009 03:08:04 PM Eastern Daylight Time	08/19/2009 03:53:12 PM Eastern Daylight Time	08/19/2009 10:58:41 AM Eastern Daylight Time		08/20/2009 12:38:16 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus H4007-012 (HMO)	01	01		1			H4007	012	0	2010	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4007	801	0	1	01	01	H4007_801_0	3	05/26/2009	2010.02	05/26/2009 04:05:11 PM Eastern Daylight Time	07/21/2009 03:30:00 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	801	0	2010	Puerto Rico Island Wide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4007	802	0	1	01	01	H4007_802_0	2	05/26/2009	2010.02	05/26/2009 04:05:35 PM Eastern Daylight Time	07/21/2009 04:21:36 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	802	0	2010	Puerto Rico Island Wide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1		
H4007	803	0	1	01	01	H4007_803_0	2	05/26/2009	2010.02	05/26/2009 04:05:57 PM Eastern Daylight Time	07/21/2009 04:21:54 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4007	803	0	2010	Puerto Rico Island Wide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4008	001	0	1	09	04	H4008_001_0	5	07/23/2009	2010.02	07/23/2009 08:12:53 AM Eastern Daylight Time	08/19/2009 03:53:59 PM Eastern Daylight Time	08/19/2009 10:58:49 AM Eastern Daylight Time		08/20/2009 03:19:14 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Gold Choice H4008-001 (PFFS)	04	09	2	1			H4008	001	0	2010	Puerto Rico Island Wide		2		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1		
H4008	801	0	1	09	04	H4008_801_0	3	05/26/2009	2010.02	05/26/2009 02:14:11 PM Eastern Daylight Time	07/21/2009 05:23:04 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H4008	801	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4008	802	0	1	09	04	H4008_802_0	3	05/26/2009	2010.02	05/26/2009 02:14:35 PM Eastern Daylight Time	07/21/2009 05:28:22 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H4008	802	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1		
H4008	803	0	1	09	04	H4008_803_0	3	05/26/2009	2010.02	05/26/2009 02:14:55 PM Eastern Daylight Time	07/21/2009 05:29:28 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	1			H4008	803	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4008	805	0	2	09	04	H4008_805_0	4	05/26/2009	2010.02	05/26/2009 02:23:56 PM Eastern Daylight Time	07/21/2009 10:40:26 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H4008	805	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4008	806	0	2	09	04	H4008_806_0	4	05/26/2009	2010.02	05/26/2009 02:24:19 PM Eastern Daylight Time	07/21/2009 10:41:38 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H4008	806	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1		
H4008	807	0	2	09	04	H4008_807_0	4	05/26/2009	2010.02	05/26/2009 02:24:40 PM Eastern Daylight Time	07/21/2009 10:42:54 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance Of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	2	2		H4008	807	0	2010	Nationwide		1		2				2							http://www.humana.com/member/tools/prescription_tools/medicare_drug_list.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560				(800)-722-2850				1		
H4011	001	0	1	04	01	H4011_001_0	4	07/31/2009	2010.02	07/31/2009 01:12:28 PM SA Western Standard Time	07/29/2009 09:29:45 AM SA Western Standard Time			07/31/2009 03:39:31 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Advantage (PPO)	01	04		1			H4011	001	0	2010	Entire Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	003	0	1	04	01	H4011_003_0	6	07/31/2009	2010.02	07/31/2009 01:12:39 PM SA Western Standard Time	08/17/2009 12:25:54 PM SA Western Standard Time	08/14/2009 09:13:56 AM SA Western Standard Time		08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Advantage Plus (PPO)	01	04		1			H4011	003	0	2010	Enitre Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	004	0	1	04	01	H4011_004_0	6	08/19/2009	2010.02	08/19/2009 12:32:44 PM SA Western Standard Time	08/17/2009 12:27:28 PM SA Western Standard Time	08/14/2009 09:13:26 AM SA Western Standard Time		08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Advantage Premium (PPO)	01	04		1			H4011	004	0	2010	Entire Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	801	0	1	04	01	H4011_801_0	5	08/18/2009	2010.02	08/18/2009 02:41:57 PM SA Western Standard Time	05/30/2009 07:40:50 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 1 (PPO)	01	04		1			H4011	801	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	802	0	1	04	01	H4011_802_0	5	08/18/2009	2010.02	08/18/2009 02:50:20 PM SA Western Standard Time	05/30/2009 07:41:28 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 2 (PPO)	01	04		1			H4011	802	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	803	0	1	04	01	H4011_803_0	5	08/18/2009	2010.02	08/18/2009 02:50:27 PM SA Western Standard Time	05/30/2009 07:42:02 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 3 (PPO)	01	04		1			H4011	803	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	805	0	1	04	01	H4011_805_0	5	08/18/2009	2010.02	08/18/2009 02:50:36 PM SA Western Standard Time	05/31/2009 04:06:20 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 5 (PPO)	01	04		1			H4011	805	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	806	0	1	04	01	H4011_806_0	5	08/18/2009	2010.02	08/18/2009 02:52:21 PM SA Western Standard Time	05/30/2009 07:43:08 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 6 (PPO)	01	04		1			H4011	806	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	807	0	1	04	01	H4011_807_0	5	08/18/2009	2010.02	08/18/2009 02:52:30 PM SA Western Standard Time	05/30/2009 07:43:38 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 7 (PPO)	01	04		1			H4011	807	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	809	0	1	04	01	H4011_809_0	5	08/18/2009	2010.02	08/18/2009 02:52:36 PM SA Western Standard Time	05/30/2009 07:44:10 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 9 (PPO)	01	04		1			H4011	809	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	810	0	1	04	01	H4011_810_0	5	08/18/2009	2010.02	08/18/2009 02:52:44 PM SA Western Standard Time	05/30/2009 07:44:40 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 10 (PPO)	01	04		1			H4011	810	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	811	0	1	04	01	H4011_811_0	5	08/18/2009	2010.02	08/18/2009 02:52:51 PM SA Western Standard Time	05/31/2009 04:07:02 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 11 (PPO)	01	04		1			H4011	811	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	813	0	1	04	01	H4011_813_0	5	08/18/2009	2010.02	08/18/2009 02:52:57 PM SA Western Standard Time	05/30/2009 07:45:42 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 13 (PPO)	01	04		1			H4011	813	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	814	0	1	04	01	H4011_814_0	5	08/18/2009	2010.02	08/18/2009 02:53:05 PM SA Western Standard Time	05/30/2009 07:46:14 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 14 (PPO)	01	04		1			H4011	814	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	815	0	1	04	01	H4011_815_0	5	08/18/2009	2010.02	08/18/2009 02:53:13 PM SA Western Standard Time	05/30/2009 07:46:44 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 15 (PPO)	01	04		1			H4011	815	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	817	0	1	04	01	H4011_817_0	5	08/18/2009	2010.02	08/18/2009 02:53:20 PM SA Western Standard Time	05/30/2009 07:47:12 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 17 (PPO)	01	04		1			H4011	817	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4011	818	0	1	04	01	H4011_818_0	5	08/18/2009	2010.02	08/18/2009 02:53:27 PM SA Western Standard Time	05/30/2009 07:47:44 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 18 (PPO)	01	04		1			H4011	818	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1		
H4011	819	0	1	04	01	H4011_819_0	5	08/18/2009	2010.02	08/18/2009 02:53:33 PM SA Western Standard Time	05/30/2009 07:48:14 PM SA Western Standard Time			08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 19 (PPO)	01	04		1			H4011	819	0	2010	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H4012	003	0	1	01	01	H4012_003_0	4	08/20/2009	2010.02	08/20/2009 08:13:14 PM Atlantic Standard Time	08/20/2009 08:39:52 PM Atlantic Standard Time	08/20/2009 08:41:27 PM Atlantic Standard Time		08/20/2009 09:08:34 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto Superior (HMO)	01	01		1			H4012	003	0	2010	Island of Puerto Rico		2		2		1	1	1	3		1	3			www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4012	004	0	1	01	01	H4012_004_0	4	09/02/2009	2010.02	09/02/2009 02:56:25 PM Atlantic Standard Time	08/20/2009 08:51:04 PM Atlantic Standard Time	08/20/2009 08:52:53 PM Atlantic Standard Time		09/02/2009 04:43:20 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto Plus (HMO)	01	01		1			H4012	004	0	2010	Island of Puerto Rico		2		2		1	2	1	3		1	3			www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4012	005	0	1	01	01	H4012_005_0	4	09/02/2009	2010.02	09/02/2009 02:56:11 PM Atlantic Standard Time	08/20/2009 08:55:56 PM Atlantic Standard Time	08/20/2009 08:57:15 PM Atlantic Standard Time		09/02/2009 04:43:20 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto 2 (HMO)	01	01		1			H4012	005	0	2010	Island of Puerto Rico		2		2		1	2	1	3		1	3			www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4012	007	0	1	01	01	H4012_007_0	3	08/20/2009	2010.02	08/20/2009 08:13:18 PM Atlantic Standard Time	08/20/2009 08:24:49 PM Atlantic Standard Time	08/20/2009 08:25:56 PM Atlantic Standard Time		08/20/2009 08:27:50 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto 3 (HMO) (HMO)	01	01		1			H4012	007	0	2010	Island of Puerto Rico		2		2				2							www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4012	008	0	1	01	01	H4012_008_0	3	08/20/2009	2010.02	08/20/2009 08:12:39 PM Atlantic Standard Time	08/20/2009 07:59:56 PM Atlantic Standard Time	08/20/2009 07:57:10 PM Atlantic Standard Time		08/20/2009 08:16:04 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto 4 (HMO) (HMO)	01	01		1			H4012	008	0	2010	Island of Puerto Rico		2		2				2							www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H4036	001	0	1	04	01	H4036_001_0	12	08/27/2009	2010.02	08/27/2009 11:01:44 AM Eastern Daylight Time	08/26/2009 11:46:31 PM Eastern Daylight Time	08/17/2009 02:47:19 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H4036	001	0	2010	Wisconsin - Select Counties		2	1200	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-211-9815		(888)-211-9815		(800)-467-1199		(800)-467-1199		(888)-211-9815		(888)-211-9815		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4036	003	0	1	04	01	H4036_003_0	11	08/27/2009	2010.02	08/27/2009 11:01:57 AM Eastern Daylight Time	08/26/2009 11:45:56 PM Eastern Daylight Time	08/17/2009 02:49:24 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H4036	003	0	2010	WI-Select Counties		2	1200	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-211-9815		(888)-211-9815		(800)-467-1199		(800)-467-1199		(888)-211-9815		(888)-211-9815		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4036	801	0	1	04	01	H4036_801_0	9	08/11/2009	2010.02	08/11/2009 10:44:14 AM Pacific Daylight Time	08/11/2009 10:35:26 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4036	801	0	2010	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4036	802	0	1	04	01	H4036_802_0	7	08/05/2009	2010.02	08/05/2009 03:15:22 PM Pacific Daylight Time	08/11/2009 10:36:47 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4036	802	0	2010	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H4036	803	0	1	04	01	H4036_803_0	7	08/05/2009	2010.02	08/05/2009 03:16:36 PM Pacific Daylight Time	08/11/2009 10:39:28 AM Pacific Daylight Time			08/11/2009 10:48:19 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4036	803	0	2010	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4102	001	0	1	02	01	H4102_001_0	3	07/20/2009	2010.02	07/20/2009 10:05:25 AM Central Daylight Time	08/14/2009 03:05:40 PM Central Daylight Time	08/13/2009 05:51:15 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4102	001	0	2010	All counties in Rhode Island		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4102	025	0	1	01	01	H4102_025_0	2	07/17/2009	2010.02	07/17/2009 03:30:45 PM Central Daylight Time	07/20/2009 04:31:23 PM Central Daylight Time			07/23/2009 01:44:22 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4102	025	0	2010	All counties in Rhode Island		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H4102	801	0	1	01	01	H4102_801_0	2	05/29/2009	2010.02	05/29/2009 06:39:21 PM Central Daylight Time	07/16/2009 06:03:15 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	801	0	2010	State of Rhode Island		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-962-8251		(800)-962-8251		(800)-643-4845		(800)-643-4845		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4102	802	0	1	01	01	H4102_802_0	2	05/26/2009	2010.02	05/28/2009 04:32:05 AM Central Daylight Time	07/16/2009 06:03:32 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	802	0	2010	Rhode Island		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-962-8251		(800)-962-8251										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4102	803	0	1	01	01	H4102_803_0	2	05/26/2009	2010.02	05/28/2009 04:32:20 AM Central Daylight Time	07/16/2009 06:03:48 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	803	0	2010	Select counties in RI		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-962-8251		(800)-962-8251		(800)-643-4845		(800)-643-4845		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4102	805	0	2	01	01	H4102_805_0	2	05/29/2009	2010.02	05/29/2009 08:28:44 PM Central Daylight Time	07/16/2009 06:04:03 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H4102	805	0	2010	Select counties in RI		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-962-8251		(800)-962-8251		(800)-643-4845		(800)-643-4845		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4105	001	0	1	20	08	H4105_001_0	2	10/13/2009	2010.02	10/13/2009 11:52:35 AM Eastern Daylight Time		10/13/2009 11:37:01 AM Eastern Daylight Time		10/13/2009 11:56:14 AM Eastern Daylight Time	PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	PACE Organization of Rhode Island (PACE)	08	20		1			H4105	001	0	2010	PACE Organization of Rhode Island		2		2				2							www.pace-ri.org									(401)-490-6566		(401)-490-6566		(401)-490-6566		(401)-490-6566										(866)-883-1631		(401)-490-4597		(866)-883-1631		(401)-490-4597		1		
H4105	002	0	1	20	08	H4105_002_0	2	05/18/2009	2010.02	05/18/2009 02:12:21 PM Eastern Daylight Time		10/13/2009 11:37:01 AM Eastern Daylight Time		10/13/2009 11:56:14 AM Eastern Daylight Time	PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	PACE Organization of Rhode Island (PACE)	08	20		1			H4105	002	0	2010	PACE Organization of Rhode Island		2		2				2							www.pace-ri.org									(401)-490-6566		(401)-490-6566		(401)-490-6566		(401)-490-6566										(866)-883-1631		(401)-490-4597		(866)-883-1631		(401)-490-4597		1		
H4106	002	0	1	01	01	H4106_002_0	3	07/17/2009	2010.02	07/17/2009 02:13:29 PM Central Daylight Time	08/17/2009 12:57:14 PM Central Daylight Time	08/13/2009 05:51:19 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H4106	002	0	2010	Bristol, Kent, Providence and Washington Counties		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4125	001	0	1	01	01	H4125_001_0	7	08/20/2009	2010.02	08/20/2009 12:14:47 PM Pacific Daylight Time	08/20/2009 12:13:10 PM Pacific Daylight Time	08/20/2009 12:19:30 PM Pacific Daylight Time		08/20/2009 04:37:20 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Plus (HMO)	01	01		1			H4125	001	0	2010	Fort Smith - OK		2		2				2							www.arcadianhealthplanoklahoma.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4125	002	0	1	01	01	H4125_002_0	7	08/20/2009	2010.02	08/20/2009 12:14:59 PM Pacific Daylight Time	08/20/2009 12:13:00 PM Pacific Daylight Time	08/20/2009 12:19:28 PM Pacific Daylight Time		08/20/2009 04:37:20 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Plus (HMO)	01	01		1			H4125	002	0	2010	Texarkana - OK		2		2				2							www.arcadianhealthplanoklahoma.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4125	003	0	1	01	01	H4125_003_0	7	08/20/2009	2010.02	08/20/2009 01:49:06 PM Pacific Daylight Time	08/20/2009 12:12:44 PM Pacific Daylight Time	08/20/2009 12:19:22 PM Pacific Daylight Time		08/20/2009 04:37:20 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Plus (HMO)	01	01		1			H4125	003	0	2010	OK/Fayetteville		2		2				2							www.arcadianhealthplanoklahoma.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4125	005	0	1	01	01	H4125_005_0	8	08/20/2009	2010.02	08/20/2009 01:49:23 PM Pacific Daylight Time	08/19/2009 11:18:58 AM Pacific Daylight Time	08/19/2009 11:10:26 AM Pacific Daylight Time		08/20/2009 04:37:20 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Dual Plus (HMO)	01	01		1			H4125	005	0	2010	Oklahoma		2		2		2		1	3		1	1			www.arcadianhealthplanoklahoma.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4125	006	0	1	01	01	H4125_006_0	7	08/19/2009	2010.02	08/19/2009 11:19:12 PM Pacific Daylight Time	08/20/2009 12:12:34 PM Pacific Daylight Time	08/20/2009 12:19:20 PM Pacific Daylight Time		08/20/2009 03:39:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Plus (HMO)	01	01		1			H4125	006	0	2010	Ottawa		2		2				2							www.arcadianhealthplanoklahoma.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4141	001	0	1	01	01	H4141_001_0	5	07/16/2009	2010.02	07/16/2009 01:48:03 PM Eastern Daylight Time	08/18/2009 03:32:07 PM Eastern Daylight Time	08/19/2009 10:59:00 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Gold Plus H4141-001 (HMO)	01	01		1			H4141	001	0	2010	Atlanta Metro Area		2		2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H4141	801	0	1	01	01	H4141_801_0	2	05/26/2009	2010.02	05/26/2009 04:06:19 PM Eastern Daylight Time	07/21/2009 03:35:02 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4141	801	0	2010	Atlanta, Ga		1		2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4141	802	0	1	01	01	H4141_802_0	2	05/26/2009	2010.02	05/26/2009 04:06:43 PM Eastern Daylight Time	07/21/2009 04:06:24 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4141	802	0	2010	Atlanta, Ga		1		2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4141	803	0	1	01	01	H4141_803_0	2	05/26/2009	2010.02	05/26/2009 04:07:05 PM Eastern Daylight Time	07/21/2009 04:07:46 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4141	803	0	2010	Atlanta, Ga		1		2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4142	001	0	1	20	08	H4142_001_0	2	05/18/2009	2010.02	05/18/2009 01:11:14 PM Central Daylight Time		10/13/2009 05:04:02 PM Central Daylight Time		10/14/2009 08:11:44 AM Central Daylight Time	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	Cherokee Elder Care	eldercare.cherokee.org	Cherokee Elder Care (PACE)	08	20		1			H4142	001	0	2010	Cherokee,Delaware,Mayes,Muskogee counties		2		2				2							eldercare.cherokee.org									(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554																		1		
H4142	002	0	1	20	08	H4142_002_0	2	05/18/2009	2010.02	05/18/2009 01:12:16 PM Central Daylight Time		10/13/2009 05:04:07 PM Central Daylight Time		10/14/2009 08:11:44 AM Central Daylight Time	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	Cherokee Elder Care	eldercare.cherokee.org	Cherokee Elder Care (PACE)	08	20		1			H4142	002	0	2010	Cherokee,Delaware,Mayes, Muskogee counties		2		2				2							eldercare.cherokee.org									(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554																		1		
H4152	004	0	1	01	01	H4152_004_0	8	08/20/2009	2010.02	08/20/2009 02:41:12 PM Eastern Daylight Time	08/20/2009 10:59:58 AM Eastern Daylight Time			08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Core (HMO)	01	01		1			H4152	004	0	2010	State of Rhode Island		2	1759	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583										(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202										1		
H4152	005	0	1	01	01	H4152_005_0	8	08/20/2009	2010.02	08/20/2009 02:43:31 PM Eastern Daylight Time	08/20/2009 11:07:16 AM Eastern Daylight Time	08/19/2009 03:14:00 PM Eastern Daylight Time		08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Plus (HMO)	01	01		1			H4152	005	0	2010	State of Rhode Island		2	9790	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4152	007	0	1	02	01	H4152_007_0	8	08/20/2009	2010.02	08/20/2009 02:41:34 PM Eastern Daylight Time	08/20/2009 11:10:32 AM Eastern Daylight Time	08/19/2009 03:14:00 PM Eastern Daylight Time		08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Preferred (HMO-POS)	01	02		1			H4152	007	0	2010	State of Rhode Island		2	6706	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4152	013	0	1	01	01	H4152_013_0	8	08/20/2009	2010.02	08/20/2009 02:42:44 PM Eastern Daylight Time	08/20/2009 11:04:00 AM Eastern Daylight Time	08/19/2009 03:14:00 PM Eastern Daylight Time		08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Standard with Drugs (HMO)	01	01		1			H4152	013	0	2010	State of Rhode Island		2	14006	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4152	815	0	1	02	01	H4152_815_0	7	08/20/2009	2010.02	08/20/2009 02:42:56 PM Eastern Daylight Time	08/20/2009 01:34:24 PM Eastern Daylight Time			08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Preferred (HMO-POS)	01	02		1			H4152	815	0	2010	RI, Bristol Cty MA, Partial New London Cty CT		1	1071	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4152	817	0	1	01	01	H4152_817_0	7	08/20/2009	2010.02	08/20/2009 02:43:06 PM Eastern Daylight Time	08/20/2009 01:25:20 PM Eastern Daylight Time			08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Plus (HMO)	01	01		1			H4152	817	0	2010	RI, Bristol Cty MA, Partial New London Cty CT		1	103	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4152	821	0	1	02	01	H4152_821_0	7	08/20/2009	2010.02	08/20/2009 02:43:15 PM Eastern Daylight Time	08/20/2009 01:36:28 PM Eastern Daylight Time			08/20/2009 02:51:11 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Preferred Unlimited (HMO-POS)	01	02		1			H4152	821	0	2010	RI, Bristol Cty MA, Partial New London Cty CT		1	629	2				2						www.bcbsri.com	www.bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1		
H4155	001	0	1	01	01	H4155_001_0	5	08/19/2009	2010.02	08/19/2009 08:07:15 AM Pacific Daylight Time	08/19/2009 06:28:39 AM Pacific Daylight Time	08/19/2009 06:28:39 AM Pacific Daylight Time		08/19/2009 08:17:17 AM Pacific Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth For Life (HMO)	01	01		1			H4155	001	0	2010	Miami Dade County		2		2				2						JMHHP.com	www.jmhhp.com	(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1		
H4155	003	0	1	01	01	H4155_003_0	3	07/13/2009	2010.02	07/13/2009 08:09:22 PM Pacific Daylight Time	08/19/2009 06:29:07 AM Pacific Daylight Time	08/19/2009 06:29:07 AM Pacific Daylight Time		08/19/2009 08:28:17 AM Pacific Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth Secure (HMO)	01	01		1			H4155	003	0	2010	Miami Dade County		2		2		2		1	3		1	5		JMHHP.com	www.jmhhp.com	(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1		
H4155	004	0	1	01	01	H4155_004_0	5	08/19/2009	2010.02	08/19/2009 08:12:04 AM Pacific Daylight Time	08/19/2009 06:42:47 AM Pacific Daylight Time	08/19/2009 06:42:47 AM Pacific Daylight Time		08/19/2009 08:35:17 AM Pacific Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth Success (HMO)	01	01		1			H4155	004	0	2010	Miami Dade County		2		2				1	4		1		000000000000100	JMHHP.com	www.jmhhp.com	(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-721-2993		(305)-575-3640		(800)-721-2993		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1		
H4203	001	0	1	20	08	H4203_001_0	5	05/18/2009	2010.02	05/18/2009 02:26:21 PM Eastern Daylight Time		10/14/2009 09:29:20 AM Eastern Daylight Time		10/14/2009 11:07:36 AM Eastern Daylight Time	PALMETTO HEALTH ALLIANCE	Palmetto SeniorCare	www.palmettohealth.org	Palmetto Health - Palmetto SeniorCare (PACE)	08	20		1			H4203	001	0	2010	Richland and  Lexington Counties		2		2				2							n/a									(803)-931-8175		(803)-931-8175		(803)-931-8175		(803)-931-8175	245																	1		
H4203	002	0	1	20	08	H4203_002_0	7	05/18/2009	2010.02	05/18/2009 02:13:04 PM Eastern Daylight Time		10/14/2009 09:28:58 AM Eastern Daylight Time		10/14/2009 11:13:19 AM Eastern Daylight Time	PALMETTO HEALTH ALLIANCE	Palmetto SeniorCare	www.palmettohealth.org	Palmetto Health - Palmetto SeniorCare (PACE)	08	20		1			H4203	002	0	2010	Richland and Lexington Counties		2		2				2							n/a									(803)-931-8175		(803)-931-8175		(803)-931-8175		(803)-931-8175	245																	1		
H4205	002	0	1	09	04	H4205_002_0	5	07/07/2009	2010.02	07/07/2009 11:21:02 AM Eastern Daylight Time	07/15/2009 12:42:30 AM Eastern Daylight Time			07/23/2009 02:38:42 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbp10	Medicare Blue Private (PFFS)	04	09	2	1			H4205	002	0	2010	Upstate and Midlands		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790										(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219										1		
H4205	004	0	1	09	04	H4205_004_0	5	07/07/2009	2010.02	07/07/2009 11:21:21 AM Eastern Daylight Time	07/15/2009 12:45:34 AM Eastern Daylight Time			07/23/2009 02:38:42 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbp10	Medicare Blue Private (PFFS)	04	09	2	1			H4205	004	0	2010	Coastal and Rural		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790										(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219										1		
H4205	005	0	1	09	04	H4205_005_0	6	07/07/2009	2010.02	07/07/2009 11:21:36 AM Eastern Daylight Time	08/18/2009 10:54:28 AM Eastern Daylight Time	08/18/2009 09:02:18 AM Eastern Daylight Time		08/18/2009 04:55:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbpc10	Medicare Blue Private Complete (PFFS)	04	09	2	1			H4205	005	0	2010	Upstate and Midlands		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4205	006	0	1	09	04	H4205_006_0	6	07/07/2009	2010.02	07/07/2009 11:21:53 AM Eastern Daylight Time	08/18/2009 10:55:20 AM Eastern Daylight Time	08/18/2009 09:03:08 AM Eastern Daylight Time		08/18/2009 04:55:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbpc10	Medicare Blue Private Complete (PFFS)	04	09	2	1			H4205	006	0	2010	Coastal and Rural		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4205	007	0	1	09	04	H4205_007_0	6	07/07/2009	2010.02	07/07/2009 11:22:09 AM Eastern Daylight Time	08/18/2009 10:56:02 AM Eastern Daylight Time	08/18/2009 09:03:24 AM Eastern Daylight Time		08/18/2009 04:55:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbpcp10	Medicare Blue Private Complete Plus (PFFS)	04	09	2	1			H4205	007	0	2010	Upstate and Midlands		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4205	008	0	1	09	04	H4205_008_0	6	07/07/2009	2010.02	07/07/2009 11:22:25 AM Eastern Daylight Time	08/18/2009 10:57:08 AM Eastern Daylight Time	08/18/2009 09:03:46 AM Eastern Daylight Time		08/18/2009 04:55:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbpcp10	Medicare Blue Private Complete Plus (PFFS)	04	09	2	1			H4205	008	0	2010	Coastal and Rural		2		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4205	801	0	1	09	04	H4205_801_0	2	05/21/2009	2010.02	05/21/2009 05:03:08 PM Eastern Daylight Time	08/04/2009 02:39:18 PM Eastern Daylight Time			08/05/2009 02:26:20 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	http://www.southcarolinablues.com/pffs09	Group Blue Private (PFFS)	04	09	2	1			H4205	801	0	2010	South Carolina		1		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790										(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219										1		
H4205	802	0	1	09	04	H4205_802_0	2	05/21/2009	2010.02	05/21/2009 05:03:54 PM Eastern Daylight Time	08/04/2009 02:45:14 PM Eastern Daylight Time			08/05/2009 02:26:20 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	http://www.southcarolinablues.com/pffs09	Group Blue Private (PFFS)	04	09	2	1			H4205	802	0	2010	South Carolina		1		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790										(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219										1		
H4205	803	0	1	09	04	H4205_803_0	2	05/21/2009	2010.02	05/21/2009 05:04:20 PM Eastern Daylight Time	08/04/2009 02:52:30 PM Eastern Daylight Time			08/05/2009 02:26:20 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	http://www.southcarolinablues.com/pffs09	Group Blue Private MAPD (PFFS)	04	09	2	1			H4205	803	0	2010	South Carolina		1		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4205	804	0	1	09	04	H4205_804_0	2	05/21/2009	2010.02	05/21/2009 05:04:51 PM Eastern Daylight Time	08/04/2009 02:59:34 PM Eastern Daylight Time			08/05/2009 02:26:20 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	http://www.southcarolinablues.com/pffs09	Group Blue Private MAPD (PFFS)	04	09	2	1			H4205	804	0	2010	South Carolina		1		2				2							www.southcarolinablues.cm/medb09	(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(800)-605-3256		(800)-605-3256		(800)-760-1790		(800)-760-1790		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		(888)-300-7215		(888)-300-7215		(888)-899-4219		(888)-899-4219		1		
H4209	001	0	1	04	01	H4209_001_0	6	08/19/2009	2010.02	08/19/2009 05:09:12 PM Eastern Daylight Time	08/19/2009 10:06:30 AM Eastern Daylight Time	08/18/2009 09:04:28 AM Eastern Daylight Time		08/19/2009 05:26:54 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mb10	Medicare Blue (PPO)	01	04		1			H4209	001	0	2010	Upstate and Midlands		2		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	003	0	1	04	01	H4209_003_0	6	08/19/2009	2010.02	08/19/2009 05:07:11 PM Eastern Daylight Time	08/19/2009 10:03:34 AM Eastern Daylight Time	08/18/2009 09:04:44 AM Eastern Daylight Time		08/19/2009 05:26:54 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mb10	Medicare Blue (PPO)	01	04		1			H4209	003	0	2010	Coastal and Rural		2		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	004	0	1	04	01	H4209_004_0	6	08/19/2009	2010.02	08/19/2009 05:06:55 PM Eastern Daylight Time	08/18/2009 11:00:18 AM Eastern Daylight Time	08/18/2009 09:05:14 AM Eastern Daylight Time		08/19/2009 05:26:54 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbplus10	Medicare Blue Plus (PPO)	01	04		1			H4209	004	0	2010	Upstate and Midlands		2		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	006	0	1	04	01	H4209_006_0	6	08/19/2009	2010.02	08/19/2009 05:06:42 PM Eastern Daylight Time	08/18/2009 11:01:00 AM Eastern Daylight Time	08/18/2009 09:05:34 AM Eastern Daylight Time		08/19/2009 05:26:54 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/mbplus10	Medicare Blue Plus (PPO)	01	04		1			H4209	006	0	2010	Coastal and Rural		2		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	809	0	1	04	01	H4209_809_0	4	08/14/2009	2010.02	08/14/2009 03:07:00 PM Eastern Daylight Time	08/04/2009 03:47:56 PM Eastern Daylight Time			08/19/2009 07:44:23 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb09	Group Blue (PPO)	01	04		1			H4209	809	0	2010	South Carolina		1		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	810	0	1	04	01	H4209_810_0	4	08/14/2009	2010.02	08/14/2009 03:07:27 PM Eastern Daylight Time	08/04/2009 03:54:38 PM Eastern Daylight Time			08/19/2009 07:44:23 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb09	Group Blue (PPO)	01	04		1			H4209	810	0	2010	South Carolina		1		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482		(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		(888)-300-7215		(888)-300-7215		(888)-300-7215		(800)-681-3846		1		
H4209	811	0	1	04	01	H4209_811_0	4	08/14/2009	2010.02	08/14/2009 03:08:05 PM Eastern Daylight Time	08/04/2009 04:00:34 PM Eastern Daylight Time			08/19/2009 07:44:23 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb09	Group Blue (PPO)	01	04		1			H4209	811	0	2010	South Carolina		1		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482										(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846										1		
H4209	812	0	1	04	01	H4209_812_0	4	08/14/2009	2010.02	08/14/2009 03:08:39 PM Eastern Daylight Time	08/04/2009 04:07:52 PM Eastern Daylight Time			08/19/2009 07:44:23 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb09	Group Blue (PPO)	01	04		1			H4209	812	0	2010	South Carolina		1		2				2						www.southcarolinablues.com/medb09	www.southcarolinablues.com/medb09	(800)-605-3256		(800)-605-3256		(800)-930-2912		(803)-264-9482										(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846										1		
H4213	001	0	1	09	04	H4213_001_0	4	07/21/2009	2010.02	07/21/2009 04:32:25 PM Central Daylight Time	08/03/2009 03:53:54 PM Central Daylight Time			08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA (PFFS)	04	09	1	1			H4213	001	0	2010	Northwest, Some Eastern and Southern AR Counties		2	1500	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1		
H4213	002	0	1	09	04	H4213_002_0	5	07/21/2009	2010.02	07/21/2009 04:32:59 PM Central Daylight Time	08/03/2009 03:55:19 PM Central Daylight Time			08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage  MA (PFFS)	04	09	1	1			H4213	002	0	2010	Some Central, Southern and Eastern  AR Counties		2	500	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1		
H4213	003	0	1	09	04	H4213_003_0	5	07/21/2009	2010.02	07/21/2009 04:33:00 PM Central Daylight Time	08/03/2009 03:56:39 PM Central Daylight Time			08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage  MA (PFFS)	04	09	1	1			H4213	003	0	2010	Some Northeast, Central, and Southern AR Counties		2	163	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1		
H4213	004	0	1	09	04	H4213_004_0	6	08/26/2009	2010.02	08/26/2009 08:45:26 AM Central Daylight Time	08/26/2009 12:00:09 PM Central Daylight Time	08/18/2009 12:58:58 PM Central Daylight Time		08/26/2009 12:23:13 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS)	04	09	1	1			H4213	004	0	2010	Northwest, Some Eastern, and Southern AR Counties		2	6382	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
H4213	005	0	1	09	04	H4213_005_0	5	07/21/2009	2010.02	07/21/2009 04:33:01 PM Central Daylight Time	08/18/2009 01:34:10 PM Central Daylight Time	08/18/2009 01:03:14 PM Central Daylight Time		08/19/2009 12:40:10 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS)	04	09	1	1			H4213	005	0	2010	Some Central, Southern, and Eastern AR Counties		2	1056	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
H4213	006	0	1	09	04	H4213_006_0	5	07/21/2009	2010.02	07/21/2009 04:33:02 PM Central Daylight Time	08/18/2009 01:35:51 PM Central Daylight Time	08/19/2009 12:34:06 PM Central Daylight Time		08/19/2009 12:40:10 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS)	04	09	1	1			H4213	006	0	2010	Some Northeast, Central, and Southern AR Counties		2	338	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
H4213	007	0	1	09	04	H4213_007_0	6	07/21/2009	2010.02	07/21/2009 04:33:02 PM Central Daylight Time	08/18/2009 01:38:27 PM Central Daylight Time	08/18/2009 01:01:55 PM Central Daylight Time		08/19/2009 12:40:10 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 2 (PFFS)	04	09	1	1			H4213	007	0	2010	Northwest, Some Eastern, and Southern AR Counties		2	2798	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
H4213	008	0	1	09	04	H4213_008_0	6	07/21/2009	2010.02	07/21/2009 04:33:03 PM Central Daylight Time	08/18/2009 01:40:26 PM Central Daylight Time	08/18/2009 01:05:41 PM Central Daylight Time		08/19/2009 12:40:10 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 2 (PFFS)	04	09	1	1			H4213	008	0	2010	Some Central, Southern, and Eastern AR Counties		2	2798	2				2							http://www.arkansasbluecross.com	(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
H4270	001	0	1	02	01	H4270_001_0	5	08/04/2009	2010.02	08/04/2009 12:17:56 PM Central Daylight Time	06/01/2009 06:59:09 PM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Value (HMO-POS)	01	02		1			H4270	001	0	2010	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1		
H4270	002	0	1	02	01	H4270_002_0	8	08/04/2009	2010.02	08/04/2009 12:19:18 PM Central Daylight Time	08/14/2009 09:42:01 AM Central Daylight Time	08/14/2009 09:41:23 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Classic (HMO-POS)	01	02		1			H4270	002	0	2010	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H4270	003	0	1	02	01	H4270_003_0	7	08/04/2009	2010.02	08/04/2009 12:18:35 PM Central Daylight Time	08/14/2009 09:46:01 AM Central Daylight Time	08/14/2009 09:45:33 AM Central Daylight Time		08/18/2009 02:06:48 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Value Plus (HMO-POS)	01	02		1			H4270	003	0	2010	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H4270	801	0	1	02	01	H4270_801_0	6	08/04/2009	2010.02	08/04/2009 12:18:52 PM Central Daylight Time	07/27/2009 11:13:08 AM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	Group UCare for Seniors Non Calendar (HMO-POS)	01	02		1			H4270	801	0	2010	Minnesota and Western Wisconsin		1		2				2						www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H4270	802	0	1	02	01	H4270_802_0	6	08/04/2009	2010.02	08/04/2009 12:19:09 PM Central Daylight Time	07/27/2009 11:13:26 AM Central Daylight Time			08/04/2009 12:46:05 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	Group UCare for Seniors Calendar (HMO-POS)	01	02		1			H4270	802	0	2010	Minnesota and Western Wisconsin		1		2				2						www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-598-6574		(612)-676-6900		(877)-523-1515		(612)-676-3600		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1		
H4305	001	0	1	20	08	H4305_001_0	4	10/14/2009	2010.02	10/14/2009 03:28:01 PM Central Daylight Time		10/14/2009 02:51:01 PM Central Daylight Time		10/16/2009 02:28:58 PM Central Daylight Time	TOTAL LIFE HEALTHCARE	Total Life Healthcare	www.totallifehealthcare.com	Total Life Healthcare Dual (PACE)	08	20		1			H4305	001	0	2010	Counties: Craighead Cross Greene Law MS Poin Rand		2		2				2							www.totallifehealthcare.com									(800)-336-5000		(870)-336-5000		(800)-336-5000		(870)-336-5000																		1		
H4305	002	0	1	20	08	H4305_002_0	4	10/14/2009	2010.02	10/14/2009 03:27:05 PM Central Daylight Time		10/14/2009 02:57:10 PM Central Daylight Time		10/16/2009 02:28:58 PM Central Daylight Time	TOTAL LIFE HEALTHCARE	Total Life Healthcare	www.totallifehealthcare.com	Total Life Healthcare Medicare only (PACE)	08	20		1			H4305	002	0	2010	Counties:Craighead Cross Greene Law MS Poin Rand		2		2				2							www.totallifehealthcare.com									(800)-336-5000		(870)-336-5000		(800)-336-5000		(870)-336-5000																		1		
H4346	001	0	1	01	01	H4346_001_0	8	08/19/2009	2010.02	08/19/2009 06:42:39 PM Pacific Daylight Time	08/20/2009 08:10:29 AM Pacific Daylight Time	08/18/2009 03:37:58 PM Pacific Daylight Time		08/20/2009 05:27:21 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H4346	001	0	2010	Clark County (partial)		2	1519	2				2						www.caremore.com	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H4346	003	0	1	01	01	H4346_003_0	9	08/19/2009	2010.02	08/19/2009 06:33:26 PM Pacific Daylight Time	08/20/2009 08:35:04 AM Pacific Daylight Time	08/18/2009 03:45:43 PM Pacific Daylight Time		08/20/2009 05:36:30 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Touch (HMO)	01	01		1			H4346	003	0	2010	Clark County (partial)		2	80	2				1	1	1	1			www.caremore.com	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H4346	005	0	1	01	01	H4346_005_0	7	08/19/2009	2010.02	08/19/2009 06:42:56 PM Pacific Daylight Time	08/20/2009 08:08:20 AM Pacific Daylight Time	08/18/2009 03:46:34 PM Pacific Daylight Time		08/20/2009 05:41:37 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Breathe (HMO)	01	01		1			H4346	005	0	2010	Clark County (partial)		2	200	2				1	4		1		000000000001000	www.caremore.com	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H4346	006	0	1	01	01	H4346_006_0	8	08/19/2009	2010.02	08/19/2009 06:43:11 PM Pacific Daylight Time	08/20/2009 08:33:23 AM Pacific Daylight Time	08/18/2009 03:44:56 PM Pacific Daylight Time		08/20/2009 05:46:20 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Diabetes (HMO)	01	01		1			H4346	006	0	2010	Clark County (partial)		2	420	2				1	4		1		000000100000000	www.caremore.com	www.caremore.com	(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-589-3145		(800)-589-3145		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1		
H4393	001	0	1	20	08	H4393_001_0	1	06/01/2009	2010.01	06/01/2009 03:51:57 PM Eastern Daylight Time		06/01/2009 11:47:58 AM Eastern Daylight Time		06/01/2009 04:16:12 PM Eastern Daylight Time	CATHOLIC MANAGED LONG TERM CARE, INC.	ArchCare Senior Life	http://www.archcare.org/	ArchCare Senior Life - Dual (PACE)	08	20		1			H4393	001	0	2010	New York and Bronx counties		2		2				2							www.archcare.org									(212)-752-2404		(212)-752-2404		(212)-752-2404		(212)-752-2404																		1		
H4393	002	0	1	20	08	H4393_002_0	1	06/01/2009	2010.01	06/01/2009 03:52:31 PM Eastern Daylight Time		06/01/2009 11:47:58 AM Eastern Daylight Time		06/01/2009 04:16:12 PM Eastern Daylight Time	CATHOLIC MANAGED LONG TERM CARE, INC.	ArchCare Senior Life	http://www.archcare.org/	ArchCare Senior Life - Medicare only (PACE)	08	20		1			H4393	002	0	2010	New York and Bronx counties		2		2				2							www.archcare.org									(212)-752-2404		(212)-752-2404		(212)-752-2404		(212)-752-2404																		1		
H4402	001	0	1	20	08	H4402_001_0	2	10/14/2009	2010.02	10/14/2009 01:18:51 PM Eastern Daylight Time		10/13/2009 03:59:36 PM Eastern Daylight Time		10/14/2009 01:20:49 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	Alexian Brothers Community Services (PACE)	08	20		1			H4402	001	0	2010	Hamilton County Area		2		2				2							None									(800)-443-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802																		1		
H4402	002	0	1	20	08	H4402_002_0	2	05/18/2009	2010.02	05/18/2009 02:11:22 PM Eastern Daylight Time		10/13/2009 03:59:36 PM Eastern Daylight Time		10/14/2009 01:20:49 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	Alexian Brothers Community Services (PACE)	08	20		1			H4402	002	0	2010	Hamilton County Area		2		2				2							None									(800)-441-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802																		1		
H4406	001	0	1	02	01	H4406_001_0	4	08/21/2009	2010.02	08/21/2009 02:43:55 PM Central Daylight Time	08/21/2009 02:54:43 PM Central Daylight Time	08/13/2009 05:51:23 PM Central Daylight Time		08/24/2009 10:21:54 AM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4406	001	0	2010	Select counties in TN		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-643-4845		(800)-649-4845		(800)-547-5514		(800)-547-5514		(800)-853-2904		(800)-853-2904		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4406	801	0	1	01	01	H4406_801_0	2	07/22/2009	2010.02	07/22/2009 01:15:22 PM Central Daylight Time	07/20/2009 04:26:02 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	801	0	2010	Davidson,DeKalb,Hickman and Rutherford Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4406	803	0	1	01	01	H4406_803_0	2	05/26/2009	2010.02	05/28/2009 04:32:52 AM Central Daylight Time	07/20/2009 04:26:32 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	803	0	2010	Davidson,DeKalb,Hickman and Rutherford Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4406	804	0	1	01	01	H4406_804_0	2	05/26/2009	2010.02	05/28/2009 04:33:05 AM Central Daylight Time	07/20/2009 04:26:58 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	804	0	2010	Select counties in TN		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4407	001	0	1	01	01	H4407_001_0	5	08/19/2009	2010.02	08/19/2009 01:16:49 PM Central Daylight Time	08/19/2009 12:04:44 PM Central Daylight Time	08/19/2009 10:10:37 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Preferred NMS (HMO)	01	01		1			H4407	001	0	2010	Northern Counties		2	341	2				2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	002	0	1	01	01	H4407_002_0	8	08/20/2009	2010.02	08/20/2009 12:05:33 PM Central Daylight Time	08/25/2009 08:09:07 AM Central Daylight Time	08/19/2009 10:10:40 AM Central Daylight Time		08/25/2009 08:55:53 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Plus (HMO)	01	01		1			H4407	002	0	2010	Southern		2	11440	2				2						www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	003	0	1	01	01	H4407_003_0	5	08/19/2009	2010.02	08/19/2009 10:57:57 AM Central Daylight Time	08/19/2009 12:04:48 PM Central Daylight Time	08/19/2009 10:10:44 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring TotalCare NMS (HMO)	01	01		1			H4407	003	0	2010	Northern Counties		2	1429	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	004	0	1	01	01	H4407_004_0	7	08/20/2009	2010.02	08/20/2009 11:06:02 AM Central Daylight Time	08/19/2009 05:50:53 PM Central Daylight Time	08/19/2009 10:10:48 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H4407	004	0	2010	Southern		2	15814	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	005	0	1	01	01	H4407_005_0	4	07/31/2009	2010.02	07/31/2009 03:04:08 PM Central Daylight Time	07/23/2009 04:32:22 PM Central Daylight Time			08/04/2009 12:24:25 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage NMS (HMO)	01	01		1			H4407	005	0	2010	Northern Counties		2		2				2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H4407	009	0	1	01	01	H4407_009_0	6	08/19/2009	2010.02	08/19/2009 08:12:27 AM Central Daylight Time	08/19/2009 12:04:52 PM Central Daylight Time	08/19/2009 10:10:52 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyLiving Preferred NMS (HMO)	01	01		1			H4407	009	0	2010	Northern Counties		2		2				2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	011	0	1	01	01	H4407_011_0	3	07/24/2009	2010.02	07/24/2009 11:28:00 AM Central Daylight Time	07/24/2009 11:19:48 AM Central Daylight Time			07/27/2009 10:09:29 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage (HMO)	01	01		1			H4407	011	0	2010	Southern		2	134	2				2						www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1		
H4407	013	0	1	01	01	H4407_013_0	5	08/20/2009	2010.02	08/20/2009 12:11:24 PM Central Daylight Time	08/19/2009 05:50:47 PM Central Daylight Time	08/19/2009 10:10:55 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring OptimaCare (HMO)	01	01		1			H4407	013	0	2010	South		2	11440	2				1	4		1		000000100000000	www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	020	0	1	01	01	H4407_020_0	6	08/20/2009	2010.02	08/20/2009 11:07:24 AM Central Daylight Time	08/19/2009 05:50:41 PM Central Daylight Time	08/19/2009 10:10:58 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyLiving Premier (HMO)	01	01		1			H4407	020	0	2010	Southern Ms		2	134	2				2						www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	021	0	1	01	01	H4407_021_0	7	08/19/2009	2010.02	08/19/2009 01:17:16 PM Central Daylight Time	08/19/2009 12:04:56 PM Central Daylight Time	08/19/2009 10:11:01 AM Central Daylight Time		08/20/2009 04:49:34 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring HealthyAdvantage Select NMS (HMO)	01	01		1			H4407	021	0	2010	DeSoto and Tunica		2		1	1			2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4407	802	0	1	01	01	H4407_802_0	1	05/30/2009	2010.02	05/30/2009 03:36:44 PM Central Daylight Time	05/31/2009 09:22:42 AM Central Daylight Time			05/31/2009 11:23:06 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring Retiree Advantage (HMO)	01	01		1			H4407	802	0	2010	Mississippi		1	159	2				2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H4407	807	0	1	01	01	H4407_807_0	1	05/30/2009	2010.02	05/30/2009 12:51:53 PM Central Daylight Time	05/31/2009 09:22:42 AM Central Daylight Time			05/31/2009 12:40:22 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthSpring Retiree Advantage Plus (HMO)	01	01		1			H4407	807	0	2010	Mississippi		1	159	2				2						www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4408	001	0	1	04	01	H4408_001_0	4	07/20/2009	2010.02	07/20/2009 09:41:13 AM Eastern Daylight Time	08/18/2009 03:57:45 PM Eastern Daylight Time	08/19/2009 10:59:08 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-001 (PPO)	01	04		1			H4408	001	0	2010	Memphis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4408	002	0	1	04	01	H4408_002_0	4	07/20/2009	2010.02	07/20/2009 09:57:08 AM Eastern Daylight Time	08/18/2009 03:58:07 PM Eastern Daylight Time	08/19/2009 10:59:16 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-002 (PPO)	01	04		1			H4408	002	0	2010	Nashville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4408	006	0	1	04	01	H4408_006_0	4	07/20/2009	2010.02	07/20/2009 10:02:15 AM Eastern Daylight Time	08/18/2009 03:28:22 PM Eastern Daylight Time	08/19/2009 10:59:24 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-006 (PPO)	01	04		1			H4408	006	0	2010	Chattanooga Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4408	007	0	1	04	01	H4408_007_0	4	07/20/2009	2010.02	07/20/2009 10:05:31 AM Eastern Daylight Time	08/18/2009 03:27:58 PM Eastern Daylight Time	08/19/2009 10:59:32 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-007 (PPO)	01	04		1			H4408	007	0	2010	Knoxville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4408	801	0	1	04	01	H4408_801_0	5	07/10/2009	2010.02	07/16/2009 08:07:09 AM Eastern Daylight Time	07/21/2009 03:47:04 PM Eastern Daylight Time			07/28/2009 07:48:27 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4408	801	0	2010	Memphis,Nashville, Tri-Cities, Knoxville Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4408	803	0	1	04	01	H4408_803_0	3	07/10/2009	2010.02	07/16/2009 08:07:35 AM Eastern Daylight Time	07/21/2009 04:41:40 PM Eastern Daylight Time			07/28/2009 07:48:27 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4408	803	0	2010	Memphis,Nashville, Tri-Cities, Knoxville Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4408	804	0	1	04	01	H4408_804_0	3	07/10/2009	2010.02	07/16/2009 08:07:58 AM Eastern Daylight Time	07/21/2009 04:41:54 PM Eastern Daylight Time			07/28/2009 07:48:27 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H4408	804	0	2010	Memphis,Nashville, Tri-Cities, Knoxville Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4449	011	0	1	09	04	H4449_011_0	10	08/21/2009	2010.02	08/21/2009 09:13:50 AM Pacific Daylight Time	08/21/2009 08:56:31 AM Pacific Daylight Time			08/25/2009 11:30:47 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraoptima.com	Sierra Optima Select (PFFS)	04	09	2	1			H4449	011	0	2010	All UT (except Washington) and All ID counties		2		2				2							www.sierraoptima.com	(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1		
H4449	013	0	1	09	04	H4449_013_0	11	08/26/2009	2010.02	08/26/2009 03:17:48 PM Pacific Daylight Time	08/26/2009 03:24:05 PM Pacific Daylight Time	08/18/2009 10:31:19 AM Pacific Daylight Time		08/26/2009 03:50:02 PM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraoptima.com	Sierra Optima Select Rx (PFFS)	04	09	2	1			H4449	013	0	2010	All UT (except Washington) and All ID counties		2		2				2							www.sierraoptima.com	(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300		(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H4449	014	0	1	09	04	H4449_014_0	11	08/26/2009	2010.02	08/26/2009 03:19:19 PM Pacific Daylight Time	08/26/2009 03:25:09 PM Pacific Daylight Time	08/18/2009 10:35:26 AM Pacific Daylight Time		08/27/2009 08:55:09 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraoptima.com	Sierra Optima Choice Rx (PFFS)	04	09	2	1			H4449	014	0	2010	Washington county, UT		2		2				2							www.sierraoptima.com	(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300		(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
H4449	015	0	1	09	04	H4449_015_0	9	08/26/2009	2010.02	08/26/2009 03:20:32 PM Pacific Daylight Time	08/26/2009 03:26:38 PM Pacific Daylight Time			08/26/2009 03:50:02 PM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraoptima.com	Sierra Optima Choice (PFFS)	04	09	2	1			H4449	015	0	2010	Washington county, UT		2		2				2							www.sierraoptima.com	(888)-274-2207		(888)-274-2207		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1		
H4454	002	0	1	01	01	H4454_002_0	6	08/19/2009	2010.02	08/19/2009 01:15:19 PM Central Daylight Time	08/19/2009 12:05:01 PM Central Daylight Time	08/19/2009 10:11:04 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyAdvantage Preferred (HMO)	01	01		1			H4454	002	0	2010	Middle Tennessee		2	29406	1	1			2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	007	0	1	01	01	H4454_007_0	5	08/19/2009	2010.02	08/19/2009 08:11:18 AM Central Daylight Time	08/19/2009 12:05:05 PM Central Daylight Time	08/19/2009 10:11:08 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyLiving Preferred (HMO)	01	01		1			H4454	007	0	2010	Middle and South East and West Tennessee		2	29406	1	1			2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	012	0	1	01	01	H4454_012_0	4	07/31/2009	2010.02	07/31/2009 03:05:27 PM Central Daylight Time	07/23/2009 04:32:05 PM Central Daylight Time			08/04/2009 10:35:52 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyAdvantage (HMO)	01	01		1			H4454	012	0	2010	Middle, South East and West Tennessee		2	3970	2				2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H4454	019	0	1	01	01	H4454_019_0	5	08/19/2009	2010.02	08/19/2009 08:36:37 AM Central Daylight Time	08/19/2009 12:04:11 PM Central Daylight Time	08/19/2009 10:11:11 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyAdvantage Preferred East West (HMO)	01	01		1			H4454	019	0	2010	Southeast and West Tennessee		2	3183	2				2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	020	0	1	01	01	H4454_020_0	7	08/19/2009	2010.02	08/19/2009 10:54:48 AM Central Daylight Time	08/19/2009 12:04:18 PM Central Daylight Time	08/19/2009 10:11:13 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H4454	020	0	2010	Middle Tennessee		2	4092	2		2		1	3		1	2		healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	021	0	1	01	01	H4454_021_0	7	08/19/2009	2010.02	08/19/2009 01:15:50 PM Central Daylight Time	08/19/2009 12:04:22 PM Central Daylight Time	08/19/2009 10:11:15 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyAdvantage Select (HMO)	01	01		1			H4454	021	0	2010	Middle, Southeast and West Tennessee		2	5683	1	1			2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	028	0	1	01	01	H4454_028_0	8	08/19/2009	2010.02	08/19/2009 10:57:20 AM Central Daylight Time	08/19/2009 12:04:26 PM Central Daylight Time	08/19/2009 10:11:17 AM Central Daylight Time		08/20/2009 10:40:40 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring HealthyAdvantage Primary Plan (HMO)	01	01		1			H4454	028	0	2010	South East Tennessee		2	1262	2				2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4454	803	0	1	01	01	H4454_803_0	1	05/30/2009	2010.02	05/30/2009 12:42:53 PM Central Daylight Time	05/30/2009 03:51:46 PM Central Daylight Time			05/31/2009 11:23:06 AM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring Retiree Advantage (HMO)	01	01		1			H4454	803	0	2010	Tennessee		1	159	2				2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1		
H4454	805	0	1	01	01	H4454_805_0	1	05/30/2009	2010.02	05/30/2009 12:52:11 PM Central Daylight Time	05/30/2009 03:51:48 PM Central Daylight Time			05/31/2009 12:40:22 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthSpring Retiree Advantage Plus (HMO)	01	01		1			H4454	805	0	2010	Tennessee		1	159	2				2						healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1		
H4456	010	0	1	01	01	H4456_010_0	3	07/20/2009	2010.02	07/20/2009 04:14:47 PM Central Daylight Time	08/20/2009 08:35:29 AM Central Daylight Time	08/19/2009 09:54:10 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H4456	010	0	2010	Select counties in Illinois		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	013	0	1	01	01	H4456_013_0	3	07/20/2009	2010.02	07/20/2009 09:02:17 AM Central Daylight Time	08/17/2009 05:39:04 PM Central Daylight Time	08/19/2009 09:54:03 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H4456	013	0	2010	Eastern Tennessee and Southwestern Virginia		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	015	0	1	01	01	H4456_015_0	3	07/17/2009	2010.02	07/17/2009 02:33:38 PM Central Daylight Time	08/20/2009 08:35:58 AM Central Daylight Time	08/19/2009 09:53:55 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H4456	015	0	2010	Select counties in Iowa and Illinois		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	019	0	1	01	01	H4456_019_0	3	07/20/2009	2010.02	07/20/2009 09:15:49 AM Central Daylight Time	08/20/2009 08:36:12 AM Central Daylight Time	08/19/2009 09:53:47 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H4456	019	0	2010	Eastern Tennessee and Southwestern Virginia		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	020	0	1	01	01	H4456_020_0	2	07/20/2009	2010.02	07/20/2009 09:13:22 AM Central Daylight Time	07/21/2009 03:36:14 PM Central Daylight Time			07/23/2009 02:05:09 PM Central Daylight Time	UNITEDHEALTHCARE OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4456	020	0	2010	Eastern Tennessee and Southwestern Virginia		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514										(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671										1		
H4456	021	0	1	01	01	H4456_021_0	3	08/18/2009	2010.02	08/18/2009 10:25:40 AM Central Daylight Time	08/20/2009 08:36:29 AM Central Daylight Time	08/19/2009 09:53:39 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H4456	021	0	2010	Eastern Tennessee and Southwestern Virginia		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-435-1989		(800)-435-1989		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	025	0	1	01	01	H4456_025_0	3	07/21/2009	2010.02	07/21/2009 07:31:35 AM Central Daylight Time	08/20/2009 08:36:45 AM Central Daylight Time	08/19/2009 09:53:31 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H4456	025	0	2010	Counties in IA		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	026	0	1	02	01	H4456_026_0	5	07/20/2009	2010.02	07/20/2009 09:00:38 AM Central Daylight Time	08/20/2009 08:37:05 AM Central Daylight Time	08/19/2009 09:53:18 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H4456	026	0	2010	Bradley, Hamilton, and McMinn counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	027	0	1	02	01	H4456_027_0	3	07/20/2009	2010.02	07/20/2009 09:03:40 AM Central Daylight Time	08/20/2009 08:37:43 AM Central Daylight Time	08/19/2009 09:54:18 AM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan 2 (HMO-POS)	01	02		1			H4456	027	0	2010	Select Counties in TN		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	801	0	1	01	01	H4456_801_0	3	05/26/2009	2010.02	05/28/2009 04:33:19 AM Central Daylight Time	07/20/2009 04:46:05 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	801	0	2010	Eastern Tennessee and Southwestern Virginia		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-962-4709		(800)-962-4709		(800)-435-1989		(800)-435-1989		(800)-962-4709		(800)-962-4709		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4456	805	0	1	01	01	H4456_805_0	3	05/26/2009	2010.02	05/28/2009 04:33:34 AM Central Daylight Time	07/20/2009 04:46:31 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	805	0	2010	Eastern Tennessee and Southwestern Virginia		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-962-4709		(800)-962-4709										(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671										1		
H4456	810	0	1	01	01	H4456_810_0	3	05/26/2009	2010.02	05/28/2009 04:33:46 AM Central Daylight Time	07/20/2009 04:47:04 PM Central Daylight Time			07/23/2009 05:33:02 PM Central Daylight Time	UNITEDHEALTHCARE OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	810	0	2010	Select counties in IL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-435-1989		(800)-435-1989		(800)-962-4709		(800)-962-4709		(800)-435-1989		(800)-435-1989		(800)-962-4709		(800)-962-4709		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		(800)-884-4327		(800)-884-4327		(866)-832-8671		(866)-832-8671		1		
H4461	001	0	1	01	01	H4461_001_0	4	07/17/2009	2010.02	07/17/2009 11:30:56 AM Eastern Daylight Time	08/18/2009 03:36:11 PM Eastern Daylight Time	08/19/2009 10:59:40 AM Eastern Daylight Time		08/20/2009 10:12:33 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-001 (HMO)	01	01		1			H4461	001	0	2010	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4461	004	0	1	01	01	H4461_004_0	2	07/17/2009	2010.02	07/17/2009 11:30:26 AM Eastern Daylight Time	05/29/2009 02:45:46 PM Eastern Daylight Time			07/24/2009 12:58:30 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-004 (HMO)	01	01		1			H4461	004	0	2010	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4461	011	0	1	01	01	H4461_011_0	6	08/18/2009	2010.02	08/18/2009 09:42:51 AM Eastern Daylight Time	08/18/2009 03:37:25 PM Eastern Daylight Time	08/19/2009 10:59:49 AM Eastern Daylight Time		08/25/2009 03:18:36 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus SNP-DE H4461-011 (HMO)	01	01		1			H4461	011	0	2010	East Tennessee		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H4461	012	0	1	01	01	H4461_012_0	4	07/17/2009	2010.02	07/17/2009 02:13:05 PM Eastern Daylight Time	08/18/2009 03:37:46 PM Eastern Daylight Time	08/19/2009 10:59:57 AM Eastern Daylight Time		08/20/2009 10:12:33 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-012 (HMO)	01	01		1			H4461	012	0	2010	Hamilton County		2		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4461	015	0	1	01	01	H4461_015_0	3	07/17/2009	2010.02	07/17/2009 02:19:50 PM Eastern Daylight Time	08/18/2009 03:38:31 PM Eastern Daylight Time	08/20/2009 09:53:15 AM Eastern Daylight Time		08/20/2009 10:12:33 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-015 (HMO)	01	01		1			H4461	015	0	2010	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4461	016	0	1	01	01	H4461_016_0	4	07/17/2009	2010.02	07/17/2009 03:04:00 PM Eastern Daylight Time	08/18/2009 03:38:08 PM Eastern Daylight Time	08/19/2009 11:00:15 AM Eastern Daylight Time		08/20/2009 10:12:33 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-016 (HMO)	01	01		1			H4461	016	0	2010	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4461	806	0	1	01	01	H4461_806_0	3	05/26/2009	2010.02	05/26/2009 04:07:29 PM Eastern Daylight Time	07/21/2009 05:00:34 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored (HMO)	01	01		1			H4461	806	0	2010	East Tennessee Metro Area		1		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4461	807	0	1	01	01	H4461_807_0	3	05/26/2009	2010.02	05/26/2009 04:07:58 PM Eastern Daylight Time	07/21/2009 05:00:56 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored (HMO)	01	01		1			H4461	807	0	2010	East Tennessee Metro Area		1		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4461	808	0	1	01	01	H4461_808_0	3	05/26/2009	2010.02	05/26/2009 04:08:24 PM Eastern Daylight Time	07/21/2009 05:01:12 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Humana Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4461	808	0	2010	East Tennessee Metro Area		1		2				2						www.humana.com/members/tools	http://www.caritenseniorhealth.com/cfml/pharmacy/formulary/default.cfm	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4506	003	0	1	01	01	H4506_003_0	7	08/21/2009	2010.02	08/21/2009 01:10:02 PM Central Daylight Time	08/19/2009 10:27:02 AM Central Daylight Time	08/15/2009 08:15:35 PM Central Daylight Time		08/21/2009 01:34:04 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.sctexas.com	TexanPlus Classic powered by CCRx (HMO)	01	01		1			H4506	003	0	2010	Southeast Texas		2		2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		1		
H4506	010	0	1	01	01	H4506_010_0	2	05/27/2009	2010.02	05/27/2009 08:52:26 PM Central Daylight Time	05/31/2009 04:31:01 PM Central Daylight Time			05/31/2009 05:44:40 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	TexanPlus Value (HMO)	01	01		1			H4506	010	0	2010	Southeast Texas		2		2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607										(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681										1		
H4506	025	0	1	01	01	H4506_025_0	6	08/19/2009	2010.02	08/19/2009 11:22:58 AM Central Daylight Time	08/19/2009 10:37:58 AM Central Daylight Time	08/15/2009 08:15:58 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.sctexas.com	TexanPlus Premier powered by CCRx (HMO)	01	01		1			H4506	025	0	2010	Southeast Texas		2		2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		1		
H4506	801	0	1	01	01	H4506_801_0	1	05/28/2009	2010.02	05/28/2009 11:38:23 PM Central Daylight Time	05/31/2009 05:36:49 PM Central Daylight Time			05/31/2009 05:44:40 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506 - Retiree - MA-PD non-CY (HMO)	01	01		1			H4506	801	0	2010	TexanPlus-Employer Group (MAPD nonCY)		1	700	2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		1		
H4506	806	0	1	01	01	H4506_806_0	1	05/28/2009	2010.02	05/28/2009 11:38:26 PM Central Daylight Time	05/31/2009 05:37:15 PM Central Daylight Time			05/31/2009 05:44:40 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506 - Retiree - MA-PD CY (HMO)	01	01		1			H4506	806	0	2010	TexanPlus-Employer Group (MAPD CY)		1	700	2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681		1		
H4506	808	0	1	01	01	H4506_808_0	1	05/28/2009	2010.02	05/28/2009 11:38:29 PM Central Daylight Time	05/31/2009 05:43:24 PM Central Daylight Time			05/31/2009 05:44:40 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	SelectCare of Texas, LLC	www.sctexas.com	H4506 - Retiree MA (HMO)	01	01		1			H4506	808	0	2010	TexanValue-Employer Group (MA Only)		1	700	2				2						www.sctexas.com	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607										(888)-685-8480		(888)-685-8480		(866)-338-4681		(866)-338-4681										1		
H4510	012	0	1	01	01	H4510_012_0	6	08/17/2009	2010.02	08/17/2009 03:19:34 PM Eastern Daylight Time	08/18/2009 05:51:36 PM Eastern Daylight Time	08/19/2009 11:00:23 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-012 (HMO)	01	01		1			H4510	012	0	2010	Corpus Christi Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	015	0	1	01	01	H4510_015_0	6	08/19/2009	2010.02	08/19/2009 02:43:56 PM Eastern Daylight Time	08/18/2009 06:00:03 PM Eastern Daylight Time	08/19/2009 11:00:31 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-015 (HMO)	01	01		1			H4510	015	0	2010	San Antonio Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	017	0	1	01	01	H4510_017_0	4	07/21/2009	2010.02	07/21/2009 03:50:33 PM Eastern Daylight Time	08/18/2009 05:50:22 PM Eastern Daylight Time	08/19/2009 11:00:40 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-017 (HMO)	01	01		1			H4510	017	0	2010	Bexar and Nueces County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	018	0	1	01	01	H4510_018_0	6	08/17/2009	2010.02	08/17/2009 09:24:01 AM Eastern Daylight Time	08/18/2009 05:51:18 PM Eastern Daylight Time	08/19/2009 11:00:48 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-018 (HMO)	01	01		1			H4510	018	0	2010	Dallas Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	019	0	1	01	01	H4510_019_0	3	05/30/2009	2010.02	05/30/2009 04:44:15 PM Eastern Daylight Time	08/18/2009 05:51:55 PM Eastern Daylight Time	08/19/2009 11:00:56 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-019 (HMO)	01	01		1			H4510	019	0	2010	Dallas County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	020	0	1	01	01	H4510_020_0	6	08/17/2009	2010.02	08/17/2009 09:25:03 AM Eastern Daylight Time	08/18/2009 05:54:30 PM Eastern Daylight Time	08/19/2009 11:01:04 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-020 (HMO)	01	01		1			H4510	020	0	2010	Austin Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	021	0	1	01	01	H4510_021_0	6	07/22/2009	2010.02	07/22/2009 10:38:41 AM Eastern Daylight Time	08/18/2009 05:54:48 PM Eastern Daylight Time	08/19/2009 11:01:12 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-021 (HMO)	01	01		1			H4510	021	0	2010	El Paso County		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	022	0	1	01	01	H4510_022_0	6	08/17/2009	2010.02	08/17/2009 09:26:15 AM Eastern Daylight Time	08/18/2009 05:54:11 PM Eastern Daylight Time	08/19/2009 11:01:20 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-022 (HMO)	01	01		1			H4510	022	0	2010	El Paso County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	023	0	1	01	01	H4510_023_0	3	05/30/2009	2010.02	05/30/2009 02:31:20 PM Eastern Daylight Time	08/18/2009 05:58:36 PM Eastern Daylight Time	08/19/2009 11:01:27 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-023 (HMO)	01	01		1			H4510	023	0	2010	Dallas Metro Area		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	024	0	1	01	01	H4510_024_0	3	05/30/2009	2010.02	05/30/2009 02:32:13 PM Eastern Daylight Time	08/18/2009 05:58:16 PM Eastern Daylight Time	08/19/2009 11:01:35 AM Eastern Daylight Time		08/20/2009 03:12:06 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-024 (HMO)	01	01		1			H4510	024	0	2010	Corpus Christi/San Antonio Area		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	801	0	1	01	01	H4510_801_0	4	05/26/2009	2010.02	05/26/2009 04:08:48 PM Eastern Daylight Time	07/21/2009 03:30:16 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer sponsored (HMO)	01	01		1			H4510	801	0	2010	Bexar, Aransas, Nueces and San Patricio counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4510	802	0	1	01	01	H4510_802_0	4	05/26/2009	2010.02	05/26/2009 04:09:15 PM Eastern Daylight Time	07/21/2009 04:22:10 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4510	802	0	2010	Bexar, Aransas, Nueces and San Patricio counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4510	803	0	1	01	01	H4510_803_0	4	05/26/2009	2010.02	05/26/2009 04:09:39 PM Eastern Daylight Time	07/21/2009 04:22:26 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4510	803	0	2010	Select Texas Counties		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4513	001	0	1	01	01	H4513_001_0	5	08/19/2009	2010.02	08/19/2009 10:42:37 AM Central Daylight Time	08/19/2009 02:41:10 PM Central Daylight Time	08/19/2009 10:11:19 AM Central Daylight Time		08/20/2009 11:17:18 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring HealthyAdvantage Preferred (HMO)	01	01		1			H4513	001	0	2010	Upper Gulf Coast and East Texas		2	22936	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	009	0	1	01	01	H4513_009_0	2	07/24/2009	2010.02	07/24/2009 11:50:43 AM Central Daylight Time	07/23/2009 03:18:10 PM Central Daylight Time			07/27/2009 02:44:16 PM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring HealthyAdvantage True Choice (HMO)	01	01		1			H4513	009	0	2010	Upper Gulf Coast and East Texas		2	1155	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1		
H4513	010	0	1	01	01	H4513_010_0	6	08/19/2009	2010.02	08/19/2009 09:42:29 AM Central Daylight Time	08/19/2009 02:41:14 PM Central Daylight Time	08/19/2009 10:11:21 AM Central Daylight Time		08/20/2009 11:17:18 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H4513	010	0	2010	Texas HealthSpring Counties		2	12122	2		2		1	3		1	2			www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	014	0	1	01	01	H4513_014_0	5	08/19/2009	2010.02	08/19/2009 09:41:53 AM Central Daylight Time	08/19/2009 02:41:19 PM Central Daylight Time	08/19/2009 10:11:23 AM Central Daylight Time		08/20/2009 11:17:18 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring HealthyAdvantage Valley (HMO)	01	01		1			H4513	014	0	2010	Valley Counties		2	827	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	019	0	1	01	01	H4513_019_0	6	08/19/2009	2010.02	08/19/2009 09:43:53 AM Central Daylight Time	08/19/2009 02:41:24 PM Central Daylight Time	08/19/2009 10:11:24 AM Central Daylight Time		08/20/2009 11:17:18 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring OptimaCare (HMO)	01	01		1			H4513	019	0	2010	Texas HealthSpring Counties		2	1128	2				1	4		1		000000100000000		www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	020	0	1	01	01	H4513_020_0	3	08/19/2009	2010.02	08/19/2009 09:44:19 AM Central Daylight Time	08/19/2009 02:41:28 PM Central Daylight Time	08/19/2009 10:11:26 AM Central Daylight Time		08/20/2009 11:17:18 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring HealthyAdvantage Sadler (HMO)	01	01		1			H4513	020	0	2010	Upper Gulf Coast and East Texas		2	1346	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	022	0	1	01	01	H4513_022_0	6	08/19/2009	2010.02	08/19/2009 09:47:05 AM Central Daylight Time	08/19/2009 02:41:05 PM Central Daylight Time	08/24/2009 01:41:48 PM Central Daylight Time		08/25/2009 08:55:53 AM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring HealthyAdvantage Select (HMO)	01	01		1			H4513	022	0	2010	Upper Gulf Coast East Texas		2	5187	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4513	802	0	1	01	01	H4513_802_0	1	05/30/2009	2010.02	05/30/2009 12:45:45 PM Central Daylight Time	05/29/2009 02:18:17 PM Central Daylight Time			05/30/2009 05:29:47 PM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring Retiree Advantage (HMO)	01	01		1			H4513	802	0	2010	Texas		1	159	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1		
H4513	804	0	1	01	01	H4513_804_0	1	05/30/2009	2010.02	05/30/2009 12:50:48 PM Central Daylight Time	05/29/2009 02:18:20 PM Central Daylight Time			05/30/2009 05:29:47 PM Central Daylight Time	TEXAS HEALTHSPRING LLC	Texas HealthSpring	www.healthspring.com	HealthSpring Retiree Advantage Plus (HMO)	01	01		1			H4513	804	0	2010	Texas		1	159	2				2							www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H4514	001	0	1	01	01	H4514_001_0	3	07/16/2009	2010.02	07/16/2009 11:34:15 AM Central Daylight Time	08/17/2009 10:21:50 AM Central Daylight Time	08/13/2009 05:52:02 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H4514	001	0	2010	Houston and Austin Surrounding Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4514	004	0	1	01	01	H4514_004_0	4	07/17/2009	2010.02	07/17/2009 11:03:21 AM Central Daylight Time	08/14/2009 01:49:42 PM Central Daylight Time	08/13/2009 05:52:06 PM Central Daylight Time		08/19/2009 08:54:37 AM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H4514	004	0	2010	Houston area		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4514	007	0	1	01	01	H4514_007_0	4	07/17/2009	2010.02	07/17/2009 03:57:04 PM Central Daylight Time	08/14/2009 01:50:44 PM Central Daylight Time	08/13/2009 05:52:10 PM Central Daylight Time		08/19/2009 08:54:37 AM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H4514	007	0	2010	Houston,Ctrl Texas,Jefferson,Austin,Liberty,Hardin		2		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4514	801	0	1	01	01	H4514_801_0	4	05/26/2009	2010.02	05/28/2009 04:33:59 AM Central Daylight Time	07/20/2009 03:11:03 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	801	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4514	803	0	1	01	01	H4514_803_0	4	05/26/2009	2010.02	05/28/2009 04:34:16 AM Central Daylight Time	07/20/2009 03:11:23 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	803	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4514	806	0	1	01	01	H4514_806_0	5	05/26/2009	2010.02	05/28/2009 04:34:30 AM Central Daylight Time	07/20/2009 03:11:42 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	806	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4514	810	0	2	01	01	H4514_810_0	5	05/29/2009	2010.02	05/29/2009 07:14:32 PM Central Daylight Time	07/20/2009 03:12:09 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare Health Plans	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H4514	810	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4517	001	0	1	20	08	H4517_001_0	2	10/13/2009	2010.02	10/13/2009 03:36:55 PM Central Daylight Time		10/13/2009 02:41:47 PM Central Daylight Time		10/13/2009 03:38:20 PM Central Daylight Time	AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alanac@amaonline.com	DUAL ELIGIBLE (PACE)	08	20		1			H4517	001	0	2010	Potter, TX and Randall, TX Counties		2		2				2							N/A									(888)-299-6401		(806)-374-5516		(888)-299-6401		(806)-374-5516																		1		
H4517	002	0	1	20	08	H4517_002_0	2	05/19/2009	2010.02	05/19/2009 07:34:27 AM Central Daylight Time		10/13/2009 02:41:47 PM Central Daylight Time		10/13/2009 03:38:20 PM Central Daylight Time	AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alanac@amaonline.com	MEDICARE ONLY (PACE)	08	20		1			H4517	002	0	2010	Potter, TX and Randall, TX Counties		2		2				2							N/A									(888)-299-6401		(806)-374-5516		(888)-299-6401		(806)-374-5516																		1		
H4518	001	0	1	20	08	H4518_001_0	2	05/19/2009	2010.02	05/19/2009 07:55:28 AM Mountain Daylight Time		10/13/2009 01:30:33 PM Mountain Daylight Time		10/13/2009 05:43:39 PM Mountain Daylight Time	BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	www.Bienvivir.org	BSHS Part D, Dual Eligibles (PACE)	08	20		1			H4518	001	0	2010	El Paso, Texas and El Paso County		2	710	2				2							hmajeed@bienvivir.org									(915)-562-3444		(915)-562-3444	1801	(915)-562-3444		(915)-562-3444	1801																	1		
H4518	002	0	1	20	08	H4518_002_0	2	05/19/2009	2010.02	05/19/2009 07:56:50 AM Mountain Daylight Time		10/13/2009 01:30:33 PM Mountain Daylight Time		10/13/2009 05:43:39 PM Mountain Daylight Time	BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	www.Bienvivir.org	BSHS Part D, Medicare Only (PACE)	08	20		1			H4518	002	0	2010	El Paso, Texas and El Paso County		2	0	2				2							hmajeed@bienvivir.org									(915)-562-3444		(915)-562-3444	1801	(915)-562-3444		(915)-562-3444	1801																	1		
H4520	001	0	1	04	01	H4520_001_0	5	07/21/2009	2010.02	07/21/2009 03:47:12 PM Eastern Daylight Time	08/18/2009 05:58:54 PM Eastern Daylight Time	08/19/2009 11:01:44 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-001 (PPO)	01	04		1			H4520	001	0	2010	San Antonio Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	002	0	1	04	01	H4520_002_0	5	07/21/2009	2010.02	07/21/2009 03:47:32 PM Eastern Daylight Time	08/18/2009 05:53:14 PM Eastern Daylight Time	08/19/2009 11:01:51 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-002 (PPO)	01	04		1			H4520	002	0	2010	Corpus Christi Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	003	0	1	04	01	H4520_003_0	5	07/21/2009	2010.02	07/21/2009 03:47:52 PM Eastern Daylight Time	08/18/2009 05:59:14 PM Eastern Daylight Time	08/19/2009 11:02:00 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-003 (PPO)	01	04		1			H4520	003	0	2010	Austin Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	005	0	1	04	01	H4520_005_0	5	07/21/2009	2010.02	07/21/2009 03:48:12 PM Eastern Daylight Time	08/18/2009 05:52:15 PM Eastern Daylight Time	08/19/2009 11:02:09 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-005 (PPO)	01	04		1			H4520	005	0	2010	Houston Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	006	0	1	04	01	H4520_006_0	4	07/21/2009	2010.02	07/21/2009 03:48:29 PM Eastern Daylight Time	08/18/2009 05:52:35 PM Eastern Daylight Time	08/19/2009 11:02:17 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-006 (PPO)	01	04		1			H4520	006	0	2010	Dallas Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	016	0	1	04	01	H4520_016_0	5	07/21/2009	2010.02	07/21/2009 03:48:46 PM Eastern Daylight Time	08/18/2009 05:50:02 PM Eastern Daylight Time	08/19/2009 11:02:25 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-016 (PPO)	01	04		1			H4520	016	0	2010	Texarkana Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	018	0	1	04	01	H4520_018_0	5	07/21/2009	2010.02	07/21/2009 03:49:04 PM Eastern Daylight Time	08/18/2009 05:49:42 PM Eastern Daylight Time	08/19/2009 11:02:32 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-018 (PPO)	01	04		1			H4520	018	0	2010	Hardin, Jefferson, Liberty and Orange Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	020	0	1	04	01	H4520_020_0	5	07/21/2009	2010.02	07/21/2009 03:49:21 PM Eastern Daylight Time	08/18/2009 05:53:33 PM Eastern Daylight Time	08/19/2009 11:02:41 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-020 (PPO)	01	04		1			H4520	020	0	2010	Amarillo Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	021	0	1	04	01	H4520_021_0	5	07/21/2009	2010.02	07/21/2009 03:49:40 PM Eastern Daylight Time	08/18/2009 05:53:53 PM Eastern Daylight Time	08/19/2009 11:02:50 AM Eastern Daylight Time		08/20/2009 03:32:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-021 (PPO)	01	04		1			H4520	021	0	2010	Midland Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	801	0	1	04	01	H4520_801_0	5	07/10/2009	2010.02	07/16/2009 08:08:22 AM Eastern Daylight Time	07/21/2009 03:47:20 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4520	801	0	2010	Various Metro Areas in Texas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4520	804	0	1	04	01	H4520_804_0	6	07/10/2009	2010.02	07/16/2009 08:08:47 AM Eastern Daylight Time	07/21/2009 04:42:14 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4520	804	0	2010	Various Metro Areas in Texas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4520	805	0	1	04	01	H4520_805_0	6	07/10/2009	2010.02	07/16/2009 08:09:10 AM Eastern Daylight Time	07/21/2009 04:42:30 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H4520	805	0	2010	Various Metro Areas in Texas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tool/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4522	001	0	1	04	01	H4522_001_0	6	07/17/2009	2010.02	07/17/2009 04:02:03 PM Central Daylight Time	08/18/2009 11:17:15 AM Central Daylight Time	08/18/2009 12:27:56 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H4522	001	0	2010	Dona Ana, Grant, Hidalgo, Luna, Sierra, El Paso		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4522	007	0	1	04	01	H4522_007_0	4	07/16/2009	2010.02	07/16/2009 05:30:52 PM Central Daylight Time	08/17/2009 02:17:39 PM Central Daylight Time	08/13/2009 05:52:26 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H4522	007	0	2010	Dona Ana, Grant, Hidalgo, Luna and Sierra Counties		2		2		2		1	3		1	2		www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4522	008	0	1	04	01	H4522_008_0	5	07/17/2009	2010.02	07/17/2009 10:53:16 AM Central Daylight Time	08/14/2009 01:53:54 PM Central Daylight Time	08/13/2009 05:52:30 PM Central Daylight Time		08/19/2009 08:54:37 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H4522	008	0	2010	Dona Ana, Grant, Hidalgo, Luna and Sierra Counties		2		2				1	4		1		000110100000000	www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4522	801	0	1	04	01	H4522_801_0	5	08/18/2009	2010.02	08/18/2009 11:47:07 AM Central Daylight Time	07/20/2009 04:12:19 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H4522	801	0	2010	TX  Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4522	803	0	1	04	01	H4522_803_0	5	08/18/2009	2010.02	08/18/2009 11:47:21 AM Central Daylight Time	07/20/2009 04:12:46 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H4522	803	0	2010	TX  Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4522	804	0	1	04	01	H4522_804_0	5	08/18/2009	2010.02	08/18/2009 11:47:35 AM Central Daylight Time	07/20/2009 04:13:12 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H4522	804	0	2010	TX  Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4522	806	0	2	04	01	H4522_806_0	5	08/18/2009	2010.02	08/18/2009 11:49:37 AM Central Daylight Time	07/20/2009 04:13:41 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H4522	806	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4522	807	0	2	04	01	H4522_807_0	5	08/18/2009	2010.02	08/18/2009 11:50:07 AM Central Daylight Time	07/20/2009 04:14:06 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H4522	807	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4522	808	0	2	04	01	H4522_808_0	5	08/18/2009	2010.02	08/18/2009 11:50:21 AM Central Daylight Time	07/20/2009 04:14:34 PM Central Daylight Time			08/18/2009 01:02:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H4522	808	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(866)-288-3389		(866)-288-3389		(800)-330-1601		(800)-330-1601		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4523	001	0	1	01	01	H4523_001_0	6	08/20/2009	2010.02	08/20/2009 01:04:20 PM Eastern Daylight Time	08/18/2009 03:55:54 PM Eastern Daylight Time	08/17/2009 02:49:26 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4523	001	0	2010	Bexar and Comal Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4523	005	0	1	01	01	H4523_005_0	5	08/20/2009	2010.02	08/20/2009 01:04:30 PM Eastern Daylight Time	08/18/2009 10:11:07 AM Eastern Daylight Time	08/17/2009 02:49:56 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H4523	005	0	2010	Collin, Dallas, Denton and Tarrant Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4523	014	0	1	01	01	H4523_014_0	6	08/19/2009	2010.02	08/19/2009 01:59:00 PM Eastern Daylight Time	08/18/2009 04:25:08 PM Eastern Daylight Time	08/24/2009 06:33:19 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Dual Advantage Plan (HMO)	01	01		1			H4523	014	0	2010	Bexar County		2		2		2		1	3		1	2		http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4523	015	0	1	01	01	H4523_015_0	5	08/20/2009	2010.02	08/20/2009 01:04:54 PM Eastern Daylight Time	08/18/2009 04:25:54 PM Eastern Daylight Time	08/17/2009 02:50:54 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4523	015	0	2010	Harris and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4523	801	0	1	01	01	H4523_801_0	2	05/19/2009	2010.02	05/19/2009 01:31:35 PM Eastern Daylight Time	05/31/2009 03:21:47 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H4523	801	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H4523	802	0	1	01	01	H4523_802_0	2	05/19/2009	2010.02	05/19/2009 01:34:10 PM Eastern Daylight Time	05/31/2009 03:27:48 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H4523	802	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	001	0	1	04	01	H4524_001_0	6	08/20/2009	2010.02	08/20/2009 01:10:06 PM Eastern Daylight Time	08/18/2009 12:26:18 PM Eastern Daylight Time	08/17/2009 02:51:22 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	001	0	2010	Bexar and Comal Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	002	0	1	04	01	H4524_002_0	7	08/20/2009	2010.02	08/20/2009 01:09:36 PM Eastern Daylight Time	08/18/2009 12:40:08 PM Eastern Daylight Time	08/17/2009 02:51:50 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H4524	002	0	2010	Bexar and Comal Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	007	0	1	04	01	H4524_007_0	6	08/20/2009	2010.02	08/20/2009 01:09:10 PM Eastern Daylight Time	08/18/2009 12:47:35 PM Eastern Daylight Time	08/17/2009 02:52:20 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	007	0	2010	Collin, Dallas, Denton and Tarrant Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	008	0	1	04	01	H4524_008_0	7	08/19/2009	2010.02	08/19/2009 02:22:57 PM Eastern Daylight Time	08/18/2009 12:53:40 PM Eastern Daylight Time	08/24/2009 06:35:34 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H4524	008	0	2010	Collin, Dallas, Denton and Tarrant Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	013	0	1	04	01	H4524_013_0	5	08/20/2009	2010.02	08/20/2009 01:08:09 PM Eastern Daylight Time	08/19/2009 11:10:53 AM Eastern Daylight Time	08/17/2009 02:53:12 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	013	0	2010	Harris and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	014	0	1	04	01	H4524_014_0	6	08/20/2009	2010.02	08/20/2009 01:07:39 PM Eastern Daylight Time	08/18/2009 01:05:36 PM Eastern Daylight Time	08/17/2009 02:53:42 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H4524	014	0	2010	Harris and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	801	0	1	04	01	H4524_801_0	2	07/01/2009	2010.02	07/01/2009 11:51:34 AM Eastern Daylight Time	06/01/2009 12:09:56 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H4524	801	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H4524	802	0	1	04	01	H4524_802_0	2	07/01/2009	2010.02	07/01/2009 11:51:43 AM Eastern Daylight Time	06/01/2009 01:51:00 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H4524	802	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	804	0	1	04	01	H4524_804_0	2	07/01/2009	2010.02	07/01/2009 11:51:51 AM Eastern Daylight Time	06/01/2009 12:14:52 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Plan w/RX NCY (PPO)	01	04		1			H4524	804	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	805	0	2	04	01	H4524_805_0	2	07/01/2009	2010.02	07/01/2009 11:52:06 AM Eastern Daylight Time	06/01/2009 12:18:35 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H4524	805	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H4524	806	0	2	04	01	H4524_806_0	2	07/01/2009	2010.02	07/01/2009 11:52:14 AM Eastern Daylight Time	06/01/2009 12:23:09 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H4524	806	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4524	807	0	2	04	01	H4524_807_0	2	07/01/2009	2010.02	07/01/2009 11:52:24 AM Eastern Daylight Time	06/01/2009 12:27:57 PM Eastern Daylight Time			07/01/2009 12:43:48 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx NCY (PPO)	01	04		2	2		H4524	807	0	2010	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4525	001	0	1	01	01	H4525_001_0	6	08/14/2009	2010.02	08/14/2009 04:36:15 PM Central Daylight Time	08/14/2009 11:06:00 AM Central Daylight Time	08/14/2009 10:31:00 AM Central Daylight Time		08/18/2009 05:45:00 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Gold (HMO)	01	01		1			H4525	001	0	2010	FirstCare Advantage Gold (Abilene Region)		2	47	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	002	0	1	01	01	H4525_002_0	5	08/07/2009	2010.02	08/07/2009 04:11:35 PM Central Daylight Time	08/14/2009 12:29:00 PM Central Daylight Time	08/14/2009 10:34:00 AM Central Daylight Time		08/18/2009 05:50:03 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Gold (HMO)	01	01		1			H4525	002	0	2010	FirstCare Advantage Gold (Lubbock Region)		2	358	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	003	0	1	01	01	H4525_003_0	5	09/28/2009	2010.02	09/28/2009 10:17:48 AM Central Daylight Time	08/18/2009 01:41:00 PM Central Daylight Time	08/14/2009 10:35:00 AM Central Daylight Time		09/28/2009 10:20:25 AM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Select (HMO)	01	01		1			H4525	003	0	2010	FirstCare Advantage Select (Lubbock Region)		2	1433	1	1	2		1	3		1	2		www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	004	0	1	01	01	H4525_004_0	2	07/24/2009	2010.02	07/24/2009 09:18:14 AM Central Daylight Time	07/23/2009 06:00:00 PM Central Daylight Time			07/24/2009 09:37:00 AM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Silver (HMO)	01	01		1			H4525	004	0	2010	FirstCare Advantage Silver (Abilene Region)		2	21	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969										(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259										1		
H4525	005	0	1	01	01	H4525_005_0	2	07/24/2009	2010.02	07/24/2009 09:18:32 AM Central Daylight Time	07/23/2009 06:02:00 PM Central Daylight Time			07/24/2009 09:43:34 AM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Silver (HMO)	01	01		1			H4525	005	0	2010	FirstCare Advantage Silver (Lubbock Region)		2	55	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969										(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259										1		
H4525	007	0	1	01	01	H4525_007_0	3	06/08/2009	2010.02	06/08/2009 04:03:13 PM Central Daylight Time	08/14/2009 01:37:00 PM Central Daylight Time	08/14/2009 10:38:00 AM Central Daylight Time		08/18/2009 05:58:56 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Platinum (HMO)	01	01		1			H4525	007	0	2010	FirstCare Advantage Platinum (Lubbock Region)		2	281	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	008	0	1	01	01	H4525_008_0	3	06/01/2009	2010.02	06/01/2009 11:04:48 AM Central Daylight Time	08/14/2009 01:40:00 PM Central Daylight Time	08/14/2009 10:42:00 AM Central Daylight Time		08/18/2009 06:02:43 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Elite (HMO)	01	01		1			H4525	008	0	2010	FirstCare Advantage Elite (Abilene)		2	71	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	009	0	1	01	01	H4525_009_0	3	06/08/2009	2010.02	06/08/2009 05:55:10 PM Central Daylight Time	08/14/2009 01:45:00 PM Central Daylight Time	08/14/2009 10:45:00 AM Central Daylight Time		08/18/2009 06:06:27 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Elite (HMO)	01	01		1			H4525	009	0	2010	FirstCare Advantage Elite (Lubbock)		2	142	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4525	802	0	1	01	01	H4525_802_0	1	06/01/2009	2010.02	06/01/2009 11:58:02 AM Central Daylight Time	06/01/2009 02:09:00 AM Central Daylight Time			06/01/2009 12:00:15 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Employer (D) (HMO)	01	01		1			H4525	802	0	2010	FirstCare Advantage Employer (D)		1	42	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(866)-229-4969		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1		
H4527	001	0	1	01	01	H4527_001_0	5	08/20/2009	2010.02	08/20/2009 10:06:48 AM Central Daylight Time	08/20/2009 04:47:43 PM Central Daylight Time	08/20/2009 04:49:28 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H4527	001	0	2010	Nueces, San Patricio, Aransas, Jim Wells, Kleberg		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	002	0	1	01	01	H4527_002_0	7	08/19/2009	2010.02	08/19/2009 03:31:05 PM Central Daylight Time	08/20/2009 04:47:45 PM Central Daylight Time	08/20/2009 04:49:29 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H4527	002	0	2010	Travis, Hays, and Williamson Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	003	0	1	01	01	H4527_003_0	3	08/20/2009	2010.02	08/20/2009 10:00:50 AM Central Daylight Time	08/20/2009 04:47:46 PM Central Daylight Time	08/20/2009 04:49:29 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H4527	003	0	2010	Travis, Hays, and Williamson Counties		2		2		2		1	3		1	2		http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	004	0	1	01	01	H4527_004_0	4	08/20/2009	2010.02	08/20/2009 10:07:10 AM Central Daylight Time	08/20/2009 04:47:47 PM Central Daylight Time	08/20/2009 04:49:30 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H4527	004	0	2010	Nueces, San Patricio, and Aransas Counties		2		2		2		1	3		1	2		http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	005	0	1	01	01	H4527_005_0	4	08/19/2009	2010.02	08/19/2009 03:52:31 PM Central Daylight Time	08/20/2009 04:47:48 PM Central Daylight Time	08/20/2009 04:49:30 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H4527	005	0	2010	El Paso County		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	006	0	1	01	01	H4527_006_0	3	08/20/2009	2010.02	08/20/2009 10:08:22 AM Central Daylight Time	08/20/2009 04:47:49 PM Central Daylight Time	08/20/2009 04:49:31 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H4527	006	0	2010	El Paso County		2		2		2		1	3		1	2		http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	008	0	1	01	01	H4527_008_0	4	08/20/2009	2010.02	08/20/2009 10:07:36 AM Central Daylight Time	08/20/2009 04:47:50 PM Central Daylight Time	08/20/2009 04:49:31 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Wellness (HMO)	01	01		1			H4527	008	0	2010	Nueces County		2		2				1	4		1		000010100000000	http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	012	0	1	01	01	H4527_012_0	4	07/07/2009	2010.02	07/07/2009 04:45:16 PM Central Daylight Time	08/07/2009 01:28:34 PM Central Daylight Time			08/10/2009 11:16:43 AM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	012	0	2010	Cameron, Hidalgo, and Willacy Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H4527	013	0	1	01	01	H4527_013_0	5	08/20/2009	2010.02	08/20/2009 10:09:12 AM Central Daylight Time	08/20/2009 04:48:04 PM Central Daylight Time	08/20/2009 04:49:32 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H4527	013	0	2010	Cameron, Hidalgo, and Willacy Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	014	0	1	01	01	H4527_014_0	5	08/20/2009	2010.02	08/20/2009 10:09:52 AM Central Daylight Time	08/20/2009 04:47:34 PM Central Daylight Time	08/20/2009 04:49:32 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	014	0	2010	Cameron, Hidalgo, and Willacy Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	015	0	1	01	01	H4527_015_0	5	08/20/2009	2010.02	08/20/2009 10:09:31 AM Central Daylight Time	08/20/2009 04:47:37 PM Central Daylight Time	08/20/2009 04:49:33 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H4527	015	0	2010	Cameron County		2		2		2		1	3		1	2		http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	020	0	1	01	01	H4527_020_0	2	07/07/2009	2010.02	07/07/2009 04:46:30 PM Central Daylight Time	07/20/2009 04:27:11 PM Central Daylight Time			07/20/2009 05:24:37 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	020	0	2010	Nueces, San Patricio, Aransas, Jim Wells, Kleberg		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H4527	022	0	1	01	01	H4527_022_0	2	07/16/2009	2010.02	07/16/2009 10:57:48 AM Central Daylight Time	07/20/2009 04:27:11 PM Central Daylight Time			07/20/2009 05:24:37 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	022	0	2010	Travis, Hays, and Williamson Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H4527	023	0	1	01	01	H4527_023_0	4	08/20/2009	2010.02	08/20/2009 10:02:05 AM Central Daylight Time	08/20/2009 04:47:52 PM Central Daylight Time	08/20/2009 04:49:33 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	023	0	2010	Travis, Hays and Williamson Counties		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	024	0	1	01	01	H4527_024_0	2	07/07/2009	2010.02	07/07/2009 04:46:58 PM Central Daylight Time	07/20/2009 04:27:12 PM Central Daylight Time			07/20/2009 05:24:37 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	024	0	2010	El Paso County		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H4527	026	0	1	01	01	H4527_026_0	4	08/20/2009	2010.02	08/20/2009 10:03:20 AM Central Daylight Time	08/20/2009 04:47:53 PM Central Daylight Time	08/20/2009 04:49:34 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Wellness (HMO)	01	01		1			H4527	026	0	2010	Travis County		2		2				1	4		1		000010100000000	http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	027	0	1	01	01	H4527_027_0	4	08/20/2009	2010.02	08/20/2009 10:07:56 AM Central Daylight Time	08/20/2009 04:47:54 PM Central Daylight Time	08/20/2009 04:49:22 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	027	0	2010	Nueces, San Patricia, Aransas, Jim Wells, Kleberg		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	028	0	1	01	01	H4527_028_0	4	08/20/2009	2010.02	08/20/2009 10:08:45 AM Central Daylight Time	08/20/2009 04:47:56 PM Central Daylight Time	08/20/2009 04:49:23 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	028	0	2010	El Paso County		2		2				2						http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	030	0	1	01	01	H4527_030_0	5	08/20/2009	2010.02	08/20/2009 10:10:18 AM Central Daylight Time	08/20/2009 04:47:38 PM Central Daylight Time	08/20/2009 04:49:23 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Wellness (HMO)	01	01		1			H4527	030	0	2010	Cameron and Hidalgo Counties		2		2				1	4		1		000010100000000	http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4527	031	0	1	01	01	H4527_031_0	5	08/20/2009	2010.02	08/20/2009 10:10:36 AM Central Daylight Time	08/20/2009 04:47:36 PM Central Daylight Time	08/20/2009 04:49:24 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H4527	031	0	2010	Hidalgo and Willacy Counties		2		2		2		1	3		1	5		http://www.physicianshealthchoice.com/providers-providerdirectory.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H4528	001	0	1	02	01	H4528_001_0	3	08/18/2009	2010.02	08/18/2009 09:42:36 AM Eastern Daylight Time	08/19/2009 12:41:12 PM Eastern Daylight Time	08/14/2009 11:29:00 AM Eastern Daylight Time		08/20/2009 05:59:37 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Classic Plus (HMO-POS)	01	02		1			H4528	001	0	2010	Select Texas Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	002	0	1	01	01	H4528_002_0	4	08/22/2009	2010.02	08/22/2009 11:49:52 AM Eastern Daylight Time	08/21/2009 02:46:23 PM Eastern Daylight Time	08/14/2009 11:29:20 AM Eastern Daylight Time		08/22/2009 11:54:46 AM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H4528	002	0	2010	El Paso and Harris Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	005	0	1	02	01	H4528_005_0	3	08/20/2009	2010.02	08/20/2009 02:46:35 PM Eastern Daylight Time	08/20/2009 04:05:37 PM Eastern Daylight Time	08/14/2009 11:29:34 AM Eastern Daylight Time		08/20/2009 05:59:37 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Classic Plus (HMO-POS)	01	02		1			H4528	005	0	2010	Bexar County		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	006	0	1	01	01	H4528_006_0	3	08/22/2009	2010.02	08/22/2009 11:50:03 AM Eastern Daylight Time	08/21/2009 02:46:25 PM Eastern Daylight Time	08/14/2009 11:29:48 AM Eastern Daylight Time		08/22/2009 11:54:46 AM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H4528	006	0	2010	Bexar County		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	012	0	1	01	01	H4528_012_0	3	08/22/2009	2010.02	08/22/2009 11:50:12 AM Eastern Daylight Time	08/21/2009 02:46:26 PM Eastern Daylight Time	08/14/2009 11:30:04 AM Eastern Daylight Time		08/22/2009 11:54:46 AM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO)	01	01		1			H4528	012	0	2010	Select TX counties		2		2		2		1	3		1	4		www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	013	0	1	01	01	H4528_013_0	3	08/22/2009	2010.02	08/22/2009 11:50:16 AM Eastern Daylight Time	08/21/2009 02:46:24 PM Eastern Daylight Time	08/14/2009 11:30:20 AM Eastern Daylight Time		08/22/2009 11:54:46 AM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO)	01	01		1			H4528	013	0	2010	Select TX counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	014	0	1	01	01	H4528_014_0	2	08/18/2009	2010.02	08/18/2009 09:45:27 AM Eastern Daylight Time	08/19/2009 01:35:30 PM Eastern Daylight Time	08/14/2009 11:30:34 AM Eastern Daylight Time		08/20/2009 05:59:37 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H4528	014	0	2010	Select Tx counties		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	015	0	1	01	01	H4528_015_0	2	08/20/2009	2010.02	08/20/2009 02:46:54 PM Eastern Daylight Time	08/20/2009 04:05:39 PM Eastern Daylight Time	08/14/2009 11:30:46 AM Eastern Daylight Time		08/20/2009 05:59:37 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H4528	015	0	2010	Bexar County		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	801	0	1	01	01	H4528_801_0	1	05/26/2009	2010.02	05/26/2009 02:15:42 PM Eastern Daylight Time	05/28/2009 04:42:14 PM Eastern Daylight Time			05/28/2009 09:05:28 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (CY) (HMO)	01	01		1			H4528	801	0	2010	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4528	802	0	1	01	01	H4528_802_0	1	05/26/2009	2010.02	05/26/2009 02:15:56 PM Eastern Daylight Time	05/28/2009 04:32:46 PM Eastern Daylight Time			05/28/2009 09:05:28 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (non-CY) (HMO)	01	01		1			H4528	802	0	2010	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H4529	002	0	1	02	01	H4529_002_0	10	08/19/2009	2010.02	08/19/2009 11:31:12 PM Pacific Daylight Time	08/20/2009 12:12:18 PM Pacific Daylight Time	08/20/2009 12:19:18 PM Pacific Daylight Time		08/20/2009 03:39:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care- Plus Point (HMO-POS)	01	02		1			H4529	002	0	2010	El Paso County		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	004	0	1	01	01	H4529_004_0	10	08/19/2009	2010.02	08/19/2009 11:31:38 PM Pacific Daylight Time	08/20/2009 12:12:08 PM Pacific Daylight Time	08/25/2009 05:19:45 AM Pacific Daylight Time		08/26/2009 05:51:21 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care- Plus (HMO)	01	01		1			H4529	004	0	2010	Travis / Williamson		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	007	0	1	01	01	H4529_007_0	8	08/19/2009	2010.02	08/19/2009 11:54:49 PM Pacific Daylight Time	08/20/2009 12:11:50 PM Pacific Daylight Time	08/20/2009 12:19:10 PM Pacific Daylight Time		08/20/2009 03:39:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Dual Plus (HMO)	01	01		1			H4529	007	0	2010	El Paso County		2		2		2		1	3		1	1			http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	014	0	1	01	01	H4529_014_0	7	08/19/2009	2010.02	08/19/2009 11:32:09 PM Pacific Daylight Time	08/20/2009 12:11:36 PM Pacific Daylight Time	08/20/2009 12:19:10 PM Pacific Daylight Time		08/20/2009 03:39:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care -  Plus (HMO)	01	01		1			H4529	014	0	2010	East Texas		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	027	0	1	01	01	H4529_027_0	6	08/19/2009	2010.02	08/19/2009 11:32:39 PM Pacific Daylight Time	08/20/2009 12:11:20 PM Pacific Daylight Time	08/20/2009 12:19:02 PM Pacific Daylight Time		08/20/2009 03:39:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	027	0	2010	Amarillo		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	028	0	1	01	01	H4529_028_0	6	08/19/2009	2010.02	08/19/2009 11:33:10 PM Pacific Daylight Time	08/20/2009 12:11:06 PM Pacific Daylight Time	08/20/2009 12:19:00 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	028	0	2010	Beaumont		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	030	0	1	01	01	H4529_030_0	6	08/20/2009	2010.02	08/20/2009 12:15:45 PM Pacific Daylight Time	08/20/2009 12:10:52 PM Pacific Daylight Time	08/20/2009 12:18:56 PM Pacific Daylight Time		08/20/2009 04:57:15 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	030	0	2010	Gregg / Henderson		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	031	0	1	01	01	H4529_031_0	7	08/19/2009	2010.02	08/19/2009 11:55:12 PM Pacific Daylight Time	08/20/2009 12:10:40 PM Pacific Daylight Time	08/20/2009 12:18:52 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Dual Plus (HMO)	01	01		1			H4529	031	0	2010	Texas		2		2		2		1	3		1	5			http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	032	0	1	01	01	H4529_032_0	7	08/19/2009	2010.02	08/19/2009 11:55:31 PM Pacific Daylight Time	08/20/2009 12:10:22 PM Pacific Daylight Time	08/20/2009 12:18:50 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Enhanced (HMO)	01	01		1			H4529	032	0	2010	Texas		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4529	801	0	1	01	01	H4529_801_0	2	05/28/2009	2010.02	05/28/2009 11:14:23 PM Eastern Daylight Time	05/28/2009 11:13:01 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care EGWP (TX) (HMO)	01	01		1			H4529	801	0	2010	Texas		1		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	(800)-573-8597		(915)-843-4043		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H4564	001	0	1	18	06	H4564_001_0	9	09/17/2009	2010.02	09/17/2009 02:05:06 PM Central Daylight Time		08/27/2009 03:22:42 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Basic Rx (Cost)	06	18		1			H4564	001	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(888)-333-3980		(254)-298-3366		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	002	0	1	18	06	H4564_002_0	7	09/17/2009	2010.02	09/17/2009 02:05:21 PM Central Daylight Time		09/17/2009 03:31:58 PM Central Daylight Time		09/17/2009 03:34:35 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Basic Rx (Cost)	06	18		1			H4564	002	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	003	0	1	18	06	H4564_003_0	7	09/17/2009	2010.02	09/17/2009 02:05:32 PM Central Daylight Time		08/27/2009 01:00:14 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Basic Rx (Cost)	06	18		1			H4564	003	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	004	0	1	18	06	H4564_004_0	9	09/17/2009	2010.02	09/17/2009 02:05:55 PM Central Daylight Time		08/27/2009 03:22:56 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Enhanced Rx (Cost)	06	18		1			H4564	004	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	005	0	1	18	06	H4564_005_0	7	09/17/2009	2010.02	09/17/2009 02:06:03 PM Central Daylight Time		09/17/2009 03:32:06 PM Central Daylight Time		09/17/2009 03:34:35 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Enhanced Rx (Cost)	06	18		1			H4564	005	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	006	0	1	18	06	H4564_006_0	7	09/17/2009	2010.02	09/17/2009 02:06:18 PM Central Daylight Time		08/27/2009 01:05:10 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Enhanced Rx (Cost)	06	18		1			H4564	006	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	010	0	1	18	06	H4564_010_0	8	09/17/2009	2010.02	09/17/2009 02:06:28 PM Central Daylight Time				09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus-Medical Only (Cost)	06	18		1			H4564	010	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1		
H4564	011	0	1	18	06	H4564_011_0	5	09/17/2009	2010.02	09/17/2009 02:06:38 PM Central Daylight Time				09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred-Medical Only (Cost)	06	18		1			H4564	011	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1		
H4564	012	0	1	18	06	H4564_012_0	6	09/17/2009	2010.02	09/17/2009 02:06:52 PM Central Daylight Time				09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select-Medical Only (Cost)	06	18		1			H4564	012	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1		
H4564	013	0	1	18	06	H4564_013_0	9	09/17/2009	2010.02	09/17/2009 02:07:02 PM Central Daylight Time		08/27/2009 03:23:18 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Value Rx (Cost)	06	18		1			H4564	013	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	014	0	1	18	06	H4564_014_0	7	09/17/2009	2010.02	09/17/2009 02:07:12 PM Central Daylight Time		09/17/2009 03:28:32 PM Central Daylight Time		09/17/2009 03:34:35 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Value Rx (Cost)	06	18		1			H4564	014	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4564	015	0	1	18	06	H4564_015_0	8	09/17/2009	2010.02	09/17/2009 02:07:26 PM Central Daylight Time		08/27/2009 03:23:24 PM Central Daylight Time		09/17/2009 02:41:13 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Value Rx (Cost)	06	18		1			H4564	015	0	2010	Central Texas		2		2				2							www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1		
H4590	010	0	1	01	01	H4590_010_0	4	07/17/2009	2010.02	07/17/2009 10:01:47 AM Central Daylight Time	08/17/2009 10:28:21 AM Central Daylight Time	08/13/2009 05:52:38 PM Central Daylight Time		08/19/2009 08:19:50 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H4590	010	0	2010	San Antonio Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4590	012	0	1	01	01	H4590_012_0	7	09/23/2009	2010.02	09/23/2009 02:21:58 PM Central Daylight Time	08/17/2009 10:28:35 AM Central Daylight Time	08/13/2009 05:52:42 PM Central Daylight Time		09/23/2009 02:31:38 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H4590	012	0	2010	Dallas/Fort Worth Metroplex		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4590	020	0	1	01	01	H4590_020_0	3	07/15/2009	2010.02	07/15/2009 04:39:40 PM Central Daylight Time	08/17/2009 10:28:49 AM Central Daylight Time	08/13/2009 05:52:46 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H4590	020	0	2010	Dallas-Fort Worth Metroplex		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	022	0	1	01	01	H4590_022_0	3	07/15/2009	2010.02	07/15/2009 04:39:58 PM Central Daylight Time	08/17/2009 10:29:03 AM Central Daylight Time	08/13/2009 05:52:51 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H4590	022	0	2010	San Antonio Area		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	025	0	1	01	01	H4590_025_0	5	07/17/2009	2010.02	07/17/2009 03:46:31 PM Central Daylight Time	08/17/2009 10:29:16 AM Central Daylight Time	08/13/2009 05:52:55 PM Central Daylight Time		08/19/2009 08:19:50 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete (HMO)	01	01		1			H4590	025	0	2010	Corpus Christi Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4590	027	0	1	01	01	H4590_027_0	5	09/23/2009	2010.02	09/23/2009 01:29:19 PM Central Daylight Time	07/21/2009 11:14:59 AM Central Daylight Time			09/23/2009 02:31:38 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4590	027	0	2010	Dallas/Ft Worth Metroplex		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H4590	029	0	1	01	01	H4590_029_0	4	07/16/2009	2010.02	07/16/2009 10:54:27 AM Central Daylight Time	07/21/2009 11:15:22 AM Central Daylight Time			07/23/2009 12:08:13 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4590	029	0	2010	San Antonio Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H4590	033	0	1	01	01	H4590_033_0	3	07/15/2009	2010.02	07/15/2009 04:40:14 PM Central Daylight Time	08/17/2009 10:29:31 AM Central Daylight Time	08/13/2009 05:52:59 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H4590	033	0	2010	Corpus Christi Area		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	035	0	1	01	01	H4590_035_0	6	07/17/2009	2010.02	07/17/2009 10:00:53 AM Central Daylight Time	08/17/2009 10:29:46 AM Central Daylight Time	08/13/2009 05:53:03 PM Central Daylight Time		08/19/2009 08:19:50 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H4590	035	0	2010	Dallas-Fort Worth Metroplex		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	036	0	1	01	01	H4590_036_0	5	07/17/2009	2010.02	07/17/2009 10:00:32 AM Central Daylight Time	08/17/2009 10:30:01 AM Central Daylight Time	08/13/2009 05:53:07 PM Central Daylight Time		08/19/2009 08:19:50 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H4590	036	0	2010	Corpus Christi Area		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	037	0	1	01	01	H4590_037_0	5	05/30/2009	2010.02	05/30/2009 08:46:32 PM Central Daylight Time	08/17/2009 10:30:15 AM Central Daylight Time	08/13/2009 05:53:11 PM Central Daylight Time		08/19/2009 08:19:50 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H4590	037	0	2010	San Antonio Area		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-834-3737		(888)-834-3737		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	801	0	1	01	01	H4590_801_0	3	05/29/2009	2010.02	05/29/2009 08:56:08 PM Central Daylight Time	07/21/2009 11:17:22 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	801	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H4590	803	0	1	01	01	H4590_803_0	3	05/30/2009	2010.02	05/30/2009 04:02:42 PM Central Daylight Time	07/21/2009 11:17:57 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	803	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	804	0	1	01	01	H4590_804_0	3	05/30/2009	2010.02	05/30/2009 04:02:43 PM Central Daylight Time	07/21/2009 11:18:19 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	804	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4590	805	0	2	01	01	H4590_805_0	3	05/29/2009	2010.02	05/29/2009 08:34:03 PM Central Daylight Time	07/21/2009 11:18:41 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H4590	805	0	2010	TX Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(800)-950-9355		(800)-950-9355		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4604	003	0	1	02	01	H4604_003_0	4	07/18/2009	2010.02	07/18/2009 11:58:09 AM Central Daylight Time	08/17/2009 02:05:46 PM Central Daylight Time	08/13/2009 05:53:15 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4604	003	0	2010	Select counties in Utah		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H4604	005	0	1	02	01	H4604_005_0	2	07/18/2009	2010.02	07/18/2009 12:46:01 PM Central Daylight Time	07/20/2009 03:59:42 PM Central Daylight Time			07/23/2009 02:05:09 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H4604	005	0	2010	Select counties in Utah		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H4604	006	0	1	01	01	H4604_006_0	3	07/15/2009	2010.02	07/15/2009 04:51:55 PM Central Daylight Time	08/17/2009 02:06:24 PM Central Daylight Time	08/13/2009 05:53:19 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H4604	006	0	2010	Salt Lake and Ogden Surrounding Counties		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4604	008	0	1	02	01	H4604_008_0	4	07/17/2009	2010.02	07/17/2009 09:55:35 AM Central Daylight Time	08/17/2009 02:06:58 PM Central Daylight Time	08/13/2009 05:53:24 PM Central Daylight Time		08/20/2009 09:47:13 AM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H4604	008	0	2010	Salt Lake and Ogden Surrounding Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4604	801	0	1	01	01	H4604_801_0	2	05/26/2009	2010.02	05/28/2009 04:35:32 AM Central Daylight Time	07/20/2009 04:01:09 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	801	0	2010	Salt Lake and Surrounding Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-853-3084		(800)-853-3084		(800)-691-0008		(800)-691-0008		(800)-853-3084		(800)-853-3084		(800)-691-0008		(800)-691-0008		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4604	803	0	1	01	01	H4604_803_0	2	05/26/2009	2010.02	05/28/2009 04:35:47 AM Central Daylight Time	07/20/2009 04:01:48 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	803	0	2010	Select Counties In UT		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-853-3084		(800)-853-3084		(800)-691-0008		(800)-691-0008		(800)-853-3084		(800)-853-3084		(800)-691-0008		(800)-691-0008		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4604	805	0	1	01	01	H4604_805_0	2	05/26/2009	2010.02	05/28/2009 04:36:02 AM Central Daylight Time	07/20/2009 04:02:31 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	805	0	2010	Select counties in UT		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-853-3084		(800)-853-3084		(800)-691-0008		(800)-691-0008										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4605	001	0	1	04	01	H4605_001_0	2	07/28/2009	2010.02	07/28/2009 02:58:57 PM Pacific Daylight Time	05/30/2009 08:13:10 PM Pacific Daylight Time			07/29/2009 02:18:05 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	Regence MedAdvantage (PPO)	01	04		1			H4605	001	0	2010	Select Counties in Utah		2		2				2						http://www.ut.regence.com/member/doctor/	www.ut.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003										1		
H4605	002	0	1	04	01	H4605_002_0	5	07/28/2009	2010.02	07/28/2009 03:01:05 PM Pacific Daylight Time	08/18/2009 02:30:38 PM Pacific Daylight Time	08/17/2009 02:32:09 PM Pacific Daylight Time		08/19/2009 04:36:03 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H4605	002	0	2010	Select Counties in Utah		2		2				2						http://www.ut.regence.com/member/doctor/	www.ut.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H4605	004	0	1	04	01	H4605_004_0	5	07/28/2009	2010.02	07/28/2009 03:00:00 PM Pacific Daylight Time	08/18/2009 02:35:18 PM Pacific Daylight Time	08/17/2009 02:32:57 PM Pacific Daylight Time		08/19/2009 04:40:20 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.ut.regence.com	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H4605	004	0	2010	Select Counties in Utah		2		2				2						http://www.ut.regence.com/member/doctor/	www.ut.regence.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H4606	001	0	1	04	01	H4606_001_0	8	07/22/2009	2010.01	07/22/2009 01:53:37 PM Eastern Daylight Time	08/18/2009 04:33:44 PM Eastern Daylight Time	08/19/2009 11:02:57 AM Eastern Daylight Time		08/20/2009 02:44:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4606-001 (PPO)	01	04		1			H4606	001	0	2010	Salt Lake City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4606	006	0	1	04	01	H4606_006_0	5	07/22/2009	2010.01	07/22/2009 01:55:56 PM Eastern Daylight Time	07/20/2009 03:43:48 PM Eastern Daylight Time			07/22/2009 03:58:10 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4606-006 (PPO)	01	04		1			H4606	006	0	2010	Salt Lake City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4606	801	0	1	04	01	H4606_801_0	4	07/10/2009	2010.02	07/10/2009 03:39:58 PM Eastern Daylight Time	07/21/2009 03:48:30 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4606	801	0	2010	Salt Lake City, Outstate Region and Price Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4606	802	0	1	04	01	H4606_802_0	3	07/10/2009	2010.02	07/10/2009 03:46:29 PM Eastern Daylight Time	07/21/2009 04:42:50 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4606	802	0	2010	Salt Lake City, Outstate Region and Price Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4606	803	0	1	04	01	H4606_803_0	3	07/10/2009	2010.02	07/10/2009 03:46:40 PM Eastern Daylight Time	07/21/2009 04:43:08 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H4606	803	0	2010	Salt Lake City, Outstate Region and Price Areas		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4720	801	0	1	09	04	H4720_801_0	5	07/15/2009	2010.02	07/15/2009 03:54:13 PM Central Daylight Time	07/20/2009 05:08:27 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	1			H4720	801	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(888)-844-5530		(888)-844-5530		(800)-387-1074		(800)-387-1074										1		
H4720	803	0	1	09	04	H4720_803_0	5	07/15/2009	2010.02	07/15/2009 03:54:31 PM Central Daylight Time	07/20/2009 05:07:17 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	1			H4720	803	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-272-0407		(866)-272-0407		(800)-555-5757		(800)-555-5757		(888)-844-5530		(888)-844-5530		(800)-387-1074		(800)-387-1074		(888)-844-5530		(888)-844-5530		(800)-387-1074		(800)-387-1074		1		
H4754	001	0	1	04	01	H4754_001_0	5	07/29/2009	2010.02	07/29/2009 02:38:10 PM Pacific Daylight Time	08/19/2009 05:39:55 PM Pacific Daylight Time	08/19/2009 05:39:56 PM Pacific Daylight Time		08/20/2009 07:41:43 AM Pacific Daylight Time	CLEAR CHOICE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Explorer + Rx Plan (PPO)	01	04		1			H4754	001	0	2010	Deschutes and Crook Counties		2	150	2				2						www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H4774	001	0	1	09	04	H4774_001_0	5	07/22/2009	2010.02	07/22/2009 12:09:01 PM Eastern Daylight Time	08/18/2009 04:20:34 PM Eastern Daylight Time	08/19/2009 11:03:05 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H4774-001 (PFFS)	04	09	3	1			H4774	001	0	2010	Select counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H4774	002	0	1	09	04	H4774_002_0	3	06/01/2009	2010.02	06/01/2009 06:56:20 AM Eastern Daylight Time	08/18/2009 04:24:16 PM Eastern Daylight Time	08/19/2009 11:03:13 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H4774-002 (PFFS)	04	09	3	1			H4774	002	0	2010	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H4774	003	0	1	09	04	H4774_003_0	5	07/10/2009	2010.02	07/10/2009 11:05:41 AM Eastern Daylight Time	08/18/2009 04:21:00 PM Eastern Daylight Time	08/19/2009 11:03:21 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H4774-003 (PFFS)	04	09	3	1			H4774	003	0	2010	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H4774	004	0	1	09	04	H4774_004_0	3	06/01/2009	2010.02	06/01/2009 06:57:59 AM Eastern Daylight Time	08/18/2009 04:24:40 PM Eastern Daylight Time	08/19/2009 11:03:29 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H4774-004 (PFFS)	04	09	3	1			H4774	004	0	2010	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H4774	005	0	1	09	04	H4774_005_0	5	07/10/2009	2010.02	07/10/2009 11:08:32 AM Eastern Daylight Time	08/18/2009 04:25:10 PM Eastern Daylight Time	08/19/2009 11:03:39 AM Eastern Daylight Time		08/20/2009 12:21:14 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H4774-005 (PFFS)	04	09	3	1			H4774	005	0	2010	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H4779	001	0	1	37	05	H4779_001_0	3	07/07/2009	2010.02	07/07/2009 09:45:40 AM Central Daylight Time	08/14/2009 10:04:30 AM Central Daylight Time	08/13/2009 05:53:27 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H4779	001	0	2010	Collin and Harris Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4779	002	0	1	37	05	H4779_002_0	2	07/07/2009	2010.02	07/07/2009 09:46:18 AM Central Daylight Time	07/16/2009 06:38:53 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H4779	002	0	2010	Collin and Harris Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H4779	003	0	1	37	05	H4779_003_0	3	07/07/2009	2010.02	07/07/2009 09:47:31 AM Central Daylight Time	08/14/2009 10:04:55 AM Central Daylight Time	08/13/2009 05:53:31 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H4779	003	0	2010	Collin and Harris Counties		2		2				1	4		1		000110100000000	www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H4836	801	0	1	09	04	H4836_801_0	1	05/30/2009	2010.02	05/30/2009 03:06:21 PM Eastern Daylight Time	05/30/2009 09:33:01 PM Eastern Daylight Time			05/30/2009 09:54:56 PM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plan from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer PFFS CY with PD (PFFS)	04	09	2	1			H4836	801	0	2010	US		1		2				2							www.medmutual.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H4836	802	0	1	09	04	H4836_802_0	2	05/18/2009	2010.02	05/18/2009 12:56:57 PM Eastern Daylight Time	07/15/2009 02:14:02 PM Eastern Daylight Time			07/17/2009 09:02:34 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plan from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer PFFS CY without PD (PFFS)	04	09	2	1			H4836	802	0	2010	US		1		2				2							www.medmutual.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583										(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109										1		
H4836	803	0	1	09	04	H4836_803_0	1	05/18/2009	2010.02	05/18/2009 12:56:47 PM Eastern Daylight Time	05/30/2009 09:29:14 PM Eastern Daylight Time			05/30/2009 09:54:56 PM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plan from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer PFFS non-CY with PD (PFFS)	04	09	2	1			H4836	803	0	2010	US		1		2				2							www.medmutual.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H4837	001	0	1	01	01	H4837_001_0	3	07/16/2009	2010.02	07/16/2009 10:33:34 AM Central Daylight Time	08/19/2009 06:19:39 PM Central Daylight Time	08/20/2009 05:19:40 PM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN	UnitedHealthcare Personal Care Plus	www.americhoice.com	UnitedHealthcare of WI/Personal Care Plus (HMO)	01	01		1			H4837	001	0	2010	Milwaukee County		2		2		2		1	3		1	3		www.americhoice.com	www.americhoice.com	(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-396-1942		(800)-947-6644		(800)-947-6644		(800)-947-6644		(800)-947-6644		(800)-947-6644		(800)-947-6644		(800)-947-6644		(800)-947-6644		1		
H4875	001	0	1	04	01	H4875_001_0	7	08/04/2009	2010.02	08/04/2009 02:08:52 PM Eastern Daylight Time	08/17/2009 04:00:56 PM Eastern Daylight Time	08/17/2009 10:24:52 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice (PPO)	01	04		1			H4875	001	0	2010	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	151	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	003	0	1	04	01	H4875_003_0	7	08/03/2009	2010.02	08/03/2009 05:57:33 PM Eastern Daylight Time	08/17/2009 04:01:28 PM Eastern Daylight Time	08/17/2009 10:25:40 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice (PPO)	01	04		1			H4875	003	0	2010	9 West and NW MI counties and St Clair County		2	39	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	005	0	1	04	01	H4875_005_0	6	08/03/2009	2010.02	08/03/2009 05:57:09 PM Eastern Daylight Time	08/17/2009 04:01:58 PM Eastern Daylight Time	08/17/2009 10:26:34 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice (PPO)	01	04		1			H4875	005	0	2010	7 NW MI counties and 3 SE MI counties		2	32	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	007	0	1	04	01	H4875_007_0	6	08/03/2009	2010.02	08/03/2009 05:56:35 PM Eastern Daylight Time	08/17/2009 04:02:28 PM Eastern Daylight Time	08/17/2009 10:27:24 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice (PPO)	01	04		1			H4875	007	0	2010	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	5	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	009	0	1	04	01	H4875_009_0	6	08/03/2009	2010.02	08/03/2009 05:55:40 PM Eastern Daylight Time	08/17/2009 04:03:00 PM Eastern Daylight Time	08/17/2009 10:28:20 AM Eastern Daylight Time		08/19/2009 02:21:21 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice (PPO)	01	04		1			H4875	009	0	2010	Oakland and Washtenaw, MI counties		2	19	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	801	0	1	04	01	H4875_801_0	5	08/03/2009	2010.02	08/03/2009 05:43:42 PM Eastern Daylight Time	05/30/2009 01:20:08 PM Eastern Daylight Time			08/04/2009 11:31:58 AM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice EG Non-Calendar Year (PPO)	01	04		1			H4875	801	0	2010	State of Michigan		1	41	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4875	802	0	1	04	01	H4875_802_0	5	08/03/2009	2010.02	08/03/2009 05:49:09 PM Eastern Daylight Time	05/30/2009 01:20:50 PM Eastern Daylight Time			08/04/2009 11:31:58 AM Eastern Daylight Time	PRIORITY HEALTH	Priority Health	www.priorityhealth.com/medicare	PriorityMedicare Choice EG Calendar Year (PPO)	01	04		1			H4875	802	0	2010	State of Michigan		1	83	2				2						www.priorityhealth.com/medicare09/doctors	http://www.priorityhealth.com/medicare09/druglist	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
H4908	001	0	1	04	01	H4908_001_0	5	10/13/2009	2010.02	10/13/2009 10:34:10 AM Eastern Daylight Time	07/27/2009 04:16:26 PM Eastern Daylight Time			10/13/2009 10:39:41 AM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Preferred (PPO)	01	04		1			H4908	001	0	2010	Optima Medicare Preferred		2	208	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160										(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120										1		
H4908	002	0	1	04	01	H4908_002_0	5	10/13/2009	2010.02	10/13/2009 10:34:29 AM Eastern Daylight Time	08/14/2009 07:03:53 PM Eastern Daylight Time	08/14/2009 07:03:55 PM Eastern Daylight Time		10/13/2009 10:39:41 AM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Preferred Plus (PPO)	01	04		1			H4908	002	0	2010	Optima Medicare Preferred Plus		2	3944	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		1		
H4908	005	0	1	04	01	H4908_005_0	7	10/09/2009	2010.02	10/09/2009 09:48:17 AM Eastern Daylight Time	07/27/2009 04:23:53 PM Eastern Daylight Time			10/09/2009 12:56:45 PM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Value (PPO)	01	04		1			H4908	005	0	2010	Optima Medicare Value		2	2079	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160										(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120										1		
H4908	006	0	1	04	01	H4908_006_0	8	10/09/2009	2010.02	10/09/2009 09:49:01 AM Eastern Daylight Time	08/25/2009 04:28:48 PM Eastern Daylight Time	08/14/2009 07:03:54 PM Eastern Daylight Time		10/09/2009 12:56:45 PM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Value Plus (PPO)	01	04		1			H4908	006	0	2010	Optima Medicare Value Plus		2	2079	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		1		
H4909	001	0	1	04	01	H4909_001_0	9	08/27/2009	2010.02	08/27/2009 11:02:19 AM Eastern Daylight Time	08/26/2009 11:45:19 PM Eastern Daylight Time	08/17/2009 02:50:43 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H4909	001	0	2010	Virginia - Select Counties		2	1460	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4909	004	0	1	04	01	H4909_004_0	9	08/27/2009	2010.02	08/27/2009 11:02:29 AM Eastern Daylight Time	08/26/2009 11:44:39 PM Eastern Daylight Time	08/17/2009 02:53:05 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Premier (PPO)	01	04		1			H4909	004	0	2010	Virginia - Select Counties		2	1586	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4909	007	0	1	04	01	H4909_007_0	5	08/06/2009	2010.02	08/06/2009 02:47:57 PM Eastern Daylight Time	08/07/2009 12:22:20 PM Eastern Daylight Time			08/10/2009 01:58:30 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Classic (PPO)	01	04		1			H4909	007	0	2010	Virginia - Select Counties		2	500	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H4909	804	0	1	04	01	H4909_804_0	7	08/05/2009	2010.02	08/05/2009 03:17:14 PM Pacific Daylight Time	07/31/2009 03:47:51 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	804	0	2010	Virginia, Select counties		1	50	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4909	805	0	1	04	01	H4909_805_0	6	08/05/2009	2010.02	08/05/2009 03:18:37 PM Pacific Daylight Time	07/31/2009 03:49:03 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	805	0	2010	Virginia, Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H4909	806	0	1	04	01	H4909_806_0	6	08/05/2009	2010.02	08/05/2009 03:19:09 PM Pacific Daylight Time	07/31/2009 03:50:14 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	806	0	2010	Virginia, Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H4910	004	0	1	01	01	H4910_004_0	5	08/19/2009	2010.02	08/19/2009 12:47:06 PM Eastern Daylight Time	08/18/2009 04:58:33 PM Eastern Daylight Time	08/17/2009 02:54:10 PM Eastern Daylight Time		08/20/2009 09:24:06 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H4910	004	0	2010	Fairfax County and Surrounding Area		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4910	005	0	1	01	01	H4910_005_0	6	08/19/2009	2010.02	08/19/2009 12:47:44 PM Eastern Daylight Time	08/18/2009 04:59:58 PM Eastern Daylight Time	08/17/2009 02:54:36 PM Eastern Daylight Time		08/20/2009 09:24:06 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4910	005	0	2010	Fairfax County and Surrounding Area		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4910	801	0	1	01	01	H4910_801_0	2	05/19/2009	2010.02	05/19/2009 01:37:10 PM Eastern Daylight Time	05/31/2009 08:27:31 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H4910	801	0	2010	Fairfax County and Surrounding Area		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H4910	802	0	1	01	01	H4910_802_0	2	05/19/2009	2010.02	05/19/2009 01:40:48 PM Eastern Daylight Time	05/31/2009 08:43:07 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H4910	802	0	2010	Fairfax County and Surrounding Area		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H4917	001	0	1	09	04	H4917_001_0	8	08/21/2009	2010.02	08/21/2009 11:43:39 AM Eastern Daylight Time	08/20/2009 04:28:28 PM Eastern Daylight Time	08/18/2009 09:39:00 PM Eastern Daylight Time		08/21/2009 05:02:57 PM Eastern Daylight Time	GUARDIAN HEALTHCARE,INC.	Guardian Healthcare, Inc.	To be created	Guardian Tribute (PFFS)	04	09	2	1			H4917	001	0	2010	South Carolina		2	1500	2				2							www.guardianhealthcare.com	(866)-850-1256		(864)-527-0472		(877)-554-8273		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-554-8273		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H4917	002	0	1	09	04	H4917_002_0	7	08/21/2009	2010.02	08/21/2009 11:44:32 AM Eastern Daylight Time	08/20/2009 04:29:32 PM Eastern Daylight Time	08/18/2009 09:39:00 PM Eastern Daylight Time		08/21/2009 05:02:57 PM Eastern Daylight Time	GUARDIAN HEALTHCARE,INC.	Guardian Healthcare, Inc.	To be created	Guardian Tribute Enhanced (PFFS)	04	09	2	1			H4917	002	0	2010	South Carolina		2	1800	2				2							www.guardianhealthcare.com	(866)-850-1256		(864)-527-0472		(877)-554-8273		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-554-8273		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H4917	003	0	1	09	04	H4917_003_0	6	07/23/2009	2010.02	07/23/2009 04:53:32 PM Eastern Daylight Time	07/28/2009 10:04:00 PM Eastern Daylight Time			07/28/2009 10:08:45 PM Eastern Daylight Time	GUARDIAN HEALTHCARE,INC.	Guardian Healthcare, Inc.	To be created	Guardian Tribute Pride Plan (PFFS)	04	09	2	1			H4917	003	0	2010	South Carolina		2	1500	2				2							www.guardianhealthcare.com	(866)-850-1256		(864)-527-0472		(877)-554-8273		(864)-527-0472										(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771										1		
H4956	001	0	1	04	01	H4956_001_0	3	07/20/2009	2010.02	07/20/2009 10:40:37 AM Eastern Daylight Time	08/18/2009 03:29:10 PM Eastern Daylight Time	08/19/2009 11:03:46 AM Eastern Daylight Time		08/19/2009 04:18:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-001 (PPO)	01	04		1			H4956	001	0	2010	Gulf Coast / Biloxi Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4956	002	0	1	04	01	H4956_002_0	3	07/20/2009	2010.02	07/20/2009 10:35:37 AM Eastern Daylight Time	08/18/2009 03:28:47 PM Eastern Daylight Time	08/19/2009 11:03:55 AM Eastern Daylight Time		08/19/2009 04:18:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-002 (PPO)	01	04		1			H4956	002	0	2010	Select Mississippi Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4956	003	0	1	04	01	H4956_003_0	3	07/20/2009	2010.02	07/20/2009 10:38:34 AM Eastern Daylight Time	08/18/2009 03:35:27 PM Eastern Daylight Time	08/19/2009 11:04:02 AM Eastern Daylight Time		08/19/2009 04:18:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-003 (PPO)	01	04		1			H4956	003	0	2010	Grenada, Lafayette and Yalobusha Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4956	004	0	1	04	01	H4956_004_0	3	07/20/2009	2010.02	07/20/2009 10:40:09 AM Eastern Daylight Time	08/18/2009 03:35:48 PM Eastern Daylight Time	08/19/2009 11:04:10 AM Eastern Daylight Time		08/19/2009 04:18:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-004 (PPO)	01	04		1			H4956	004	0	2010	Lowndes and Winston Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4956	801	0	1	04	01	H4956_801_0	4	07/10/2009	2010.02	07/16/2009 08:09:34 AM Eastern Daylight Time	07/21/2009 03:49:48 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4956	801	0	2010	Select Counties in Mississippi		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4956	802	0	1	04	01	H4956_802_0	3	07/10/2009	2010.02	07/16/2009 08:09:59 AM Eastern Daylight Time	07/21/2009 04:43:22 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H4956	802	0	2010	Select Counties in Mississippi		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H4956	803	0	1	04	01	H4956_803_0	3	07/10/2009	2010.02	07/16/2009 08:10:22 AM Eastern Daylight Time	07/21/2009 04:43:40 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H4956	803	0	2010	Select Counties in Mississippi		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H4971	001	0	1	02	01	H4971_001_0	4	07/17/2009	2010.02	07/17/2009 03:51:43 PM Central Daylight Time	08/14/2009 11:58:00 AM Central Daylight Time	08/13/2009 05:53:35 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Plus (HMO-POS)	01	02		1			H4971	001	0	2010	Allegan, Kent and Ottawa Counties		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H4971	801	0	1	02	01	H4971_801_0	2	05/28/2009	2010.02	05/28/2009 12:33:26 PM Central Daylight Time	07/21/2009 09:55:38 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	801	0	2010	Allegan, Kent, and Ottawa Counties		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H4971	802	0	1	02	01	H4971_802_0	2	05/28/2009	2010.02	05/28/2009 12:33:43 PM Central Daylight Time	07/21/2009 09:55:56 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	802	0	2010	Allegan, Kent, and Ottawa Counties		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757										(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074										1		
H4971	803	0	1	02	01	H4971_803_0	2	05/28/2009	2010.02	05/28/2009 12:34:00 PM Central Daylight Time	07/21/2009 09:56:13 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	803	0	2010	Allegan, Kent and Ottawa Counties		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-555-5757		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H4979	001	1	1	09	04	H4979_001_1	2	07/21/2009	2010.02	07/21/2009 10:19:31 AM Eastern Daylight Time	07/14/2009 04:17:39 PM Eastern Daylight Time			07/23/2009 01:26:39 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Basic (PFFS)	04	09	2	1			H4979	001	1	2010	State of Tennessee	Middle and Western Tennessee	2	64	2				2								(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										2		
H4979	001	3	1	09	04	H4979_001_3	2	07/14/2009	2010.02	07/14/2009 05:56:39 PM Eastern Daylight Time	07/14/2009 04:17:57 PM Eastern Daylight Time			07/23/2009 01:39:09 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Basic (PFFS)	04	09	2	1			H4979	001	3	2010	State of Tennessee	Northeast and Southeast	2	158	2				2								(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										2		
H4979	003	1	1	09	04	H4979_003_1	2	07/01/2009	2010.02	07/01/2009 03:41:04 PM Eastern Daylight Time	05/27/2009 11:34:30 AM Eastern Daylight Time			07/28/2009 03:29:57 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Classic (PFFS)	04	09	2	1			H4979	003	1	2010	State of Tennessee	Middle and Western Tennessee	2	378	2				2								(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										2		
H4979	003	4	1	09	04	H4979_003_4	2	07/01/2009	2010.02	07/01/2009 03:45:00 PM Eastern Daylight Time	05/27/2009 11:35:04 AM Eastern Daylight Time			07/28/2009 03:37:48 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Classic (PFFS)	04	09	2	1			H4979	003	4	2010	State of Tennessee	Southeast and Northeast	2	584	2				2								(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										2		
H4979	801	0	1	09	04	H4979_801_0	1	05/26/2009	2010.02	05/26/2009 01:37:38 PM Eastern Daylight Time	05/29/2009 12:31:24 PM Eastern Daylight Time			05/29/2009 03:19:38 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage (PFFS)	04	09	2	1			H4979	801	0	2010	National		1	650	2				2								(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										2		
H5005	001	0	1	01	01	H5005_001_0	5	07/20/2009	2010.02	07/20/2009 08:34:18 AM Central Daylight Time	08/17/2009 09:41:20 AM Central Daylight Time	08/13/2009 05:53:39 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	001	0	2010	King, Lewis, Pierce, Thurston Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5005	010	0	1	01	01	H5005_010_0	5	09/22/2009	2010.02	09/22/2009 04:06:35 PM Central Daylight Time	08/17/2009 09:41:43 AM Central Daylight Time	08/13/2009 05:53:43 PM Central Daylight Time		09/23/2009 08:47:04 AM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	010	0	2010	Clark County		2		2				2						www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.AARPMedicareComplete.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5005	011	0	1	01	01	H5005_011_0	5	09/22/2009	2010.02	09/22/2009 04:22:39 PM Central Daylight Time	08/17/2009 09:42:06 AM Central Daylight Time	08/13/2009 05:53:47 PM Central Daylight Time		09/23/2009 08:47:04 AM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	011	0	2010	Island and Snohomish Counties		2		2				2						www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.AARPMedicareComplete.com/ourplans/searchformulary.html	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5005	018	0	1	01	01	H5005_018_0	3	07/20/2009	2010.02	07/20/2009 08:36:03 AM Central Daylight Time	07/20/2009 04:17:41 PM Central Daylight Time			07/23/2009 12:08:13 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Essential (HMO)	01	01		1			H5005	018	0	2010	Select Counties in Western Washington		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H5005	019	0	1	01	01	H5005_019_0	5	07/20/2009	2010.02	07/20/2009 08:34:49 AM Central Daylight Time	08/17/2009 09:42:46 AM Central Daylight Time	08/13/2009 05:53:51 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H5005	019	0	2010	Select Counties in Western Washington		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5005	024	0	1	01	01	H5005_024_0	5	07/23/2009	2010.02	07/23/2009 10:21:42 AM Central Daylight Time	08/17/2009 09:43:06 AM Central Daylight Time	08/13/2009 05:53:55 PM Central Daylight Time		08/19/2009 02:48:07 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H5005	024	0	2010	King County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5005	801	0	1	01	01	H5005_801_0	3	05/29/2009	2010.02	05/29/2009 08:54:56 PM Central Daylight Time	07/20/2009 04:19:57 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	801	0	2010	WA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5005	803	0	1	01	01	H5005_803_0	3	05/30/2009	2010.02	05/30/2009 04:02:44 PM Central Daylight Time	07/20/2009 04:20:19 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	803	0	2010	WA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5005	804	0	1	01	01	H5005_804_0	3	05/30/2009	2010.02	05/30/2009 04:02:44 PM Central Daylight Time	07/20/2009 04:20:42 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	804	0	2010	WA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5005	805	0	2	01	01	H5005_805_0	3	05/29/2009	2010.02	05/29/2009 08:34:13 PM Central Daylight Time	07/20/2009 04:21:07 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H5005	805	0	2010	WA Employer Sponsored Plan Service Area		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5006	014	1	1	09	04	H5006_014_1	3	08/06/2009	2010.01	08/06/2009 02:05:23 PM Pacific Daylight Time	08/06/2009 02:00:57 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	1	2010	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	014	2	1	09	04	H5006_014_2	3	08/06/2009	2010.01	08/06/2009 02:06:07 PM Pacific Daylight Time	08/06/2009 02:06:58 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	2	2010	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	014	3	1	09	04	H5006_014_3	3	08/06/2009	2010.01	08/06/2009 02:06:09 PM Pacific Daylight Time	08/06/2009 02:10:23 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	3	2010	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	016	1	1	09	04	H5006_016_1	5	08/06/2009	2010.01	08/06/2009 02:06:14 PM Pacific Daylight Time	08/19/2009 02:06:04 PM Pacific Daylight Time	08/18/2009 05:07:45 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option IV (PFFS)	04	09	2	1			H5006	016	1	2010	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	016	2	1	09	04	H5006_016_2	5	08/06/2009	2010.01	08/06/2009 02:06:20 PM Pacific Daylight Time	08/19/2009 02:09:44 PM Pacific Daylight Time	08/18/2009 05:08:30 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option IV (PFFS)	04	09	2	1			H5006	016	2	2010	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	016	3	1	09	04	H5006_016_3	5	08/06/2009	2010.01	08/06/2009 02:06:25 PM Pacific Daylight Time	08/19/2009 02:11:08 PM Pacific Daylight Time	08/18/2009 05:09:27 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option IV (PFFS)	04	09	2	1			H5006	016	3	2010	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	017	1	1	09	04	H5006_017_1	5	08/06/2009	2010.01	08/06/2009 02:06:30 PM Pacific Daylight Time	08/19/2009 01:42:05 PM Pacific Daylight Time	08/18/2009 05:10:09 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	1	2010	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	017	2	1	09	04	H5006_017_2	5	08/06/2009	2010.01	08/06/2009 02:06:36 PM Pacific Daylight Time	08/19/2009 01:50:29 PM Pacific Daylight Time	08/18/2009 05:10:45 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	2	2010	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	017	3	1	09	04	H5006_017_3	5	08/06/2009	2010.01	08/06/2009 02:06:41 PM Pacific Daylight Time	08/19/2009 02:01:19 PM Pacific Daylight Time	08/18/2009 05:11:25 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	3	2010	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5006	018	1	1	09	04	H5006_018_1	3	08/06/2009	2010.01	08/06/2009 02:06:42 PM Pacific Daylight Time	08/06/2009 03:47:14 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic Plus (PFFS)	04	09	2	1			H5006	018	1	2010	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	018	2	1	09	04	H5006_018_2	3	08/06/2009	2010.01	08/06/2009 02:06:44 PM Pacific Daylight Time	08/06/2009 03:58:52 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic Plus (PFFS)	04	09	2	1			H5006	018	2	2010	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	018	3	1	09	04	H5006_018_3	3	08/06/2009	2010.01	08/06/2009 02:07:13 PM Pacific Daylight Time	08/06/2009 04:01:51 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic Plus (PFFS)	04	09	2	1			H5006	018	3	2010	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	801	0	1	09	04	H5006_801_0	2	08/06/2009	2010.01	08/06/2009 02:08:18 PM Pacific Daylight Time	08/06/2009 04:08:41 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Options (PFFS)	04	09	2	1			H5006	801	0	2010	Nationwide		1		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5006	803	0	1	09	04	H5006_803_0	2	06/01/2009	2010.02	06/01/2009 04:41:37 PM Pacific Daylight Time	08/06/2009 04:14:03 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Options Plus (PFFS)	04	09	2	1			H5006	803	0	2010	Nationwide		1		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5007	001	0	1	20	08	H5007_001_0	2	05/19/2009	2010.02	05/19/2009 10:08:35 AM Pacific Daylight Time		10/13/2009 01:36:04 PM Pacific Daylight Time		10/13/2009 01:40:03 PM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	Providence ElderPlace - Seattle (PACE)	08	20		1			H5007	001	0	2010	Seattle - King County Washington		2		2				2							www.providence.org/longtermcare/elderplace									(000)-000-0000		(206)-320-5325		(000)-000-0000		(206)-320-5325																		1		
H5007	002	0	1	20	08	H5007_002_0	2	05/19/2009	2010.02	05/19/2009 10:08:42 AM Pacific Daylight Time		10/13/2009 01:36:04 PM Pacific Daylight Time		10/13/2009 01:40:03 PM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	Providence ElderPlace - Seattle (PACE)	08	20		1			H5007	002	0	2010	Seattle - King County Washington		2		2				2							www.providence.org/longtermcare/elderplace									(000)-000-0000		(206)-320-5325		(000)-000-0000		(206)-320-5325																		1		
H5008	001	0	1	01	01	H5008_001_0	3	08/20/2009	2010.02	08/20/2009 03:00:47 PM Central Daylight Time	08/19/2009 10:02:01 AM Central Daylight Time	08/13/2009 05:53:59 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IH (HMO)	01	01		1			H5008	001	0	2010	King,Kitsap,Pierce,Snohomish and Whatcom Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5008	002	0	1	01	01	H5008_002_0	3	08/20/2009	2010.02	08/20/2009 10:50:29 AM Central Daylight Time	08/19/2009 10:00:04 AM Central Daylight Time	08/13/2009 05:54:03 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H5008	002	0	2010	King,Kitsap,Pierce,Snohomish and Whatcom Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5008	004	0	1	01	01	H5008_004_0	3	07/20/2009	2010.02	07/20/2009 08:22:24 AM Central Daylight Time	08/19/2009 09:59:30 AM Central Daylight Time	08/13/2009 05:54:07 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H5008	004	0	2010	King, Pierce, Snohomish and Whatcom Counties		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5008	006	0	1	01	01	H5008_006_0	3	07/21/2009	2010.02	07/21/2009 08:29:28 AM Central Daylight Time	08/19/2009 09:58:50 AM Central Daylight Time	08/13/2009 05:54:11 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MH (HMO)	01	01		1			H5008	006	0	2010	Spokane County		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5009	001	0	1	04	01	H5009_001_0	2	07/28/2009	2010.02	07/28/2009 03:02:28 PM Pacific Daylight Time	05/30/2009 08:16:58 PM Pacific Daylight Time			07/29/2009 02:33:22 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	Regence MedAdvantage (PPO)	01	04		1			H5009	001	0	2010	Select Counties in Washington		2		2				2						http://www.wa.regence.com/member/doctor/	www.wa.regenece.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003										1		
H5009	002	0	1	04	01	H5009_002_0	4	08/18/2009	2010.02	08/18/2009 08:38:31 AM Pacific Daylight Time	08/18/2009 02:38:28 PM Pacific Daylight Time	08/17/2009 01:00:04 PM Pacific Daylight Time		08/19/2009 04:47:31 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H5009	002	0	2010	Select Counties in Washington		2		2				2						http://www.wa.regence.com/member/doctor/	www.wa.regenece.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H5009	004	0	1	04	01	H5009_004_0	5	07/28/2009	2010.02	07/28/2009 03:03:27 PM Pacific Daylight Time	08/18/2009 02:43:40 PM Pacific Daylight Time	08/17/2009 02:33:56 PM Pacific Daylight Time		08/19/2009 04:50:40 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.wa.regence.com	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H5009	004	0	2010	Select Counties in Washington		2		2				2						http://www.wa.regence.com/member/doctor/	www.wa.regenece.com	(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H5010	001	0	1	04	01	H5010_001_0	2	07/29/2009	2010.02	07/29/2009 10:10:42 AM Pacific Daylight Time	05/30/2009 08:22:28 PM Pacific Daylight Time			07/29/2009 02:45:29 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	Asuris TruAdvantage (PPO)	01	04		1			H5010	001	0	2010	Select Counties in Eastern Washington		2		2				2						http://www.asuris.com/doctor/index.html	www.asuris.com	(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003										1		
H5010	002	0	1	04	01	H5010_002_0	4	08/18/2009	2010.02	08/18/2009 08:36:30 AM Pacific Daylight Time	08/18/2009 02:47:06 PM Pacific Daylight Time	08/17/2009 01:15:40 PM Pacific Daylight Time		08/19/2009 04:57:34 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	Asuris TruAdvantage + Rx Classic (PPO)	01	04		1			H5010	002	0	2010	Select Counties in Eastern Washington		2		2				2						http://www.asuris.com/doctor/index.html	www.asuris.com	(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708		(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H5010	004	0	1	04	01	H5010_004_0	5	07/29/2009	2010.02	07/29/2009 10:08:42 AM Pacific Daylight Time	08/18/2009 02:50:34 PM Pacific Daylight Time	08/17/2009 02:27:32 PM Pacific Daylight Time		08/19/2009 05:01:51 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asurisnorthwesthealth.com	Asuris TruAdvantage + Rx Enhanced (PPO)	01	04		1			H5010	004	0	2010	Select Counties in Eastern Washington		2		2				2						http://www.asuris.com/doctor/index.html	www.asuris.com	(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708		(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
H5037	001	0	1	20	08	H5037_001_0	3	05/18/2009	2010.02	05/18/2009 02:21:24 PM Eastern Daylight Time		10/14/2009 03:23:43 PM Eastern Daylight Time		10/14/2009 03:34:12 PM Eastern Daylight Time	MOUNTAIN EMPIRE OLDER CITIZENS, INCX.	Mountain Empire PACE	www.meoc.org	Mountain Empire PACE - Dual (PACE)	08	20		1			H5037	001	0	2010	Lee, Scott, Wise Counties and Norton City		2		2				2							www.meoc.org									(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599																		1		
H5037	002	0	1	20	08	H5037_002_0	3	05/18/2009	2010.02	05/18/2009 02:22:31 PM Eastern Daylight Time		10/14/2009 03:23:51 PM Eastern Daylight Time		10/14/2009 03:34:12 PM Eastern Daylight Time	MOUNTAIN EMPIRE OLDER CITIZENS, INCX.	Mountain Empire PACE	www.meoc.org	Mountain Empire PACE  - Medicare only (PACE)	08	20		1			H5037	002	0	2010	Lee, Scott, Wise Counties and Norton City		2		2				2							www.meoc.org									(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599																		1		
H5041	001	0	1	04	01	H5041_001_0	5	08/20/2009	2010.02	08/20/2009 08:33:09 AM Eastern Daylight Time	08/18/2009 03:59:56 PM Eastern Daylight Time	08/19/2009 11:04:18 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5041-001 (PPO)	01	04		1			H5041	001	0	2010	Charleston-Huntington Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5041	002	0	1	04	01	H5041_002_0	5	08/20/2009	2010.02	08/20/2009 08:38:05 AM Eastern Daylight Time	08/18/2009 04:08:36 PM Eastern Daylight Time	08/19/2009 11:04:26 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5041-002 (PPO)	01	04		1			H5041	002	0	2010	Berkeley and Jefferson counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5041	801	0	1	04	01	H5041_801_0	4	07/10/2009	2010.02	07/10/2009 03:40:41 PM Eastern Daylight Time	07/21/2009 03:50:04 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5041	801	0	2010	Select Counties in West Virginia and Kentucky		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5041	802	0	1	04	01	H5041_802_0	3	07/10/2009	2010.02	07/10/2009 03:47:07 PM Eastern Daylight Time	07/21/2009 04:43:56 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5041	802	0	2010	Select Counties in West Virginia and Kentucky		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5041	803	0	1	04	01	H5041_803_0	3	07/10/2009	2010.02	07/10/2009 03:47:18 PM Eastern Daylight Time	07/21/2009 04:44:12 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5041	803	0	2010	Select Counties in West Virginia and Kentucky		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5042	001	0	1	04	01	H5042_001_0	7	08/03/2009	2010.02	08/03/2009 04:38:44 PM Eastern Daylight Time	07/16/2009 05:29:00 PM Eastern Daylight Time	07/10/2009 03:51:00 PM Eastern Daylight Time		08/03/2009 05:08:55 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Classic Rx (PPO)	01	04		1			H5042	001	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	2468	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H5042	002	0	1	04	01	H5042_002_0	10	08/06/2009	2010.02	08/06/2009 10:34:00 AM Eastern Daylight Time	07/16/2009 05:41:00 PM Eastern Daylight Time			08/06/2009 10:45:30 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Core (PPO)	01	04		1			H5042	002	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	190	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H5042	004	0	1	04	01	H5042_004_0	7	08/03/2009	2010.02	08/03/2009 04:39:14 PM Eastern Daylight Time	07/16/2009 05:36:00 PM Eastern Daylight Time			08/03/2009 05:08:55 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Classic (PPO)	01	04		1			H5042	004	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	182	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H5042	005	0	1	04	01	H5042_005_0	11	08/06/2009	2010.02	08/06/2009 10:34:29 AM Eastern Daylight Time	07/16/2009 05:45:00 PM Eastern Daylight Time	06/01/2009 04:22:38 PM Eastern Daylight Time		08/06/2009 10:45:30 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Core Rx (PPO)	01	04		1			H5042	005	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	245	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H5042	006	0	1	04	01	H5042_006_0	6	08/03/2009	2010.02	08/03/2009 04:30:13 PM Eastern Daylight Time	07/16/2009 05:47:00 PM Eastern Daylight Time			08/03/2009 05:08:55 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Prime (PPO)	01	04		1			H5042	006	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	111	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H5042	007	0	1	04	01	H5042_007_0	9	08/03/2009	2010.02	08/03/2009 04:31:47 PM Eastern Daylight Time	07/16/2009 05:50:00 PM Eastern Daylight Time	07/10/2009 03:51:00 PM Eastern Daylight Time		08/03/2009 05:08:55 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Prime Rx (PPO)	01	04		1			H5042	007	0	2010	Capital, Central, Southern Tier  Hudson Valley NY		2	49	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H5042	801	0	1	04	01	H5042_801_0	5	07/27/2009	2010.02	07/27/2009 08:43:18 AM Eastern Daylight Time	07/15/2009 02:21:00 PM Eastern Daylight Time			07/27/2009 08:49:47 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (PPO)	01	04		1			H5042	801	0	2010	Upstate New York Region		1	139	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H5042	802	0	1	04	01	H5042_802_0	5	07/27/2009	2010.02	07/27/2009 08:45:57 AM Eastern Daylight Time	07/15/2009 02:23:00 PM Eastern Daylight Time			07/27/2009 08:49:47 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (PPO)	01	04		1			H5042	802	0	2010	Upstate New York Region		1	567	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1		
H5042	803	0	1	04	01	H5042_803_0	5	07/27/2009	2010.02	07/27/2009 08:44:59 AM Eastern Daylight Time	06/01/2009 11:43:46 AM Eastern Daylight Time			07/27/2009 08:49:47 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare (PPO)	01	04		1			H5042	803	0	2010	Upstate New York Region		1	4	2				2						www.cdphp.com	http://www.cdphp.com/images/medicare/Medicare_Formulary_2009.pdf	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1		
H5050	001	0	1	01	01	H5050_001_0	6	07/23/2009	2010.02	07/23/2009 02:13:18 PM Pacific Daylight Time	07/27/2009 09:40:00 AM Pacific Daylight Time			07/27/2009 04:26:01 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Clear Care Basic (HMO)	01	01		1			H5050	001	0	2010	All Counties Served by Group Health Cooperative		2	10413	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882										(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388										1		
H5050	004	0	1	01	01	H5050_004_0	8	07/28/2009	2010.02	07/28/2009 07:50:55 AM Pacific Daylight Time	08/18/2009 11:24:00 AM Pacific Daylight Time	08/18/2009 09:49:00 AM Pacific Daylight Time		08/19/2009 12:10:07 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Clear Care Optimal (HMO)	01	01		1			H5050	004	0	2010	All Counties Served by Group Health Cooperative		2	8195	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H5050	009	0	1	01	01	H5050_009_0	8	07/28/2009	2010.02	07/28/2009 07:50:03 AM Pacific Daylight Time	08/18/2009 11:24:00 AM Pacific Daylight Time	08/18/2009 09:49:00 AM Pacific Daylight Time		08/19/2009 12:10:07 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Clear Care Essential (HMO)	01	01		1			H5050	009	0	2010	All Counties Served by Group Health Cooperative		2	10549	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H5050	012	0	1	01	01	H5050_012_0	6	07/23/2009	2010.02	07/23/2009 02:14:37 PM Pacific Daylight Time	08/18/2009 11:23:00 AM Pacific Daylight Time	08/18/2009 09:49:00 AM Pacific Daylight Time		08/19/2009 12:10:07 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Clear Care Sound (HMO)	01	01		1			H5050	012	0	2010	King/Pierce		2	1652	2				1	4		1		000000100000000	www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H5050	013	0	1	01	01	H5050_013_0	8	07/17/2009	2010.02	07/17/2009 03:36:14 PM Pacific Daylight Time	08/18/2009 11:24:00 AM Pacific Daylight Time	08/18/2009 09:50:00 AM Pacific Daylight Time		08/19/2009 12:10:07 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Clear Care Vital (HMO)	01	01		1			H5050	013	0	2010	All Counties Served by Group Health		2	3568	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H5050	801	0	1	01	01	H5050_801_0	5	05/22/2009	2010.02	05/22/2009 02:37:36 PM Pacific Daylight Time	05/31/2009 03:59:18 PM Pacific Daylight Time			06/01/2009 02:39:19 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Clear Care Employer Group (HMO)	01	01		1			H5050	801	0	2010	All Counties Served by Group Health Cooperative		1	17305	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882										(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388										1		
H5050	802	0	1	01	01	H5050_802_0	5	05/22/2009	2010.02	05/22/2009 02:40:54 PM Pacific Daylight Time	05/31/2009 04:00:07 PM Pacific Daylight Time			06/01/2009 02:39:19 PM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Clear Care Employer Group with Part D (HMO)	01	01		1			H5050	802	0	2010	All Counties Served by Group Health Cooperative		1	17305	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1		
H5087	001	0	1	01	01	H5087_001_0	11	08/20/2009	2010.02	08/20/2009 05:43:44 PM Pacific Daylight Time	08/20/2009 05:19:00 PM Pacific Daylight Time	08/20/2009 05:19:00 PM Pacific Daylight Time		08/21/2009 11:04:41 AM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Freedom Plan (HMO)	01	01		1			H5087	001	0	2010	L.A. County Dual		2	75	2		2		1	3		1	3		easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5087	002	0	1	01	01	H5087_002_0	16	10/07/2009	2010.02	10/07/2009 02:57:06 PM Pacific Daylight Time	08/20/2009 05:21:00 PM Pacific Daylight Time	08/20/2009 05:21:00 PM Pacific Daylight Time		10/07/2009 02:58:41 PM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Plus Plan (HMO)	01	01		1			H5087	002	0	2010	Orange County		2	50	2				2						easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5087	005	0	1	01	01	H5087_005_0	15	08/20/2009	2010.02	08/20/2009 06:10:08 PM Pacific Daylight Time	08/20/2009 05:22:00 PM Pacific Daylight Time	08/20/2009 05:22:00 PM Pacific Daylight Time		08/21/2009 11:04:41 AM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Best Plan (HMO)	01	01		1			H5087	005	0	2010	LA OC		2	50	2				2						easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(866)-999-3945		(949)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5106	013	0	1	04	01	H5106_013_0	5	07/31/2009	2010.02	07/31/2009 08:51:40 AM Eastern Daylight Time	08/17/2009 06:07:09 PM Eastern Daylight Time	08/14/2009 09:29:23 AM Eastern Daylight Time		08/18/2009 03:56:05 PM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Standard (PPO)	01	04		1			H5106	013	0	2010	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5106	014	0	1	04	01	H5106_014_0	5	07/31/2009	2010.02	07/31/2009 08:52:10 AM Eastern Daylight Time	08/17/2009 06:04:53 PM Eastern Daylight Time	08/14/2009 09:30:20 AM Eastern Daylight Time		08/18/2009 03:56:05 PM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Deluxe (PPO)	01	04		1			H5106	014	0	2010	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5106	015	0	1	04	01	H5106_015_0	5	07/31/2009	2010.02	07/31/2009 08:52:43 AM Eastern Daylight Time	08/17/2009 06:03:36 PM Eastern Daylight Time	08/14/2009 09:31:15 AM Eastern Daylight Time		08/18/2009 03:56:05 PM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Standard (PPO)	01	04		1			H5106	015	0	2010	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5106	016	0	1	04	01	H5106_016_0	5	07/31/2009	2010.02	07/31/2009 08:53:09 AM Eastern Daylight Time	08/17/2009 06:08:24 PM Eastern Daylight Time	08/14/2009 09:32:09 AM Eastern Daylight Time		08/18/2009 03:56:05 PM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Deluxe (PPO)	01	04		1			H5106	016	0	2010	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5106	017	0	1	04	01	H5106_017_0	4	07/31/2009	2010.02	07/31/2009 08:53:34 AM Eastern Daylight Time	07/15/2009 11:37:40 AM Eastern Daylight Time			07/31/2009 09:04:33 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Value (PPO)	01	04		1			H5106	017	0	2010	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032										(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210										1		
H5106	018	0	1	04	01	H5106_018_0	4	07/31/2009	2010.02	07/31/2009 08:54:01 AM Eastern Daylight Time	07/15/2009 11:38:08 AM Eastern Daylight Time			07/31/2009 09:04:33 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue Value (PPO)	01	04		1			H5106	018	0	2010	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032										(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210										1		
H5106	806	0	1	04	01	H5106_806_0	4	07/24/2009	2010.02	07/24/2009 09:05:12 AM Eastern Daylight Time	05/31/2009 08:24:02 PM Eastern Daylight Time			07/24/2009 09:06:49 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA-PDP WV Non-Calendar (PPO)	01	04		1			H5106	806	0	2010	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5106	807	0	1	04	01	H5106_807_0	4	07/24/2009	2010.02	07/24/2009 09:04:48 AM Eastern Daylight Time	05/31/2009 08:24:50 PM Eastern Daylight Time			07/24/2009 09:06:49 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA WV (PPO)	01	04		1			H5106	807	0	2010	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032										(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210										1		
H5106	808	0	1	04	01	H5106_808_0	4	07/24/2009	2010.02	07/24/2009 09:04:39 AM Eastern Daylight Time	05/31/2009 08:25:38 PM Eastern Daylight Time			07/24/2009 09:06:49 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue MA-PDP WV (PPO)	01	04		1			H5106	808	0	2010	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		(800)-855-1155		(800)-855-1155		(800)-227-8210		(800)-227-8210		1		
H5151	002	0	1	01	01	H5151_002_0	3	08/19/2009	2010.02	08/19/2009 09:29:46 AM Eastern Daylight Time	08/19/2009 10:31:37 AM Eastern Daylight Time	08/14/2009 10:41:17 AM Eastern Daylight Time		08/19/2009 10:50:48 AM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H5151	002	0	2010	East Ohio, Northern WV		2		2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1		
H5151	004	0	1	01	01	H5151_004_0	2	08/04/2009	2010.02	08/04/2009 09:54:00 AM Eastern Daylight Time	08/04/2009 11:25:39 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H5151	004	0	2010	East Ohio, Northern WV		2		2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1		
H5151	802	0	1	01	01	H5151_802_0	4	08/04/2009	2010.02	08/04/2009 09:55:54 AM Eastern Daylight Time	08/04/2009 11:27:18 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H5151	802	0	2010	Southeast Ohio, Northern West Virginia		1		2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1		
H5151	803	0	1	01	01	H5151_803_0	3	08/04/2009	2010.02	08/04/2009 10:01:10 AM Eastern Daylight Time	08/04/2009 11:29:21 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	Health Plan SecureCare (HMO)	01	01		1			H5151	803	0	2010	Southeast Ohio, Northern West Virginia		1		2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1		
H5162	001	0	1	04	01	H5162_001_0	4	08/06/2009	2010.01	08/06/2009 02:17:17 PM Pacific Daylight Time	08/06/2009 02:24:03 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	001	0	2010	Little Rock		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5162	002	0	1	04	01	H5162_002_0	6	08/06/2009	2010.01	08/06/2009 02:27:58 PM Pacific Daylight Time	08/19/2009 02:34:15 PM Pacific Daylight Time	08/18/2009 04:59:31 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	002	0	2010	Little Rock		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5162	003	0	1	04	01	H5162_003_0	4	08/06/2009	2010.01	08/06/2009 02:28:13 PM Pacific Daylight Time	08/06/2009 02:49:27 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	003	0	2010	Peoria		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5162	004	0	1	04	01	H5162_004_0	6	08/06/2009	2010.01	08/06/2009 02:29:33 PM Pacific Daylight Time	08/19/2009 02:37:52 PM Pacific Daylight Time	08/18/2009 05:00:28 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	004	0	2010	Peoria		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5162	005	0	1	04	01	H5162_005_0	4	08/06/2009	2010.01	08/06/2009 02:29:50 PM Pacific Daylight Time	08/06/2009 03:00:14 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	005	0	2010	Kansas City		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H5162	006	0	1	04	01	H5162_006_0	6	08/06/2009	2010.01	08/06/2009 02:30:01 PM Pacific Daylight Time	08/19/2009 02:43:49 PM Pacific Daylight Time	08/18/2009 05:01:01 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	006	0	2010	Kansas City		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5167	001	0	1	20	08	H5167_001_0	1	05/18/2009	2010.02	05/18/2009 12:22:11 PM Mountain Daylight Time		05/18/2009 08:49:00 AM Mountain Daylight Time		05/19/2009 11:09:41 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH CARE SERVICES	Rocky Mountain PACE	www.rockymountainhealth.org	Rocky Mountain PACE (PACE)	08	20		1			H5167	001	0	2010	Colorado Springs Metro Area		2		2				2							www.rockymountainhealth.org									(866)-519-5849	335	(719)-314-2327		(866)-519-5849		(719)-314-2327	335																	1		
H5167	002	0	1	20	08	H5167_002_0	2	05/20/2009	2010.02	05/20/2009 08:13:49 AM Mountain Daylight Time		05/18/2009 08:49:00 AM Mountain Daylight Time		05/20/2009 08:17:10 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH CARE SERVICES	Rocky Mountain PACE	www.rockymountainhealth.org	Rocky Mountain PACE (PACE)	08	20		1			H5167	002	0	2010	Colorado Springs Metro Area		2		2				2							www.rockymountainhealth.org									(866)-519-5849	335	(719)-314-2327		(866)-519-5849		(719)-314-2327	335																	1		
H5206	002	0	1	01	01	H5206_002_0	6	05/19/2009	2010.02	05/19/2009 02:49:03 PM Central Daylight Time	08/14/2009 08:58:20 AM Central Daylight Time	08/24/2009 02:45:44 PM Central Daylight Time		08/25/2009 10:40:43 AM Central Daylight Time	PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	Community Health Partnership (HMO)	01	01		1			H5206	002	0	2010	Chippewa, Dunn and Eau Claire Counties		2	1652	2		2		1	3		1	5		http://www.communityhealthpartnership.com/providerdir.aspx	http://www.communityhealthpartnership.com/members/php/formulary.php	(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		1		
H5206	003	0	1	01	01	H5206_003_0	5	05/19/2009	2010.02	05/19/2009 02:30:06 PM Central Daylight Time	08/14/2009 08:58:00 AM Central Daylight Time	08/14/2009 08:06:00 AM Central Daylight Time		08/14/2009 10:06:52 AM Central Daylight Time	PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	Community Health Partnership (HMO)	01	01		1			H5206	003	0	2010	Pierce and St. Croix Counties		2	300	2		2		1	3		1	5		http://www.communityhealthpartnership.com/providerdir.aspx	http://www.communityhealthpartnership.com/members/php/formulary.php	(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		1		
H5207	001	0	1	01	01	H5207_001_0	4	08/20/2009	2010.02	08/20/2009 07:27:49 AM Central Daylight Time	08/20/2009 01:50:14 PM Central Daylight Time	08/20/2009 01:50:07 PM Central Daylight Time		08/20/2009 02:35:19 PM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC	Community Care	www.CommunityCareInc.org	Community Care's Partnership Program (HMO)	01	01		1			H5207	001	0	2010	Kenosha, Milwaukee, Racine and Waukesha Counties		2	343	2		2		1	3		1	5		www.CommunityCareInc.org	www.communitycareinc.org/Assets/Formulary.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1		
H5209	002	0	1	01	01	H5209_002_0	2	05/20/2009	2010.02	05/20/2009 04:00:08 PM Central Daylight Time	08/14/2009 09:21:00 AM Central Daylight Time	08/14/2009 08:17:00 AM Central Daylight Time		08/17/2009 04:37:19 PM Central Daylight Time	CARE WISCONSIN HEALTH PLAN, INC.	Care Wisconsin Health Plan, Inc.	www.carewisconsinhealthplan.org	Partnership (HMO)	01	01		1			H5209	002	0	2010	Dane County		2	1236	2		2		1	3		1	5		www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5211	001	0	1	02	01	H5211_001_0	7	06/01/2009	2010.02	06/01/2009 01:29:26 PM Central Daylight Time	07/21/2009 01:16:59 PM Central Daylight Time			07/22/2009 04:11:15 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Spirit (HMO-POS)	01	02		1			H5211	001	0	2010	Central, Northern and Western Wisconsin		2	6838	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1		
H5211	002	0	1	02	01	H5211_002_0	5	07/21/2009	2010.02	07/21/2009 03:26:36 PM Central Daylight Time	07/21/2009 01:21:16 PM Central Daylight Time	07/06/2009 04:22:48 PM Central Daylight Time		07/21/2009 03:43:12 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Essence Rx (HMO-POS)	01	02		1			H5211	002	0	2010	Central, Northern and Western Wisconsin		2	7834	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1		
H5211	003	0	1	02	01	H5211_003_0	5	07/21/2009	2010.02	07/21/2009 03:27:45 PM Central Daylight Time	07/21/2009 01:22:35 PM Central Daylight Time			07/21/2009 03:43:12 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Essence (HMO-POS)	01	02		1			H5211	003	0	2010	Central, Northern and Western Wisconsin		2	3424	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1		
H5211	004	0	1	02	01	H5211_004_0	5	06/01/2009	2010.02	06/01/2009 10:35:53 AM Central Daylight Time	07/21/2009 01:25:24 PM Central Daylight Time	07/06/2009 04:24:52 PM Central Daylight Time		07/22/2009 04:11:15 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Spirit Rx (HMO-POS)	01	02		1			H5211	004	0	2010	Central, Northern and Western Wisconsin		2	8779	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1		
H5211	005	0	1	02	01	H5211_005_0	5	05/29/2009	2010.02	05/29/2009 12:44:06 PM Central Daylight Time	07/17/2009 04:36:57 PM Central Daylight Time	07/06/2009 04:30:37 PM Central Daylight Time		07/22/2009 04:11:15 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Vitality Rx (HMO-POS)	01	02		1			H5211	005	0	2010	Central, Northern and Western Wisconsin		2	3249	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1		
H5211	006	0	1	02	01	H5211_006_0	5	05/29/2009	2010.02	05/29/2009 12:35:57 PM Central Daylight Time	07/17/2009 04:38:56 PM Central Daylight Time			07/22/2009 04:11:15 PM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Vitality (HMO-POS)	01	02		1			H5211	006	0	2010	Central, Northern and Western Wisconsin		2	1516	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1		
H5212	001	0	1	20	08	H5212_001_0	4	05/27/2009	2010.02	05/27/2009 12:20:17 PM Central Daylight Time		10/13/2009 04:17:53 PM Central Daylight Time		10/14/2009 06:58:20 AM Central Daylight Time	COMMUNITY CARE, INC.	Community Care	www.CommunityCareInc.org	Community Care's PACE Program (PACE)	08	20		1			H5212	001	0	2010	Milwaukee County, Waukesha County		2	10260	2				2							www.CommunityCareInc.org									(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600										(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1		
H5212	002	0	1	20	08	H5212_002_0	4	05/27/2009	2010.02	05/27/2009 12:20:35 PM Central Daylight Time		10/13/2009 04:17:53 PM Central Daylight Time		10/14/2009 06:58:20 AM Central Daylight Time	COMMUNITY CARE, INC.	Community Care	www.CommunityCareInc.org	Community Care's PACE Program (PACE)	08	20		1			H5212	002	0	2010	Milwaukee County, Waukesha County		2	10260	2				2							www.CommunityCareInc.org									(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600										(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1		
H5213	001	0	1	20	08	H5213_001_0	2	10/14/2009	2010.02	10/14/2009 01:21:54 PM Mountain Daylight Time		10/14/2009 09:03:01 AM Mountain Daylight Time		10/14/2009 01:30:38 PM Mountain Daylight Time	TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	Total Community Care (PACE)	08	20		1			H5213	001	0	2010	Albuquerque Metro Area		2		2				2							www.TotalCommunityCare.org									(505)-924-2608		(505)-924-2608		(877)-277-6163		(303)-869-4664										(505)-924-2608		(505)-924-2608		(877)-277-6163		(303)-869-4664		1		
H5213	002	0	1	20	08	H5213_002_0	2	10/14/2009	2010.02	10/14/2009 01:22:07 PM Mountain Daylight Time		10/14/2009 09:03:01 AM Mountain Daylight Time		10/14/2009 01:30:38 PM Mountain Daylight Time	TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	Total Community Care (PACE)	08	20		1			H5213	002	0	2010	Albuquerque Metro Area		2		2				2							www.TotalCommunityCare.org									(505)-924-2608		(505)-924-2608		(505)-924-2608		(303)-869-4664										(505)-924-2608		(505)-924-2608		(505)-924-2608		(505)-924-2608		1		
H5214	003	0	1	04	01	H5214_003_0	5	07/20/2009	2010.02	07/20/2009 03:10:39 PM Eastern Daylight Time	08/18/2009 04:00:23 PM Eastern Daylight Time	08/19/2009 11:04:34 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-003 (PPO)	01	04		1			H5214	003	0	2010	Atlanta Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5214	004	0	1	04	01	H5214_004_0	5	07/20/2009	2010.02	07/20/2009 03:11:05 PM Eastern Daylight Time	08/18/2009 03:25:35 PM Eastern Daylight Time	08/19/2009 11:04:42 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-004 (PPO)	01	04		1			H5214	004	0	2010	Aiken/Augusta Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5214	008	0	1	04	01	H5214_008_0	5	07/20/2009	2010.02	07/20/2009 03:11:28 PM Eastern Daylight Time	08/18/2009 03:33:14 PM Eastern Daylight Time	08/19/2009 11:04:50 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-008 (PPO)	01	04		1			H5214	008	0	2010	Athens Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5214	009	0	1	04	01	H5214_009_0	5	07/20/2009	2010.02	07/20/2009 03:11:49 PM Eastern Daylight Time	08/18/2009 03:33:58 PM Eastern Daylight Time	08/19/2009 11:04:57 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-009 (PPO)	01	04		1			H5214	009	0	2010	Columbus Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5214	010	0	1	04	01	H5214_010_0	5	09/23/2009	2010.02	09/23/2009 02:16:19 PM Eastern Daylight Time	08/18/2009 03:51:42 PM Eastern Daylight Time	08/19/2009 11:05:05 AM Eastern Daylight Time		09/23/2009 02:55:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-010 (PPO)	01	04		1			H5214	010	0	2010	Russell, Harris and Muscogee Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5214	801	0	1	04	01	H5214_801_0	4	07/10/2009	2010.02	07/10/2009 03:40:57 PM Eastern Daylight Time	07/21/2009 03:50:20 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5214	801	0	2010	Select Counties in Georgia and Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5214	803	0	1	04	01	H5214_803_0	4	07/10/2009	2010.02	07/10/2009 03:47:32 PM Eastern Daylight Time	07/21/2009 04:44:30 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5214	803	0	2010	Select Counties in Georgia and Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5214	804	0	1	04	01	H5214_804_0	4	07/10/2009	2010.02	07/10/2009 03:47:47 PM Eastern Daylight Time	07/21/2009 04:44:46 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5214	804	0	2010	Select Counties in Georgia and Alabama		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5215	001	0	1	04	01	H5215_001_0	4	06/29/2009	2010.02	06/29/2009 09:33:35 AM Central Daylight Time	07/30/2009 04:42:41 PM Central Daylight Time			07/31/2009 07:37:56 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus (PPO)	01	04		1			H5215	001	0	2010	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1		
H5215	002	0	1	04	01	H5215_002_0	4	08/20/2009	2010.02	08/20/2009 04:30:12 PM Central Daylight Time	08/20/2009 04:10:32 PM Central Daylight Time	08/20/2009 04:11:53 PM Central Daylight Time		08/20/2009 04:57:11 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus Pharmacy (PPO)	01	04		1			H5215	002	0	2010	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5215	005	0	1	04	01	H5215_005_0	4	08/20/2009	2010.02	08/20/2009 11:08:33 AM Central Daylight Time	08/20/2009 04:11:21 PM Central Daylight Time	08/20/2009 04:12:38 PM Central Daylight Time		08/20/2009 04:57:11 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier Pharmacy (PPO)	01	04		1			H5215	005	0	2010	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5215	006	0	1	04	01	H5215_006_0	3	06/29/2009	2010.02	06/29/2009 09:36:08 AM Central Daylight Time	07/30/2009 04:46:19 PM Central Daylight Time			07/31/2009 07:37:56 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier (PPO)	01	04		1			H5215	006	0	2010	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1		
H5215	007	0	1	04	01	H5215_007_0	5	08/20/2009	2010.02	08/20/2009 03:00:58 PM Central Daylight Time	08/20/2009 04:38:50 PM Central Daylight Time	08/20/2009 04:33:15 PM Central Daylight Time		08/20/2009 04:57:11 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network Cares (PPO)	01	04		1			H5215	007	0	2010	East Central Wisconsin		2		2		2		1	3		1	2		www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5215	008	0	1	04	01	H5215_008_0	6	08/20/2009	2010.02	08/20/2009 03:06:20 PM Central Daylight Time	08/20/2009 04:11:51 PM Central Daylight Time	08/20/2009 04:13:37 PM Central Daylight Time		08/20/2009 04:57:11 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumSelect (PPO)	01	04		1			H5215	008	0	2010	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5215	801	0	1	04	01	H5215_801_0	7	07/30/2009	2010.02	07/30/2009 08:59:21 AM Central Daylight Time	06/03/2009 11:18:18 AM Central Daylight Time			07/30/2009 09:36:50 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus Pharmacy Emp Plan (PPO)	01	04		1			H5215	801	0	2010	East Central Wisconsin		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5215	804	0	1	04	01	H5215_804_0	6	07/30/2009	2010.02	07/30/2009 09:01:24 AM Central Daylight Time	06/03/2009 11:18:31 AM Central Daylight Time			07/30/2009 09:36:50 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus Employer Plan (PPO)	01	04		1			H5215	804	0	2010	East Central Wisconsin		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1		
H5215	805	0	1	04	01	H5215_805_0	5	07/30/2009	2010.02	07/30/2009 09:01:32 AM Central Daylight Time	06/03/2009 11:18:39 AM Central Daylight Time			07/30/2009 09:36:50 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier Emp Group (PPO)	01	04		1			H5215	805	0	2010	East Central Wisconsin		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5216	001	0	1	04	01	H5216_001_0	4	07/20/2009	2010.01	07/20/2009 05:46:23 PM Eastern Daylight Time	08/18/2009 03:22:08 PM Eastern Daylight Time	08/19/2009 11:05:13 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-001 (PPO)	01	04		1			H5216	001	0	2010	Milwaukee Metro Area		2	2411	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5216	003	0	1	04	01	H5216_003_0	4	08/20/2009	2010.01	08/20/2009 09:46:23 AM Eastern Daylight Time	08/18/2009 03:03:24 PM Eastern Daylight Time	08/19/2009 11:05:21 AM Eastern Daylight Time		08/20/2009 03:20:41 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-003 (PPO)	01	04		1			H5216	003	0	2010	Green Bay Metro Area		2	1927	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5216	006	0	1	04	01	H5216_006_0	4	07/21/2009	2010.01	07/21/2009 01:06:00 PM Eastern Daylight Time	08/18/2009 03:09:02 PM Eastern Daylight Time	08/19/2009 11:05:29 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-006 (PPO)	01	04		1			H5216	006	0	2010	Madison Metro Area		2	1000	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5216	007	0	1	04	01	H5216_007_0	4	07/21/2009	2010.01	07/21/2009 10:14:18 AM Eastern Daylight Time	08/18/2009 03:09:34 PM Eastern Daylight Time	08/19/2009 11:05:36 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-007 (PPO)	01	04		1			H5216	007	0	2010	Northern Wisconsin		2	1000	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5216	008	0	1	04	01	H5216_008_0	4	07/21/2009	2010.01	07/21/2009 10:28:20 AM Eastern Daylight Time	08/18/2009 03:10:06 PM Eastern Daylight Time	08/19/2009 11:05:44 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-008 (PPO)	01	04		1			H5216	008	0	2010	Wausau County		2	1000	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5216	801	0	1	04	01	H5216_801_0	3	07/10/2009	2010.02	07/10/2009 03:41:16 PM Eastern Daylight Time	07/21/2009 03:51:32 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5216	801	0	2010	North East Wisconsin		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5216	802	0	1	04	01	H5216_802_0	3	07/10/2009	2010.02	07/10/2009 03:48:09 PM Eastern Daylight Time	07/21/2009 04:45:00 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5216	802	0	2010	North East Wisconsin		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5216	803	0	1	04	01	H5216_803_0	3	07/10/2009	2010.02	07/10/2009 03:48:20 PM Eastern Daylight Time	07/21/2009 04:45:18 PM Eastern Daylight Time			07/28/2009 08:17:46 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5216	803	0	2010	North East Wisconsin		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5253	004	0	1	02	01	H5253_004_0	5	07/17/2009	2010.02	07/17/2009 02:56:29 PM Central Daylight Time	08/19/2009 10:01:06 AM Central Daylight Time	08/13/2009 05:54:15 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	004	0	2010	Metro Milwaukee		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5253	007	0	1	02	01	H5253_007_0	3	08/20/2009	2010.02	08/20/2009 05:29:26 PM Central Daylight Time	08/19/2009 10:01:29 AM Central Daylight Time	08/13/2009 05:54:19 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H5253	007	0	2010	Appleton,GreenBay,LaCrosse,Milwaukee,Madison areas		2		2				1	1	1	1			https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5253	011	0	1	02	01	H5253_011_0	5	07/21/2009	2010.02	07/21/2009 03:53:46 PM Central Daylight Time	08/19/2009 10:02:01 AM Central Daylight Time	08/13/2009 05:54:23 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	011	0	2010	Green Bay/Fox Valley Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5253	021	0	1	02	01	H5253_021_0	4	07/22/2009	2010.02	07/22/2009 02:05:54 PM Central Daylight Time	07/21/2009 09:58:50 AM Central Daylight Time			07/23/2009 02:53:58 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H5253	021	0	2010	Metro Milwaukee		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H5253	024	0	1	01	01	H5253_024_0	3	07/15/2009	2010.02	07/15/2009 04:52:40 PM Central Daylight Time	08/19/2009 10:04:57 AM Central Daylight Time	08/13/2009 05:54:28 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H5253	024	0	2010	Appleton,GreenBay,LaCrosse,Milwaukee,Madison areas		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5253	027	0	1	02	01	H5253_027_0	4	07/17/2009	2010.02	07/17/2009 01:04:52 PM Central Daylight Time	08/19/2009 10:06:20 AM Central Daylight Time	08/13/2009 05:54:32 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H5253	027	0	2010	Metro Milwaukee		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-384-1074		(800)-384-1074		(888)-685-8480		(888)-685-8480		(800)-384-1074		(800)-384-1074		1		
H5253	028	0	1	02	01	H5253_028_0	4	07/17/2009	2010.02	07/17/2009 03:31:47 PM Central Daylight Time	08/19/2009 10:06:52 AM Central Daylight Time	08/13/2009 05:54:35 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	028	0	2010	La Crosse Area Counties		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5253	029	0	1	02	01	H5253_029_0	4	07/17/2009	2010.02	07/17/2009 01:28:50 PM Central Daylight Time	08/19/2009 10:07:45 AM Central Daylight Time	08/13/2009 05:54:39 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealtPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H5253	029	0	2010	Green Bay and La Crosse Counties		2		2				1	4		1		000110100000000	https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-384-1074		(800)-384-1074		(888)-685-8480		(888)-685-8480		(800)-384-1074		(800)-384-1074		1		
H5253	801	0	1	01	01	H5253_801_0	2	05/26/2009	2010.02	05/28/2009 04:36:57 AM Central Daylight Time	07/21/2009 10:00:37 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	801	0	2010	Milwaukee and Green Bay Area Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-524-2448		(800)-524-2448		(800)-524-2478		(800)-524-2478		(800)-524-2448		(800)-524-2448		(800)-524-2478		(800)-524-2478		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5253	802	0	1	01	01	H5253_802_0	2	05/26/2009	2010.02	05/28/2009 04:37:16 AM Central Daylight Time	07/21/2009 10:00:54 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	802	0	2010	Milwaukee and Green Bay Area Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-524-2448		(800)-524-2448		(800)-524-2478		(800)-524-2478										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5253	805	0	1	01	01	H5253_805_0	2	05/26/2009	2010.02	05/28/2009 04:37:29 AM Central Daylight Time	07/21/2009 10:01:14 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	805	0	2010	Select Counties in WI		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-524-2448		(800)-524-2448		(800)-524-2478		(800)-524-2478		(800)-524-2448		(800)-524-2448		(800)-524-2478		(800)-524-2478		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5256	001	0	1	18	06	H5256_001_0	3	08/11/2009	2010.02	08/11/2009 08:42:44 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H5256	001	0	2010	Southwest Wisconsin		2	2270	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H5256	002	0	1	18	06	H5256_002_0	3	08/11/2009	2010.02	08/11/2009 08:43:28 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H5256	002	0	2010	Southwest Wisconsin		2	234	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H5256	004	0	1	18	06	H5256_004_0	2	08/11/2009	2010.02	08/11/2009 08:44:07 AM Central Daylight Time				08/11/2009 09:20:21 AM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H5256	004	0	2010	Southwest Wisconsin		2	66	2				2								(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2		
H5262	001	0	1	01	01	H5262_001_0	3	05/27/2009	2010.01	05/27/2009 02:30:46 PM Central Daylight Time	10/01/2009 08:24:11 AM Central Daylight Time	08/17/2009 04:17:43 PM Central Daylight Time		10/01/2009 08:43:40 AM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Senior Pref. Elite w/RX (HMO)	01	01		1			H5262	001	0	2010	La Crosse and Southwestern Wisconsin		2	6634	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.seniorpreferred.com/web/hpln/home.nsf/doc/spmembers@3000	(800)-394-5566		(608)-775-8077		(800)-370-9718		(608)-775-8777		(800)-394-5566		(800)-394-5566		(800)-370-9718		(800)-370-9718	58777	(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5262	003	0	1	01	01	H5262_003_0	3	05/27/2009	2010.01	05/27/2009 02:30:57 PM Central Daylight Time	10/01/2009 08:23:47 AM Central Daylight Time	08/17/2009 04:17:43 PM Central Daylight Time		10/01/2009 08:43:40 AM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Senior Pref. Value w/RX (HMO)	01	01		1			H5262	003	0	2010	La Crosse and Southwestern Wisconsin		2	6634	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.seniorpreferred.com/web/hpln/home.nsf/doc/spmembers@3000	(800)-394-5566		(608)-775-8077		(800)-370-9718		(608)-775-8777		(800)-394-5566		(800)-394-5566		(800)-370-9718		(800)-370-9718	58777	(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H5262	004	0	1	01	01	H5262_004_0	2	05/14/2009	2010.01	05/14/2009 03:45:39 PM Central Daylight Time	05/27/2009 04:16:17 PM Central Daylight Time			09/30/2009 02:59:57 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Sr. Pref. Value (no RX) (HMO)	01	01		1			H5262	004	0	2010	La Crosse and Southwestern Wisconsin		2	6634	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.seniorpreferred.com/web/hpln/home.nsf/doc/spmembers@3000	(800)-394-5566		(608)-775-8077		(800)-370-9718		(608)-775-8777										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1		
H5262	005	0	1	01	01	H5262_005_0	2	05/14/2009	2010.01	05/14/2009 03:45:48 PM Central Daylight Time	05/27/2009 04:15:49 PM Central Daylight Time			09/30/2009 02:59:57 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Sr. Pref. Elite (no RX) (HMO)	01	01		1			H5262	005	0	2010	La Crosse and Southwestern Wisconsin		2	6634	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.seniorpreferred.com/web/hpln/home.nsf/doc/spmembers@3000	(800)-394-5566		(608)-775-8077		(800)-370-9718		(608)-775-8777										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1		
H5264	002	0	1	18	06	H5264_002_0	2	08/10/2009	2010.02	08/10/2009 03:34:14 PM Central Daylight Time				08/10/2009 03:45:13 PM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Enhanced (Cost)	06	18		1			H5264	002	0	2010	DeanCare Gold		2	12160	2				2								(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372												(877)-733-6456				(877)-733-6456										2		
H5264	003	0	1	18	06	H5264_003_0	3	08/10/2009	2010.02	08/10/2009 03:34:24 PM Central Daylight Time				08/11/2009 08:34:48 AM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Basic (Cost)	06	18		1			H5264	003	0	2010	DeanCare Gold		2	100	2				2								(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372												(877)-733-6456				(877)-733-6456										2		
H5264	005	0	1	18	06	H5264_005_0	3	08/10/2009	2010.02	08/10/2009 03:34:37 PM Central Daylight Time				08/11/2009 08:34:48 AM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Shared Value (Cost)	06	18		1			H5264	005	0	2010	DeanCare Gold		2	100	2				2								(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372												(877)-733-6456				(877)-733-6456										2		
H5291	001	0	1	01	01	H5291_001_0	7	07/21/2009	2010.02	07/21/2009 03:41:21 PM Eastern Daylight Time	08/18/2009 05:51:00 PM Eastern Daylight Time	08/19/2009 11:05:51 AM Eastern Daylight Time		08/21/2009 09:44:32 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5291-001 (HMO)	01	01		1			H5291	001	0	2010	Denver Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5291	801	0	1	01	01	H5291_801_0	3	05/26/2009	2010.02	05/26/2009 04:10:02 PM Eastern Daylight Time	07/21/2009 03:32:08 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5291	801	0	2010	Colorado		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5291	802	0	1	01	01	H5291_802_0	3	05/26/2009	2010.02	05/26/2009 04:10:27 PM Eastern Daylight Time	07/21/2009 04:23:38 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5291	802	0	2010	Colorado		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5291	803	0	1	01	01	H5291_803_0	3	05/26/2009	2010.02	05/26/2009 04:10:49 PM Eastern Daylight Time	07/21/2009 04:24:26 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H5291	803	0	2010	Colorado		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5294	001	0	1	01	01	H5294_001_0	7	07/29/2009	2010.02	07/29/2009 11:32:50 AM Pacific Daylight Time	08/17/2009 01:35:05 PM Pacific Daylight Time	08/17/2009 10:54:58 AM Pacific Daylight Time		08/19/2009 04:50:51 PM Pacific Daylight Time	SUPERIOR HEALTH PLAN, INC.	Advantage by SuperiorHealthPlan	www.superiorhealthplan.com	Superior HealthPlan (HMO)	01	01		1			H5294	001	0	2010	Superior HealthPlan		2	100	2		2		1	3		1	3		https://www.superiorhealthplan.com/portal/public/superior	www.superiorhealthplan.com	(866)-516-4501		(512)-692-1465		(866)-516-4501		(512)-692-1465		(866)-516-4501		(512)-692-1465		(866)-516-4501		(512)-692-1465		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		1		
H5301	002	0	1	38	05	H5301_002_0	1	06/01/2009	2010.02	06/01/2009 12:39:53 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5301	002	0	2010	Selected Counties in Alabama and Tennessee		2	10	2				2						www.fmchp.com	http://www.fmchp.com/Formulary_Search_2006.shtml	(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5301	003	0	1	38	05	H5301_003_0	1	06/01/2009	2010.02	06/01/2009 12:40:38 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5301	003	0	2010	Selected Counties in California		2	10	2				2						www.fmchp.com	http://www.fmchp.com/Formulary_Search_2006.shtml	(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5301	004	0	1	38	05	H5301_004_0	1	06/01/2009	2010.02	06/01/2009 12:41:10 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5301	004	0	2010	Selected Counties in Illinois		2	10	2				2						www.fmchp.com	http://www.fmchp.com/Formulary_Search_2006.shtml	(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5301	005	0	1	38	05	H5301_005_0	1	06/01/2009	2010.02	06/01/2009 12:41:43 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5301	005	0	2010	Selected Counties in Minnesota		2	10	2				2						www.fmchp.com	http://www.fmchp.com/Formulary_Search_2006.shtml	(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5302	003	0	1	02	01	H5302_003_0	10	08/20/2009	2010.02	08/20/2009 04:35:10 PM Eastern Daylight Time	08/20/2009 03:01:44 PM Eastern Daylight Time	08/18/2009 11:00:10 AM Eastern Daylight Time		08/20/2009 08:20:11 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra Silver (HMO-POS)	01	02		1			H5302	003	0	2010	Savannah and Metro Atlanta area		2	1631	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5302	004	0	1	02	01	H5302_004_0	10	08/20/2009	2010.02	08/20/2009 02:29:28 PM Eastern Daylight Time	08/19/2009 08:56:50 AM Eastern Daylight Time	08/18/2009 11:01:57 AM Eastern Daylight Time		08/20/2009 08:20:11 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra Gold (HMO-POS)	01	02		1			H5302	004	0	2010	Savannah area		2	365	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5302	005	0	1	02	01	H5302_005_0	8	08/20/2009	2010.02	08/20/2009 04:35:27 PM Eastern Daylight Time	08/20/2009 04:30:39 PM Eastern Daylight Time	08/18/2009 11:03:18 AM Eastern Daylight Time		08/20/2009 08:20:11 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra Silver (HMO-POS)	01	02		1			H5302	005	0	2010	Columbus area		2	410	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5302	006	0	1	02	01	H5302_006_0	10	08/20/2009	2010.02	08/20/2009 08:38:48 AM Eastern Daylight Time	08/19/2009 08:59:10 AM Eastern Daylight Time	08/18/2009 11:04:42 AM Eastern Daylight Time		08/20/2009 08:20:11 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra Silver Plus (HMO-POS)	01	02		1			H5302	006	0	2010	Atlanta Metro		2	416	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5302	809	0	1	02	01	H5302_809_0	2	05/29/2009	2010.02	05/29/2009 01:40:47 PM Eastern Daylight Time	05/30/2009 04:49:00 PM Eastern Daylight Time			06/01/2009 05:45:27 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	809	0	2010	Georgia		1	500	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163										(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010										1		
H5302	810	0	1	02	01	H5302_810_0	2	05/29/2009	2010.02	05/29/2009 01:41:28 PM Eastern Daylight Time	05/30/2009 04:48:00 PM Eastern Daylight Time			06/01/2009 05:45:27 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	810	0	2010	GA		1	500	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5302	811	0	1	02	01	H5302_811_0	2	05/29/2009	2010.02	05/29/2009 01:41:56 PM Eastern Daylight Time	05/30/2009 04:47:00 PM Eastern Daylight Time			06/01/2009 05:45:27 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Advantra	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	811	0	2010	GA		1	500	2				2						www.ga.chcadvantra.com	http://www.ga.chcadvantra.com/	(866)-613-4977		(866)-613-4977		(877)-981-8163		(877)-981-8163		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
H5304	801	0	1	09	04	H5304_801_0	7	07/30/2009	2010.02	07/30/2009 10:42:40 PM Pacific Daylight Time	07/31/2009 12:43:37 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	SmartValue (PFFS)	04	09	2	1			H5304	801	0	2010	NY with Nationwide Group Coverage		1	2599	2				2							www://seniorplandirectppoplus.medicareplanrx.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		1		
H5304	802	0	1	09	04	H5304_802_0	7	07/30/2009	2010.02	07/30/2009 10:43:35 PM Pacific Daylight Time	07/31/2009 12:45:02 PM Pacific Daylight Time			07/31/2009 12:58:02 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	SmartValue (PFFS)	04	09	2	1			H5304	802	0	2010	NY with Nationwide Group Coverage		1	883	2				2							www://seniorplandirectppoplus.medicareplanrx.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970												(800)-425-5705		(800)-425-5705		(800)-425-5705										1		
H5324	001	0	1	20	08	H5324_001_0	2	05/19/2009	2010.02	05/19/2009 05:17:09 AM Hawaiian Standard Time		10/13/2009 12:12:57 PM Hawaiian Standard Time		10/13/2009 01:27:05 PM Hawaiian Standard Time	HALE MAKUA	Maui PACE	PACEMaui.org	Maui PACE Dual (PACE)	08	20		1			H5324	001	0	2010	Maui, Hawaii		2		2				2							PACEMaui.org									(877)-521-7223		(808)-442-4551		(877)-521-7223		(808)-442-4551										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H5324	002	0	1	20	08	H5324_002_0	2	05/19/2009	2010.02	05/19/2009 05:17:15 AM Hawaiian Standard Time		10/13/2009 12:12:57 PM Hawaiian Standard Time		10/13/2009 01:27:05 PM Hawaiian Standard Time	HALE MAKUA	Maui PACE	www.mauipace.org	Maui PACE - Medicare only (PACE)	08	20		1			H5324	002	0	2010	Maui, Hawaii		2		2				2							PACEMaui.org									(877)-521-7223		(808)-442-4551		(877)-521-7223		(808)-442-4551										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H5378	004	0	1	04	01	H5378_004_0	7	08/19/2009	2010.02	08/19/2009 05:41:37 PM Central Daylight Time	08/19/2009 07:14:11 PM Central Daylight Time	08/15/2009 08:38:51 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	004	0	2010	SE Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	005	0	1	04	01	H5378_005_0	7	08/19/2009	2010.02	08/19/2009 05:41:37 PM Central Daylight Time	08/19/2009 07:19:18 PM Central Daylight Time	08/15/2009 08:39:11 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	005	0	2010	North Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	010	0	1	04	01	H5378_010_0	5	06/16/2009	2010.02	06/16/2009 01:14:56 PM Central Daylight Time	08/19/2009 12:54:23 PM Central Daylight Time	08/15/2009 08:39:33 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	010	0	2010	SE Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	011	0	1	04	01	H5378_011_0	5	06/16/2009	2010.02	06/16/2009 01:14:56 PM Central Daylight Time	08/19/2009 12:52:25 PM Central Daylight Time	08/15/2009 08:39:53 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	011	0	2010	North Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	016	0	1	04	01	H5378_016_0	4	05/31/2009	2010.02	05/31/2009 03:28:08 PM Central Daylight Time	08/19/2009 01:12:59 PM Central Daylight Time	08/15/2009 08:40:13 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	016	0	2010	SE Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	017	0	1	04	01	H5378_017_0	4	05/31/2009	2010.02	05/31/2009 03:28:11 PM Central Daylight Time	08/19/2009 01:16:35 PM Central Daylight Time	08/15/2009 08:38:30 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	017	0	2010	North Texas		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	061	0	1	04	01	H5378_061_0	8	10/20/2009	2010.02	10/20/2009 11:31:14 AM Central Daylight Time	08/19/2009 06:39:07 PM Central Daylight Time	08/15/2009 08:41:51 PM Central Daylight Time		10/20/2009 03:58:08 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	061	0	2010	WI Milwaukee		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	092	0	1	04	01	H5378_092_0	5	08/19/2009	2010.02	08/19/2009 05:41:38 PM Central Daylight Time	08/19/2009 02:41:20 PM Central Daylight Time	08/15/2009 08:42:12 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	092	0	2010	WI Milwaukee		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	154	0	1	04	01	H5378_154_0	4	05/31/2009	2010.02	05/31/2009 03:28:14 PM Central Daylight Time	08/19/2009 02:39:10 PM Central Daylight Time	08/15/2009 08:42:35 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	154	0	2010	WI Milwaukee		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	174	0	1	04	01	H5378_174_0	4	09/28/2009	2010.02	09/28/2009 04:32:58 PM Central Daylight Time		08/21/2009 02:09:25 PM Central Daylight Time		09/28/2009 04:55:10 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Fresenius ESRD (PPO)	01	04		1			H5378	174	0	2010	Ft. Wayne		2		2				1	4		1		000000001000000	www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	175	0	1	04	01	H5378_175_0	6	08/19/2009	2010.02	08/19/2009 05:41:38 PM Central Daylight Time	08/19/2009 07:24:31 PM Central Daylight Time	08/15/2009 08:42:53 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	175	0	2010	OK		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	176	0	1	04	01	H5378_176_0	6	08/19/2009	2010.02	08/19/2009 05:41:38 PM Central Daylight Time	08/19/2009 06:17:58 PM Central Daylight Time	08/15/2009 08:43:11 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	176	0	2010	T1		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	177	0	1	04	01	H5378_177_0	6	08/19/2009	2010.02	08/19/2009 05:41:39 PM Central Daylight Time	08/19/2009 07:28:25 PM Central Daylight Time	08/15/2009 08:41:31 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	177	0	2010	T3		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	178	0	1	04	01	H5378_178_0	6	08/19/2009	2010.02	08/19/2009 05:41:39 PM Central Daylight Time	08/19/2009 07:32:34 PM Central Daylight Time	08/15/2009 08:44:39 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	178	0	2010	T4		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	179	0	1	04	01	H5378_179_0	6	08/19/2009	2010.02	08/19/2009 05:41:39 PM Central Daylight Time	08/19/2009 06:34:02 PM Central Daylight Time	08/15/2009 08:44:57 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	179	0	2010	T5		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	180	0	1	04	01	H5378_180_0	6	08/19/2009	2010.02	08/19/2009 05:41:40 PM Central Daylight Time	08/19/2009 07:35:59 PM Central Daylight Time	08/15/2009 08:45:18 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	180	0	2010	T6		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	181	0	1	04	01	H5378_181_0	5	06/16/2009	2010.02	06/16/2009 01:14:57 PM Central Daylight Time	08/19/2009 02:37:19 PM Central Daylight Time	08/15/2009 08:45:39 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	181	0	2010	OK		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	182	0	1	04	01	H5378_182_0	5	06/16/2009	2010.02	06/16/2009 01:14:57 PM Central Daylight Time	08/19/2009 02:51:16 PM Central Daylight Time	08/15/2009 08:46:00 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	182	0	2010	T1		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	183	0	1	04	01	H5378_183_0	5	06/16/2009	2010.02	06/16/2009 01:14:58 PM Central Daylight Time	08/19/2009 02:57:23 PM Central Daylight Time	08/15/2009 08:44:19 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	183	0	2010	T2		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	184	0	1	04	01	H5378_184_0	5	06/16/2009	2010.02	06/16/2009 01:14:58 PM Central Daylight Time	08/19/2009 03:04:24 PM Central Daylight Time	08/15/2009 08:47:20 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	184	0	2010	T3		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	185	0	1	04	01	H5378_185_0	5	06/16/2009	2010.02	06/16/2009 01:14:58 PM Central Daylight Time	08/19/2009 03:33:46 PM Central Daylight Time	08/15/2009 08:47:39 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	185	0	2010	T4		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	186	0	1	04	01	H5378_186_0	5	06/16/2009	2010.02	06/16/2009 01:14:59 PM Central Daylight Time	08/19/2009 03:31:20 PM Central Daylight Time	08/15/2009 08:48:00 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	186	0	2010	T6		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	187	0	1	04	01	H5378_187_0	6	08/19/2009	2010.02	08/19/2009 05:41:40 PM Central Daylight Time	08/19/2009 06:21:12 PM Central Daylight Time	08/15/2009 08:48:27 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 1 powered by CCRx (PPO)	01	04		1			H5378	187	0	2010	T2		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	188	0	1	04	01	H5378_188_0	5	06/16/2009	2010.02	06/16/2009 01:14:59 PM Central Daylight Time	08/19/2009 03:30:03 PM Central Daylight Time	08/15/2009 08:48:46 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 3 powered by CCRx (PPO)	01	04		1			H5378	188	0	2010	T5		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	189	0	1	04	01	H5378_189_0	4	05/31/2009	2010.02	05/31/2009 03:28:18 PM Central Daylight Time	08/19/2009 03:52:21 PM Central Daylight Time	08/15/2009 08:46:59 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	189	0	2010	OK		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	190	0	1	04	01	H5378_190_0	4	05/31/2009	2010.02	05/31/2009 03:28:21 PM Central Daylight Time	08/19/2009 03:46:06 PM Central Daylight Time	08/15/2009 08:49:52 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	190	0	2010	T1		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	191	0	1	04	01	H5378_191_0	4	05/31/2009	2010.02	05/31/2009 03:28:24 PM Central Daylight Time	08/19/2009 03:50:01 PM Central Daylight Time	08/15/2009 08:50:08 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	191	0	2010	T2		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	192	0	1	04	01	H5378_192_0	4	05/31/2009	2010.02	05/31/2009 03:28:27 PM Central Daylight Time	08/19/2009 04:01:02 PM Central Daylight Time	08/15/2009 08:50:25 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	192	0	2010	T3		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	193	0	1	04	01	H5378_193_0	4	05/31/2009	2010.02	05/31/2009 03:28:31 PM Central Daylight Time	08/19/2009 04:01:32 PM Central Daylight Time	08/15/2009 08:50:43 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	193	0	2010	T4		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	194	0	1	04	01	H5378_194_0	4	05/31/2009	2010.02	05/31/2009 03:28:34 PM Central Daylight Time	08/19/2009 04:03:06 PM Central Daylight Time	08/15/2009 08:51:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	194	0	2010	T5		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	195	0	1	04	01	H5378_195_0	4	05/31/2009	2010.02	05/31/2009 03:28:37 PM Central Daylight Time	08/19/2009 04:03:33 PM Central Daylight Time	08/15/2009 08:49:34 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Advantage 2 powered by CCRx (PPO)	01	04		1			H5378	195	0	2010	T6		2		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	801	0	1	04	01	H5378_801_0	1	05/28/2009	2010.02	05/28/2009 10:37:26 PM Central Daylight Time	05/31/2009 05:14:47 PM Central Daylight Time			05/31/2009 10:19:38 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PPO - MA Group Plan (PPO)	01	04		1			H5378	801	0	2010	National		1		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5378	802	0	1	04	01	H5378_802_0	1	05/28/2009	2010.02	05/28/2009 10:38:17 PM Central Daylight Time	05/31/2009 05:15:37 PM Central Daylight Time			05/31/2009 10:19:38 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PPO - MAPD Group Plan (PPO)	01	04		1			H5378	802	0	2010	National		1		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5378	803	0	1	04	01	H5378_803_0	1	05/28/2009	2010.02	05/28/2009 10:38:23 PM Central Daylight Time	05/31/2009 05:16:25 PM Central Daylight Time			05/31/2009 10:19:38 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PPO - MAPD Group Plan - NCY (PPO)	01	04		1			H5378	803	0	2010	National		1		2				2						www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5402	007	0	1	01	01	H5402_007_0	5	07/30/2009	2010.02	07/30/2009 04:38:02 PM Eastern Daylight Time	08/19/2009 05:35:20 PM Eastern Daylight Time	08/18/2009 01:58:14 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver (HMO)	01	01		1			H5402	007	0	2010	Central Florida		2	6250	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	032	0	1	01	01	H5402_032_0	4	07/30/2009	2010.02	07/30/2009 03:57:17 PM Eastern Daylight Time	08/19/2009 05:35:40 PM Eastern Daylight Time	08/18/2009 01:58:38 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver South (HMO)	01	01		1			H5402	032	0	2010	South Florida		2	335	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	035	0	1	01	01	H5402_035_0	5	07/30/2009	2010.02	07/30/2009 03:57:41 PM Eastern Daylight Time	08/19/2009 05:36:00 PM Eastern Daylight Time	08/18/2009 01:59:02 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Health Florida (HMO)	01	01		1			H5402	035	0	2010	Various Counties in Florida		2	2000	2				1	4		1		000110100000000	www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	036	0	1	01	01	H5402_036_0	6	07/30/2009	2010.02	07/30/2009 04:40:47 PM Eastern Daylight Time	08/19/2009 05:36:38 PM Eastern Daylight Time	08/18/2009 01:59:26 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver -  East (HMO)	01	01		1			H5402	036	0	2010	East Coast of Florida		2	6425	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	038	0	1	01	01	H5402_038_0	5	07/30/2009	2010.02	07/30/2009 03:59:00 PM Eastern Daylight Time	08/19/2009 05:37:04 PM Eastern Daylight Time	08/18/2009 02:22:08 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver North and Central (HMO)	01	01		1			H5402	038	0	2010	North and Central Florida		2	1230	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	039	0	1	01	01	H5402_039_0	7	07/30/2009	2010.02	07/30/2009 03:59:29 PM Eastern Daylight Time	08/19/2009 05:37:22 PM Eastern Daylight Time	08/18/2009 02:00:06 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage (HMO)	01	01		1			H5402	039	0	2010	Various Counties in Florida		2	5725	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5402	040	0	1	01	01	H5402_040_0	4	07/30/2009	2010.02	07/30/2009 04:00:03 PM Eastern Daylight Time	06/17/2009 12:55:41 PM Eastern Daylight Time			07/30/2009 05:16:54 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Value Florida (HMO)	01	01		1			H5402	040	0	2010	Various Counties in Florida		2	300	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400										(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010										1		
H5402	041	0	1	01	01	H5402_041_0	5	07/30/2009	2010.02	07/30/2009 04:00:34 PM Eastern Daylight Time	08/19/2009 05:37:44 PM Eastern Daylight Time	08/18/2009 02:00:26 PM Eastern Daylight Time		08/20/2009 03:21:48 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Value One Florida (HMO)	01	01		1			H5402	041	0	2010	Various Counties in Florida		2	2000	2		2		1	3		1	2		www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-747-2700		(727)-945-8400		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1		
H5403	001	0	1	20	08	H5403_001_0	4	05/20/2009	2010.02	05/20/2009 10:46:12 AM Pacific Daylight Time		05/18/2009 07:58:22 AM Pacific Daylight Time		05/20/2009 10:58:17 AM Pacific Daylight Time	ON LOK SENIOR HEALTH SERVICES	On Lok Lifeways	www.onlok.org/seniorhealth	On Lok Lifeways (Dual Eligibles) (PACE)	08	20		1			H5403	001	0	2010	San Francisco, Alameda and Santa Clara counties		2		2				2							n/a									(888)-996-6565		(415)-292-8895		(888)-886-6565		(415)-292-8784												(415)-292-8898				(415)-292-8898		1		
H5403	002	0	1	20	08	H5403_002_0	3	05/20/2009	2010.02	05/20/2009 10:46:39 AM Pacific Daylight Time		05/18/2009 07:58:22 AM Pacific Daylight Time		05/20/2009 10:58:17 AM Pacific Daylight Time	ON LOK SENIOR HEALTH SERVICES	On Lok Lifeways	www.onlok.org/seniorhealth	On Lok Lifeways (Medicare Only) (PACE)	08	20		1			H5403	002	0	2010	San Francisco, Alameda and Santa Clara counties		2		2				2							n/a									(888)-996-6565		(415)-292-8895		(888)-886-6565		(415)-292-8784												(415)-292-8898				(415)-292-8898		1		
H5404	001	0	1	01	01	H5404_001_0	7	08/27/2009	2010.02	08/27/2009 11:27:09 AM Eastern Daylight Time	08/24/2009 03:53:58 AM Eastern Daylight Time	08/20/2009 01:25:58 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	001	0	2010	Hernando County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	002	0	1	01	01	H5404_002_0	7	08/27/2009	2010.02	08/27/2009 11:38:39 AM Eastern Daylight Time	08/24/2009 03:57:22 AM Eastern Daylight Time	08/20/2009 01:29:18 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	002	0	2010	Manatee County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	003	0	1	01	01	H5404_003_0	7	08/27/2009	2010.02	08/27/2009 11:38:39 AM Eastern Daylight Time	08/24/2009 04:00:57 AM Eastern Daylight Time	08/20/2009 01:30:45 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	003	0	2010	Sarasota County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	004	0	1	01	01	H5404_004_0	7	08/27/2009	2010.02	08/27/2009 11:38:39 AM Eastern Daylight Time	08/24/2009 04:04:04 AM Eastern Daylight Time	08/20/2009 01:43:43 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	004	0	2010	South Florida and Capitol Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	013	0	1	01	01	H5404_013_0	7	08/27/2009	2010.02	08/27/2009 11:38:40 AM Eastern Daylight Time	08/24/2009 04:05:34 AM Eastern Daylight Time	08/20/2009 01:58:22 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	013	0	2010	Polk County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	016	0	1	01	01	H5404_016_0	7	08/27/2009	2010.02	08/27/2009 11:38:40 AM Eastern Daylight Time	08/24/2009 04:08:29 AM Eastern Daylight Time	08/20/2009 02:00:35 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	016	0	2010	Hillsborough and Marion County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	022	0	1	01	01	H5404_022_0	7	08/27/2009	2010.02	08/27/2009 11:38:40 AM Eastern Daylight Time	08/24/2009 04:09:50 AM Eastern Daylight Time	08/20/2009 02:01:30 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	022	0	2010	Pinellas County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	025	0	1	01	01	H5404_025_0	7	08/27/2009	2010.02	08/27/2009 11:38:40 AM Eastern Daylight Time	08/24/2009 04:13:58 AM Eastern Daylight Time	08/20/2009 02:02:24 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	025	0	2010	Charlotte and Lee Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	028	0	1	01	01	H5404_028_0	7	08/27/2009	2010.02	08/27/2009 11:38:41 AM Eastern Daylight Time	08/24/2009 04:23:50 AM Eastern Daylight Time	08/20/2009 02:10:00 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	028	0	2010	Central Florida Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	034	0	1	01	01	H5404_034_0	7	08/27/2009	2010.02	08/27/2009 11:38:41 AM Eastern Daylight Time	08/24/2009 04:25:14 AM Eastern Daylight Time	08/20/2009 04:00:52 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	034	0	2010	Okechobee County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	037	0	1	01	01	H5404_037_0	7	08/27/2009	2010.02	08/27/2009 11:38:41 AM Eastern Daylight Time	08/24/2009 04:44:26 AM Eastern Daylight Time	08/20/2009 04:03:11 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	037	0	2010	Pasco County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	086	0	1	02	01	H5404_086_0	6	08/27/2009	2010.02	08/27/2009 11:35:01 AM Eastern Daylight Time	08/20/2009 01:16:08 PM Eastern Daylight Time	08/20/2009 04:05:04 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Plus (HMO-POS)	01	02		1			H5404	086	0	2010	West Coast, Gulf Coast and First Coast		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	110	0	1	01	01	H5404_110_0	5	08/05/2009	2010.02	08/05/2009 04:34:56 PM Eastern Daylight Time	06/01/2009 01:46:05 PM Eastern Daylight Time	07/28/2009 03:35:06 PM Eastern Daylight Time		08/05/2009 04:43:50 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Universal DP (HMO)	01	01		1			H5404	110	0	2010	Broward, Dade and Palm Beach Counties		2		2		2		1	3		1	2		http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	111	0	1	01	01	H5404_111_0	5	08/05/2009	2010.02	08/05/2009 04:35:05 PM Eastern Daylight Time	06/01/2009 01:47:02 PM Eastern Daylight Time	07/28/2009 03:35:54 PM Eastern Daylight Time		08/05/2009 04:43:50 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Universal DP (HMO)	01	01		1			H5404	111	0	2010	Tampa Bay Area		2		2		2		1	3		1	2		http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	112	0	1	01	01	H5404_112_0	4	08/25/2009	2010.02	08/25/2009 04:26:38 PM Eastern Daylight Time	08/25/2009 04:29:13 PM Eastern Daylight Time	08/25/2009 04:31:40 PM Eastern Daylight Time		08/25/2009 04:35:28 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Universal IP (HMO)	01	01		1			H5404	112	0	2010	South Florida		2		2				1	1	2	1			http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	113	0	1	01	01	H5404_113_0	4	08/25/2009	2010.02	08/25/2009 04:27:04 PM Eastern Daylight Time	08/25/2009 04:30:16 PM Eastern Daylight Time	08/25/2009 04:33:08 PM Eastern Daylight Time		08/25/2009 04:35:28 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Universal IP (HMO)	01	01		1			H5404	113	0	2010	Tampa Bay Area		2		2				1	1	2	1			http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	114	0	1	01	01	H5404_114_0	6	08/27/2009	2010.02	08/27/2009 11:38:41 AM Eastern Daylight Time	08/24/2009 04:45:45 AM Eastern Daylight Time	08/20/2009 04:05:57 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	114	0	2010	Orange, Osceola and Seminole Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	116	0	1	01	01	H5404_116_0	6	08/27/2009	2010.02	08/27/2009 11:40:19 AM Eastern Daylight Time	06/01/2009 08:22:21 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	116	0	2010	Hernando County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	117	0	1	01	01	H5404_117_0	6	08/27/2009	2010.02	08/27/2009 11:48:53 AM Eastern Daylight Time	06/01/2009 08:18:54 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	117	0	2010	Manatee County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	118	0	1	01	01	H5404_118_0	6	08/27/2009	2010.02	08/27/2009 11:48:54 AM Eastern Daylight Time	06/01/2009 08:20:13 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	118	0	2010	Sarasota County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	119	0	1	01	01	H5404_119_0	6	08/27/2009	2010.02	08/27/2009 11:48:54 AM Eastern Daylight Time	06/01/2009 08:16:21 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	119	0	2010	South Florida and Capitol Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	120	0	1	01	01	H5404_120_0	6	08/27/2009	2010.02	08/27/2009 11:48:54 AM Eastern Daylight Time	06/01/2009 08:15:00 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	120	0	2010	Polk County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	121	0	1	01	01	H5404_121_0	6	08/27/2009	2010.02	08/27/2009 11:48:54 AM Eastern Daylight Time	06/01/2009 08:57:24 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	121	0	2010	Hillsborough and Marion County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	122	0	1	01	01	H5404_122_0	6	08/27/2009	2010.02	08/27/2009 11:48:55 AM Eastern Daylight Time	06/01/2009 08:58:57 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	122	0	2010	Pinellas County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	123	0	1	01	01	H5404_123_0	6	08/27/2009	2010.02	08/27/2009 11:48:55 AM Eastern Daylight Time	06/01/2009 08:59:42 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	123	0	2010	Charlotte and Lee Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	124	0	1	01	01	H5404_124_0	6	08/27/2009	2010.02	08/27/2009 11:48:55 AM Eastern Daylight Time	06/01/2009 09:00:26 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	124	0	2010	Central Florida Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	125	0	1	01	01	H5404_125_0	6	08/27/2009	2010.02	08/27/2009 11:48:55 AM Eastern Daylight Time	06/01/2009 09:01:14 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	125	0	2010	Orange, Osceola and Seminole Counties		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	127	0	1	01	01	H5404_127_0	6	08/27/2009	2010.02	08/27/2009 11:48:56 AM Eastern Daylight Time	06/01/2009 09:02:36 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	127	0	2010	Pasco County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	128	0	1	01	01	H5404_128_0	4	07/20/2009	2010.02	07/20/2009 12:15:02 PM Eastern Daylight Time	06/01/2009 09:03:25 PM Eastern Daylight Time			07/21/2009 11:18:54 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	128	0	2010	Miami Dade County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	133	0	1	01	01	H5404_133_0	5	08/27/2009	2010.02	08/27/2009 11:48:56 AM Eastern Daylight Time	06/01/2009 09:34:54 PM Eastern Daylight Time			08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	133	0	2010	Okeechobee County		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5404	135	0	1	01	01	H5404_135_0	5	08/27/2009	2010.02	08/27/2009 11:54:01 AM Eastern Daylight Time	08/20/2009 01:19:10 PM Eastern Daylight Time	08/20/2009 04:06:48 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece SNP - Diabetes (HMO)	01	01		1			H5404	135	0	2010	Tampa Bay Area		2		2				1	4		1		000000100000000	http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	136	0	1	01	01	H5404_136_0	5	08/27/2009	2010.02	08/27/2009 11:55:03 AM Eastern Daylight Time	08/20/2009 01:20:23 PM Eastern Daylight Time	08/20/2009 04:07:48 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece SNP - Dementia (HMO)	01	01		1			H5404	136	0	2010	Tampa Bay Area		2		2				1	4		1		000001000000000	http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	137	0	1	01	01	H5404_137_0	5	08/27/2009	2010.02	08/27/2009 11:56:03 AM Eastern Daylight Time	08/20/2009 01:21:48 PM Eastern Daylight Time	08/20/2009 04:09:03 PM Eastern Daylight Time		08/27/2009 01:30:19 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece SNP - COPD (HMO)	01	01		1			H5404	137	0	2010	Tampa Bay Area		2		2				1	4		1		000000000001000	http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	138	0	1	01	01	H5404_138_0	4	07/20/2009	2010.02	07/20/2009 12:17:10 PM Eastern Daylight Time	08/20/2009 01:23:47 PM Eastern Daylight Time	08/20/2009 04:10:27 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier (HMO)	01	01		1			H5404	138	0	2010	Tampa Bay Area		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5404	139	0	1	01	01	H5404_139_0	4	07/20/2009	2010.02	07/20/2009 12:17:33 PM Eastern Daylight Time	08/20/2009 01:24:46 PM Eastern Daylight Time	08/20/2009 04:11:32 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier (HMO)	01	01		1			H5404	139	0	2010	South Florida		2		2				2						http://www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5405	001	0	1	20	08	H5405_001_0	3	05/18/2009	2010.02	05/18/2009 11:12:16 AM Pacific Daylight Time		05/18/2009 09:36:00 AM Pacific Daylight Time		05/19/2009 09:42:47 AM Pacific Daylight Time	CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	Center for Elders Independence - Part D (PACE)	08	20		1			H5405	001	0	2010	Alameda and Contra Costa Counties		2		2				2							www.cei.elders.org									(510)-433-1150		(510)-433-1150		(510)-433-1150		(510)-433-1150																		1		
H5405	002	0	1	20	08	H5405_002_0	3	05/18/2009	2010.02	05/18/2009 11:13:09 AM Pacific Daylight Time		05/18/2009 09:36:00 AM Pacific Daylight Time		05/19/2009 09:42:47 AM Pacific Daylight Time	CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	Center for Elders-Part D/MediCare, only (PACE)	08	20		1			H5405	002	0	2010	Alameda and Contra Costa Counties		2		2				2							www.cei.elders.org									(510)-433-1150		(510)-433-1150		(510)-433-1150		(510)-433-1150																		1		
H5406	001	0	1	20	08	H5406_001_0	2	05/18/2009	2010.02	05/18/2009 11:11:13 AM Pacific Daylight Time		10/13/2009 12:59:31 PM Pacific Daylight Time		10/15/2009 10:14:43 AM Pacific Daylight Time	SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	www.sutterseniorcare.org	Sutter SeniorCare (PACE)	08	20		1			H5406	001	0	2010	San Francisco, California		2		2				2							sutterseniorcare.org									(916)-424-8412	13404	(916)-424-8412	13404	(916)-424-8412		(916)-424-8412	13422											(916)-446-4124				(916)-446-4124		1		
H5406	002	0	1	20	08	H5406_002_0	2	05/18/2009	2010.02	05/18/2009 11:11:43 AM Pacific Daylight Time		10/13/2009 12:59:30 PM Pacific Daylight Time		10/15/2009 10:14:43 AM Pacific Daylight Time	SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	www.sutterseniorcare.org	Sutter SeniorCare (PACE)	08	20		1			H5406	002	0	2010	San Francisco, California		2		2				2							sutterseniorcare.org									(916)-424-8412	13404	(916)-424-8412	13404	(916)-424-8412		(916)-424-8412	13422											(916)-446-4124				(916)-446-4124		1		
H5407	001	0	1	02	01	H5407_001_0	6	09/25/2009	2010.02	09/25/2009 01:28:55 PM Eastern Daylight Time	08/19/2009 08:06:02 PM Eastern Daylight Time	08/17/2009 02:59:58 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	CitrusCare (HMO-POS)	01	02		1			H5407	001	0	2010	Central Gulf Coast and Central Florida Region		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	004	0	1	02	01	H5407_004_0	6	09/25/2009	2010.02	09/25/2009 01:29:34 PM Eastern Daylight Time	08/19/2009 08:10:08 PM Eastern Daylight Time	08/17/2009 03:00:52 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	CitrusCare (HMO-POS)	01	02		1			H5407	004	0	2010	POLK COUNTY		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	005	0	1	02	01	H5407_005_0	6	09/25/2009	2010.02	09/25/2009 01:29:40 PM Eastern Daylight Time	08/19/2009 08:11:46 PM Eastern Daylight Time	08/17/2009 03:01:30 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Saver (HMO-POS)	01	02		1			H5407	005	0	2010	Polk County		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	009	0	1	02	01	H5407_009_0	7	09/25/2009	2010.02	09/25/2009 01:29:48 PM Eastern Daylight Time	08/19/2009 08:13:18 PM Eastern Daylight Time	08/17/2009 03:01:54 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Platinum Plus (HMO-POS)	01	02		1			H5407	009	0	2010	Central Gulf Coast and Central Florida Region		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	011	0	1	01	01	H5407_011_0	5	08/20/2009	2010.02	08/20/2009 09:06:11 AM Eastern Daylight Time	08/19/2009 08:14:54 PM Eastern Daylight Time	08/17/2009 03:02:26 PM Eastern Daylight Time		08/20/2009 09:34:26 AM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Special Needs Plan (HMO)	01	01		1			H5407	011	0	2010	BRO DAD HIL ORA OSC PAL PAS PIN POL VOL STL SEM FL		2		2		2		1	3		1	2		www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	014	0	1	02	01	H5407_014_0	6	09/25/2009	2010.02	09/25/2009 01:30:08 PM Eastern Daylight Time	08/19/2009 08:16:46 PM Eastern Daylight Time	08/17/2009 03:02:58 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Saver (HMO-POS)	01	02		1			H5407	014	0	2010	Central Gulf Coast and Central Florida Region		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	016	0	1	02	01	H5407_016_0	8	09/25/2009	2010.02	09/25/2009 01:40:42 PM Eastern Daylight Time	08/19/2009 08:19:04 PM Eastern Daylight Time	08/17/2009 03:03:30 PM Eastern Daylight Time		09/25/2009 01:55:16 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Saver (HMO-POS)	01	02		1			H5407	016	0	2010	SOUTH FLORIDA COUNTIES		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919		(800)-546-5677		(402)-965-8800		(866)-769-1157		(813)-490-8919		(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875		(866)-706-4757				(866)-706-4757		(866)-706-4757		1		
H5407	024	0	1	01	01	H5407_024_0	4	07/20/2009	2010.02	07/20/2009 10:45:11 AM Eastern Daylight Time	07/22/2009 04:31:23 PM Eastern Daylight Time			07/24/2009 01:40:24 PM Eastern Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Advantage (HMO)	01	01		1			H5407	024	0	2010	Florida HMO Service Area		2		2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	(877)-624-8787		(813)-490-8230		(866)-769-1157		(813)-490-8919										(888)-248-7875		(888)-248-7875		(888)-248-7875		(888)-248-7875										1		
H5410	001	0	1	01	01	H5410_001_0	7	09/24/2009	2010.02	09/24/2009 10:25:35 AM Central Daylight Time	08/18/2009 05:32:00 PM Central Daylight Time	08/14/2009 04:05:00 PM Central Daylight Time		09/24/2009 10:41:22 AM Central Daylight Time	HEALTHSPRING OF FLORIDA	HealthSpring of Florida, Inc.	www.healthspring.com	Leon Medical Centers Health Plans - Leon Cares (HMO)	01	01		1			H5410	001	0	2010	Miami-Dade county		2	32200	2				2							www.healthspring.com	(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-478-9317		(305)-220-5752		(877)-262-9090		(305)-220-5752		(877)-262-9090		(305)-220-5752		(866)-845-7230		(305)-220-5752		1		
H5410	003	0	1	01	01	H5410_003_0	4	08/20/2009	2010.02	08/20/2009 11:08:09 AM Central Daylight Time	08/19/2009 05:50:34 PM Central Daylight Time	08/19/2009 10:11:30 AM Central Daylight Time		08/20/2009 04:43:37 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	HealthSpring HealthyLiving Premier (HMO)	01	01		1			H5410	003	0	2010	Pensacola		2	250	2				2							www.healthspring.com	(866)-382-0511		(800)-331-6293		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H5410	004	0	1	01	01	H5410_004_0	3	07/24/2009	2010.02	07/24/2009 11:48:46 AM Central Daylight Time	07/24/2009 11:18:31 AM Central Daylight Time			07/27/2009 03:00:29 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	HealthSpring HealthyAdvantage (HMO)	01	01		1			H5410	004	0	2010	Pensacola		2	65	2				2							www.healthspring.com	(866)-382-0511		(800)-331-6293		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1		
H5410	005	0	1	01	01	H5410_005_0	5	08/20/2009	2010.02	08/20/2009 11:08:50 AM Central Daylight Time	08/27/2009 11:24:08 AM Central Daylight Time	08/19/2009 10:11:32 AM Central Daylight Time		08/27/2009 12:28:43 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	HealthSpring HealthyAdvantage Plus (HMO)	01	01		1			H5410	005	0	2010	Pensacola		2	380	2				2							www.healthspring.com	(866)-382-0511		(800)-331-6293		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H5410	010	0	1	01	01	H5410_010_0	7	09/04/2009	2010.02	09/04/2009 09:25:53 AM Central Daylight Time	08/27/2009 11:24:10 AM Central Daylight Time	08/19/2009 10:09:29 AM Central Daylight Time		09/04/2009 02:16:37 PM Central Daylight Time	HEALTHSPRING OF FLORIDA	HealthSpring of Florida, Inc.	healthspring.com	HealthSpring TotalCare (HMO)	01	01		1			H5410	010	0	2010	Pensacola		2	120	2		2		1	3		1	4			www.healthspring.com	(866)-382-0511		(800)-331-6293		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1		
H5414	002	0	1	01	01	H5414_002_0	7	07/20/2009	2010.02	07/20/2009 04:39:38 PM Eastern Daylight Time	08/18/2009 09:56:12 AM Eastern Daylight Time	08/17/2009 02:55:04 PM Eastern Daylight Time		08/20/2009 03:28:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5414	002	0	2010	Tampa		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	009	0	1	01	01	H5414_009_0	5	07/20/2009	2010.02	07/20/2009 04:42:22 PM Eastern Daylight Time	08/18/2009 10:08:51 AM Eastern Daylight Time	08/17/2009 02:55:34 PM Eastern Daylight Time		08/20/2009 03:28:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	009	0	2010	Tampa		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	010	0	1	01	01	H5414_010_0	5	07/20/2009	2010.02	07/20/2009 04:43:47 PM Eastern Daylight Time	08/18/2009 10:16:05 AM Eastern Daylight Time	08/17/2009 02:56:04 PM Eastern Daylight Time		08/20/2009 03:28:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	010	0	2010	South Florida		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	012	0	1	01	01	H5414_012_0	7	07/20/2009	2010.02	07/20/2009 04:44:37 PM Eastern Daylight Time	08/18/2009 10:25:56 AM Eastern Daylight Time	08/24/2009 06:37:53 PM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5414	012	0	2010	South Florida		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	019	0	1	01	01	H5414_019_0	5	07/20/2009	2010.02	07/20/2009 04:46:20 PM Eastern Daylight Time	08/18/2009 10:32:05 AM Eastern Daylight Time	08/25/2009 10:36:52 AM Eastern Daylight Time		08/25/2009 12:53:07 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	019	0	2010	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	020	0	1	01	01	H5414_020_0	7	07/20/2009	2010.02	07/20/2009 04:47:56 PM Eastern Daylight Time	08/18/2009 10:46:55 AM Eastern Daylight Time	08/17/2009 02:57:28 PM Eastern Daylight Time		08/20/2009 03:28:08 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5414	020	0	2010	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5414	801	0	1	01	01	H5414_801_0	3	05/19/2009	2010.02	05/19/2009 01:42:49 PM Eastern Daylight Time	07/17/2009 09:48:19 AM Eastern Daylight Time			07/23/2009 08:23:29 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5414	801	0	2010	Florida		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5414	803	0	1	01	01	H5414_803_0	3	05/19/2009	2010.02	05/19/2009 01:44:19 PM Eastern Daylight Time	07/17/2009 09:51:34 AM Eastern Daylight Time			07/23/2009 08:23:29 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5414	803	0	2010	Florida		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5415	039	0	1	04	01	H5415_039_0	6	07/24/2009	2010.02	07/24/2009 01:10:57 PM Eastern Daylight Time	08/18/2009 05:27:13 PM Eastern Daylight Time	08/19/2009 11:06:00 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	HumanaChoice H5415-039 (PPO)	01	04		1			H5415	039	0	2010	Flagler and Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5415	801	0	1	04	01	H5415_801_0	4	07/10/2009	2010.02	07/10/2009 03:41:30 PM Eastern Daylight Time	07/27/2009 10:34:28 AM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5415	801	0	2010	Daytona Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5415	803	0	1	04	01	H5415_803_0	4	07/10/2009	2010.02	07/10/2009 04:01:21 PM Eastern Daylight Time	07/21/2009 04:46:14 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5415	803	0	2010	Daytona Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5415	804	0	1	04	01	H5415_804_0	4	07/10/2009	2010.02	07/10/2009 04:01:33 PM Eastern Daylight Time	07/21/2009 04:47:28 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5415	804	0	2010	Daytona Metro Area		1		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5416	001	0	1	01	01	H5416_001_0	6	08/20/2009	2010.02	08/20/2009 01:49:58 PM Pacific Daylight Time	08/19/2009 11:21:34 AM Pacific Daylight Time	08/19/2009 11:09:52 AM Pacific Daylight Time		08/20/2009 04:57:15 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Premier (HMO)	01	01		1			H5416	001	0	2010	Spokane County		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	002	0	1	01	01	H5416_002_0	6	08/20/2009	2010.02	08/20/2009 01:50:22 PM Pacific Daylight Time	08/19/2009 11:21:42 AM Pacific Daylight Time	08/19/2009 11:09:48 AM Pacific Daylight Time		08/20/2009 04:57:15 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Plus (HMO)	01	01		1			H5416	002	0	2010	Spokane County		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	003	0	1	01	01	H5416_003_0	3	07/30/2009	2010.02	07/30/2009 01:57:42 PM Pacific Daylight Time	07/29/2009 12:27:14 PM Pacific Daylight Time			07/30/2009 02:36:16 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Basic (HMO)	01	01		1			H5416	003	0	2010	Spokane County		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004										(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613										1		
H5416	004	0	1	01	01	H5416_004_0	7	08/20/2009	2010.02	08/20/2009 12:16:49 PM Pacific Daylight Time	08/20/2009 12:10:14 PM Pacific Daylight Time	08/20/2009 12:18:46 PM Pacific Daylight Time		08/20/2009 04:57:15 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Columbia Community Care - Plus (HMO)	01	01		1			H5416	004	0	2010	Benton/ Franklin		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	009	0	1	01	01	H5416_009_0	6	08/20/2009	2010.02	08/20/2009 12:17:06 PM Pacific Daylight Time	08/20/2009 12:09:56 PM Pacific Daylight Time	08/20/2009 12:18:44 PM Pacific Daylight Time		08/20/2009 05:14:46 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Columbia Community Care - Plus (HMO)	01	01		1			H5416	009	0	2010	Yakima		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	011	0	1	01	01	H5416_011_0	7	08/19/2009	2010.02	08/19/2009 11:33:49 PM Pacific Daylight Time	08/20/2009 12:09:46 PM Pacific Daylight Time	08/20/2009 12:18:42 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	011	0	2010	SLO/SB		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	013	0	1	01	01	H5416_013_0	6	08/19/2009	2010.02	08/19/2009 11:34:16 PM Pacific Daylight Time	08/20/2009 12:09:30 PM Pacific Daylight Time	08/20/2009 12:18:36 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5416	013	0	2010	Roanoke		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	014	0	1	01	01	H5416_014_0	5	08/20/2009	2010.02	08/20/2009 01:51:08 PM Pacific Daylight Time	08/20/2009 12:09:24 PM Pacific Daylight Time	08/20/2009 12:18:30 PM Pacific Daylight Time		08/20/2009 05:14:46 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Dual Plus (HMO)	01	01		1			H5416	014	0	2010	Washington		2		2		2		1	3		1	5			http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	016	0	1	01	01	H5416_016_0	6	08/20/2009	2010.02	08/20/2009 01:52:02 PM Pacific Daylight Time	08/20/2009 12:08:58 PM Pacific Daylight Time	08/20/2009 12:18:20 PM Pacific Daylight Time		08/20/2009 05:14:46 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5416	016	0	2010	New Hampshire		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(111)-111-1111		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	017	0	1	01	01	H5416_017_0	6	08/20/2009	2010.02	08/20/2009 01:52:18 PM Pacific Daylight Time	08/20/2009 12:08:38 PM Pacific Daylight Time	08/20/2009 12:18:16 PM Pacific Daylight Time		08/20/2009 05:33:16 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Ozark Health Plan - Plus (HMO)	01	01		1			H5416	017	0	2010	Joplin		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	018	0	1	01	01	H5416_018_0	6	08/20/2009	2010.02	08/20/2009 04:10:18 PM Pacific Daylight Time	08/20/2009 04:23:26 PM Pacific Daylight Time	08/20/2009 04:23:54 PM Pacific Daylight Time		08/20/2009 05:33:16 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Ozark Health Plan - Plus (HMO)	01	01		1			H5416	018	0	2010	Springfield		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	019	0	1	01	01	H5416_019_0	6	08/20/2009	2010.02	08/20/2009 04:11:55 PM Pacific Daylight Time	08/20/2009 04:23:30 PM Pacific Daylight Time	08/20/2009 04:23:52 PM Pacific Daylight Time		08/20/2009 05:33:16 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Ozark Health Plan - Dual Plus (HMO)	01	01		1			H5416	019	0	2010	Missouri		2		2		2		1	3		1	5			http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	020	0	1	01	01	H5416_020_0	6	08/20/2009	2010.02	08/20/2009 01:53:04 PM Pacific Daylight Time	08/20/2009 12:08:30 PM Pacific Daylight Time	08/20/2009 12:18:14 PM Pacific Daylight Time		08/20/2009 05:33:16 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	020	0	2010	Tulare		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	021	0	1	01	01	H5416_021_0	8	08/20/2009	2010.02	08/20/2009 01:53:27 PM Pacific Daylight Time	08/20/2009 12:08:10 PM Pacific Daylight Time	08/20/2009 12:18:10 PM Pacific Daylight Time		08/20/2009 05:47:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	021	0	2010	Shasta		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	022	0	1	01	01	H5416_022_0	5	08/20/2009	2010.02	08/20/2009 01:53:44 PM Pacific Daylight Time	08/20/2009 12:08:04 PM Pacific Daylight Time	08/20/2009 12:18:08 PM Pacific Daylight Time		08/20/2009 05:47:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Arcadian Community Care - Dual Plus (HMO)	01	01		1			H5416	022	0	2010	California		2		2		2		1	3		1	5			http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	023	0	1	01	01	H5416_023_0	8	08/20/2009	2010.02	08/20/2009 01:53:56 PM Pacific Daylight Time	08/20/2009 12:07:40 PM Pacific Daylight Time	08/20/2009 12:18:06 PM Pacific Daylight Time		08/20/2009 05:47:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5416	023	0	2010	Virginia Beach		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	024	0	1	01	01	H5416_024_0	7	08/19/2009	2010.02	08/19/2009 11:55:54 PM Pacific Daylight Time	08/20/2009 12:07:36 PM Pacific Daylight Time	08/20/2009 12:18:02 PM Pacific Daylight Time		08/20/2009 03:53:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Arcadian Community Care - Enhanced (HMO)	01	01		1			H5416	024	0	2010	California		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	025	0	1	01	01	H5416_025_0	8	08/19/2009	2010.02	08/19/2009 11:56:10 PM Pacific Daylight Time	08/20/2009 12:07:08 PM Pacific Daylight Time	08/20/2009 12:18:00 PM Pacific Daylight Time		08/20/2009 04:12:14 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Ozark Health Plan - Enhanced (HMO)	01	01		1			H5416	025	0	2010	Missouri		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	026	0	1	01	01	H5416_026_0	8	08/19/2009	2010.02	08/19/2009 11:56:25 PM Pacific Daylight Time	08/20/2009 12:07:02 PM Pacific Daylight Time	08/20/2009 12:17:54 PM Pacific Daylight Time		08/20/2009 04:12:14 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Enhanced (HMO)	01	01		1			H5416	026	0	2010	Washington		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	027	0	1	01	01	H5416_027_0	8	08/19/2009	2010.02	08/19/2009 11:56:50 PM Pacific Daylight Time	08/20/2009 12:06:40 PM Pacific Daylight Time	08/20/2009 12:17:52 PM Pacific Daylight Time		08/20/2009 04:12:14 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Southeast Community Care - Enhanced (HMO)	01	01		1			H5416	027	0	2010	Virginia		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	028	0	1	01	01	H5416_028_0	7	08/20/2009	2010.02	08/20/2009 01:54:33 PM Pacific Daylight Time	08/20/2009 12:06:34 PM Pacific Daylight Time	08/20/2009 12:17:48 PM Pacific Daylight Time		08/20/2009 05:47:27 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Northeast Community Care - Enhanced (HMO)	01	01		1			H5416	028	0	2010	New Hampshire		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(111)-111-1111		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	029	0	1	02	01	H5416_029_0	7	08/20/2009	2010.02	08/20/2009 01:54:53 PM Pacific Daylight Time	08/20/2009 12:06:14 PM Pacific Daylight Time	08/20/2009 12:17:46 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Ozark Health Plan - Plus Point (HMO-POS)	01	02		1			H5416	029	0	2010	Springfield		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	030	0	1	02	01	H5416_030_0	7	08/20/2009	2010.02	08/20/2009 01:55:06 PM Pacific Daylight Time	08/20/2009 12:06:04 PM Pacific Daylight Time	08/20/2009 12:17:42 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Southeast Community Care - Plus Point (HMO-POS)	01	02		1			H5416	030	0	2010	Virginia		2		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		1		
H5416	801	0	1	01	01	H5416_801_0	2	05/28/2009	2010.02	05/28/2009 11:14:30 PM Eastern Daylight Time	05/28/2009 11:12:59 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Employer Group (WA) (HMO)	01	01		1			H5416	801	0	2010	WA, VA, NH, CA and MO		1		2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(800)-573-8597		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	802	0	1	01	01	H5416_802_0	2	05/28/2009	2010.02	05/28/2009 11:14:37 PM Eastern Daylight Time	05/28/2009 11:13:20 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Employer Group (VA) (HMO)	01	01		1			H5416	802	0	2010	Virginia		1	0	2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(800)-573-8597		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	803	0	1	01	01	H5416_803_0	2	05/28/2009	2010.02	05/28/2009 11:14:44 PM Eastern Daylight Time	05/28/2009 11:13:26 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Employer Group (CA) (HMO)	01	01		1			H5416	803	0	2010	California		1	0	2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(800)-573-8597		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	804	0	1	01	01	H5416_804_0	2	05/28/2009	2010.02	05/28/2009 11:14:52 PM Eastern Daylight Time	05/28/2009 11:13:29 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Employer Group (MO) (HMO)	01	01		1			H5416	804	0	2010	MO		1	0	2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(800)-573-8597		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5416	805	0	1	01	01	H5416_805_0	2	05/28/2009	2010.02	05/28/2009 11:14:59 PM Eastern Daylight Time	05/28/2009 11:13:35 PM Eastern Daylight Time			05/28/2009 11:32:26 PM Eastern Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Employer Group (NH) (HMO)	01	01		1			H5416	805	0	2010	New Hampshire		1	0	2				2							http://www.spokanecommunitycare.com/formulary.html	(800)-573-8597		(111)-111-1111		(800)-573-8597		(111)-111-1111		(800)-573-8597		(800)-573-8597		(111)-111-1111		(111)-111-1111		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5417	001	0	1	04	01	H5417_001_0	3	08/20/2009	2010.02	08/20/2009 03:02:06 PM Central Daylight Time	08/19/2009 08:45:48 AM Central Daylight Time	08/13/2009 05:54:43 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan IP (PPO)	01	04		1			H5417	001	0	2010	Panhandle, Jax, Tampa, Orlando,  Southern FL areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5417	005	0	1	04	01	H5417_005_0	3	07/17/2009	2010.02	07/17/2009 11:00:07 AM Central Daylight Time	08/18/2009 03:20:18 PM Central Daylight Time	08/13/2009 05:54:48 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan MP (PPO)	01	04		1			H5417	005	0	2010	Panhandle, Jax, Tampa and Orlando areas		2		2				1	4		1		000110100000000	www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5419	001	0	1	09	04	H5419_001_0	6	08/21/2009	2010.02	08/21/2009 05:07:32 PM Eastern Daylight Time	07/27/2009 12:12:01 PM Eastern Daylight Time			08/24/2009 01:57:11 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	SmartValue Classic (PFFS)	04	09	2	1			H5419	001	0	2010	California - Select Counties		2	851	2				2							http://medicarerx.anthem.com	(888)-445-8916		(888)-445-8916		(888)-211-9813		(888)-211-9813										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H5419	004	0	1	09	04	H5419_004_0	14	08/21/2009	2010.02	08/21/2009 05:07:32 PM Eastern Daylight Time	08/18/2009 07:50:18 PM Eastern Daylight Time	08/17/2009 02:56:58 PM Eastern Daylight Time		08/24/2009 01:57:11 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	SmartValue Plus (PFFS)	04	09	2	1			H5419	004	0	2010	California - Select Counties		2	2398	2				2							http://medicarerx.anthem.com	(888)-445-8916		(888)-445-8916		(888)-211-9813		(888)-211-9813		(888)-445-8916		(888)-445-8916		(888)-211-9813		(888)-211-9813		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H5419	805	0	1	09	04	H5419_805_0	6	07/30/2009	2010.02	07/30/2009 10:44:19 PM Pacific Daylight Time	08/06/2009 09:21:34 AM Pacific Daylight Time			08/06/2009 10:09:50 AM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	SmartValue (PFFS)	04	09	2	1			H5419	805	0	2010	CA with Nationwide Group Coverage		1	3370	2				2							http://medicarerx.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		(800)-425-5705		1		
H5419	806	0	1	09	04	H5419_806_0	6	07/30/2009	2010.02	07/30/2009 10:45:09 PM Pacific Daylight Time	08/06/2009 09:23:21 AM Pacific Daylight Time			08/06/2009 10:09:50 AM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	SmartValue (PFFS)	04	09	2	1			H5419	806	0	2010	CA with Nationwide Group Coverage		1	50	2				2							http://medicarerx.anthem.com	(877)-326-2201		(877)-326-2201		(866)-657-4970		(866)-657-4970												(800)-425-5705		(800)-425-5705		(800)-425-5705										1		
H5420	001	0	1	05	01	H5420_001_0	6	08/20/2009	2010.02	08/20/2009 12:44:56 PM Eastern Daylight Time	08/25/2009 12:09:51 PM Eastern Daylight Time	08/20/2009 01:47:57 PM Eastern Daylight Time		08/26/2009 04:23:46 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax (PSO)	01	05		1			H5420	001	0	2010	Miami-Dade County		2	10716	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		1		
H5420	003	0	1	05	01	H5420_003_0	4	08/20/2009	2010.02	08/20/2009 12:45:07 PM Eastern Daylight Time	08/20/2009 10:37:44 AM Eastern Daylight Time	08/20/2009 10:42:10 AM Eastern Daylight Time		08/20/2009 01:13:52 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax (PSO)	01	05		1			H5420	003	0	2010	Broward County		2	1360	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-517-6923		(800)-517-6923		(800)-865-4057		(954)-962-7675		(800)-517-6923		(800)-517-6923		(800)-865-4057		(954)-962-7675		1		
H5420	004	0	1	05	01	H5420_004_0	4	08/20/2009	2010.02	08/20/2009 12:45:20 PM Eastern Daylight Time	08/20/2009 11:06:03 AM Eastern Daylight Time	08/20/2009 11:07:38 AM Eastern Daylight Time		08/20/2009 01:13:52 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Direct (PSO)	01	05		1			H5420	004	0	2010	Miami-Dade County		2	558	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		1		
H5420	005	0	1	05	01	H5420_005_0	6	08/25/2009	2010.02	08/25/2009 02:13:13 PM Eastern Daylight Time	08/25/2009 11:57:09 AM Eastern Daylight Time	08/20/2009 11:43:04 AM Eastern Daylight Time		08/26/2009 04:23:46 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Direct (PSO)	01	05		1			H5420	005	0	2010	Broward County		2	698	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-517-6923		(800)-517-6923		(800)-865-4057		(954)-962-7675		(800)-517-6923		(800)-517-6923		(800)-865-4057		(954)-962-7675		1		
H5420	006	0	1	05	01	H5420_006_0	6	09/02/2009	2010.02	09/02/2009 01:16:52 PM Eastern Daylight Time	08/20/2009 11:57:34 AM Eastern Daylight Time	08/20/2009 11:58:47 AM Eastern Daylight Time		09/02/2009 02:04:47 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Plus (PSO)	01	05		1			H5420	006	0	2010	Miami-Dade and Broward County		2	3369	2		2		1	3		1	2		www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(800)-507-0544		(800)-407-9069		(800)-407-9069		(800)-507-0544		(800)-507-0544		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		(800)-517-6923		(800)-517-6923		(800)-865-4057		(800)-865-4057		1		
H5420	007	0	1	05	01	H5420_007_0	3	06/01/2009	2010.02	06/01/2009 12:32:47 PM Eastern Daylight Time	08/05/2009 03:47:51 PM Eastern Daylight Time			08/07/2009 04:31:19 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value (PSO)	01	05		1			H5420	007	0	2010	Miami-Dade County		2	124	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267										(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407										1		
H5420	008	0	1	05	01	H5420_008_0	3	06/01/2009	2010.02	06/01/2009 11:24:37 AM Eastern Daylight Time	08/05/2009 02:35:30 PM Eastern Daylight Time			08/07/2009 04:31:19 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value (PSO)	01	05		1			H5420	008	0	2010	Broward County		2	267	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570										(800)-517-6923		(800)-517-6923		(800)-865-4057		(954)-962-7675										1		
H5420	009	0	1	05	01	H5420_009_0	9	08/20/2009	2010.02	08/20/2009 12:48:12 PM Eastern Daylight Time	08/25/2009 08:27:06 AM Eastern Daylight Time	08/20/2009 11:17:03 AM Eastern Daylight Time		08/26/2009 04:23:46 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value RX (PSO)	01	05		1			H5420	009	0	2010	Miami-Dade and Broward County		2	1533	2				2						www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(800)-507-0544		(800)-407-9069		(800)-407-9069		(800)-507-0544		(800)-507-0544		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		(800)-517-6923		(800)-517-6923		(800)-865-4057		(800)-865-4057		1		
H5421	046	0	1	09	04	H5421_046_0	3	07/13/2009	2010.02	07/13/2009 10:58:17 AM Central Daylight Time	07/16/2009 10:11:18 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	046	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	047	0	1	09	04	H5421_047_0	3	07/13/2009	2010.02	07/13/2009 11:00:21 AM Central Daylight Time	07/16/2009 10:13:47 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	047	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	048	0	1	09	04	H5421_048_0	3	07/13/2009	2010.02	07/13/2009 11:00:22 AM Central Daylight Time	07/16/2009 10:17:33 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	048	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	049	0	1	09	04	H5421_049_0	3	07/13/2009	2010.02	07/13/2009 11:00:22 AM Central Daylight Time	07/16/2009 10:21:11 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	049	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	050	0	1	09	04	H5421_050_0	3	07/13/2009	2010.02	07/13/2009 11:00:23 AM Central Daylight Time	07/16/2009 10:53:34 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	050	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	051	0	1	09	04	H5421_051_0	3	07/13/2009	2010.02	07/13/2009 11:00:23 AM Central Daylight Time	07/16/2009 10:55:37 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	051	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	052	0	1	09	04	H5421_052_0	3	07/13/2009	2010.02	07/13/2009 11:02:27 AM Central Daylight Time	07/16/2009 11:23:13 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	052	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	053	0	1	09	04	H5421_053_0	5	07/13/2009	2010.02	07/13/2009 11:05:43 AM Central Daylight Time	08/06/2009 05:59:46 PM Central Daylight Time			08/07/2009 09:00:31 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	053	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	054	0	1	09	04	H5421_054_0	3	07/13/2009	2010.02	07/13/2009 11:05:43 AM Central Daylight Time	07/16/2009 11:28:29 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	054	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	055	0	1	09	04	H5421_055_0	3	07/13/2009	2010.02	07/13/2009 11:05:44 AM Central Daylight Time	07/16/2009 11:32:31 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	055	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	056	0	1	09	04	H5421_056_0	3	07/13/2009	2010.02	07/13/2009 11:05:44 AM Central Daylight Time	07/16/2009 11:34:57 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	056	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	057	0	1	09	04	H5421_057_0	3	07/13/2009	2010.02	07/13/2009 11:05:45 AM Central Daylight Time	07/16/2009 11:37:17 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	057	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	064	0	1	09	04	H5421_064_0	7	07/13/2009	2010.02	07/13/2009 11:07:36 AM Central Daylight Time	08/18/2009 05:00:31 PM Central Daylight Time	08/15/2009 09:18:55 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	064	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	065	0	1	09	04	H5421_065_0	7	07/13/2009	2010.02	07/13/2009 11:07:37 AM Central Daylight Time	08/18/2009 04:58:58 PM Central Daylight Time	08/15/2009 09:19:14 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	065	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	066	0	1	09	04	H5421_066_0	7	07/13/2009	2010.02	07/13/2009 11:07:37 AM Central Daylight Time	08/18/2009 04:56:31 PM Central Daylight Time	08/15/2009 09:19:34 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	066	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	067	0	1	09	04	H5421_067_0	7	07/13/2009	2010.02	07/13/2009 11:07:38 AM Central Daylight Time	08/18/2009 04:53:55 PM Central Daylight Time	08/15/2009 09:19:53 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	067	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	068	0	1	09	04	H5421_068_0	7	07/13/2009	2010.02	07/13/2009 11:07:39 AM Central Daylight Time	08/18/2009 04:51:52 PM Central Daylight Time	08/15/2009 09:20:16 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	068	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	069	0	1	09	04	H5421_069_0	7	07/13/2009	2010.02	07/13/2009 11:07:40 AM Central Daylight Time	08/18/2009 04:50:57 PM Central Daylight Time	08/15/2009 09:18:31 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	069	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	070	0	1	09	04	H5421_070_0	5	07/13/2009	2010.02	07/13/2009 11:05:46 AM Central Daylight Time	08/18/2009 05:22:55 PM Central Daylight Time	08/15/2009 08:58:47 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	070	0	2010	1-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	071	0	1	09	04	H5421_071_0	6	07/13/2009	2010.02	07/13/2009 11:05:46 AM Central Daylight Time	08/18/2009 05:20:54 PM Central Daylight Time	08/15/2009 08:59:09 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	071	0	2010	2-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	072	0	1	09	04	H5421_072_0	5	07/13/2009	2010.02	07/13/2009 11:05:47 AM Central Daylight Time	08/18/2009 05:19:19 PM Central Daylight Time	08/15/2009 08:59:29 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	072	0	2010	3-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	073	0	1	09	04	H5421_073_0	5	07/13/2009	2010.02	07/13/2009 11:05:48 AM Central Daylight Time	08/18/2009 05:16:58 PM Central Daylight Time	08/15/2009 08:59:48 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	073	0	2010	4-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	074	0	1	09	04	H5421_074_0	6	07/13/2009	2010.02	07/13/2009 11:05:49 AM Central Daylight Time	08/18/2009 05:16:13 PM Central Daylight Time	08/15/2009 09:00:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	074	0	2010	5-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	075	0	1	09	04	H5421_075_0	5	07/13/2009	2010.02	07/13/2009 11:05:50 AM Central Daylight Time	08/18/2009 05:29:11 PM Central Daylight Time	08/15/2009 08:58:27 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	075	0	2010	6-C		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	100	0	1	09	04	H5421_100_0	3	07/13/2009	2010.02	07/13/2009 11:00:29 AM Central Daylight Time	07/21/2009 09:39:00 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	100	0	2010	SE-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	101	0	1	09	04	H5421_101_0	3	07/13/2009	2010.02	07/13/2009 11:05:50 AM Central Daylight Time	07/21/2009 09:46:25 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	101	0	2010	SE-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	103	0	1	09	04	H5421_103_0	6	07/13/2009	2010.02	07/13/2009 11:00:29 AM Central Daylight Time	08/18/2009 06:04:56 PM Central Daylight Time	08/15/2009 09:11:27 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	103	0	2010	SE-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	104	0	1	09	04	H5421_104_0	5	07/13/2009	2010.02	07/13/2009 11:05:51 AM Central Daylight Time	08/18/2009 06:03:52 PM Central Daylight Time	08/15/2009 09:11:48 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	104	0	2010	SE-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	106	0	1	09	04	H5421_106_0	3	07/13/2009	2010.02	07/13/2009 11:00:30 AM Central Daylight Time	07/21/2009 10:01:57 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	106	0	2010	N-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	107	0	1	09	04	H5421_107_0	3	07/13/2009	2010.02	07/13/2009 11:05:52 AM Central Daylight Time	07/21/2009 10:04:50 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	107	0	2010	N-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	109	0	1	09	04	H5421_109_0	6	07/13/2009	2010.02	07/13/2009 11:00:31 AM Central Daylight Time	08/18/2009 06:00:52 PM Central Daylight Time	08/15/2009 09:12:07 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	109	0	2010	N-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	110	0	1	09	04	H5421_110_0	6	07/13/2009	2010.02	07/13/2009 11:05:52 AM Central Daylight Time	08/18/2009 05:48:36 PM Central Daylight Time	08/15/2009 09:12:25 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	110	0	2010	N-TX		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	112	0	1	09	04	H5421_112_0	3	07/13/2009	2010.02	07/13/2009 11:00:31 AM Central Daylight Time	07/21/2009 10:15:41 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	112	0	2010	WI		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	113	0	1	09	04	H5421_113_0	3	07/13/2009	2010.02	07/13/2009 11:05:53 AM Central Daylight Time	07/21/2009 10:18:56 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	113	0	2010	WI		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	115	0	1	09	04	H5421_115_0	6	07/13/2009	2010.02	07/13/2009 11:00:32 AM Central Daylight Time	08/18/2009 05:34:06 PM Central Daylight Time	08/15/2009 09:12:43 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	115	0	2010	WI		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	116	0	1	09	04	H5421_116_0	5	07/13/2009	2010.02	07/13/2009 11:05:54 AM Central Daylight Time	08/18/2009 06:06:08 PM Central Daylight Time	08/15/2009 09:11:08 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	116	0	2010	WI		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	124	0	1	09	04	H5421_124_0	3	07/13/2009	2010.02	07/13/2009 11:00:33 AM Central Daylight Time	07/21/2009 10:24:36 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	124	0	2010	OK		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	125	0	1	09	04	H5421_125_0	3	07/13/2009	2010.02	07/13/2009 11:05:54 AM Central Daylight Time	07/21/2009 10:26:24 AM Central Daylight Time			07/22/2009 11:25:35 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	125	0	2010	OK		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	127	0	1	09	04	H5421_127_0	6	07/13/2009	2010.02	07/13/2009 11:00:33 AM Central Daylight Time	08/18/2009 06:12:12 PM Central Daylight Time	08/15/2009 09:14:02 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	127	0	2010	OK		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	128	0	1	09	04	H5421_128_0	5	07/13/2009	2010.02	07/13/2009 11:05:55 AM Central Daylight Time	08/18/2009 06:11:03 PM Central Daylight Time	08/15/2009 09:14:20 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	128	0	2010	OK		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	130	0	1	09	04	H5421_130_0	7	08/21/2009	2010.02	08/21/2009 01:13:54 PM Central Daylight Time	07/16/2009 10:49:12 PM Central Daylight Time			08/21/2009 01:34:04 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Avera Advantage Premier (PFFS)	04	09	3	1			H5421	130	0	2010	Select South Dakota and Nebraska Counties		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	131	0	1	09	04	H5421_131_0	7	08/21/2009	2010.02	08/21/2009 01:14:19 PM Central Daylight Time	07/16/2009 10:53:10 PM Central Daylight Time			08/21/2009 01:34:04 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Avera Advantage Value (PFFS)	04	09	3	1			H5421	131	0	2010	Select South Dakota and Nebraska Counties		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	133	0	1	09	04	H5421_133_0	9	08/21/2009	2010.02	08/21/2009 01:14:36 PM Central Daylight Time	08/18/2009 06:09:46 PM Central Daylight Time	08/15/2009 09:14:42 PM Central Daylight Time		08/21/2009 01:34:04 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Avera Advantage Premier Plus (PFFS)	04	09	3	1			H5421	133	0	2010	Select South Dakota and Nebraska Counties		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	134	0	1	09	04	H5421_134_0	8	08/21/2009	2010.02	08/21/2009 01:15:45 PM Central Daylight Time	08/18/2009 06:12:58 PM Central Daylight Time	08/15/2009 09:15:04 PM Central Daylight Time		08/21/2009 01:34:04 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Avera Advantage Value Plus (PFFS)	04	09	3	1			H5421	134	0	2010	Select South Dakota and Nebraska Counties		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	139	0	1	09	04	H5421_139_0	3	07/13/2009	2010.02	07/13/2009 11:05:56 AM Central Daylight Time	07/16/2009 11:42:22 PM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	139	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	140	0	1	09	04	H5421_140_0	6	07/13/2009	2010.02	07/13/2009 11:05:56 AM Central Daylight Time	08/19/2009 10:30:59 AM Central Daylight Time	08/15/2009 09:15:23 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	140	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	141	0	1	09	04	H5421_141_0	5	07/21/2009	2010.02	07/21/2009 01:55:14 PM Central Daylight Time	08/06/2009 06:02:57 PM Central Daylight Time			08/07/2009 09:00:31 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	141	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	142	0	1	09	04	H5421_142_0	5	07/21/2009	2010.02	07/21/2009 01:55:21 PM Central Daylight Time	08/19/2009 10:34:25 AM Central Daylight Time	08/15/2009 09:13:39 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	142	0	2010	1-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	147	0	1	09	04	H5421_147_0	3	07/13/2009	2010.02	07/13/2009 11:05:59 AM Central Daylight Time	07/16/2009 11:54:02 PM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	147	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	148	0	1	09	04	H5421_148_0	6	07/13/2009	2010.02	07/13/2009 11:06:00 AM Central Daylight Time	08/19/2009 10:33:31 AM Central Daylight Time	08/15/2009 09:16:25 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	148	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	149	0	1	09	04	H5421_149_0	5	07/21/2009	2010.02	07/21/2009 01:55:28 PM Central Daylight Time	08/06/2009 06:05:27 PM Central Daylight Time			08/07/2009 09:00:31 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	149	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	150	0	1	09	04	H5421_150_0	5	07/21/2009	2010.02	07/21/2009 01:55:33 PM Central Daylight Time	08/19/2009 10:31:51 AM Central Daylight Time	08/15/2009 09:16:45 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	150	0	2010	2-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	155	0	1	09	04	H5421_155_0	3	07/13/2009	2010.02	07/13/2009 11:06:02 AM Central Daylight Time	07/17/2009 12:06:13 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	155	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	156	0	1	09	04	H5421_156_0	6	07/13/2009	2010.02	07/13/2009 11:06:03 AM Central Daylight Time	08/19/2009 10:54:52 AM Central Daylight Time	08/15/2009 09:17:04 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	156	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	157	0	1	09	04	H5421_157_0	3	07/21/2009	2010.02	07/21/2009 01:55:39 PM Central Daylight Time	07/17/2009 12:11:13 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	157	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	158	0	1	09	04	H5421_158_0	5	07/21/2009	2010.02	07/21/2009 01:55:43 PM Central Daylight Time	08/19/2009 10:52:04 AM Central Daylight Time	08/15/2009 09:17:23 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	158	0	2010	3-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	163	0	1	09	04	H5421_163_0	3	07/13/2009	2010.02	07/13/2009 11:06:04 AM Central Daylight Time	07/17/2009 12:20:10 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	163	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	164	0	1	09	04	H5421_164_0	6	07/13/2009	2010.02	07/13/2009 11:06:05 AM Central Daylight Time	08/19/2009 10:48:41 AM Central Daylight Time	08/15/2009 09:17:41 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	164	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	165	0	1	09	04	H5421_165_0	3	07/21/2009	2010.02	07/21/2009 01:55:49 PM Central Daylight Time	07/17/2009 12:24:23 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	165	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	166	0	1	09	04	H5421_166_0	5	07/21/2009	2010.02	07/21/2009 01:55:54 PM Central Daylight Time	08/19/2009 10:37:15 AM Central Daylight Time	08/15/2009 09:16:07 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	166	0	2010	4-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	171	0	1	09	04	H5421_171_0	3	07/13/2009	2010.02	07/13/2009 11:06:07 AM Central Daylight Time	07/17/2009 12:30:39 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	171	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	172	0	1	09	04	H5421_172_0	6	07/13/2009	2010.02	07/13/2009 11:06:08 AM Central Daylight Time	08/19/2009 11:05:17 AM Central Daylight Time	08/15/2009 08:56:39 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	172	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	173	0	1	09	04	H5421_173_0	3	07/21/2009	2010.02	07/21/2009 01:56:00 PM Central Daylight Time	07/17/2009 12:36:26 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	173	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	174	0	1	09	04	H5421_174_0	5	07/21/2009	2010.02	07/21/2009 01:56:05 PM Central Daylight Time	08/19/2009 11:06:48 AM Central Daylight Time	08/15/2009 08:57:01 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	174	0	2010	5-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	179	0	1	09	04	H5421_179_0	3	07/13/2009	2010.02	07/13/2009 11:06:10 AM Central Daylight Time	07/17/2009 12:44:57 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier (PFFS)	04	09	3	1			H5421	179	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	180	0	1	09	04	H5421_180_0	6	07/13/2009	2010.02	07/13/2009 11:06:11 AM Central Daylight Time	08/19/2009 11:08:20 AM Central Daylight Time	08/15/2009 08:57:20 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier powered by CCRx (PFFS)	04	09	3	1			H5421	180	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	181	0	1	09	04	H5421_181_0	3	07/21/2009	2010.02	07/21/2009 01:56:13 PM Central Daylight Time	07/17/2009 12:50:12 AM Central Daylight Time			07/21/2009 06:20:32 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value (PFFS)	04	09	3	1			H5421	181	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	182	0	1	09	04	H5421_182_0	6	07/21/2009	2010.02	07/21/2009 01:56:17 PM Central Daylight Time	08/19/2009 11:03:34 AM Central Daylight Time	08/15/2009 08:56:19 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Value powered by CCRx (PFFS)	04	09	3	1			H5421	182	0	2010	6-NC		2		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	801	0	1	09	04	H5421_801_0	6	07/28/2009	2010.02	07/28/2009 09:28:13 AM Central Daylight Time	06/01/2009 06:59:23 PM Central Daylight Time			07/28/2009 11:11:12 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Group (PFFS)	04	09	3	1			H5421	801	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1		
H5421	804	0	1	09	04	H5421_804_0	7	07/28/2009	2010.02	07/28/2009 09:30:19 AM Central Daylight Time	06/03/2009 03:31:56 PM Central Daylight Time			07/28/2009 11:11:12 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Group Plus (PFFS)	04	09	3	1			H5421	804	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5421	805	0	1	09	04	H5421_805_0	7	07/28/2009	2010.02	07/28/2009 09:30:31 AM Central Daylight Time	06/03/2009 03:34:15 PM Central Daylight Time			07/28/2009 11:11:12 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Group Plus NCY (PFFS)	04	09	3	1			H5421	805	0	2010	National		1		2				2							http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1		
H5422	002	0	1	01	01	H5422_002_0	10	08/20/2009	2010.02	08/20/2009 04:13:57 PM Pacific Daylight Time	08/20/2009 07:51:34 PM Pacific Daylight Time	08/17/2009 03:41:46 PM Pacific Daylight Time		08/20/2009 08:00:42 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Secure (HMO)	01	01		1			H5422	002	0	2010	GA Select Counties		2	1497	2				2							www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H5422	006	0	1	01	01	H5422_006_0	10	08/20/2009	2010.02	08/20/2009 04:17:27 PM Pacific Daylight Time	08/20/2009 07:52:15 PM Pacific Daylight Time	08/17/2009 03:42:08 PM Pacific Daylight Time		08/20/2009 08:00:42 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Basic (HMO)	01	01		1			H5422	006	0	2010	GA Select Counties		2	168	2				2							www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H5422	803	0	1	01	01	H5422_803_0	4	07/30/2009	2010.02	07/30/2009 07:59:29 AM Pacific Daylight Time	07/24/2009 02:13:41 PM Pacific Daylight Time			07/31/2009 10:58:24 AM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Secure (HMO)	01	01		1			H5422	803	0	2010	Georgia Select Counties		1	2895	2				2							www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
H5422	804	0	1	01	01	H5422_804_0	3	07/30/2009	2010.02	07/30/2009 08:00:00 AM Pacific Daylight Time	07/24/2009 02:13:53 PM Pacific Daylight Time			07/31/2009 10:58:24 AM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Secure (HMO)	01	01		1			H5422	804	0	2010	Georgia - Select Counties		1	2895	2				2							www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H5422	805	0	1	01	01	H5422_805_0	3	07/30/2009	2010.02	07/30/2009 08:00:36 AM Pacific Daylight Time	07/24/2009 02:14:07 PM Pacific Daylight Time			07/31/2009 10:58:24 AM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Secure (HMO)	01	01		1			H5422	805	0	2010	Georgia - Select Counties		1	2895	2				2							www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
H5424	001	0	1	04	01	H5424_001_0	3	07/22/2009	2010.02	07/22/2009 01:56:05 PM Central Daylight Time	08/17/2009 02:25:25 PM Central Daylight Time	08/13/2009 05:54:55 PM Central Daylight Time		08/20/2009 09:03:28 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5424	001	0	2010	Honolulu County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-736-7435		(888)-736-7435		(800)-547-5514		(800)-547-5514		(888)-736-7435		(888)-736-7435		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5424	003	0	1	04	01	H5424_003_0	2	07/20/2009	2010.02	07/20/2009 08:19:00 AM Central Daylight Time	07/20/2009 04:32:34 PM Central Daylight Time			07/23/2009 02:53:58 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice Essential (PPO)	01	04		1			H5424	003	0	2010	Honolulu County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-736-7435		(888)-736-7435		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H5424	005	0	1	04	01	H5424_005_0	3	08/20/2009	2010.02	08/20/2009 10:49:21 AM Central Daylight Time	08/17/2009 02:26:25 PM Central Daylight Time	08/13/2009 05:55:00 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO)	01	04		1			H5424	005	0	2010	Honolulu County		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5424	801	0	1	04	01	H5424_801_0	2	07/15/2009	2010.02	07/15/2009 03:49:48 PM Central Daylight Time	07/16/2009 06:06:06 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5424	801	0	2010	Honolulu County		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5424	803	0	1	04	01	H5424_803_0	2	07/15/2009	2010.02	07/15/2009 03:50:09 PM Central Daylight Time	07/16/2009 06:06:21 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5424	803	0	2010	Honolulu, HI		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5424	804	0	1	04	01	H5424_804_0	2	07/15/2009	2010.02	07/15/2009 03:50:30 PM Central Daylight Time	07/16/2009 06:06:36 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5424	804	0	2010	Honolulu county		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5425	001	0	1	01	01	H5425_001_0	6	08/27/2009	2010.02	08/27/2009 03:24:45 PM Pacific Daylight Time	08/19/2009 02:21:48 PM Pacific Daylight Time	08/19/2009 08:15:50 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	001	0	2010	SCAN Classic - Ventura		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	003	0	1	01	01	H5425_003_0	6	08/27/2009	2010.02	08/27/2009 03:24:56 PM Pacific Daylight Time	08/19/2009 02:22:24 PM Pacific Daylight Time	08/19/2009 08:17:53 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	003	0	2010	SCAN Classic - Kern		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	004	0	1	01	01	H5425_004_0	5	08/27/2009	2010.02	08/27/2009 03:25:07 PM Pacific Daylight Time	08/19/2009 02:23:37 PM Pacific Daylight Time	08/19/2009 08:18:37 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	004	0	2010	SCAN Signature - San Diego		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	005	0	1	01	01	H5425_005_0	5	08/27/2009	2010.02	08/27/2009 03:25:18 PM Pacific Daylight Time	08/19/2009 02:24:17 PM Pacific Daylight Time	08/19/2009 08:19:28 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	005	0	2010	SCAN Classic - San Diego		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	006	0	1	01	01	H5425_006_0	6	08/27/2009	2010.02	08/27/2009 03:25:30 PM Pacific Daylight Time	08/19/2009 02:24:49 PM Pacific Daylight Time	08/19/2009 08:20:07 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	006	0	2010	SCAN Classic - Los Angeles		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	007	0	1	01	01	H5425_007_0	6	08/27/2009	2010.02	08/27/2009 03:26:02 PM Pacific Daylight Time	08/19/2009 02:25:21 PM Pacific Daylight Time	08/19/2009 08:20:54 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	007	0	2010	SCAN Classic - Orange		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	008	0	1	01	01	H5425_008_0	5	08/27/2009	2010.02	08/27/2009 03:26:51 PM Pacific Daylight Time	08/19/2009 02:25:50 PM Pacific Daylight Time	08/19/2009 08:23:06 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	008	0	2010	SCAN Classic - Riverside		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	009	0	1	01	01	H5425_009_0	5	08/27/2009	2010.02	08/27/2009 03:27:20 PM Pacific Daylight Time	08/19/2009 02:26:16 PM Pacific Daylight Time	08/19/2009 08:23:43 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	009	0	2010	SCAN Classic - San Bernardino		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	010	0	1	01	01	H5425_010_0	12	08/27/2009	2010.02	08/27/2009 03:28:00 PM Pacific Daylight Time	08/19/2009 10:18:50 AM Pacific Daylight Time	08/19/2009 08:24:19 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	010	0	2010	SCAN Connections - Los Angeles		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	011	0	1	01	01	H5425_011_0	12	08/27/2009	2010.02	08/27/2009 03:28:26 PM Pacific Daylight Time	08/19/2009 11:05:58 AM Pacific Daylight Time	08/19/2009 08:25:25 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	011	0	2010	SCAN Connections - Riverside		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	012	0	1	01	01	H5425_012_0	12	08/27/2009	2010.02	08/27/2009 03:28:55 PM Pacific Daylight Time	08/19/2009 11:06:31 AM Pacific Daylight Time	08/19/2009 08:26:24 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	012	0	2010	SCAN Connections - San Bernardino		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	013	0	1	01	01	H5425_013_0	8	08/27/2009	2010.02	08/27/2009 03:29:35 PM Pacific Daylight Time	08/19/2009 02:26:43 PM Pacific Daylight Time	08/19/2009 08:27:11 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	013	0	2010	SCAN Options - Los Angeles		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	014	0	1	01	01	H5425_014_0	8	08/27/2009	2010.02	08/27/2009 03:30:07 PM Pacific Daylight Time	08/19/2009 02:27:12 PM Pacific Daylight Time	08/19/2009 08:27:52 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	014	0	2010	SCAN Options - Orange		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	015	0	1	01	01	H5425_015_0	8	08/27/2009	2010.02	08/27/2009 03:30:32 PM Pacific Daylight Time	08/19/2009 02:28:54 PM Pacific Daylight Time	08/19/2009 08:28:27 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	015	0	2010	SCAN Options - Riverside		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	016	0	1	01	01	H5425_016_0	8	08/27/2009	2010.02	08/27/2009 03:31:10 PM Pacific Daylight Time	08/19/2009 02:29:28 PM Pacific Daylight Time	08/19/2009 08:29:04 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	016	0	2010	SCAN Options - San Bernardino		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	018	0	1	01	01	H5425_018_0	8	08/18/2009	2010.02	08/18/2009 01:59:38 PM Pacific Daylight Time	08/20/2009 10:52:41 AM Pacific Daylight Time	08/19/2009 08:29:43 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	018	0	2010	SCAN Classic - Contra Costa		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	019	0	1	01	01	H5425_019_0	9	08/18/2009	2010.02	08/18/2009 02:00:01 PM Pacific Daylight Time	08/20/2009 10:54:18 AM Pacific Daylight Time	08/19/2009 08:30:21 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	019	0	2010	SCAN Classic - San Francisco		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	020	0	1	01	01	H5425_020_0	9	08/18/2009	2010.02	08/18/2009 02:00:26 PM Pacific Daylight Time	08/20/2009 10:55:44 AM Pacific Daylight Time	08/19/2009 08:30:59 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	020	0	2010	SCAN Classic - Santa Clara		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	022	0	1	01	01	H5425_022_0	9	08/18/2009	2010.02	08/18/2009 02:00:51 PM Pacific Daylight Time	08/20/2009 10:57:16 AM Pacific Daylight Time	08/19/2009 08:31:49 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	022	0	2010	SCAN Options - Contra Costa		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	023	0	1	01	01	H5425_023_0	9	08/18/2009	2010.02	08/18/2009 02:01:14 PM Pacific Daylight Time	08/20/2009 10:58:36 AM Pacific Daylight Time	08/19/2009 08:32:28 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	023	0	2010	SCAN Options - San Francisco		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	024	0	1	01	01	H5425_024_0	9	08/18/2009	2010.02	08/18/2009 02:01:38 PM Pacific Daylight Time	08/20/2009 10:59:58 AM Pacific Daylight Time	08/19/2009 08:33:13 AM Pacific Daylight Time		08/20/2009 02:34:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H5425	024	0	2010	SCAN Options - Santa Clara		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	025	0	1	02	01	H5425_025_0	10	08/27/2009	2010.02	08/27/2009 03:31:44 PM Pacific Daylight Time	08/20/2009 10:34:52 AM Pacific Daylight Time	08/20/2009 10:39:44 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	025	0	2010	My  Choice - Los Angeles		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	026	0	1	02	01	H5425_026_0	10	08/27/2009	2010.02	08/27/2009 03:32:22 PM Pacific Daylight Time	08/20/2009 10:35:19 AM Pacific Daylight Time	08/20/2009 10:41:18 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	026	0	2010	My Choice - Orange		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	027	0	1	02	01	H5425_027_0	10	08/27/2009	2010.02	08/27/2009 03:32:50 PM Pacific Daylight Time	08/20/2009 10:35:56 AM Pacific Daylight Time	08/20/2009 10:42:00 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	027	0	2010	My Choice - Riverside and  San Bernardino		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	801	0	1	01	01	H5425_801_0	5	07/27/2009	2010.02	07/27/2009 05:04:29 PM Pacific Daylight Time	07/24/2009 11:21:21 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	801	0	2010	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226										(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929										1		
H5425	803	0	1	01	01	H5425_803_0	5	07/27/2009	2010.02	07/27/2009 05:04:36 PM Pacific Daylight Time	07/24/2009 11:22:42 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	803	0	2010	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5425	804	0	1	01	01	H5425_804_0	5	07/27/2009	2010.02	07/27/2009 05:04:43 PM Pacific Daylight Time	07/24/2009 11:23:22 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	804	0	2010	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5426	001	0	1	02	01	H5426_001_0	5	08/19/2009	2010.02	08/19/2009 02:06:48 PM Eastern Daylight Time	08/18/2009 05:21:23 PM Eastern Daylight Time	08/19/2009 11:06:10 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-001 (HMO-POS)	01	02		1			H5426	001	0	2010	Treasure Coast Market		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5426	002	0	1	02	01	H5426_002_0	7	07/22/2009	2010.02	07/22/2009 03:49:04 PM Eastern Daylight Time	08/18/2009 05:23:28 PM Eastern Daylight Time	08/19/2009 11:06:21 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-002 (HMO-POS)	01	02		1			H5426	002	0	2010	Gulf  Coast and Central Markets		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5426	008	0	1	02	01	H5426_008_0	8	07/23/2009	2010.02	07/23/2009 04:09:19 PM Eastern Daylight Time	08/18/2009 05:23:42 PM Eastern Daylight Time	08/19/2009 11:06:31 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-008 (HMO-POS)	01	02		1			H5426	008	0	2010	Gulf Coast and Central Markets		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5426	013	0	1	01	01	H5426_013_0	6	05/30/2009	2010.02	05/30/2009 03:19:19 PM Eastern Daylight Time	08/18/2009 05:21:38 PM Eastern Daylight Time	08/19/2009 11:06:44 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H5426-013 (HMO)	01	01		1			H5426	013	0	2010	Treasure Coast		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5426	019	0	1	01	01	H5426_019_0	5	08/17/2009	2010.02	08/17/2009 04:35:02 PM Eastern Daylight Time	08/18/2009 05:25:57 PM Eastern Daylight Time	08/19/2009 11:06:55 AM Eastern Daylight Time		08/19/2009 04:46:25 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-019 (HMO)	01	01		1			H5426	019	0	2010	Gulf Coast and Central Markets		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5427	052	0	1	01	01	H5427_052_0	3	07/23/2009	2010.02	07/23/2009 01:29:47 PM Eastern Daylight Time	08/20/2009 02:26:42 PM Eastern Daylight Time			08/20/2009 02:31:45 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan (HMO)	01	01		1			H5427	052	0	2010	Select Counties in Florida		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1		
H5427	053	0	1	01	01	H5427_053_0	5	07/23/2009	2010.02	07/23/2009 01:30:03 PM Eastern Daylight Time	08/25/2009 02:43:07 PM Eastern Daylight Time	08/19/2009 01:15:56 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan Rx (HMO)	01	01		1			H5427	053	0	2010	Select Counties in Florida		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	054	0	1	01	01	H5427_054_0	5	07/23/2009	2010.02	07/23/2009 01:30:21 PM Eastern Daylight Time	08/25/2009 02:43:07 PM Eastern Daylight Time	08/19/2009 01:15:56 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan Rx (HMO)	01	01		1			H5427	054	0	2010	Select Counties in Florida		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	059	0	1	01	01	H5427_059_0	5	07/07/2009	2010.02	07/07/2009 09:56:06 AM Eastern Daylight Time	08/25/2009 02:42:53 PM Eastern Daylight Time	08/19/2009 01:15:56 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	059	0	2010	Select Counties in Florida		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	060	0	1	01	01	H5427_060_0	5	07/24/2009	2010.02	07/24/2009 04:22:19 PM Eastern Daylight Time	08/25/2009 02:42:53 PM Eastern Daylight Time	08/19/2009 01:15:58 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	060	0	2010	Select Counties in Florida		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	062	0	1	01	01	H5427_062_0	6	07/24/2009	2010.02	07/24/2009 04:10:38 PM Eastern Daylight Time	08/25/2009 02:42:54 PM Eastern Daylight Time	08/19/2009 01:15:54 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	062	0	2010	Broward County		2		2				2						http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	070	0	1	01	01	H5427_070_0	6	07/24/2009	2010.02	07/24/2009 04:11:19 PM Eastern Daylight Time	08/25/2009 02:42:42 PM Eastern Daylight Time	08/19/2009 01:52:30 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care (HMO)	01	01		1			H5427	070	0	2010	Select Counties in Florida		2		2				1	4		1		000110100000000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	072	0	1	01	01	H5427_072_0	6	07/27/2009	2010.02	07/27/2009 10:27:33 AM Eastern Daylight Time	08/25/2009 02:42:43 PM Eastern Daylight Time	08/19/2009 01:52:32 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care Plus (HMO)	01	01		1			H5427	072	0	2010	Select Counties in Florida		2		2				1	4		1		000110100000000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	076	0	1	01	01	H5427_076_0	6	07/24/2009	2010.02	07/24/2009 04:12:07 PM Eastern Daylight Time	08/25/2009 03:55:57 PM Eastern Daylight Time	08/19/2009 01:52:32 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care COPD (HMO)	01	01		1			H5427	076	0	2010	Select Counties in Florida		2		2				1	4		1		000000000001000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	077	0	1	01	01	H5427_077_0	6	07/27/2009	2010.02	07/27/2009 10:28:54 AM Eastern Daylight Time	08/25/2009 02:42:44 PM Eastern Daylight Time	08/19/2009 01:52:32 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care Plus COPD (HMO)	01	01		1			H5427	077	0	2010	Select Counties in Florida		2		2				1	4		1		000000000001000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	078	0	1	01	01	H5427_078_0	5	08/26/2009	2010.02	08/26/2009 08:49:53 AM Eastern Daylight Time	08/25/2009 02:42:34 PM Eastern Daylight Time	08/20/2009 02:27:03 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medi-Medi Partial (HMO)	01	01		1			H5427	078	0	2010	Select Counties in Florida		2		2		2		1	3		1	4		http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	080	0	1	01	01	H5427_080_0	7	07/24/2009	2010.02	07/24/2009 04:12:52 PM Eastern Daylight Time	08/25/2009 02:42:17 PM Eastern Daylight Time	08/19/2009 01:52:34 PM Eastern Daylight Time		08/26/2009 09:24:45 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care (HMO)	01	01		1			H5427	080	0	2010	Select Counties in Florida		2		2				1	4		1		000110100000000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	081	0	1	01	01	H5427_081_0	9	07/24/2009	2010.02	07/24/2009 04:13:38 PM Eastern Daylight Time	08/25/2009 02:42:18 PM Eastern Daylight Time	08/19/2009 01:52:36 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care COPD (HMO)	01	01		1			H5427	081	0	2010	Select Counties in Florida		2		2				1	4		1		000000000001000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	082	0	1	01	01	H5427_082_0	7	07/27/2009	2010.02	07/27/2009 10:27:51 AM Eastern Daylight Time	08/25/2009 02:42:18 PM Eastern Daylight Time	08/19/2009 01:52:36 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Plus (HMO)	01	01		1			H5427	082	0	2010	Select Counties in Florida		2		2				1	4		1		000110100000000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5427	083	0	1	01	01	H5427_083_0	7	07/27/2009	2010.02	07/27/2009 10:28:09 AM Eastern Daylight Time	08/25/2009 02:42:19 PM Eastern Daylight Time	08/19/2009 01:52:36 PM Eastern Daylight Time		08/26/2009 09:00:59 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Plus COPD (HMO)	01	01		1			H5427	083	0	2010	Select Counties in Florida		2		2				1	4		1		000000000001000	http://www.FreedomHealth.com	freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5428	001	0	1	01	01	H5428_001_0	7	08/24/2009	2010.02	08/24/2009 02:05:53 PM Pacific Daylight Time	08/24/2009 02:04:12 PM Pacific Daylight Time	08/19/2009 02:11:32 PM Pacific Daylight Time		08/24/2009 02:11:04 PM Pacific Daylight Time	SAN MATEO HEALTH COMMISSION	Health Plan of San Mateo	www.hpsm.org	HPSM CareAdvantage (HMO)	01	01		1			H5428	001	0	2010	San Mateo County		2	7750	2		2		1	3		1	5		www.hpsm.org	http://www.hpsm.org/Members.aspx/139.htm	(866)-880-0606		(650)-616-2174		(888)-252-3153		(650)-616-1500		(866)-880-0606		(650)-616-2174		(888)-252-3153		(650)-616-1500				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5429	001	0	1	04	01	H5429_001_0	6	07/28/2009	2010.02	07/28/2009 04:32:35 PM Eastern Daylight Time	08/20/2009 01:42:43 PM Eastern Daylight Time	08/20/2009 01:59:28 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece (PPO)	01	04		1			H5429	001	0	2010	Tampa Bay, Hernando, Manatee, Sarasota, Polk		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	005	0	1	04	01	H5429_005_0	6	07/28/2009	2010.02	07/28/2009 04:34:10 PM Eastern Daylight Time	08/20/2009 01:46:51 PM Eastern Daylight Time	08/20/2009 02:47:47 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece (PPO)	01	04		1			H5429	005	0	2010	Capitol and Central Florida		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	020	0	1	04	01	H5429_020_0	7	08/27/2009	2010.02	08/27/2009 10:31:21 AM Eastern Daylight Time	08/20/2009 01:48:13 PM Eastern Daylight Time	08/20/2009 02:48:44 PM Eastern Daylight Time		09/23/2009 10:07:15 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece (PPO)	01	04		1			H5429	020	0	2010	Charlotte, Lee and Collier Counties		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	053	0	1	04	01	H5429_053_0	6	09/04/2009	2010.02	09/04/2009 11:53:04 AM Eastern Daylight Time	08/05/2009 04:41:35 PM Eastern Daylight Time			09/23/2009 10:07:15 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece MA Only (PPO)	01	04		1			H5429	053	0	2010	Tampa Bay Counties		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5429	059	0	1	04	01	H5429_059_0	4	07/22/2009	2010.02	07/22/2009 10:56:00 PM Eastern Daylight Time	08/20/2009 01:49:33 PM Eastern Daylight Time	08/20/2009 02:49:49 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece SNP - Diabetes (PPO)	01	04		1			H5429	059	0	2010	Tampa Bay Area		2		2				1	4		1		000000100000000	www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	060	0	1	04	01	H5429_060_0	4	07/22/2009	2010.02	07/22/2009 10:56:10 PM Eastern Daylight Time	08/20/2009 01:53:35 PM Eastern Daylight Time	08/20/2009 02:52:01 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece SNP - Dementia (PPO)	01	04		1			H5429	060	0	2010	Tampa Bay		2		2				1	4		1		000001000000000	www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	061	0	1	04	01	H5429_061_0	4	07/22/2009	2010.02	07/22/2009 10:56:21 PM Eastern Daylight Time	08/20/2009 01:55:47 PM Eastern Daylight Time	08/20/2009 02:54:01 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece SNP - COPD (PPO)	01	04		1			H5429	061	0	2010	Tampa Bay Area		2		2				1	4		1		000000000001000	www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5429	062	0	1	04	01	H5429_062_0	6	07/22/2009	2010.02	07/22/2009 10:56:31 PM Eastern Daylight Time	08/20/2009 01:58:04 PM Eastern Daylight Time	08/20/2009 02:54:58 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	www.univhc.com	Medicare Masterpiece Premier (PPO)	01	04		1			H5429	062	0	2010	Tampa Bay Area		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_ppo.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5430	001	0	1	01	01	H5430_001_0	5	08/24/2009	2010.02	08/24/2009 11:17:15 AM US Mountain Standard Time	08/20/2009 06:46:20 PM US Mountain Standard Time	08/20/2009 05:51:14 PM US Mountain Standard Time		08/24/2009 11:33:31 AM US Mountain Standard Time	CARE1ST HEALTH PLAN OF ARIZONA	ONECare by Care1st Health Plan Arizona, Inc.	www.care1st.com/az	ONECare by Care1st Health Plan Arizona, Inc. (HMO)	01	01		1			H5430	001	0	2010	County: Maricopa		2	1550	2		2		1	3		1	2		http://www.care1st.com/az/healthplans/onecare_medicare_directory.asp	http://www.care1st.com/az/PDF/ONECare/formulary/2009/formulary.pdf	(877)-778-1855		(602)-778-8345		(877)-778-1855		(602)-778-8340		(877)-778-1855		(602)-778-8345		(877)-778-1855		(602)-778-8340		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1		
H5431	001	0	1	01	01	H5431_001_0	4	05/31/2009	2010.02	05/31/2009 02:38:43 PM Eastern Daylight Time	08/18/2009 10:37:15 AM Eastern Daylight Time	08/18/2009 10:20:25 AM Eastern Daylight Time		08/19/2009 01:21:25 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	SunPlus Advantage Plan (HMO)	01	01		1			H5431	001	0	2010	Miami-Dade		2	2945	2				2							www.health-sun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292				(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1		
H5431	002	0	1	01	01	H5431_002_0	4	05/31/2009	2010.02	05/31/2009 02:39:02 PM Eastern Daylight Time	08/18/2009 10:36:40 AM Eastern Daylight Time	08/18/2009 10:20:10 AM Eastern Daylight Time		08/19/2009 01:21:25 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	SunPlus Advantage Plan (HMO)	01	01		1			H5431	002	0	2010	Broward		2	279	2				2							www.health-sun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292				(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1		
H5431	005	0	1	01	01	H5431_005_0	4	07/24/2009	2010.02	07/24/2009 02:03:22 PM Eastern Daylight Time	08/18/2009 10:35:40 AM Eastern Daylight Time	08/18/2009 10:19:44 AM Eastern Daylight Time		08/19/2009 01:21:25 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	Healthy Advantage Plan (HMO)	01	01		1			H5431	005	0	2010	Miami-Dade		2	250	2				2							www.health-sun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292				(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1		
H5431	006	0	1	01	01	H5431_006_0	6	08/27/2009	2010.02	08/27/2009 06:02:09 PM Eastern Daylight Time	08/18/2009 03:07:13 PM Eastern Daylight Time	08/18/2009 10:20:44 AM Eastern Daylight Time		08/27/2009 06:03:59 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.health-sun.com	MediMax (HMO)	01	01		1			H5431	006	0	2010	Broward  Miami-Dade		2	2945	2				2							www.health-sun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292				(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1		
H5433	001	0	1	01	01	H5433_001_0	7	08/25/2009	2010.02	08/25/2009 01:53:48 PM Pacific Daylight Time	08/25/2009 12:37:51 PM Pacific Daylight Time	08/20/2009 11:31:21 AM Pacific Daylight Time		08/25/2009 01:56:48 PM Pacific Daylight Time	ORANGE COUNTY HEALTH AUTHORITY	OneCare	www.caloptima.org	OneCare (HMO)	01	01		1			H5433	001	0	2010	OneCare (serves only Orange County)		2	9500	2		2		1	3		1	5		www.caloptima.org	http://www.caloptima.org/onecare/documents/ocRXDrugFormulary2009.pdf	(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		1		
H5434	002	0	1	04	01	H5434_002_0	6	08/18/2009	2010.02	08/18/2009 12:52:08 PM Eastern Daylight Time	08/20/2009 09:05:00 AM Eastern Daylight Time	08/20/2009 09:05:11 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	BlueMedicare PPO (PPO)	01	04		1			H5434	002	0	2010	Al, Bro,Cha,Col,Esc,Her,Hig,Hil,Lee,Man,Ok,Os,Pa,		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H5434	801	0	1	04	01	H5434_801_0	5	08/18/2009	2010.02	08/18/2009 12:55:07 PM Eastern Daylight Time	07/21/2009 02:50:50 PM Eastern Daylight Time			08/18/2009 12:57:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	BlueMedicare Group PPO (PPO)	01	04		1			H5434	801	0	2010	State of Florida with National Coverage		1		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H5434	802	0	1	04	01	H5434_802_0	5	08/18/2009	2010.02	08/18/2009 12:55:40 PM Eastern Daylight Time	07/21/2009 02:50:24 PM Eastern Daylight Time			08/18/2009 12:57:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com	BlueMedicare Group PPO (PPO)	01	04		1			H5434	802	0	2010	State of Florida with National Coverage		1		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
H5435	001	0	1	09	04	H5435_001_0	2	07/17/2009	2010.02	07/17/2009 01:36:15 PM Central Daylight Time	07/20/2009 04:06:49 PM Central Daylight Time			07/23/2009 11:06:12 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Plan 1 (PFFS)	04	09	2	1			H5435	001	0	2010	Select counties nationwide		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5435	002	0	1	09	04	H5435_002_0	2	07/17/2009	2010.02	07/17/2009 01:37:47 PM Central Daylight Time	07/20/2009 04:07:25 PM Central Daylight Time			07/23/2009 11:06:12 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Plan 2 (PFFS)	04	09	2	1			H5435	002	0	2010	Select counties nationwide		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5435	003	0	1	09	04	H5435_003_0	2	07/17/2009	2010.02	07/17/2009 01:44:44 PM Central Daylight Time	07/20/2009 04:07:59 PM Central Daylight Time			07/23/2009 11:06:12 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Plan 3 (PFFS)	04	09	2	1			H5435	003	0	2010	Select counties nationwide		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5435	014	0	1	09	04	H5435_014_0	3	07/17/2009	2010.02	07/17/2009 01:46:02 PM Central Daylight Time	08/17/2009 12:34:24 PM Central Daylight Time	08/13/2009 05:55:04 PM Central Daylight Time		08/19/2009 09:00:20 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx Plan 51 (PFFS)	04	09	2	1			H5435	014	0	2010	Select counties nationwide		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	020	0	1	09	04	H5435_020_0	3	07/17/2009	2010.02	07/17/2009 01:47:50 PM Central Daylight Time	07/20/2009 04:08:39 PM Central Daylight Time			07/23/2009 11:06:12 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Plan 100 (PFFS)	04	09	2	1			H5435	020	0	2010	Select counties nationwide		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5435	024	0	1	09	04	H5435_024_0	3	07/17/2009	2010.02	07/17/2009 01:51:16 PM Central Daylight Time	08/17/2009 12:33:46 PM Central Daylight Time	08/13/2009 05:55:15 PM Central Daylight Time		08/19/2009 09:00:20 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx Plan 55 (PFFS)	04	09	2	1			H5435	024	0	2010	Select States		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	027	0	1	09	04	H5435_027_0	4	07/17/2009	2010.02	07/17/2009 01:52:51 PM Central Daylight Time	08/17/2009 12:32:39 PM Central Daylight Time	08/13/2009 05:55:23 PM Central Daylight Time		08/19/2009 09:00:20 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx Plan 150 (PFFS)	04	09	2	1			H5435	027	0	2010	Select States		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	030	0	1	09	04	H5435_030_0	3	07/17/2009	2010.02	07/17/2009 01:57:09 PM Central Daylight Time	08/17/2009 12:31:52 PM Central Daylight Time	08/13/2009 05:55:27 PM Central Daylight Time		08/19/2009 09:00:20 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx Plan 58 (PFFS)	04	09	2	1			H5435	030	0	2010	Select States		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	031	0	1	09	04	H5435_031_0	5	08/21/2009	2010.02	08/21/2009 02:52:37 PM Central Daylight Time	08/21/2009 03:16:04 PM Central Daylight Time	08/13/2009 05:55:31 PM Central Daylight Time		08/24/2009 04:23:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx Plan 59 (PFFS)	04	09	2	1			H5435	031	0	2010	Select Washington Counties		2		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	849	0	1	09	04	H5435_849_0	6	07/15/2009	2010.02	07/15/2009 03:54:56 PM Central Daylight Time	07/20/2009 04:46:01 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	1			H5435	849	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5435	869	0	1	09	04	H5435_869_0	6	05/29/2009	2010.02	05/29/2009 02:58:15 PM Central Daylight Time	07/21/2009 09:56:37 AM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	1			H5435	869	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	870	0	1	09	04	H5435_870_0	6	05/29/2009	2010.02	05/29/2009 02:58:21 PM Central Daylight Time	07/20/2009 04:36:29 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	1			H5435	870	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	871	0	2	09	04	H5435_871_0	6	05/30/2009	2010.02	05/30/2009 02:11:52 PM Central Daylight Time	07/20/2009 04:34:10 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	2	2		H5435	871	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5435	872	0	2	09	04	H5435_872_0	6	05/30/2009	2010.02	05/30/2009 02:12:01 PM Central Daylight Time	07/20/2009 04:32:44 PM Central Daylight Time			08/03/2009 12:52:29 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons MedicareDirect	www.SecureHorizons.com	MedicareDirect Retiree Plan (PFFS)	04	09	2	2	2		H5435	872	0	2010	EGHP PFFS National Service Area		1		2				2							https://www.securehorizons.com/ourplans/searchformulary.html	(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(866)-525-6437		(866)-525-6437		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5439	001	0	1	04	01	H5439_001_0	6	08/27/2009	2010.02	08/27/2009 07:44:19 PM Central Daylight Time	08/27/2009 04:45:54 PM Pacific Daylight Time	08/14/2009 06:35:00 PM Pacific Daylight Time		08/27/2009 06:32:47 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Violet (PPO)	01	04		1			H5439	001	0	2010	San Diego County		2	550	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm			(800)-960-4638				(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565				(800)-929-9955				(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5440	001	0	1	01	01	H5440_001_0	3	08/20/2009	2010.02	08/20/2009 10:48:43 AM Central Daylight Time	08/18/2009 04:15:40 PM Central Daylight Time	08/13/2009 05:55:35 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare Health Plans	www.EvercareHealthPlans.com	Evercare Plan DH (HMO)	01	01		1			H5440	001	0	2010	Orlando and Tampa areas plus Broward County		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	http://evercarehealthplans.com/prescription_drug_coverage.jsp	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5470	002	0	1	04	01	H5470_002_0	5	08/19/2009	2010.01	08/19/2009 02:13:55 PM Eastern Daylight Time	08/18/2009 03:03:58 PM Eastern Daylight Time	08/19/2009 11:07:06 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-002 (PPO)	01	04		1			H5470	002	0	2010	Kalamazoo Metro Area		2	167	2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5470	004	0	1	04	01	H5470_004_0	4	08/19/2009	2010.01	08/19/2009 02:14:44 PM Eastern Daylight Time	08/18/2009 03:10:40 PM Eastern Daylight Time	08/19/2009 11:07:16 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-004 (PPO)	01	04		1			H5470	004	0	2010	Monroe County		2	1000	2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5470	005	0	1	04	01	H5470_005_0	4	08/19/2009	2010.01	08/19/2009 02:15:17 PM Eastern Daylight Time	08/18/2009 03:11:10 PM Eastern Daylight Time	08/19/2009 11:07:27 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-005 (PPO)	01	04		1			H5470	005	0	2010	Muskegon and Oceana Counties		2	1000	2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5470	007	0	1	04	01	H5470_007_0	4	08/19/2009	2010.01	08/19/2009 02:15:46 PM Eastern Daylight Time	08/18/2009 03:11:42 PM Eastern Daylight Time	08/19/2009 11:07:38 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-007 (PPO)	01	04		1			H5470	007	0	2010	Marquette, Menominee, and Dickinson Counties		2		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5470	801	0	1	04	01	H5470_801_0	4	07/10/2009	2010.02	07/10/2009 03:41:45 PM Eastern Daylight Time	07/21/2009 03:51:48 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5470	801	0	2010	Select Counties in Michigan		1		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5470	802	0	1	04	01	H5470_802_0	4	07/10/2009	2010.02	07/10/2009 04:02:39 PM Eastern Daylight Time	07/21/2009 04:47:44 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5470	802	0	2010	Select Counties in Michigan		1		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5470	803	0	1	04	01	H5470_803_0	4	07/10/2009	2010.02	07/10/2009 04:02:49 PM Eastern Daylight Time	07/21/2009 04:47:58 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5470	803	0	2010	Select Counties in Michigan		1		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5485	801	0	1	09	04	H5485_801_0	1	05/13/2009	2010.02	05/13/2009 03:14:26 PM Eastern Daylight Time	05/31/2009 09:08:51 PM Eastern Daylight Time			06/01/2009 03:51:19 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	EGHP Prime PFFS Select (PFFS)	04	09	2	1			H5485	801	0	2010	All Ohio Counties		1	3000	2				2							https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H5485	802	0	1	09	04	H5485_802_0	1	05/13/2009	2010.02	05/13/2009 03:14:52 PM Eastern Daylight Time	05/31/2009 09:08:51 PM Eastern Daylight Time			06/01/2009 03:51:19 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	EGHP Prime PFFS Select - Non CY (PFFS)	04	09	2	1			H5485	802	0	2010	All Ohio Counties		1	0	2				2							https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1		
H5485	803	0	1	09	04	H5485_803_0	1	05/13/2009	2010.02	05/13/2009 03:14:53 PM Eastern Daylight Time	06/01/2009 04:08:39 PM Eastern Daylight Time			06/01/2009 04:15:06 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Prime PFFS Select / EGHP MA Only - CY (PFFS)	04	09	2	1			H5485	803	0	2010	All Ohio Counties		1	0	2				2							https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1		
H5507	001	0	1	04	01	H5507_001_0	4	07/17/2009	2010.02	07/17/2009 11:50:50 AM Central Daylight Time	08/17/2009 02:29:25 PM Central Daylight Time	08/13/2009 05:55:39 PM Central Daylight Time		08/19/2009 08:54:37 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5507	001	0	2010	St. Louis Area		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5507	801	0	1	04	01	H5507_801_0	2	07/15/2009	2010.02	07/15/2009 03:51:07 PM Central Daylight Time	07/16/2009 06:00:24 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5507	801	0	2010	St. Louis, MO-IL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5507	802	0	1	04	01	H5507_802_0	2	07/15/2009	2010.02	07/15/2009 03:51:22 PM Central Daylight Time	07/16/2009 06:00:09 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5507	802	0	2010	St. Louis, MO-IL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H5507	803	0	1	04	01	H5507_803_0	2	07/15/2009	2010.02	07/15/2009 03:51:41 PM Central Daylight Time	07/16/2009 06:00:59 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5507	803	0	2010	St. Louis, MO-IL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5508	001	0	1	04	01	H5508_001_0	7	08/19/2009	2010.02	08/19/2009 09:38:14 AM Eastern Daylight Time	08/24/2009 05:16:09 PM Eastern Daylight Time	08/18/2009 12:16:23 PM Eastern Daylight Time		08/25/2009 08:12:40 AM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Part D Enhanced (PPO)	01	04		1			H5508	001	0	2010	Central Indiana, Allen, Delaware, Howard, StJoseph		2	3000	2				2						www.advantageplan.com	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H5508	002	0	1	04	01	H5508_002_0	6	07/22/2009	2010.02	07/22/2009 09:38:28 AM Eastern Daylight Time	07/30/2009 08:44:45 AM Eastern Daylight Time			07/30/2009 08:59:28 AM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus (PPO)	01	04		1			H5508	002	0	2010	Central Indiana, Allen, Delaware, Howard, StJoseph		2	3000	2				2						www.advantageplan.com	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990										1		
H5508	003	0	1	04	01	H5508_003_0	5	07/24/2009	2010.02	07/24/2009 08:50:24 AM Eastern Daylight Time	08/18/2009 12:01:50 PM Eastern Daylight Time	08/18/2009 12:01:50 PM Eastern Daylight Time		08/18/2009 01:33:09 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Part D Basic (PPO)	01	04		1			H5508	003	0	2010	Central Indiana, Allen, Delaware, Howard, StJoseph		2	3000	2				2						www.advantageplan.com	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H5508	004	0	1	04	01	H5508_004_0	6	07/24/2009	2010.02	07/24/2009 09:23:13 AM Eastern Daylight Time	08/24/2009 05:16:09 PM Eastern Daylight Time	08/18/2009 12:12:33 PM Eastern Daylight Time		08/25/2009 08:12:40 AM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Enhanced Plus (PPO)	01	04		1			H5508	004	0	2010	Central Indiana, Allen, Delaware, Howard, StJoseph		2	300	2				2						www.advantageplan.com	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H5508	801	0	1	04	01	H5508_801_0	5	07/22/2009	2010.02	07/22/2009 09:39:21 AM Eastern Daylight Time	07/28/2009 09:46:02 AM Eastern Daylight Time			07/28/2009 03:44:25 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	Advantage Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Employer (PPO)	01	04		1			H5508	801	0	2010	Indiana		1	100	2				2						www.advantageplan.com	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H5509	001	0	1	04	01	H5509_001_0	10	08/18/2009	2010.02	08/18/2009 04:22:21 PM Pacific Daylight Time	08/18/2009 12:49:11 PM Pacific Daylight Time	08/18/2009 08:06:03 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	001	0	2010	Kansas City Metro Area		2	18347	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	003	0	1	04	01	H5509_003_0	8	08/18/2009	2010.02	08/18/2009 04:22:40 PM Pacific Daylight Time	08/18/2009 12:50:05 PM Pacific Daylight Time	08/18/2009 08:07:24 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	003	0	2010	Wichita Metro Area		2	3174	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	010	0	1	04	01	H5509_010_0	9	08/18/2009	2010.02	08/18/2009 04:23:20 PM Pacific Daylight Time	08/18/2009 12:51:09 PM Pacific Daylight Time	08/18/2009 08:08:33 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	010	0	2010	Southwest Missouri - Joplin		2	1977	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	011	0	1	04	01	H5509_011_0	9	08/18/2009	2010.02	08/18/2009 04:23:39 PM Pacific Daylight Time	08/18/2009 12:52:06 PM Pacific Daylight Time	08/18/2009 08:09:54 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	011	0	2010	Springfield Metro Area		2	2553	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	012	0	1	04	01	H5509_012_0	8	08/18/2009	2010.02	08/18/2009 04:24:01 PM Pacific Daylight Time	08/18/2009 12:53:02 PM Pacific Daylight Time	08/18/2009 08:11:14 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	012	0	2010	Topeka Metro Area		2	304	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	013	0	1	04	01	H5509_013_0	9	08/18/2009	2010.02	08/18/2009 04:24:15 PM Pacific Daylight Time	08/18/2009 12:54:15 PM Pacific Daylight Time	08/18/2009 08:12:23 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	013	0	2010	Kansas City Metro Area		2	598	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	014	0	1	04	01	H5509_014_0	11	08/18/2009	2010.02	08/18/2009 04:24:30 PM Pacific Daylight Time	08/18/2009 12:55:29 PM Pacific Daylight Time	08/18/2009 08:14:40 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	014	0	2010	Manhattan		2	64	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	015	0	1	04	01	H5509_015_0	8	08/18/2009	2010.02	08/18/2009 04:24:59 PM Pacific Daylight Time	08/18/2009 12:56:26 PM Pacific Daylight Time	08/18/2009 08:16:23 AM Pacific Daylight Time		08/19/2009 02:00:19 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	015	0	2010	Branson		2	216	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	801	0	1	04	01	H5509_801_0	5	08/10/2009	2010.02	08/10/2009 01:33:37 PM Pacific Daylight Time	07/16/2009 01:11:05 PM Pacific Daylight Time			08/10/2009 01:44:02 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	801	0	2010	Coventry Health and Life Insurance Company		1	764	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5509	802	0	1	04	01	H5509_802_0	5	07/31/2009	2010.02	07/31/2009 04:10:53 PM Pacific Daylight Time	07/16/2009 01:19:21 PM Pacific Daylight Time			07/31/2009 04:12:03 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	802	0	2010	Coventry Health and Life Insurance Company		1	162	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912										(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010										1		
H5509	803	0	1	04	01	H5509_803_0	5	07/31/2009	2010.02	07/31/2009 04:11:07 PM Pacific Daylight Time	07/16/2009 01:23:53 PM Pacific Daylight Time			07/31/2009 04:12:03 PM Pacific Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health And Life Ins. Company	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	803	0	2010	Coventry Health and Life Insurance Company		1	20	2				2							www.kc.chcadvantra.com	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-989-2912		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-989-2912		(866)-347-2459		(866)-347-2459		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H5516	001	0	1	04	01	H5516_001_0	3	07/17/2009	2010.02	07/17/2009 11:04:12 AM Central Daylight Time	08/14/2009 09:01:03 AM Central Daylight Time	08/13/2009 05:55:43 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5516	001	0	2010	Select Counties in North Carolina		2		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5516	801	0	1	04	01	H5516_801_0	2	07/15/2009	2010.02	07/15/2009 03:52:05 PM Central Daylight Time	07/20/2009 05:42:48 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5516	801	0	2010	Burlington, Durham, Winston, Greensboro, Charlotte		1		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5516	802	0	1	04	01	H5516_802_0	3	07/15/2009	2010.02	07/15/2009 03:52:18 PM Central Daylight Time	07/20/2009 05:43:10 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5516	802	0	2010	Burlington, Durham, Winston, Greensboro, Charlotte		1		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H5516	803	0	1	04	01	H5516_803_0	2	07/15/2009	2010.02	07/15/2009 03:52:32 PM Central Daylight Time	07/20/2009 05:43:28 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5516	803	0	2010	Burlington, Durham, Winston, Greensboro, Charlotte		1		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5520	001	0	1	04	01	H5520_001_0	6	08/27/2009	2010.02	08/27/2009 04:38:46 PM Pacific Daylight Time	07/18/2009 05:35:00 PM Pacific Daylight Time			08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Aqua (PPO)	01	04		1			H5520	001	0	2010	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1		
H5520	002	0	1	04	01	H5520_002_0	6	08/27/2009	2010.02	08/27/2009 04:33:18 PM Pacific Daylight Time	08/19/2009 03:33:00 PM Pacific Daylight Time	08/14/2009 06:35:00 PM Pacific Daylight Time		08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 1 (PPO)	01	04		1			H5520	002	0	2010	Portland, Salem, MidVly, OR and Clark WA		2	14000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5520	003	0	1	04	01	H5520_003_0	5	08/27/2009	2010.02	08/27/2009 04:39:38 PM Pacific Daylight Time	06/01/2009 09:42:00 AM Pacific Daylight Time			08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Aqua (PPO)	01	04		1			H5520	003	0	2010	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1		
H5520	004	0	1	04	01	H5520_004_0	6	08/27/2009	2010.02	08/27/2009 04:34:20 PM Pacific Daylight Time	08/19/2009 03:36:00 PM Pacific Daylight Time	08/14/2009 06:35:00 PM Pacific Daylight Time		08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 1 (PPO)	01	04		1			H5520	004	0	2010	Douglas, Jackson and Josephine Counties, OR		2	14000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5520	005	0	1	04	01	H5520_005_0	8	08/27/2009	2010.02	08/27/2009 04:40:46 PM Pacific Daylight Time	08/19/2009 03:34:00 PM Pacific Daylight Time	08/14/2009 06:35:00 PM Pacific Daylight Time		08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 2 (PPO)	01	04		1			H5520	005	0	2010	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5520	006	0	1	04	01	H5520_006_0	7	08/20/2009	2010.02	08/20/2009 10:27:13 AM Pacific Daylight Time	08/19/2009 03:37:00 PM Pacific Daylight Time	08/14/2009 06:36:00 PM Pacific Daylight Time		08/20/2009 03:23:42 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 2 (PPO)	01	04		1			H5520	006	0	2010	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5520	009	0	1	04	01	H5520_009_0	5	08/27/2009	2010.02	08/27/2009 04:35:12 PM Pacific Daylight Time	08/19/2009 03:35:00 PM Pacific Daylight Time	08/14/2009 06:36:00 PM Pacific Daylight Time		08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Healthy Heart - North (PPO)	01	04		1			H5520	009	0	2010	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5520	010	0	1	04	01	H5520_010_0	7	08/27/2009	2010.02	08/27/2009 04:35:54 PM Pacific Daylight Time	08/19/2009 03:38:00 PM Pacific Daylight Time	08/14/2009 06:36:00 PM Pacific Daylight Time		08/27/2009 05:22:34 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Healthy Heart - South (PPO)	01	04		1			H5520	010	0	2010	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
H5521	011	0	1	04	01	H5521_011_0	5	08/19/2009	2010.02	08/19/2009 02:29:08 PM Eastern Daylight Time	08/18/2009 12:47:26 PM Eastern Daylight Time	08/24/2009 06:17:11 PM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	011	0	2010	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	012	0	1	04	01	H5521_012_0	5	08/20/2009	2010.02	08/20/2009 02:28:23 PM Eastern Daylight Time	08/18/2009 12:57:31 PM Eastern Daylight Time	08/17/2009 02:58:40 PM Eastern Daylight Time		08/20/2009 06:37:39 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	012	0	2010	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	013	0	1	04	01	H5521_013_0	5	07/24/2009	2010.02	07/24/2009 01:44:35 PM Eastern Daylight Time	08/17/2009 10:28:59 AM Eastern Daylight Time	08/17/2009 03:06:18 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	013	0	2010	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	014	0	1	04	01	H5521_014_0	6	07/24/2009	2010.02	07/24/2009 01:44:44 PM Eastern Daylight Time	08/17/2009 10:29:26 AM Eastern Daylight Time	08/17/2009 03:06:46 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	014	0	2010	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	015	0	1	04	01	H5521_015_0	6	09/25/2009	2010.02	09/25/2009 04:13:39 PM Eastern Daylight Time	08/18/2009 04:44:42 PM Eastern Daylight Time	08/17/2009 03:07:12 PM Eastern Daylight Time		09/25/2009 04:25:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	015	0	2010	District of Columbia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	016	0	1	04	01	H5521_016_0	5	07/23/2009	2010.02	07/23/2009 12:29:01 PM Eastern Daylight Time	08/17/2009 10:06:22 AM Eastern Daylight Time	08/17/2009 03:07:40 PM Eastern Daylight Time		08/20/2009 02:49:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	016	0	2010	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	017	0	1	04	01	H5521_017_0	4	07/23/2009	2010.02	07/23/2009 12:29:06 PM Eastern Daylight Time	08/17/2009 10:06:50 AM Eastern Daylight Time	08/17/2009 03:08:12 PM Eastern Daylight Time		08/20/2009 02:49:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	017	0	2010	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	018	0	1	04	01	H5521_018_0	4	07/24/2009	2010.02	07/24/2009 01:44:54 PM Eastern Daylight Time	08/20/2009 08:25:12 AM Eastern Daylight Time	08/17/2009 03:08:42 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	018	0	2010	Cumberland and York Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	020	0	1	04	01	H5521_020_0	5	07/23/2009	2010.02	07/23/2009 12:29:20 PM Eastern Daylight Time	08/17/2009 10:15:43 AM Eastern Daylight Time	08/17/2009 03:09:10 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	020	0	2010	Delaware, Franklin, Hamilton and Lucas Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	021	0	1	04	01	H5521_021_0	5	07/23/2009	2010.02	07/23/2009 12:29:26 PM Eastern Daylight Time	08/17/2009 10:16:08 AM Eastern Daylight Time	08/17/2009 03:09:38 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	021	0	2010	Cuyahoga and Summit Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	022	0	1	04	01	H5521_022_0	3	08/20/2009	2010.02	08/20/2009 01:11:33 PM Eastern Daylight Time	08/18/2009 07:00:42 PM Eastern Daylight Time	08/17/2009 03:10:14 PM Eastern Daylight Time		08/20/2009 01:50:08 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (PPO)	01	04		1			H5521	022	0	2010	Clark County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	026	0	1	04	01	H5521_026_0	5	08/20/2009	2010.02	08/20/2009 02:27:46 PM Eastern Daylight Time	08/18/2009 05:01:23 PM Eastern Daylight Time	08/17/2009 03:10:40 PM Eastern Daylight Time		08/20/2009 06:37:39 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	026	0	2010	Fairfax County and Surrounding Area		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	027	0	1	04	01	H5521_027_0	8	09/25/2009	2010.02	09/25/2009 04:13:51 PM Eastern Daylight Time	08/18/2009 05:04:07 PM Eastern Daylight Time	08/17/2009 03:11:10 PM Eastern Daylight Time		09/25/2009 04:25:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	027	0	2010	Virginia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	028	0	1	04	01	H5521_028_0	4	07/23/2009	2010.02	07/23/2009 12:29:53 PM Eastern Daylight Time	08/17/2009 10:02:26 AM Eastern Daylight Time	08/17/2009 03:11:38 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	028	0	2010	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	029	0	1	04	01	H5521_029_0	6	07/23/2009	2010.02	07/23/2009 12:30:01 PM Eastern Daylight Time	08/18/2009 10:51:32 AM Eastern Daylight Time	08/17/2009 03:12:06 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	029	0	2010	Tampa		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	030	0	1	04	01	H5521_030_0	6	08/05/2009	2010.02	08/05/2009 04:38:18 PM Eastern Daylight Time	08/18/2009 11:02:49 AM Eastern Daylight Time	08/17/2009 03:12:34 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	030	0	2010	Broward, Miami-Dade and Palm Beach Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	031	0	1	04	01	H5521_031_0	5	07/23/2009	2010.02	07/23/2009 12:30:14 PM Eastern Daylight Time	08/18/2009 11:07:43 AM Eastern Daylight Time	08/17/2009 03:13:02 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	031	0	2010	Broward, Miami-Dade and Palm Beach Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	032	0	1	04	01	H5521_032_0	5	07/23/2009	2010.02	07/23/2009 12:30:21 PM Eastern Daylight Time	08/18/2009 12:15:35 PM Eastern Daylight Time	08/17/2009 03:13:26 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	032	0	2010	Tampa		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	033	0	1	04	01	H5521_033_0	6	07/23/2009	2010.02	07/23/2009 12:30:29 PM Eastern Daylight Time	08/18/2009 12:19:11 PM Eastern Daylight Time	08/17/2009 03:13:52 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	033	0	2010	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	034	0	1	04	01	H5521_034_0	5	07/23/2009	2010.02	07/23/2009 12:30:35 PM Eastern Daylight Time	08/18/2009 12:23:46 PM Eastern Daylight Time	08/17/2009 03:14:18 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	034	0	2010	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	035	0	1	04	01	H5521_035_0	7	08/20/2009	2010.02	08/20/2009 02:27:15 PM Eastern Daylight Time	08/18/2009 05:20:33 PM Eastern Daylight Time	08/17/2009 03:14:46 PM Eastern Daylight Time		08/20/2009 06:37:39 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	035	0	2010	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	036	0	1	04	01	H5521_036_0	6	09/25/2009	2010.02	09/25/2009 04:14:01 PM Eastern Daylight Time	08/18/2009 05:21:53 PM Eastern Daylight Time	08/17/2009 03:15:10 PM Eastern Daylight Time		09/25/2009 04:25:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	036	0	2010	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	037	0	1	04	01	H5521_037_0	5	07/23/2009	2010.02	07/23/2009 12:30:55 PM Eastern Daylight Time	08/17/2009 10:48:09 AM Eastern Daylight Time	08/17/2009 03:15:36 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	037	0	2010	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	038	0	1	04	01	H5521_038_0	6	07/23/2009	2010.02	07/23/2009 12:31:01 PM Eastern Daylight Time	08/17/2009 10:48:39 AM Eastern Daylight Time	08/17/2009 03:16:02 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	038	0	2010	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	039	0	1	04	01	H5521_039_0	6	07/24/2009	2010.02	07/24/2009 01:45:15 PM Eastern Daylight Time	08/18/2009 01:48:50 PM Eastern Daylight Time	08/17/2009 03:16:30 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	039	0	2010	Upstate New York		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	040	0	1	04	01	H5521_040_0	6	07/23/2009	2010.02	07/23/2009 12:31:14 PM Eastern Daylight Time	08/18/2009 01:42:27 PM Eastern Daylight Time	08/17/2009 03:16:54 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	040	0	2010	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	041	0	1	04	01	H5521_041_0	6	07/23/2009	2010.02	07/23/2009 12:31:22 PM Eastern Daylight Time	08/18/2009 01:38:46 PM Eastern Daylight Time	08/17/2009 03:17:24 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	041	0	2010	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	043	0	1	04	01	H5521_043_0	4	07/23/2009	2010.02	07/23/2009 12:31:28 PM Eastern Daylight Time	08/20/2009 08:11:06 AM Eastern Daylight Time	08/17/2009 03:17:50 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	043	0	2010	Long Island		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	044	0	1	04	01	H5521_044_0	6	07/23/2009	2010.02	07/23/2009 12:31:35 PM Eastern Daylight Time	08/18/2009 02:01:12 PM Eastern Daylight Time	08/17/2009 03:23:12 PM Eastern Daylight Time		08/20/2009 04:40:34 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	044	0	2010	Long Island		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	045	0	1	04	01	H5521_045_0	4	07/23/2009	2010.02	07/23/2009 12:31:41 PM Eastern Daylight Time	08/17/2009 10:03:03 AM Eastern Daylight Time	08/17/2009 03:23:36 PM Eastern Daylight Time		08/20/2009 05:30:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	045	0	2010	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	801	0	1	04	01	H5521_801_0	2	07/24/2009	2010.02	07/24/2009 01:46:41 PM Eastern Daylight Time	06/01/2009 11:45:56 AM Eastern Daylight Time			07/24/2009 02:00:36 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H5521	801	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5521	802	0	1	04	01	H5521_802_0	2	07/24/2009	2010.02	07/24/2009 01:46:30 PM Eastern Daylight Time	06/01/2009 11:50:02 AM Eastern Daylight Time			07/24/2009 02:00:36 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H5521	802	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	804	0	1	04	01	H5521_804_0	2	07/24/2009	2010.02	07/24/2009 01:46:16 PM Eastern Daylight Time	06/01/2009 10:34:08 AM Eastern Daylight Time			07/24/2009 02:00:36 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/ Rx NCY (PPO)	01	04		1			H5521	804	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	805	0	2	04	01	H5521_805_0	2	07/09/2009	2010.02	07/09/2009 12:05:02 PM Eastern Daylight Time	06/01/2009 10:40:03 AM Eastern Daylight Time			07/09/2009 12:06:02 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H5521	805	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5521	806	0	2	04	01	H5521_806_0	2	07/24/2009	2010.02	07/24/2009 01:45:58 PM Eastern Daylight Time	06/01/2009 10:54:01 AM Eastern Daylight Time			07/24/2009 02:00:36 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H5521	806	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5521	807	0	2	04	01	H5521_807_0	2	07/24/2009	2010.02	07/24/2009 01:45:40 PM Eastern Daylight Time	06/01/2009 11:15:45 AM Eastern Daylight Time			07/24/2009 02:00:36 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx NCY (PPO)	01	04		2	2		H5521	807	0	2010	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5522	001	0	1	04	01	H5522_001_0	7	08/25/2009	2010.02	08/25/2009 03:32:09 PM Eastern Daylight Time	08/17/2009 03:55:23 PM Eastern Daylight Time	08/18/2009 11:17:28 AM Eastern Daylight Time		08/25/2009 03:36:43 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	001	0	2010	Allegheny County		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	002	0	1	04	01	H5522_002_0	7	08/25/2009	2010.02	08/25/2009 03:32:23 PM Eastern Daylight Time	08/17/2009 03:57:52 PM Eastern Daylight Time	08/18/2009 11:18:38 AM Eastern Daylight Time		08/25/2009 03:36:43 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	002	0	2010	Central Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(866)-218-9822		(866)-218-9822		(866)-291-5221		(866)-291-5221		(866)-218-9822		(866)-218-9822		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	003	0	1	04	01	H5522_003_0	8	08/25/2009	2010.02	08/25/2009 03:31:02 PM Eastern Daylight Time	08/17/2009 04:00:33 PM Eastern Daylight Time	08/18/2009 11:19:48 AM Eastern Daylight Time		08/25/2009 03:36:43 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	003	0	2010	Western Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	004	0	1	04	01	H5522_004_0	6	08/19/2009	2010.02	08/19/2009 03:36:55 PM Eastern Daylight Time	08/17/2009 04:03:07 PM Eastern Daylight Time	08/18/2009 11:21:10 AM Eastern Daylight Time		08/20/2009 01:06:32 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H5522	004	0	2010	Central Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(866)-218-9822		(866)-218-9822		(866)-291-5221		(866)-291-5221		(866)-218-9822		(866)-218-9822		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	005	0	1	04	01	H5522_005_0	6	08/19/2009	2010.02	08/19/2009 03:36:36 PM Eastern Daylight Time	08/18/2009 10:54:56 AM Eastern Daylight Time	08/18/2009 11:22:19 AM Eastern Daylight Time		08/20/2009 03:25:31 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H5522	005	0	2010	Western Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	007	0	1	04	01	H5522_007_0	6	08/20/2009	2010.02	08/20/2009 02:56:38 PM Eastern Daylight Time	08/19/2009 04:03:54 PM Eastern Daylight Time	08/18/2009 11:23:24 AM Eastern Daylight Time		08/20/2009 03:25:31 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H5522	007	0	2010	Allegheny County		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	008	0	1	04	01	H5522_008_0	6	08/20/2009	2010.02	08/20/2009 02:56:15 PM Eastern Daylight Time	08/19/2009 04:06:27 PM Eastern Daylight Time	08/18/2009 11:24:28 AM Eastern Daylight Time		08/20/2009 03:25:31 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H5522	008	0	2010	Central Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(866)-218-9822		(866)-218-9822		(866)-291-5221		(866)-291-5221		(866)-218-9822		(866)-218-9822		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	009	0	1	04	01	H5522_009_0	6	08/20/2009	2010.02	08/20/2009 02:55:50 PM Eastern Daylight Time	08/19/2009 04:09:05 PM Eastern Daylight Time	08/18/2009 11:25:46 AM Eastern Daylight Time		08/20/2009 03:25:31 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H5522	009	0	2010	Western Pennsylvania		2		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	802	0	1	04	01	H5522_802_0	4	08/05/2009	2010.02	08/05/2009 11:33:47 AM Eastern Daylight Time	06/01/2009 06:15:23 AM Eastern Daylight Time			08/05/2009 11:36:04 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra MA Only (PPO)	01	04		1			H5522	802	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262										1		
H5522	803	0	1	04	01	H5522_803_0	4	08/05/2009	2010.02	08/05/2009 11:34:41 AM Eastern Daylight Time	06/01/2009 06:30:45 AM Eastern Daylight Time			08/05/2009 11:36:04 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	803	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5522	805	0	1	04	01	H5522_805_0	4	08/05/2009	2010.02	08/05/2009 11:35:15 AM Eastern Daylight Time	06/01/2009 07:39:49 AM Eastern Daylight Time			08/05/2009 11:36:04 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	805	0	2010	Pennsylvania		1		2				2						www.chcadvantra.com	http://www.pa.chcadvantra.com/templates/editorial.asp?itemID=13409	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H5525	004	0	1	04	01	H5525_004_0	7	08/19/2009	2010.01	08/19/2009 12:57:38 PM Eastern Daylight Time	08/18/2009 03:38:18 PM Eastern Daylight Time	08/19/2009 11:07:49 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	HumanaChoice H5525-004 (PPO)	01	04		1			H5525	004	0	2010	North and Central Illinois Metro Areas		2	13162	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5525	801	0	1	04	01	H5525_801_0	3	07/10/2009	2010.02	07/20/2009 02:18:24 PM Eastern Daylight Time	07/22/2009 08:27:28 AM Eastern Daylight Time			07/23/2009 02:52:52 PM Eastern Daylight Time	OSF HEALTHPLANS, INC.	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5525	801	0	2010	North and Central-West Illinois		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5525	802	0	1	04	01	H5525_802_0	3	07/10/2009	2010.02	07/20/2009 02:18:47 PM Eastern Daylight Time	07/23/2009 02:42:12 PM Eastern Daylight Time			07/23/2009 02:52:52 PM Eastern Daylight Time	OSF HEALTHPLANS, INC.	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5525	802	0	2010	North and Central-West Illinois		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5525	805	0	1	04	01	H5525_805_0	3	07/10/2009	2010.02	07/20/2009 02:19:07 PM Eastern Daylight Time	07/22/2009 08:25:48 AM Eastern Daylight Time			07/23/2009 02:52:52 PM Eastern Daylight Time	OSF HEALTHPLANS, INC.	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5525	805	0	2010	North and Central-West Illinois		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5526	001	0	1	04	01	H5526_001_0	5	07/20/2009	2010.02	07/20/2009 12:26:24 PM Eastern Daylight Time	08/10/2009 05:45:48 PM Eastern Daylight Time			08/11/2009 04:55:15 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bsneny.com	BlueShield Forever Blue Medicare PPO 701 (PPO)	01	04		1			H5526	001	0	2010	Northeastern New York		2	400	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										1		
H5526	002	0	1	04	01	H5526_002_0	6	07/28/2009	2010.02	07/28/2009 01:03:30 PM Eastern Daylight Time	08/10/2009 05:47:44 PM Eastern Daylight Time			08/11/2009 04:55:15 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 701 (PPO)	01	04		1			H5526	002	0	2010	Western New York		2	2000	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1		
H5526	003	0	1	04	01	H5526_003_0	9	08/14/2009	2010.02	08/14/2009 05:58:13 PM Eastern Daylight Time	08/24/2009 04:36:52 PM Eastern Daylight Time	08/24/2009 03:56:11 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bsneny.com	BlueShield Forever Blue Medicare PPO 751 (PPO)	01	04		1			H5526	003	0	2010	Northeastern New York		2	1000	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1		
H5526	004	0	1	04	01	H5526_004_0	9	08/14/2009	2010.02	08/14/2009 05:58:23 PM Eastern Daylight Time	08/24/2009 04:38:10 PM Eastern Daylight Time	08/24/2009 03:57:00 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 751 (PPO)	01	04		1			H5526	004	0	2010	Western New York		2	1000	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H5526	007	0	1	04	01	H5526_007_0	8	08/14/2009	2010.02	08/14/2009 05:58:31 PM Eastern Daylight Time	08/24/2009 04:38:58 PM Eastern Daylight Time	08/24/2009 03:56:24 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bsneny.com	BlueShield Forever Blue Medicare PPO 752 (PPO)	01	04		1			H5526	007	0	2010	Northeastern New York		2	800	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1		
H5526	008	0	1	04	01	H5526_008_0	12	08/14/2009	2010.02	08/14/2009 05:58:40 PM Eastern Daylight Time	08/24/2009 04:40:02 PM Eastern Daylight Time	08/24/2009 03:57:13 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 752 (PPO)	01	04		1			H5526	008	0	2010	Western New York		2	2300	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H5526	010	0	1	04	01	H5526_010_0	10	08/14/2009	2010.02	08/14/2009 05:58:50 PM Eastern Daylight Time	08/24/2009 04:41:04 PM Eastern Daylight Time	08/24/2009 03:57:24 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 755 (PPO)	01	04		1			H5526	010	0	2010	Western New York		2	2200	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H5526	011	0	1	04	01	H5526_011_0	10	08/20/2009	2010.02	08/20/2009 09:53:19 AM Eastern Daylight Time	08/24/2009 04:41:56 PM Eastern Daylight Time	08/24/2009 03:56:36 PM Eastern Daylight Time		08/25/2009 03:04:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bsneny.com	BlueShield Forever Blue Medicare PPO 755 (PPO)	01	04		1			H5526	011	0	2010	Northeastern New York		2	275	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(800)-329-2792		(800)-329-2792		(800)-700-8482		(800)-700-8482		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1		
H5526	806	0	1	04	01	H5526_806_0	8	07/23/2009	2010.02	07/23/2009 10:16:48 AM Eastern Daylight Time	08/11/2009 03:08:22 PM Eastern Daylight Time			08/11/2009 04:55:15 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA Only) CY (PPO)	01	04		1			H5526	806	0	2010	Western and Northeastern New York		1	3225	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1		
H5526	808	0	1	04	01	H5526_808_0	7	07/23/2009	2010.02	07/23/2009 10:17:22 AM Eastern Daylight Time	08/11/2009 03:11:43 PM Eastern Daylight Time			08/11/2009 04:55:15 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA-PD) CY (PPO)	01	04		1			H5526	808	0	2010	Western and Northeastern New York		1	3225	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H5526	810	0	1	04	01	H5526_810_0	7	07/17/2009	2010.02	07/17/2009 03:58:04 PM Eastern Daylight Time	08/11/2009 03:09:49 PM Eastern Daylight Time			08/11/2009 04:55:15 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA-PD) NCY (PPO)	01	04		1			H5526	810	0	2010	Western and Northeastern New York		1	3225	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1		
H5528	001	0	1	04	01	H5528_001_0	4	10/07/2009	2010.02	10/07/2009 01:12:11 PM Eastern Daylight Time	07/22/2009 12:48:34 PM Eastern Daylight Time			10/07/2009 04:26:47 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO I (PPO)	01	04		1			H5528	001	0	2010	Counties of New York City		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640										1		
H5528	002	0	1	04	01	H5528_002_0	4	08/18/2009	2010.02	08/18/2009 02:58:00 PM Eastern Daylight Time	08/18/2009 04:04:47 PM Eastern Daylight Time	08/18/2009 04:05:18 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO II (PPO)	01	04		1			H5528	002	0	2010	Counties of New York City		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	003	0	1	04	01	H5528_003_0	4	08/17/2009	2010.02	08/17/2009 04:05:56 PM Eastern Daylight Time	08/18/2009 04:05:45 PM Eastern Daylight Time	08/18/2009 04:06:36 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO III (PPO)	01	04		1			H5528	003	0	2010	Counties of New York City		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	004	0	1	04	01	H5528_004_0	2	07/22/2009	2010.02	07/22/2009 09:17:19 AM Eastern Daylight Time	07/22/2009 12:53:34 PM Eastern Daylight Time			07/22/2009 02:26:32 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO I (PPO)	01	04		1			H5528	004	0	2010	Hudson Valley and Long Island Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640										1		
H5528	005	0	1	04	01	H5528_005_0	5	07/22/2009	2010.02	07/22/2009 09:17:55 AM Eastern Daylight Time	08/18/2009 04:08:00 PM Eastern Daylight Time	08/18/2009 04:08:37 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO II (PPO)	01	04		1			H5528	005	0	2010	Hudson Valley and Long Island Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	008	0	1	04	01	H5528_008_0	5	08/17/2009	2010.02	08/17/2009 04:15:31 PM Eastern Daylight Time	08/18/2009 04:07:44 PM Eastern Daylight Time	08/18/2009 04:07:30 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO III (PPO)	01	04		1			H5528	008	0	2010	Hudson Valley and Long Island Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	009	0	1	04	01	H5528_009_0	2	07/22/2009	2010.02	07/22/2009 09:24:07 AM Eastern Daylight Time	07/22/2009 12:57:00 PM Eastern Daylight Time			07/22/2009 02:26:32 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO I (PPO)	01	04		1			H5528	009	0	2010	Putnam and Suffolk Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640										1		
H5528	010	0	1	04	01	H5528_010_0	7	07/22/2009	2010.02	07/22/2009 10:17:57 AM Eastern Daylight Time	08/18/2009 04:08:56 PM Eastern Daylight Time	08/18/2009 04:09:14 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO II (PPO)	01	04		1			H5528	010	0	2010	Putnam and Suffolk Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	011	0	1	04	01	H5528_011_0	4	08/18/2009	2010.02	08/18/2009 03:01:09 PM Eastern Daylight Time	08/18/2009 04:09:46 PM Eastern Daylight Time	08/18/2009 04:10:09 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO III (PPO)	01	04		1			H5528	011	0	2010	Putnam and Suffolk Counties		2		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	013	0	1	04	01	H5528_013_0	3	08/17/2009	2010.02	08/17/2009 04:21:41 PM Eastern Daylight Time	08/18/2009 04:11:42 PM Eastern Daylight Time	08/18/2009 04:12:29 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO Value (PPO)	01	04		1			H5528	013	0	2010	Counties of New York City		2	750	2		2		1	3		1	3			www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	014	0	1	04	01	H5528_014_0	3	08/17/2009	2010.02	08/17/2009 04:22:06 PM Eastern Daylight Time	08/18/2009 04:11:30 PM Eastern Daylight Time	08/18/2009 04:12:17 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO Value (PPO)	01	04		1			H5528	014	0	2010	Westchester and Rockland Counties		2	750	2		2		1	3		1	3			www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	018	0	1	04	01	H5528_018_0	4	08/17/2009	2010.02	08/17/2009 04:22:31 PM Eastern Daylight Time	08/18/2009 04:12:07 PM Eastern Daylight Time	08/18/2009 04:11:55 PM Eastern Daylight Time		08/18/2009 04:43:54 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Medicare PPO Any Dual (PPO)	01	04		1			H5528	018	0	2010	Counties of NYC, Westchester, Rockland		2	750	2		2		1	3		1	4			www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5528	804	0	1	04	01	H5528_804_0	5	07/22/2009	2010.02	07/22/2009 09:32:51 AM Eastern Daylight Time	07/22/2009 01:02:54 PM Eastern Daylight Time			07/22/2009 02:26:32 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Group Access (PPO)	01	04		1			H5528	804	0	2010	United States		1		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640										1		
H5528	807	0	1	04	01	H5528_807_0	6	07/22/2009	2010.02	07/22/2009 09:03:13 AM Eastern Daylight Time	07/22/2009 01:03:19 PM Eastern Daylight Time			07/22/2009 02:26:32 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	GHI Medicare PPO	www.ghi.com	GHI Group Access Rx (PPO)	01	04		1			H5528	807	0	2010	United States		1		2				2							www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		(866)-248-0640		1		
H5529	001	0	1	04	01	H5529_001_0	12	08/26/2009	2010.02	08/26/2009 04:30:00 PM Eastern Daylight Time	08/19/2009 11:05:32 AM Eastern Daylight Time	08/17/2009 03:14:17 PM Eastern Daylight Time		08/26/2009 05:12:36 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H5529	001	0	2010	Ohio - Select Counties		2	8487	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5529	004	0	1	04	01	H5529_004_0	9	08/04/2009	2010.02	08/20/2009 02:14:59 PM Eastern Daylight Time	08/19/2009 11:09:49 AM Eastern Daylight Time	08/17/2009 04:32:41 PM Eastern Daylight Time		08/20/2009 11:04:57 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H5529	004	0	2010	OH-Select Counties		2	500	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5529	804	0	1	04	01	H5529_804_0	7	08/05/2009	2010.02	08/05/2009 03:20:02 PM Pacific Daylight Time	07/24/2009 10:29:44 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5529	804	0	2010	Ohio-select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5529	805	0	1	04	01	H5529_805_0	6	08/05/2009	2010.02	08/05/2009 03:20:31 PM Pacific Daylight Time	07/24/2009 10:30:37 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5529	805	0	2010	Ohio - select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H5529	806	0	1	04	01	H5529_806_0	6	08/05/2009	2010.02	08/05/2009 03:27:03 PM Pacific Daylight Time	07/24/2009 10:32:04 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5529	806	0	2010	Ohio - select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5530	001	0	1	04	01	H5530_001_0	10	08/27/2009	2010.02	08/27/2009 11:02:43 AM Eastern Daylight Time	08/26/2009 11:43:31 PM Eastern Daylight Time	08/17/2009 04:34:12 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H5530	001	0	2010	Kentucky - Select Counties		2	2715	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5530	004	0	1	04	01	H5530_004_0	9	08/27/2009	2010.02	08/27/2009 11:02:50 AM Eastern Daylight Time	08/26/2009 11:49:58 PM Eastern Daylight Time	08/17/2009 04:36:06 PM Eastern Daylight Time		08/27/2009 11:18:42 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H5530	004	0	2010	Kentucky - Select Counties		2	500	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5530	804	0	1	04	01	H5530_804_0	6	08/05/2009	2010.02	08/05/2009 03:27:43 PM Pacific Daylight Time	07/24/2009 10:33:07 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	804	0	2010	KY - select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5530	805	0	1	04	01	H5530_805_0	5	08/05/2009	2010.02	08/05/2009 03:29:15 PM Pacific Daylight Time	07/24/2009 10:34:05 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	805	0	2010	KY - Select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
H5530	806	0	1	04	01	H5530_806_0	5	08/05/2009	2010.02	08/05/2009 03:30:45 PM Pacific Daylight Time	07/24/2009 10:35:12 PM Pacific Daylight Time			08/05/2009 03:37:02 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	806	0	2010	KY - select counties		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
H5532	001	0	1	04	01	H5532_001_0	3	07/17/2009	2010.02	07/17/2009 11:05:43 AM Central Daylight Time	08/17/2009 02:29:58 PM Central Daylight Time	08/13/2009 05:55:47 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5532	001	0	2010	Charlotte,Hernando,Hillsborough,Lee,Pasco,Pinellas		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5532	801	0	1	04	01	H5532_801_0	2	07/15/2009	2010.02	07/15/2009 03:52:54 PM Central Daylight Time	07/20/2009 02:18:47 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5532	801	0	2010	Select counties in FL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5532	802	0	1	04	01	H5532_802_0	2	07/15/2009	2010.02	07/15/2009 03:53:11 PM Central Daylight Time	07/20/2009 02:18:33 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5532	802	0	2010	Select counties in FL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H5532	803	0	1	04	01	H5532_803_0	2	07/15/2009	2010.02	07/15/2009 03:53:28 PM Central Daylight Time	07/20/2009 02:19:49 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H5532	803	0	2010	Select counties in FL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5533	002	0	1	04	01	H5533_002_0	10	07/23/2009	2010.02	07/29/2009 08:16:41 AM Eastern Daylight Time	07/29/2009 08:20:27 AM Eastern Daylight Time	07/28/2009 01:47:03 PM Eastern Daylight Time		07/29/2009 08:23:30 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO Rx Enhanced (PPO)	01	04		1			H5533	002	0	2010	Western Pennsylvania		2	1500	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H5533	003	0	1	04	01	H5533_003_0	7	08/20/2009	2010.02	08/20/2009 08:10:45 AM Eastern Daylight Time	08/20/2009 11:03:12 AM Eastern Daylight Time	08/20/2009 10:36:26 AM Eastern Daylight Time		08/20/2009 11:04:35 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx (PPO)	01	04		1			H5533	003	0	2010	Western Pennsylvania		2	500	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H5533	801	0	1	04	01	H5533_801_0	3	05/29/2009	2010.02	05/29/2009 12:03:34 PM Eastern Daylight Time	06/01/2009 08:35:28 AM Eastern Daylight Time			06/01/2009 08:45:16 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PPO)	01	04		1			H5533	801	0	2010	Western Pennsylvania		1	100	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H5533	802	0	1	04	01	H5533_802_0	3	05/27/2009	2010.02	05/27/2009 06:16:37 PM Eastern Daylight Time	06/01/2009 08:38:30 AM Eastern Daylight Time			06/01/2009 08:45:16 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H5533	802	0	2010	Western Pennsylvania		1	300	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H5533	803	0	1	04	01	H5533_803_0	3	05/28/2009	2010.02	05/28/2009 08:54:03 AM Eastern Daylight Time	06/01/2009 08:41:43 AM Eastern Daylight Time			06/01/2009 08:45:16 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H5533	803	0	2010	Western Pennsylvania		1	100	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H5549	001	0	1	01	01	H5549_001_0	3	06/17/2009	2010.02	06/17/2009 02:04:32 PM Eastern Daylight Time	06/15/2009 02:52:16 PM Eastern Daylight Time	06/01/2009 05:54:16 PM Eastern Daylight Time		06/17/2009 02:46:36 PM Eastern Daylight Time	VNS CHOICE	VNS CHOICE Medicare	www.vnschoice.org	VNS CHOICE Medicare Option 1 (HMO)	01	01		1			H5549	001	0	2010	Bronx, Kings, New York, Queens and Richmond County		2	1490	2		2		1	3		1	2			http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5549	002	0	1	01	01	H5549_002_0	3	06/17/2009	2010.02	06/17/2009 01:59:53 PM Eastern Daylight Time	06/15/2009 02:51:40 PM Eastern Daylight Time	06/01/2009 06:06:02 PM Eastern Daylight Time		06/17/2009 02:46:36 PM Eastern Daylight Time	VNS CHOICE	VNS CHOICE Medicare	www.vnschoice.org	VNS CHOICE Medicare Option 2 (HMO)	01	01		1			H5549	002	0	2010	Bronx, Kings, New York, Queens, Richmond Counties		2	2954	2		2		1	3		1	2			http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5549	003	0	1	01	01	H5549_003_0	2	05/29/2009	2010.02	05/29/2009 05:47:27 PM Eastern Daylight Time	07/27/2009 04:15:00 PM Eastern Daylight Time	07/27/2009 04:13:00 PM Eastern Daylight Time		07/28/2009 03:01:19 PM Eastern Daylight Time	VNS CHOICE	VNS CHOICE Medicare	www.vnschoice.org	VNS CHOICE Managed Long Term Care Plus (HMO)	01	01		1			H5549	003	0	2010	Bronx, Kings, New York, Queens, Richmond Counties		2	37	2		2		1	3		1	5			http://www.vnschoice.org/	(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5549	004	0	1	01	01	H5549_004_0	4	08/18/2009	2010.02	08/18/2009 01:09:46 PM Eastern Daylight Time	08/17/2009 04:13:38 PM Eastern Daylight Time	08/17/2009 04:05:52 PM Eastern Daylight Time		08/18/2009 02:35:25 PM Eastern Daylight Time	VNS CHOICE	VNS CHOICE Medicare	www.vnschoice.org	VNS CHOICE Medicare Option 5 (HMO)	01	01		1			H5549	004	0	2010	Bronx, Kings, New York, Queens, Richmond Counties		2	1188	2				2							http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5575	005	0	1	01	01	H5575_005_0	5	08/18/2009	2010.02	08/18/2009 09:44:40 PM Central Daylight Time	08/20/2009 09:39:49 PM Central Daylight Time	08/20/2009 09:39:39 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Comfort (HMO)	01	01		1			H5575	005	0	2010	North Carolina		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5575	006	0	1	01	01	H5575_006_0	6	08/18/2009	2010.02	08/18/2009 09:00:06 PM Central Daylight Time	08/20/2009 09:39:50 PM Central Daylight Time	08/20/2009 09:39:41 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO)	01	01		1			H5575	006	0	2010	North Carolina		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5575	007	0	1	01	01	H5575_007_0	6	08/18/2009	2010.02	08/18/2009 09:46:03 PM Central Daylight Time	08/20/2009 09:39:56 PM Central Daylight Time	08/20/2009 09:39:49 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Independence (HMO)	01	01		1			H5575	007	0	2010	North Carolina		2		2				1	1	2	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5576	005	0	1	02	01	H5576_005_0	7	05/30/2009	2010.02	05/30/2009 09:56:04 AM Central Daylight Time	08/18/2009 11:50:26 AM Central Daylight Time	08/25/2009 09:28:08 AM Central Daylight Time		09/22/2009 02:14:18 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA2 Vantage BASIC (HMO-POS)	01	02		1			H5576	005	0	2010	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	006	0	1	02	01	H5576_006_0	7	05/30/2009	2010.02	05/30/2009 10:02:54 AM Central Daylight Time	08/18/2009 11:51:46 AM Central Daylight Time	08/18/2009 11:36:02 AM Central Daylight Time		08/19/2009 09:09:30 AM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA3 Vantage PREMIUM (HMO-POS)	01	02		1			H5576	006	0	2010	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	007	0	1	02	01	H5576_007_0	5	05/30/2009	2010.02	05/30/2009 09:57:41 AM Central Daylight Time	08/18/2009 11:53:38 AM Central Daylight Time	08/25/2009 09:28:10 AM Central Daylight Time		09/22/2009 02:14:18 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA0 Vantage ZERO (HMO-POS)	01	02		1			H5576	007	0	2010	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	008	0	1	02	01	H5576_008_0	5	08/18/2009	2010.02	08/18/2009 01:30:49 PM Central Daylight Time	08/18/2009 06:32:58 PM Central Daylight Time	08/18/2009 11:34:50 AM Central Daylight Time		08/19/2009 09:09:30 AM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA4 Vantage TRADITIONAL PLUS (HMO-POS)	01	02		1			H5576	008	0	2010	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	009	0	1	02	01	H5576_009_0	6	05/30/2009	2010.02	05/30/2009 09:58:57 AM Central Daylight Time	08/24/2009 08:20:37 AM Central Daylight Time	08/24/2009 08:20:38 AM Central Daylight Time		08/24/2009 08:22:46 AM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA1 Vantage VALUE (HMO-POS)	01	02		1			H5576	009	0	2010	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	010	0	1	02	01	H5576_010_0	4	08/18/2009	2010.02	08/18/2009 01:31:41 PM Central Daylight Time	08/18/2009 06:39:18 PM Central Daylight Time	08/18/2009 11:32:48 AM Central Daylight Time		08/19/2009 09:09:30 AM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA5 Vantage DUAL SNP (HMO-POS)	01	02		1			H5576	010	0	2010	Ouachita Parish		2		2		2		1	3		1	5		www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	801	0	1	02	01	H5576_801_0	2	05/29/2009	2010.02	05/29/2009 10:51:11 AM Central Daylight Time	06/01/2009 11:48:21 AM Central Daylight Time			06/01/2009 12:14:28 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MAPD Employer Calendar (HMO-POS)	01	02		1			H5576	801	0	2010	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	802	0	1	02	01	H5576_802_0	2	05/29/2009	2010.02	05/29/2009 08:19:56 AM Central Daylight Time	06/01/2009 11:48:23 AM Central Daylight Time			06/01/2009 12:14:28 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MAPD Emp Non-Calendar (HMO-POS)	01	02		1			H5576	802	0	2010	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1		
H5576	803	0	1	02	01	H5576_803_0	2	05/29/2009	2010.02	05/29/2009 08:20:04 AM Central Daylight Time	06/01/2009 11:36:15 AM Central Daylight Time			06/01/2009 12:14:28 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MA Employer Calendar (HMO-POS)	01	02		1			H5576	803	0	2010	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1									(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131										1		
H5577	002	0	1	01	01	H5577_002_0	8	08/17/2009	2010.02	08/17/2009 12:49:57 PM Atlantic Standard Time	08/17/2009 01:52:50 PM Atlantic Standard Time	08/24/2009 04:41:40 PM Atlantic Standard Time		08/25/2009 05:47:33 PM Atlantic Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Especial (HMO)	01	01		1			H5577	002	0	2010	Puerto Rico		2	42000	2		1	1	1	3		1	3		www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
H5578	002	0	1	01	01	H5578_002_0	10	08/20/2009	2010.02	08/20/2009 09:17:14 AM Pacific Daylight Time	08/19/2009 11:26:06 AM Pacific Daylight Time	08/19/2009 11:08:34 AM Pacific Daylight Time		08/20/2009 03:25:24 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	002	0	2010	Savannah		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	006	0	1	01	01	H5578_006_0	11	08/20/2009	2010.02	08/20/2009 09:17:25 AM Pacific Daylight Time	08/19/2009 12:52:06 PM Pacific Daylight Time	08/19/2009 11:08:32 AM Pacific Daylight Time		08/20/2009 03:25:24 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	006	0	2010	Athens, Macon		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	007	0	1	01	01	H5578_007_0	10	08/27/2009	2010.02	08/27/2009 02:33:02 PM Pacific Daylight Time	08/19/2009 11:26:18 AM Pacific Daylight Time	08/19/2009 11:08:28 AM Pacific Daylight Time		08/27/2009 02:43:04 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO)	01	01		1			H5578	007	0	2010	Athens, Columbus, Macon		2		2		2		1	3		1	1			www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	009	0	1	01	01	H5578_009_0	6	08/20/2009	2010.02	08/20/2009 01:55:27 PM Pacific Daylight Time	08/20/2009 12:05:46 PM Pacific Daylight Time	08/20/2009 12:17:40 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	009	0	2010	Augusta		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	011	0	1	01	01	H5578_011_0	10	08/19/2009	2010.02	08/19/2009 11:57:23 PM Pacific Daylight Time	08/20/2009 12:05:20 PM Pacific Daylight Time	08/20/2009 12:17:34 PM Pacific Daylight Time		08/20/2009 04:12:14 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Enhanced (HMO)	01	01		1			H5578	011	0	2010	Georgia		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	012	0	1	01	01	H5578_012_0	6	08/20/2009	2010.02	08/20/2009 12:25:19 PM Pacific Daylight Time	08/20/2009 12:05:12 PM Pacific Daylight Time	08/20/2009 12:17:28 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	012	0	2010	Additional Georgia		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	013	0	1	01	01	H5578_013_0	6	08/20/2009	2010.02	08/20/2009 01:56:02 PM Pacific Daylight Time	08/20/2009 12:04:54 PM Pacific Daylight Time	08/20/2009 12:17:22 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	013	0	2010	Columbus		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5578	801	0	1	01	01	H5578_801_0	3	05/28/2009	2010.02	05/28/2009 11:15:07 PM Eastern Daylight Time	07/14/2009 12:16:46 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care EGWP (GA) (HMO)	01	01		1			H5578	801	0	2010	Georgia		1		2				2							www.southeastcommunitycare.com	(800)-573-8597		(478)-474-2678		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5580	001	0	1	01	01	H5580_001_0	6	07/10/2009	2010.02	07/10/2009 02:39:23 PM Central Daylight Time	06/18/2009 10:43:34 AM Central Daylight Time	08/03/2009 03:20:52 PM Central Daylight Time		08/03/2009 03:26:28 PM Central Daylight Time	SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION	Mercy Care Advantage	www.mercycareadvantage.com	Mercy Care Advantage (HMO)	01	01		1			H5580	001	0	2010	Maricopa, Pima and Santa Cruz Counties		2		2		2		1	3		1	3		http://www.mercycareadvantage.com	http://www.mercycareadvantage.com/AdvantageDrug.html	(800)-624-3879		(602)-263-3000		(866)-571-5781		(602)-414-7630		(800)-624-3879		(602)-263-3000		(866)-571-5781		(602)-414-7630		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		1		
H5587	001	0	1	01	01	H5587_001_0	11	02/25/2010	2010.02	02/25/2010 07:44:38 AM US Mountain Standard Time	08/26/2009 11:49:50 AM US Mountain Standard Time	08/19/2009 01:11:17 PM US Mountain Standard Time		02/25/2010 08:41:48 AM US Mountain Standard Time	HEALTH CHOICE ARIZONA, INC.	Health Choice Generations	www.hcgenerations.com	Health Choice Generations (HMO)	01	01		1			H5587	001	0	2010	Northern AZ, Maricopa,Pima, and Pinal Counties		2	3500	2		2		1	3		1	3		https://www.HCGenerations.com	http://www.hcgenerations.com/index.asp?page=formulary.aspf=partd	(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		1		
H5587	002	0	1	01	01	H5587_002_0	11	02/25/2010	2010.02	02/25/2010 07:46:10 AM US Mountain Standard Time	08/26/2009 11:49:50 AM US Mountain Standard Time	08/19/2009 01:14:02 PM US Mountain Standard Time		02/25/2010 08:41:48 AM US Mountain Standard Time	HEALTH CHOICE ARIZONA, INC.	Health Choice Generations	www.hcgenerations.com	Health Choice Generations (HMO)	01	01		1			H5587	002	0	2010	Counties: APA, CCN, NAV, MAR, MOH, YUM, PIM, SAN		2	500	2		2		1	3		1	4		https://www.HCGenerations.com	http://www.hcgenerations.com/index.asp?page=formulary.aspf=partd	(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		1		
H5590	001	0	1	01	01	H5590_001_0	7	07/29/2009	2010.02	07/29/2009 11:33:10 AM Pacific Daylight Time	08/17/2009 01:35:49 PM Pacific Daylight Time	08/17/2009 10:55:25 AM Pacific Daylight Time		08/19/2009 04:50:51 PM Pacific Daylight Time	BRIDGEWAY HEALTH SOLUTIONS	Advantage by Bridgeway Health Solutions	www.bridgewayhs.com	Bridgeway Health Solutions (HMO)	01	01		1			H5590	001	0	2010	Bridgeway Health Solutions		2	908	2		2		1	3		1	3		www.bridgewayhs.com	www.bridgewayhs.com	(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129				(877)-613-2076				(877)-613-2076				(877)-613-2076				(877)-613-2076		1		
H5590	002	0	1	01	01	H5590_002_0	7	07/29/2009	2010.02	07/29/2009 11:33:39 AM Pacific Daylight Time	08/17/2009 01:36:34 PM Pacific Daylight Time	08/17/2009 10:57:52 AM Pacific Daylight Time		08/19/2009 04:50:51 PM Pacific Daylight Time	BRIDGEWAY HEALTH SOLUTIONS	Advantage by Bridgeway Health Solutions	www.bridgewayhs.com	Bridgeway Health Solutions (HMO)	01	01		1			H5590	002	0	2010	Bridgway Health Solutions		2	1818	2		2		1	3		1	4		www.bridgewayhs.com	www.bridgewayhs.com	(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129				(877)-613-2076				(877)-613-2076				(877)-613-2076				(877)-613-2076		1		
H5591	001	0	1	02	01	H5591_001_0	3	08/20/2009	2010.02	08/20/2009 07:38:19 PM Eastern Daylight Time	08/20/2009 04:43:54 PM Eastern Daylight Time	08/14/2009 10:23:00 AM Eastern Daylight Time		08/20/2009 07:45:50 PM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org	Martin's Point Generations Advantage Prime (HMO-POS)	01	02		1			H5591	001	0	2010	Entire State of Maine except Washington County		2		2				2						www.martinspoint.org	www.martinspoint.org	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		1		
H5591	003	0	1	01	01	H5591_003_0	5	09/21/2009	2010.02	09/21/2009 04:12:18 PM Eastern Daylight Time	07/17/2009 09:12:53 AM Eastern Daylight Time			09/21/2009 04:22:09 PM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org	Martin's Point Generations Advantage Value (HMO)	01	01		1			H5591	003	0	2010	Entire State of Maine except Washington County		2		2				2						www.martinspoint.org	www.martinspoint.org	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423										(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502										1		
H5594	001	0	1	01	01	H5594_001_0	6	07/26/2009	2010.02	07/26/2009 05:11:47 PM Eastern Daylight Time	08/19/2009 02:02:30 PM Eastern Daylight Time	08/19/2009 02:02:56 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Gold Plan (HMO)	01	01		1			H5594	001	0	2010	Select Counties in Florida		2		2				2						www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	002	0	1	01	01	H5594_002_0	5	07/24/2009	2010.02	07/24/2009 03:58:19 PM Eastern Daylight Time	08/19/2009 02:02:44 PM Eastern Daylight Time	08/19/2009 02:03:16 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plan (HMO)	01	01		1			H5594	002	0	2010	Select Counties in Florida		2		2				2						www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	006	0	1	01	01	H5594_006_0	4	07/24/2009	2010.02	07/24/2009 02:41:37 PM Eastern Daylight Time	08/19/2009 02:16:42 PM Eastern Daylight Time	08/19/2009 02:16:34 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plan (HMO)	01	01		1			H5594	006	0	2010	Select Counties in Florida		2		2				2						www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	016	0	1	01	01	H5594_016_0	6	08/26/2009	2010.02	08/26/2009 02:31:35 PM Eastern Daylight Time	08/25/2009 04:50:38 PM Eastern Daylight Time	08/20/2009 02:27:00 PM Eastern Daylight Time		08/26/2009 02:34:07 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Emerald Partial (HMO)	01	01		1			H5594	016	0	2010	Select Counties in Florida		2		2		2		1	3		1	4		www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	017	0	1	01	01	H5594_017_0	5	08/25/2009	2010.02	08/25/2009 04:36:31 PM Eastern Daylight Time	08/25/2009 05:39:01 PM Eastern Daylight Time	08/20/2009 02:27:01 PM Eastern Daylight Time		08/25/2009 05:55:53 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Emerald Full (HMO)	01	01		1			H5594	017	0	2010	Select Counties in Florida		2		2		2		1	3		1	5		www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	018	0	1	01	01	H5594_018_0	5	06/01/2009	2010.02	06/01/2009 05:14:14 PM Eastern Daylight Time	08/25/2009 02:43:43 PM Eastern Daylight Time	08/19/2009 02:16:32 PM Eastern Daylight Time		08/25/2009 04:52:41 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Gold Plan (HMO)	01	01		1			H5594	018	0	2010	Select Counties in Florida		2		2				2						www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5594	019	0	1	01	01	H5594_019_0	4	06/01/2009	2010.02	06/01/2009 05:14:38 PM Eastern Daylight Time	08/19/2009 02:16:44 PM Eastern Daylight Time	08/19/2009 02:16:32 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plan (HMO)	01	01		1			H5594	019	0	2010	Select Counties in Florida		2		2				2						www.YourOptimumHealthCare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H5606	001	0	1	38	05	H5606_001_0	1	05/29/2009	2010.01	05/29/2009 01:39:18 PM Pacific Daylight Time				05/29/2009 03:27:57 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Fresenius Medical Health Plan, Inc. - Pennsylvania	www.FMCHP.com	FRESENIUS MEDICAL CARE HEALTH PLAN (PFFS)	05	38	3	1			H5606	001	0	2010	Pennsylvania		2		2				2								(888)-270-0762		(888)-270-0762		(866)-307-3625		(866)-307-3625										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										2		
H5608	001	0	1	01	01	H5608_001_0	4	08/17/2009	2010.02	08/17/2009 03:53:08 PM Mountain Daylight Time	08/18/2009 08:50:59 AM Mountain Daylight Time	08/18/2009 08:51:06 AM Mountain Daylight Time		08/18/2009 08:57:08 AM Mountain Daylight Time	DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	www.denverhealth.org	Denver Health Medicare Choice (HMO)	01	01		1			H5608	001	0	2010	Denver County		2	1250	2		2		1	3		1	2		http://DenverHealth.MedicarePlanRx.net	http://denverhealth.medicareplanrx.net	(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(866)-417-2174		(720)-956-2174		(866)-417-2174		(720)-956-2174		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		1		
H5608	002	0	1	01	01	H5608_002_0	5	08/17/2009	2010.02	08/17/2009 03:54:23 PM Mountain Daylight Time	08/18/2009 08:51:17 AM Mountain Daylight Time	08/18/2009 08:51:24 AM Mountain Daylight Time		08/18/2009 08:57:08 AM Mountain Daylight Time	DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	www.denverhealth.org	Denver Health Medicare Select (HMO)	01	01		1			H5608	002	0	2010	Denver County		2	1160	2				2						http://DenverHealth.MedicarePlanRx.net	http://denverhealth.medicareplanrx.net	(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(866)-417-2174		(720)-956-2174		(866)-417-2174		(720)-956-2174		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		1		
H5609	001	0	1	01	01	H5609_001_0	7	08/17/2009	2010.02	08/17/2009 04:14:12 PM Eastern Daylight Time	08/19/2009 09:53:41 AM Eastern Daylight Time	08/19/2009 09:53:39 AM Eastern Daylight Time		08/19/2009 09:56:59 AM Eastern Daylight Time	GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	GEMCare Medicare Plus (HMO)	01	01		1			H5609	001	0	2010	Kern County		2	5500	2				2						www.gemcarehealthplan.com	www.gemcarehealthplan.com	(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		1		
H5609	801	0	1	01	01	H5609_801_0	2	05/29/2009	2010.02	05/29/2009 06:08:25 PM Eastern Daylight Time	08/06/2009 11:16:56 AM Eastern Daylight Time			08/06/2009 12:08:42 PM Eastern Daylight Time	GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	GEMCARE Medicare Plus ES Plan (HMO)	01	01		1			H5609	801	0	2010	Kern County		1	170	2				2						www.gemcarehealthplan.com	www.gemcarehealthplan.com	(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		1		
H5610	001	0	1	20	08	H5610_001_0	2	05/18/2009	2010.02	05/18/2009 04:57:12 PM Eastern Daylight Time		05/18/2009 06:35:05 PM Eastern Daylight Time		05/19/2009 01:27:08 PM Eastern Daylight Time	CARE RESOURCES, INC.	Care Resources	www.care-resources.org	Care Resources (PACE)	08	20		1			H5610	001	0	2010	Kent County		2		2				2							www.care-resources.org									(800)-649-3777		(616)-913-2006		(800)-649-3777		(616)-913-2006										(800)-610-6299				(800)-610-6299				1		
H5610	003	0	1	20	08	H5610_003_0	2	05/18/2009	2010.02	05/18/2009 04:58:22 PM Eastern Daylight Time		05/18/2009 06:35:04 PM Eastern Daylight Time		05/19/2009 01:27:08 PM Eastern Daylight Time	CARE RESOURCES, INC.	Care Resources	www.care-resources.org	Care Resources (PACE)	08	20		1			H5610	003	0	2010	Kent County		2		2				2							www.care-resources.org									(800)-649-3777		(616)-913-2006		(800)-649-3777		(616)-913-2006										(800)-610-6299				(800)-610-6299				1		
H5619	001	0	1	01	01	H5619_001_0	6	08/20/2009	2010.02	08/20/2009 01:56:20 PM Pacific Daylight Time	08/20/2009 12:04:46 PM Pacific Daylight Time	08/20/2009 12:17:16 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	001	0	2010	Southern Maine		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	003	0	1	01	01	H5619_003_0	5	08/20/2009	2010.02	08/20/2009 01:56:40 PM Pacific Daylight Time	08/19/2009 11:27:28 AM Pacific Daylight Time	08/19/2009 11:08:06 AM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Dual Plus (HMO)	01	01		1			H5619	003	0	2010	Cumberland, York, Lewiston, and Bangor		2		2		2		1	3		1	1			www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	004	0	1	01	01	H5619_004_0	6	08/20/2009	2010.02	08/20/2009 12:26:17 PM Pacific Daylight Time	08/20/2009 12:04:26 PM Pacific Daylight Time	08/20/2009 12:17:12 PM Pacific Daylight Time		08/20/2009 06:06:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	004	0	2010	Northern Maine		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	007	0	1	01	01	H5619_007_0	7	08/20/2009	2010.02	08/20/2009 12:26:40 PM Pacific Daylight Time	08/20/2009 12:04:18 PM Pacific Daylight Time	08/20/2009 12:17:10 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	007	0	2010	Mid- Maine		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	008	0	1	01	01	H5619_008_0	6	08/20/2009	2010.02	08/20/2009 12:27:53 PM Pacific Daylight Time	08/20/2009 12:03:56 PM Pacific Daylight Time	08/20/2009 12:17:06 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care- Plus (HMO)	01	01		1			H5619	008	0	2010	Additional Maine		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	009	0	1	01	01	H5619_009_0	6	08/20/2009	2010.02	08/20/2009 01:57:07 PM Pacific Daylight Time	08/20/2009 12:03:44 PM Pacific Daylight Time	08/20/2009 12:17:04 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Dual Plus (HMO)	01	01		1			H5619	009	0	2010	Maine		2		2		2		1	3		1	5			www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	010	0	1	01	01	H5619_010_0	8	08/20/2009	2010.02	08/20/2009 01:57:24 PM Pacific Daylight Time	08/20/2009 12:03:26 PM Pacific Daylight Time	08/20/2009 12:17:02 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Enhanced (HMO)	01	01		1			H5619	010	0	2010	Maine		2		2				2							www.northeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5619	801	0	1	01	01	H5619_801_0	3	05/28/2009	2010.02	05/28/2009 11:15:14 PM Eastern Daylight Time	07/14/2009 12:16:48 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Comunity Care - EGWP (HMO)	01	01		1			H5619	801	0	2010	Maine		1		2				2							www.northeastcommunitycare.com	(800)-573-8597		(207)-773-3920		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5628	001	0	1	01	01	H5628_001_0	3	07/30/2009	2010.02	07/30/2009 06:23:55 PM Pacific Daylight Time	08/19/2009 03:47:46 PM Pacific Daylight Time	08/19/2009 03:47:37 PM Pacific Daylight Time		08/19/2009 06:12:48 PM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H5628	001	0	2010	Davis, Iron, Salt Lake, Utah, Washington, Weber		2	3219	2		2		1	3		1	1		www.molinamedicare.com	www.molinahealthcare.com	(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5628	002	0	1	01	01	H5628_002_0	6	08/19/2009	2010.02	08/19/2009 06:01:52 PM Pacific Daylight Time	08/19/2009 03:48:40 PM Pacific Daylight Time	08/19/2009 03:48:07 PM Pacific Daylight Time		08/19/2009 06:12:48 PM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5628	002	0	2010	Davis, Iron, Salt Lake, Utah, Washington and Weber		2	611	2				2						www.molinamedicare.com	www.molinahealthcare.com	(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5628	006	0	1	01	01	H5628_006_0	3	07/30/2009	2010.02	07/30/2009 06:25:40 PM Pacific Daylight Time	08/19/2009 03:49:11 PM Pacific Daylight Time	08/19/2009 03:49:00 PM Pacific Daylight Time		08/19/2009 06:12:48 PM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Healthy Advantage (HMO)	01	01		1			H5628	006	0	2010	Davis, Salt Lake, Utah and Weber		2	1525	2		2		1	3		1	1		www.molinamedicare.com	www.molinahealthcare.com	(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(888)-665-1328		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5629	001	0	1	20	08	H5629_001_0	2	05/18/2009	2010.02	05/18/2009 11:09:39 AM Pacific Daylight Time		10/13/2009 04:11:35 PM Pacific Daylight Time		10/14/2009 03:31:38 PM Pacific Daylight Time	COMMUNITY ELDERCARE OF  SAN DIEGO	St. Paul's PACE	stpaulseniors.org	St. Paul's PACE (PACE)	08	20		1			H5629	001	0	2010	San Diego Metro Area		2		2				2							stpaulspace.org									(619)-239-6900		(619)-239-6900		(619)-239-6900		(619)-239-6900																		1		
H5629	002	0	1	20	08	H5629_002_0	2	05/18/2009	2010.02	05/18/2009 11:10:12 AM Pacific Daylight Time		10/13/2009 04:11:35 PM Pacific Daylight Time		10/14/2009 03:31:38 PM Pacific Daylight Time	COMMUNITY ELDERCARE OF  SAN DIEGO	St. Paul's PACE	stpaulseniors.org	St. Paul's PACE (PACE)	08	20		1			H5629	002	0	2010	San Diego Metro Area		2		2				2							stpaulspace.org									(619)-239-6900		(619)-239-6900		(619)-239-6900		(619)-239-6900																		1		
H5640	001	0	1	01	01	H5640_001_0	2	08/20/2009	2010.02	08/20/2009 01:15:30 PM Pacific Daylight Time	08/20/2009 11:49:06 AM Pacific Daylight Time	08/20/2009 11:49:07 AM Pacific Daylight Time		08/20/2009 02:18:31 PM Pacific Daylight Time	IEHP HEALTH ACCESS	IEHP Medicare DualChoice	www.iehp.org	IEHP Medicare DualChoice (HMO)	01	01		1			H5640	001	0	2010	Riverside and San Bernardino Counties		2		2		2		1	3		1	5		www.iehp.org	www.iehp.org	(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		1		
H5649	001	0	1	01	01	H5649_001_0	5	08/20/2009	2010.02	08/20/2009 09:55:57 PM Eastern Daylight Time	08/20/2009 09:38:49 PM Eastern Daylight Time	08/20/2009 09:39:52 PM Eastern Daylight Time		08/21/2009 06:33:05 PM Eastern Daylight Time	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	Central Health Medicare Plan (HMO)	01	01		1			H5649	001	0	2010	Los Angeles and Partial San Bernardino County		2	4550	2				2						http://www.centralhealthplan.com/ProviderDirectory.html	http://www.centralhealthplan.com/Benefits/Formulary.aspx	(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		1		
H5649	002	0	1	01	01	H5649_002_0	4	08/21/2009	2010.02	08/21/2009 05:14:27 PM Eastern Daylight Time	08/20/2009 09:27:51 PM Eastern Daylight Time	08/20/2009 09:33:11 PM Eastern Daylight Time		08/21/2009 06:39:47 PM Eastern Daylight Time	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	Central Health Medi-Medi Plan (HMO)	01	01		1			H5649	002	0	2010	Los Angeles and Partial San Bernardino County		2	1475	2		2		1	3		1	2		http://www.centralhealthplan.com/ProviderDirectory.html	http://www.centralhealthplan.com/Benefits/Formulary.aspx	(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		1		
H5649	003	0	1	01	01	H5649_003_0	6	05/30/2009	2010.02	05/30/2009 10:19:38 PM Eastern Daylight Time	08/20/2009 09:36:16 PM Eastern Daylight Time	08/20/2009 09:37:07 PM Eastern Daylight Time		08/21/2009 06:46:20 PM Eastern Daylight Time	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	Central Health Medicare Value Plan (HMO)	01	01		1			H5649	003	0	2010	Los Angeles and Partial San Bernardino County		2	300	2				2						http://www.centralhealthplan.com/ProviderDirectory.html	http://www.centralhealthplan.com/Benefits/Formulary.aspx	(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		1		
H5652	001	0	1	37	05	H5652_001_0	3	07/07/2009	2010.02	07/07/2009 09:49:05 AM Central Daylight Time	08/14/2009 10:38:09 AM Central Daylight Time	08/13/2009 05:55:51 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H5652	001	0	2010	Baltimore, Montgomery and Prince Georges Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5652	002	0	1	37	05	H5652_002_0	2	07/07/2009	2010.02	07/07/2009 09:49:20 AM Central Daylight Time	07/16/2009 06:40:51 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H5652	002	0	2010	Baltimore, Montgomery and Prince Georges Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5652	003	0	1	37	05	H5652_003_0	3	07/07/2009	2010.02	07/07/2009 09:49:37 AM Central Daylight Time	08/18/2009 02:37:03 PM Central Daylight Time	08/13/2009 05:55:54 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H5652	003	0	2010	Baltimore, Montgomery and Prince Georges Counties		2		2				1	1	1	1			www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5652	004	0	1	37	05	H5652_004_0	3	07/07/2009	2010.02	07/07/2009 09:50:00 AM Central Daylight Time	08/18/2009 02:32:02 PM Central Daylight Time	08/13/2009 05:55:58 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H5652	004	0	2010	Baltimore, Montgomery and Prince Georges Counties		2		2				1	4		1		000110100000000	www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5656	001	0	1	01	01	H5656_001_0	9	08/19/2009	2010.02	08/19/2009 11:23:42 AM Central Daylight Time	08/19/2009 10:16:21 AM Central Daylight Time	08/24/2009 12:37:52 PM Central Daylight Time		08/24/2009 03:32:29 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texas-first.com	TexanPlus Classic powered by CCRx (HMO)	01	01		1			H5656	001	0	2010	North Texas		2		2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H5656	003	0	1	01	01	H5656_003_0	3	07/21/2009	2010.02	07/21/2009 03:24:23 PM Central Daylight Time	07/13/2009 03:11:04 PM Central Daylight Time			07/23/2009 06:38:02 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texas-first.com	TexanPlus Value (HMO)	01	01		1			H5656	003	0	2010	North Texas		2		2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H5656	009	0	1	01	01	H5656_009_0	6	07/24/2009	2010.02	07/24/2009 12:39:00 PM Central Daylight Time	08/19/2009 10:20:05 AM Central Daylight Time	08/15/2009 08:16:41 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texas-first.com	TexanPlus Premier powered by CCRx (HMO)	01	01		1			H5656	009	0	2010	North Texas		2		2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H5656	801	0	1	01	01	H5656_801_0	1	05/28/2009	2010.02	05/28/2009 11:38:31 PM Central Daylight Time	05/31/2009 06:47:28 PM Central Daylight Time			05/31/2009 10:41:03 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.texas-first.com	Retiree - MA-PD CY (HMO)	01	01		1			H5656	801	0	2010	Employer Group--North Texas (MAPD--CY)		1	700	2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H5656	802	0	1	01	01	H5656_802_0	1	05/28/2009	2010.02	05/28/2009 11:38:34 PM Central Daylight Time	05/31/2009 06:47:04 PM Central Daylight Time			05/31/2009 10:41:03 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.texas-first.com	Retiree - MA-PD non-CY (HMO)	01	01		1			H5656	802	0	2010	Employer Group--North Texas (MAPD--non-CY)		1	700	2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H5656	803	0	1	01	01	H5656_803_0	1	05/28/2009	2010.02	05/28/2009 11:38:37 PM Central Daylight Time	05/31/2009 06:46:39 PM Central Daylight Time			05/31/2009 10:41:03 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	TexasFirst Health Plans	www.texas-first.com	Retiree - MA (HMO)	01	01		1			H5656	803	0	2010	Employer Group--North Texas (MA--CY)		1	700	2				2						www.texas-first.com	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H5657	805	0	1	09	04	H5657_805_0	4	05/26/2009	2010.02	05/26/2009 02:15:16 PM Eastern Daylight Time	07/21/2009 05:22:00 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H5657	805	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H5657	806	0	1	09	04	H5657_806_0	4	05/26/2009	2010.02	05/26/2009 02:15:39 PM Eastern Daylight Time	07/21/2009 05:30:32 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	1			H5657	806	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5657	807	0	1	09	04	H5657_807_0	4	05/26/2009	2010.02	05/26/2009 02:16:00 PM Eastern Daylight Time	07/21/2009 05:31:36 PM Eastern Daylight Time			07/27/2009 12:09:22 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	1			H5657	807	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H5657	809	0	2	09	04	H5657_809_0	5	05/26/2009	2010.02	05/26/2009 02:25:01 PM Eastern Daylight Time	07/21/2009 10:44:04 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H5657	809	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H5657	810	0	2	09	04	H5657_810_0	5	05/26/2009	2010.02	05/26/2009 02:25:24 PM Eastern Daylight Time	07/21/2009 10:45:18 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	2	2	2		H5657	810	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5657	811	0	2	09	04	H5657_811_0	5	05/26/2009	2010.02	05/26/2009 02:25:44 PM Eastern Daylight Time	07/21/2009 10:46:32 AM Eastern Daylight Time			07/28/2009 04:26:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	2	2	2		H5657	811	0	2010	Nationwide		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301				(877)-833-4486				1		
H5665	002	0	1	01	01	H5665_002_0	5	08/20/2009	2010.02	08/20/2009 10:33:51 AM Eastern Daylight Time	08/18/2009 08:59:36 AM Eastern Daylight Time	08/14/2009 10:05:16 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS  OF MARYLAND, INC.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Mid (HMO)	01	01		1			H5665	002	0	2010	Maryland		2		2				1	4		1		000010100000000	www.careimprovementplus.com	http://careimprovementplus.com/members/maryland/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(800)-713-1603		(800)-713-1603		1		
H5678	001	0	1	37	05	H5678_001_0	3	07/07/2009	2010.02	07/07/2009 09:50:22 AM Central Daylight Time	08/14/2009 10:39:23 AM Central Daylight Time	08/13/2009 05:56:02 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H5678	001	0	2010	Fairfax County		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5678	002	0	1	37	05	H5678_002_0	2	07/07/2009	2010.02	07/07/2009 09:50:49 AM Central Daylight Time	07/16/2009 06:45:08 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H5678	002	0	2010	Fairfax County		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5678	003	0	1	37	05	H5678_003_0	3	07/07/2009	2010.02	07/07/2009 09:51:08 AM Central Daylight Time	08/18/2009 02:37:45 PM Central Daylight Time	08/13/2009 05:56:06 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H5678	003	0	2010	Fairfax County		2		2				1	1	1	1			www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5678	004	0	1	37	05	H5678_004_0	3	07/07/2009	2010.02	07/07/2009 09:51:25 AM Central Daylight Time	08/18/2009 02:32:39 PM Central Daylight Time	08/13/2009 05:56:10 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H5678	004	0	2010	Fairfax County		2		2				1	4		1		000110100000000	www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5679	001	0	1	01	01	H5679_001_0	7	08/20/2009	2010.02	08/20/2009 04:16:13 PM Eastern Daylight Time	08/20/2009 03:20:53 PM Eastern Daylight Time	08/17/2009 04:46:04 PM Eastern Daylight Time		08/20/2009 10:47:40 PM Eastern Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue Basic (HMO)	01	01		1			H5679	001	0	2010	Denver Metro Area		2	314	2				2						www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(877)-831-3000		(877)-831-3000		(866)-408-7086		(866)-408-7086		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1		
H5679	002	0	1	01	01	H5679_002_0	7	08/20/2009	2010.02	08/20/2009 04:17:11 PM Eastern Daylight Time	08/20/2009 03:26:15 PM Eastern Daylight Time	08/17/2009 04:47:27 PM Eastern Daylight Time		08/20/2009 10:47:40 PM Eastern Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue Enhanced (HMO)	01	01		1			H5679	002	0	2010	Denver Metro Area		2	52	2				2						www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1		
H5679	801	0	1	01	01	H5679_801_0	4	08/03/2009	2010.02	08/03/2009 10:36:50 AM Pacific Daylight Time	07/24/2009 01:55:30 PM Pacific Daylight Time			08/03/2009 10:43:23 AM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue (HMO)	01	01		1			H5679	801	0	2010	Denver Metro Area		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1		
H5679	802	0	1	01	01	H5679_802_0	3	08/03/2009	2010.02	08/03/2009 10:39:23 AM Pacific Daylight Time	07/24/2009 01:55:46 PM Pacific Daylight Time			08/03/2009 10:43:23 AM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue (HMO)	01	01		1			H5679	802	0	2010	Denver Metro Area		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
H5679	803	0	1	01	01	H5679_803_0	3	08/03/2009	2010.02	08/03/2009 10:41:40 AM Pacific Daylight Time	07/24/2009 01:56:32 PM Pacific Daylight Time			08/03/2009 10:43:23 AM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue (HMO)	01	01		1			H5679	803	0	2010	Denver Metro Area		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1		
H5685	001	0	1	01	01	H5685_001_0	2	08/20/2009	2010.02	08/20/2009 06:18:58 PM Eastern Daylight Time	08/20/2009 04:37:00 PM Eastern Daylight Time	08/20/2009 02:22:00 PM Eastern Daylight Time		08/20/2009 06:23:47 PM Eastern Daylight Time	MIDWEST HEALTH PLAN, INC.	Midwest Advantage	Midwestadvantage.org	Midwest  Advantage (HMO)	01	01		1			H5685	001	0	2010	Midwest Advantage of Wayne and Oakland Counties		2	535	2		2		1	3		1	3		www.midwestadvantage.org	www.midwestadvantage.org	(888)-654-0706		(313)-581-3700		(888)-654-0706		(313)-581-3700		(866)-800-0671		(313)-875-6000		(888)-654-0706		(313)-581-3700		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1		
H5696	001	0	1	01	01	H5696_001_0	7	08/19/2009	2010.02	08/19/2009 10:48:04 PM Eastern Daylight Time	08/16/2009 04:04:00 PM Eastern Daylight Time	08/16/2009 04:14:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	001	0	2010	Polk County		2	2000	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	002	0	1	01	01	H5696_002_0	5	07/20/2009	2010.02	07/20/2009 07:57:55 PM Eastern Daylight Time	08/16/2009 04:08:00 PM Eastern Daylight Time	08/16/2009 04:06:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	002	0	2010	Polk County		2	4800	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	003	0	1	01	01	H5696_003_0	6	08/19/2009	2010.02	08/19/2009 11:03:53 PM Eastern Daylight Time	08/16/2009 04:12:00 PM Eastern Daylight Time	08/16/2009 04:11:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	003	0	2010	Central Florida		2	3450	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	004	0	1	01	01	H5696_004_0	6	07/20/2009	2010.02	07/20/2009 08:12:10 PM Eastern Daylight Time	08/25/2009 09:18:08 AM Eastern Daylight Time	08/16/2009 04:16:00 PM Eastern Daylight Time		08/25/2009 01:50:19 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	004	0	2010	Central Florida		2	5460	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	019	0	1	01	01	H5696_019_0	3	05/31/2009	2010.02	05/31/2009 11:22:10 PM Eastern Daylight Time	08/10/2009 01:26:33 PM Eastern Daylight Time			08/10/2009 02:52:55 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Perks (HMO)	01	01		1			H5696	019	0	2010	Central and South Florida		2	525	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787										(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693										1		
H5696	021	0	1	01	01	H5696_021_0	5	09/23/2009	2010.02	09/23/2009 10:33:08 AM Eastern Daylight Time	08/16/2009 04:24:00 PM Eastern Daylight Time	08/16/2009 04:20:00 PM Eastern Daylight Time		09/23/2009 10:44:36 AM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Extra (HMO)	01	01		1			H5696	021	0	2010	Orlando Metro Area and Tampa Metro Area		2	1500	2		2		1	3		1	2		www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	023	0	1	01	01	H5696_023_0	5	08/19/2009	2010.02	08/19/2009 11:08:49 PM Eastern Daylight Time	08/17/2009 04:19:00 PM Eastern Daylight Time	08/16/2009 04:26:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	023	0	2010	Brevard, Manatee, Marion and Pasco Counties		2	2275	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	024	0	1	01	01	H5696_024_0	6	07/20/2009	2010.02	07/20/2009 07:56:15 PM Eastern Daylight Time	08/16/2009 04:53:00 PM Eastern Daylight Time	08/16/2009 04:32:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	024	0	2010	Marion and Pasco Counties		2	1900	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	025	0	1	01	01	H5696_025_0	5	08/19/2009	2010.02	08/19/2009 10:05:59 PM Eastern Daylight Time	08/16/2009 04:39:00 PM Eastern Daylight Time	08/16/2009 04:37:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	025	0	2010	Miami-Dade County		2	200	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	026	0	1	01	01	H5696_026_0	6	08/19/2009	2010.02	08/19/2009 11:15:18 PM Eastern Daylight Time	08/16/2009 04:42:00 PM Eastern Daylight Time	08/16/2009 04:41:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	026	0	2010	Miami-Dade County		2	350	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	027	0	1	01	01	H5696_027_0	7	08/19/2009	2010.02	08/19/2009 10:18:02 PM Eastern Daylight Time	08/16/2009 04:45:00 PM Eastern Daylight Time	08/16/2009 04:44:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	027	0	2010	Broward and Palm Beach Counties		2	275	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5696	028	0	1	01	01	H5696_028_0	6	05/31/2009	2010.02	05/31/2009 11:27:11 PM Eastern Daylight Time	08/16/2009 04:48:00 PM Eastern Daylight Time	08/16/2009 04:47:00 PM Eastern Daylight Time		08/19/2009 11:30:22 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	028	0	2010	Broward and Palm Beach Counties		2	500	2				2						www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		(866)-671-0693		1		
H5697	001	0	1	37	05	H5697_001_0	3	07/07/2009	2010.02	07/07/2009 09:51:45 AM Central Daylight Time	08/14/2009 10:51:56 AM Central Daylight Time	08/13/2009 05:56:14 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H5697	001	0	2010	Bucks and Delaware Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5697	002	0	1	37	05	H5697_002_0	2	07/07/2009	2010.02	07/07/2009 09:52:03 AM Central Daylight Time	07/16/2009 06:47:55 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H5697	002	0	2010	Bucks and Delaware Counties		2		2				2						www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5697	003	0	1	37	05	H5697_003_0	3	07/07/2009	2010.02	07/07/2009 09:52:20 AM Central Daylight Time	08/14/2009 10:52:27 AM Central Daylight Time	08/13/2009 05:56:17 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H5697	003	0	2010	Bucks and Delaware Counties		2		2				1	4		1		000110100000000	www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5697	004	0	1	37	05	H5697_004_0	3	07/07/2009	2010.02	07/07/2009 09:52:37 AM Central Daylight Time	08/18/2009 02:33:10 PM Central Daylight Time	08/13/2009 05:56:21 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H5697	004	0	2010	Bucks		2		2				1	1	1	1			www.ericksonadvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5698	003	0	1	01	01	H5698_003_0	3	08/20/2009	2010.02	08/20/2009 06:22:33 PM Central Daylight Time	08/20/2009 09:08:06 PM Central Daylight Time	08/18/2009 02:56:00 PM Central Daylight Time		08/20/2009 08:26:03 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	003	0	2010	Middle Tennessee and Central Alabama		2	3090	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	009	0	1	01	01	H5698_009_0	3	08/20/2009	2010.02	08/20/2009 06:23:34 PM Central Daylight Time	08/20/2009 09:08:40 PM Central Daylight Time	08/18/2009 02:56:00 PM Central Daylight Time		08/20/2009 08:26:03 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	009	0	2010	West Tennessee and North Mississippi		2	4842	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	020	0	1	01	01	H5698_020_0	6	08/26/2009	2010.02	08/26/2009 11:36:07 AM Central Daylight Time	08/19/2009 03:04:52 PM Central Daylight Time	08/18/2009 02:56:16 PM Central Daylight Time		08/26/2009 01:33:08 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	020	0	2010	Arkansas		2	735	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	022	0	1	01	01	H5698_022_0	3	08/20/2009	2010.02	08/20/2009 06:29:47 PM Central Daylight Time	08/20/2009 09:09:16 PM Central Daylight Time	08/18/2009 02:56:00 PM Central Daylight Time		08/20/2009 08:26:03 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	022	0	2010	Central and Northeast Arkansas		2	2073	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	028	0	1	01	01	H5698_028_0	6	08/26/2009	2010.02	08/26/2009 11:36:43 AM Central Daylight Time	08/19/2009 03:09:06 PM Central Daylight Time	08/18/2009 02:56:30 PM Central Daylight Time		08/26/2009 01:33:08 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	028	0	2010	Mississippi		2	2006	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	030	0	1	01	01	H5698_030_0	6	10/15/2009	2010.02	10/15/2009 11:08:25 AM Central Daylight Time	08/25/2009 11:03:50 AM Central Daylight Time	08/18/2009 02:56:00 PM Central Daylight Time		10/15/2009 11:11:12 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	030	0	2010	Central Mississippi		2	3187	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	035	0	1	01	01	H5698_035_0	8	08/20/2009	2010.02	08/20/2009 02:16:21 PM Central Daylight Time	08/20/2009 11:05:17 AM Central Daylight Time			08/20/2009 06:51:14 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Silver Plan (HMO)	01	01		1			H5698	035	0	2010	AL, AR, MS, SC, and TN		2	1220	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482										(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298										1		
H5698	036	0	1	01	01	H5698_036_0	5	08/26/2009	2010.02	08/26/2009 11:36:43 AM Central Daylight Time	08/19/2009 03:03:46 PM Central Daylight Time	08/18/2009 02:56:44 PM Central Daylight Time		08/26/2009 01:33:08 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	036	0	2010	South Carolina and Tennessee		2	2462	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	038	0	1	01	01	H5698_038_0	3	08/20/2009	2010.02	08/20/2009 06:23:36 PM Central Daylight Time	08/20/2009 09:10:20 PM Central Daylight Time	08/18/2009 02:56:00 PM Central Daylight Time		08/20/2009 08:26:03 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	038	0	2010	East Tennessee and Northwest South Carolina		2	985	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	058	0	1	01	01	H5698_058_0	3	08/20/2009	2010.02	08/20/2009 06:23:40 PM Central Daylight Time	08/20/2009 09:10:52 PM Central Daylight Time	08/18/2009 02:57:00 PM Central Daylight Time		08/20/2009 08:26:03 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	058	0	2010	Northwest Arkansas		2	447	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	061	0	1	01	01	H5698_061_0	4	08/20/2009	2010.02	08/20/2009 10:35:05 AM Central Daylight Time	08/19/2009 03:03:20 PM Central Daylight Time	08/18/2009 02:57:06 PM Central Daylight Time		08/20/2009 11:18:09 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	061	0	2010	Mississippi		2	208	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	062	0	1	01	01	H5698_062_0	4	08/20/2009	2010.02	08/20/2009 10:36:58 AM Central Daylight Time	08/19/2009 03:02:58 PM Central Daylight Time	08/18/2009 02:57:16 PM Central Daylight Time		08/20/2009 11:18:09 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	062	0	2010	South Carolina and Tennessee		2	1087	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	063	0	1	01	01	H5698_063_0	5	08/20/2009	2010.02	08/20/2009 10:37:00 AM Central Daylight Time	08/19/2009 03:02:36 PM Central Daylight Time	08/18/2009 02:57:24 PM Central Daylight Time		08/20/2009 11:18:09 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	063	0	2010	Arkansas		2	721	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	067	0	1	01	01	H5698_067_0	5	06/11/2009	2010.02	06/11/2009 09:39:47 AM Central Daylight Time	08/18/2009 03:18:46 PM Central Daylight Time	08/18/2009 02:57:30 PM Central Daylight Time		08/20/2009 11:16:19 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	067	0	2010	Mississippi		2	3853	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	068	0	1	01	01	H5698_068_0	4	06/11/2009	2010.02	06/11/2009 09:32:53 AM Central Daylight Time	08/18/2009 03:18:22 PM Central Daylight Time	08/18/2009 02:57:36 PM Central Daylight Time		08/20/2009 11:16:19 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	068	0	2010	South Carolina and Tennessee		2	3086	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	069	0	1	01	01	H5698_069_0	5	06/11/2009	2010.02	06/11/2009 09:33:09 AM Central Daylight Time	08/18/2009 03:30:44 PM Central Daylight Time	08/18/2009 02:57:42 PM Central Daylight Time		08/20/2009 11:16:19 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	069	0	2010	Arkansas		2	2080	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	122	0	1	01	01	H5698_122_0	4	08/20/2009	2010.02	08/20/2009 06:23:42 PM Central Daylight Time	08/20/2009 09:11:24 PM Central Daylight Time	08/18/2009 02:57:00 PM Central Daylight Time		08/20/2009 08:31:46 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	122	0	2010	Alabama		2	710	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	123	0	1	01	01	H5698_123_0	7	07/26/2009	2010.02	07/26/2009 10:09:13 PM Central Daylight Time	08/18/2009 03:17:42 PM Central Daylight Time	08/18/2009 02:57:54 PM Central Daylight Time		08/20/2009 11:20:36 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO)	01	01		1			H5698	123	0	2010	Alabama		2	13	2				1	4		1		000000000000100	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	128	0	1	01	01	H5698_128_0	4	08/20/2009	2010.02	08/20/2009 06:28:09 PM Central Daylight Time	08/20/2009 08:38:41 PM Central Daylight Time	08/18/2009 02:58:00 PM Central Daylight Time		08/20/2009 08:40:07 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	128	0	2010	Arkansas		2	1011	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	129	0	1	01	01	H5698_129_0	5	06/11/2009	2010.02	06/11/2009 09:33:43 AM Central Daylight Time	08/18/2009 03:17:22 PM Central Daylight Time	08/18/2009 02:58:08 PM Central Daylight Time		08/20/2009 11:20:36 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO)	01	01		1			H5698	129	0	2010	Arkansas		2	214	2				1	4		1		000000000000100	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	134	0	1	01	01	H5698_134_0	3	08/20/2009	2010.02	08/20/2009 06:23:45 PM Central Daylight Time	08/20/2009 09:12:26 PM Central Daylight Time	08/18/2009 02:58:00 PM Central Daylight Time		08/20/2009 08:31:46 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	134	0	2010	Mississippi		2	1230	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	135	0	1	01	01	H5698_135_0	4	07/26/2009	2010.02	07/26/2009 10:09:43 PM Central Daylight Time	08/18/2009 03:17:00 PM Central Daylight Time	08/18/2009 02:58:20 PM Central Daylight Time		08/20/2009 11:20:36 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO)	01	01		1			H5698	135	0	2010	Mississippi		2	58	2				1	4		1		000000000000100	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	140	0	1	01	01	H5698_140_0	3	08/20/2009	2010.02	08/20/2009 06:23:47 PM Central Daylight Time	08/20/2009 09:13:00 PM Central Daylight Time	08/18/2009 02:58:00 PM Central Daylight Time		08/20/2009 08:31:46 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO)	01	01		1			H5698	140	0	2010	South Carolina and Tennessee		2	2901	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	141	0	1	01	01	H5698_141_0	4	06/11/2009	2010.02	06/11/2009 09:34:23 AM Central Daylight Time	08/18/2009 03:16:36 PM Central Daylight Time	08/18/2009 02:58:38 PM Central Daylight Time		08/20/2009 11:20:36 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO)	01	01		1			H5698	141	0	2010	South Carolina and Tennessee		2	260	2				1	4		1		000000000000100	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	150	0	1	01	01	H5698_150_0	6	08/20/2009	2010.02	08/20/2009 10:37:03 AM Central Daylight Time	08/19/2009 03:02:06 PM Central Daylight Time	08/18/2009 02:58:44 PM Central Daylight Time		08/20/2009 11:18:09 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	150	0	2010	Alabama		2	290	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	151	0	1	01	01	H5698_151_0	7	08/26/2009	2010.02	08/26/2009 11:36:43 AM Central Daylight Time	08/19/2009 03:01:24 PM Central Daylight Time	08/18/2009 02:58:54 PM Central Daylight Time		08/26/2009 01:33:08 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	151	0	2010	Alabama		2	220	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	152	0	1	01	01	H5698_152_0	6	08/14/2009	2010.02	08/14/2009 12:48:49 PM Central Daylight Time	08/18/2009 03:30:24 PM Central Daylight Time	08/18/2009 02:59:02 PM Central Daylight Time		08/20/2009 11:16:19 AM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	152	0	2010	Alabama		2	92	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	153	0	1	01	01	H5698_153_0	8	08/26/2009	2010.02	08/26/2009 11:38:03 AM Central Daylight Time	08/18/2009 03:15:16 PM Central Daylight Time	08/18/2009 02:59:12 PM Central Daylight Time		08/26/2009 01:30:29 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO)	01	01		1			H5698	153	0	2010	Alabama		2	17	2				1	4		1		000000100000000	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	154	0	1	01	01	H5698_154_0	6	08/26/2009	2010.02	08/26/2009 11:38:25 AM Central Daylight Time	08/18/2009 03:14:52 PM Central Daylight Time	08/18/2009 02:59:20 PM Central Daylight Time		08/26/2009 01:30:29 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO)	01	01		1			H5698	154	0	2010	Arkansas		2	96	2				1	4		1		000000100000000	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	155	0	1	01	01	H5698_155_0	6	08/26/2009	2010.02	08/26/2009 11:38:25 AM Central Daylight Time	08/18/2009 03:14:32 PM Central Daylight Time	08/18/2009 02:59:26 PM Central Daylight Time		08/26/2009 01:30:29 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO)	01	01		1			H5698	155	0	2010	Mississippi		2		2				1	4		1		000000100000000	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	156	0	1	01	01	H5698_156_0	6	08/26/2009	2010.02	08/26/2009 11:38:25 AM Central Daylight Time	08/18/2009 03:14:08 PM Central Daylight Time	08/18/2009 02:59:34 PM Central Daylight Time		08/26/2009 01:30:29 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO)	01	01		1			H5698	156	0	2010	South Carolina and Tennessee		2	210	2				1	4		1		000000100000000	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5698	801	0	1	01	01	H5698_801_0	2	06/01/2009	2010.02	06/02/2009 12:40:50 AM Central Daylight Time	07/27/2009 08:36:05 AM Central Daylight Time			07/27/2009 03:51:26 PM Central Daylight Time	WINDSOR HEALTH PLANS, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Employer Plan (HMO)	01	01		1			H5698	801	0	2010	AL, AR, MS, SC and TN		1	1370	2				2						www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-316-2273		(615)-782-7878		(800)-811-8482		(800)-811-8482		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298				(800)-848-0298		(800)-848-0298		1		
H5700	002	0	1	01	01	H5700_002_0	9	08/20/2009	2010.02	08/20/2009 09:17:59 AM Pacific Daylight Time	08/20/2009 03:28:48 PM Pacific Daylight Time	08/20/2009 03:33:56 PM Pacific Daylight Time		08/20/2009 03:59:39 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community  Care -  Plus (HMO)	01	01		1			H5700	002	0	2010	Northwest Arkansas		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	005	0	1	01	01	H5700_005_0	7	08/19/2009	2010.02	08/19/2009 11:35:34 PM Pacific Daylight Time	08/20/2009 12:03:16 PM Pacific Daylight Time	08/20/2009 12:16:58 PM Pacific Daylight Time		08/20/2009 04:12:14 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	005	0	2010	Central Arkansas		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	009	0	1	01	01	H5700_009_0	9	08/20/2009	2010.02	08/20/2009 09:18:08 AM Pacific Daylight Time	08/20/2009 03:28:48 PM Pacific Daylight Time	08/20/2009 03:33:56 PM Pacific Daylight Time		08/20/2009 03:59:39 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	009	0	2010	Fort Smith		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	018	0	1	01	01	H5700_018_0	7	08/19/2009	2010.02	08/19/2009 11:57:48 PM Pacific Daylight Time	08/20/2009 12:02:56 PM Pacific Daylight Time	08/20/2009 12:16:54 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care -Dual Plus (HMO)	01	01		1			H5700	018	0	2010	Arkansas		2		2		2		1	3		1	1			http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	020	0	1	01	01	H5700_020_0	9	08/20/2009	2010.02	08/20/2009 09:18:15 AM Pacific Daylight Time	08/20/2009 03:29:18 PM Pacific Daylight Time	08/20/2009 03:34:04 PM Pacific Daylight Time		08/20/2009 03:59:39 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Texarkana Community Care - Plus (HMO)	01	01		1			H5700	020	0	2010	Texarkana		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	025	0	1	02	01	H5700_025_0	9	08/20/2009	2010.02	08/20/2009 12:17:11 PM Pacific Daylight Time	08/20/2009 03:29:18 PM Pacific Daylight Time	08/20/2009 03:34:04 PM Pacific Daylight Time		08/20/2009 03:59:39 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus Point (HMO-POS)	01	02		1			H5700	025	0	2010	Fort Smith		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	027	0	1	01	01	H5700_027_0	6	08/20/2009	2010.02	08/20/2009 12:28:54 PM Pacific Daylight Time	08/20/2009 12:02:50 PM Pacific Daylight Time	08/20/2009 12:16:52 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	027	0	2010	Pulaski / Saline		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	028	0	1	01	01	H5700_028_0	7	08/19/2009	2010.02	08/19/2009 11:58:01 PM Pacific Daylight Time	08/20/2009 12:02:26 PM Pacific Daylight Time	08/20/2009 12:16:48 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Dual Plus (HMO)	01	01		1			H5700	028	0	2010	Arkansas		2		2		2		1	3		1	5			http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	029	0	1	01	01	H5700_029_0	8	08/19/2009	2010.02	08/19/2009 11:58:16 PM Pacific Daylight Time	08/20/2009 12:02:16 PM Pacific Daylight Time	08/20/2009 12:16:46 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Enhanced (HMO)	01	01		1			H5700	029	0	2010	Arkansas		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5700	801	0	1	01	01	H5700_801_0	3	05/28/2009	2010.02	05/28/2009 11:15:22 PM Eastern Daylight Time	07/14/2009 12:17:56 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care EGWP (HMO)	01	01		1			H5700	801	0	2010	Arkansas		1		2				2							http://www.arkansascommunitycare.com/central/formulary.html	(800)-573-8597		(501)-223-9088		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5703	001	0	1	01	01	H5703_001_0	2	06/01/2009	2010.02	06/01/2009 05:48:30 PM Central Daylight Time	08/19/2009 03:11:54 PM Central Daylight Time	08/19/2009 03:11:12 PM Central Daylight Time		08/19/2009 03:50:49 PM Central Daylight Time	SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	AbilityCare (HMO)	01	01		1			H5703	001	0	2010	Select Counties in Minnesota		2	821	1	1	2		1	3		1	5		www.mnscha.org	https://www.myrxassistant.com	(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		1		
H5732	001	0	1	01	01	H5732_001_0	3	08/20/2009	2010.02	08/20/2009 04:51:03 PM Atlantic Standard Time	08/20/2009 07:42:26 PM Atlantic Standard Time	08/20/2009 07:43:22 PM Atlantic Standard Time		08/20/2009 07:46:36 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, INC.	www.ssspr.com	Auxilio Platino Clsico (HMO)	01	01		1			H5732	001	0	2010	Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.ASPX	www.auxilioplatino.com/ParteD	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
H5736	002	0	1	09	04	H5736_002_0	3	07/23/2009	2010.02	07/23/2009 06:58:26 AM Eastern Daylight Time	08/17/2009 04:48:55 PM Eastern Daylight Time	08/25/2009 10:37:27 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Value Plan w/Rx (PFFS)	04	09	2	1			H5736	002	0	2010	Select Counties in Multiple States - 2		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	003	0	1	09	04	H5736_003_0	4	05/28/2009	2010.02	05/28/2009 10:26:09 AM Eastern Daylight Time	08/17/2009 04:53:28 PM Eastern Daylight Time	08/25/2009 10:37:56 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Value Plan w/Rx (PFFS)	04	09	2	1			H5736	003	0	2010	Select Counties in Multiple States - 3		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	015	0	1	09	04	H5736_015_0	1	05/25/2009	2010.02	05/25/2009 11:30:37 AM Eastern Daylight Time	05/28/2009 09:39:36 AM Eastern Daylight Time			05/28/2009 10:31:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Basic Plan (PFFS)	04	09	2	1			H5736	015	0	2010	Select Counties in Multiple States - 2		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5736	018	0	1	09	04	H5736_018_0	1	05/23/2009	2010.02	05/23/2009 04:44:00 PM Eastern Daylight Time	05/28/2009 09:41:21 AM Eastern Daylight Time			05/28/2009 10:31:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Basic Plan (PFFS)	04	09	2	1			H5736	018	0	2010	Select Counties in Multiple States - 3		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5736	020	0	1	09	04	H5736_020_0	1	05/23/2009	2010.02	05/23/2009 04:44:12 PM Eastern Daylight Time	05/28/2009 09:43:12 AM Eastern Daylight Time			05/28/2009 10:31:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Basic Plan (PFFS)	04	09	2	1			H5736	020	0	2010	Select Counties in Multiple States - 4		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5736	025	0	1	09	04	H5736_025_0	3	07/23/2009	2010.02	07/23/2009 06:56:38 AM Eastern Daylight Time	08/17/2009 04:57:45 PM Eastern Daylight Time	08/25/2009 10:38:23 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Value Plan w/Rx (PFFS)	04	09	2	1			H5736	025	0	2010	Select Counties in Multiple States - 4		2		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	801	0	1	09	04	H5736_801_0	1	05/18/2009	2010.02	05/18/2009 04:16:21 PM Eastern Daylight Time	06/01/2009 01:32:21 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Plan (PFFS)	04	09	2	1			H5736	801	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5736	802	0	1	09	04	H5736_802_0	1	05/18/2009	2010.02	05/18/2009 04:19:49 PM Eastern Daylight Time	06/01/2009 01:13:35 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Plan w/Rx (PFFS)	04	09	2	1			H5736	802	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	808	0	2	09	04	H5736_808_0	1	05/19/2009	2010.02	05/19/2009 08:20:06 AM Eastern Daylight Time	06/01/2009 01:17:28 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Part B Only Plan (PFFS)	04	09	2	2	2		H5736	808	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5736	809	0	2	09	04	H5736_809_0	1	05/19/2009	2010.02	05/19/2009 08:41:27 AM Eastern Daylight Time	06/01/2009 01:34:42 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Part B Only Plan w/Rx (PFFS)	04	09	2	2	2		H5736	809	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	810	0	1	09	04	H5736_810_0	1	05/19/2009	2010.02	05/19/2009 08:46:20 AM Eastern Daylight Time	06/01/2009 12:56:33 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Plan w/ RX NCY (PFFS)	04	09	2	1			H5736	810	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5736	811	0	2	09	04	H5736_811_0	1	05/19/2009	2010.02	05/19/2009 08:49:01 AM Eastern Daylight Time	06/01/2009 01:02:39 PM Eastern Daylight Time			06/01/2009 02:15:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Open Part B Only Plan  w/RX NCY (PFFS)	04	09	2	2	2		H5736	811	0	2010	National		1		2				2							http://www.aetnamedicare.com	(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(866)-785-7337		(866)-785-7337		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5746	006	0	1	01	01	H5746_006_0	5	07/28/2009	2010.02	07/28/2009 08:09:12 AM Eastern Daylight Time	08/19/2009 09:19:25 PM Eastern Daylight Time	08/20/2009 11:37:34 AM Eastern Daylight Time		08/20/2009 03:19:24 PM Eastern Daylight Time	AMERIGROUP NEW MEXICO, INC.	AMERIGROUP Community Care of New Mexico	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H5746	006	0	2010	Bernalillo County		2	855	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5746	012	0	1	02	01	H5746_012_0	8	08/19/2009	2010.02	08/19/2009 05:06:02 PM Eastern Daylight Time	08/19/2009 09:20:17 PM Eastern Daylight Time	08/20/2009 11:38:12 AM Eastern Daylight Time		08/20/2009 03:19:24 PM Eastern Daylight Time	AMERIGROUP NEW MEXICO, INC.	AMERIGROUP Community Care of New Mexico	http://www.myamerigroup.com	Amerivantage Choice + Rx (HMO-POS)	01	02		1			H5746	012	0	2010	Albuquerque Metro Area		2	175	2				2						http://www1.amerigroupcorp.com/providers/	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5749	001	0	1	02	01	H5749_001_0	4	07/17/2009	2010.02	07/17/2009 04:06:35 PM Central Daylight Time	08/19/2009 11:10:03 AM Central Daylight Time	08/13/2009 05:56:25 PM Central Daylight Time		08/19/2009 02:51:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H5749	001	0	2010	Johnson, Cass, Jackson, and Lafayette Counties		2		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H5749	801	0	1	02	01	H5749_801_0	2	05/29/2009	2010.02	05/29/2009 02:48:52 PM Central Daylight Time	07/20/2009 04:32:44 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	801	0	2010	Johnson, Cass, Jackson, and Lafayette Counties		1		2				2							www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-555-5757		(800)-555-5757		(800)-945-5015		(888)-685-8480		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H5749	802	0	1	02	01	H5749_802_0	2	05/28/2009	2010.02	05/28/2009 12:34:40 PM Central Daylight Time	07/20/2009 04:33:05 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	802	0	2010	Johnson, Cass, Jackson, and Lafayette Counties		1		2				2							www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H5749	803	0	1	02	01	H5749_803_0	2	05/28/2009	2010.02	05/28/2009 12:34:56 PM Central Daylight Time	07/20/2009 04:33:33 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	803	0	2010	Johnson , Cass, Jackson, LaFayette Counties		1		2				2							www.aarpmedicarecomplete.com	(800)-945-0150		(800)-945-0150		(800)-555-5757		(800)-555-5757		(800)-945-5015		(888)-685-8480		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H5750	003	0	1	02	01	H5750_003_0	4	07/29/2009	2010.02	07/29/2009 10:40:54 AM Central Daylight Time	08/14/2009 03:08:09 PM Central Daylight Time	08/14/2009 03:08:09 PM Central Daylight Time		08/18/2009 03:40:07 PM Central Daylight Time	METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	www.mhpnorthstarplans.org	MHP North Star Advantage Basic (HMO-POS)	01	02		1			H5750	003	0	2010	Minnesota		2	150	2				2						www.mhpnorthstarplans.org	www.mhpnorthstarplans.org	(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1		
H5750	004	0	1	01	01	H5750_004_0	4	07/24/2009	2010.02	07/24/2009 01:03:36 PM Central Daylight Time	08/17/2009 02:42:02 PM Central Daylight Time	08/14/2009 03:07:19 PM Central Daylight Time		08/18/2009 03:40:07 PM Central Daylight Time	METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	www.cornerstone-solutions.org	MHP Integrated Care Initiative SNP (HMO)	01	01		1			H5750	004	0	2010	Hennepin County		2	300	2		2		1	3		1	5		www.mhpnorthstarplans.org	www.mhpnorthstarplans.org	(866)-903-4733		(866)-903-4733		(866)-601-8962		(866)-601-8962		(866)-903-4733		(866)-903-4733		(866)-601-8962		(866)-601-8962		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1		
H5754	001	0	1	37	05	H5754_001_0	3	07/07/2009	2010.02	07/07/2009 09:53:00 AM Central Daylight Time	08/14/2009 10:49:10 AM Central Daylight Time	08/13/2009 05:56:29 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H5754	001	0	2010	Essex and Plymouth Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5754	002	0	1	37	05	H5754_002_0	2	07/07/2009	2010.02	07/07/2009 09:53:15 AM Central Daylight Time	07/16/2009 06:50:13 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H5754	002	0	2010	Essex and Plymouth Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5754	003	0	1	37	05	H5754_003_0	3	07/07/2009	2010.02	07/07/2009 09:53:30 AM Central Daylight Time	08/18/2009 02:35:38 PM Central Daylight Time	08/13/2009 05:56:33 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H5754	003	0	2010	Essex County		2		2				1	1	1	1			www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5754	004	0	1	37	05	H5754_004_0	3	07/07/2009	2010.02	07/07/2009 09:53:48 AM Central Daylight Time	08/18/2009 02:33:50 PM Central Daylight Time	08/13/2009 05:56:36 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H5754	004	0	2010	Essex and Plymouth Counties		2		2				1	4		1		000110100000000	www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5774	003	0	1	01	01	H5774_003_0	7	08/27/2009	2010.02	08/27/2009 03:01:35 PM SA Western Standard Time	06/01/2009 02:42:22 PM SA Western Standard Time			08/27/2009 03:42:39 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Basic (HMO)	01	01		1			H5774	003	0	2010	Puerto Rico		2	426	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420										(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520										1		
H5774	005	0	1	01	01	H5774_005_0	4	08/20/2009	2010.02	08/20/2009 02:33:23 PM SA Western Standard Time	08/20/2009 03:27:18 PM SA Western Standard Time	08/20/2009 01:13:36 PM SA Western Standard Time		08/20/2009 05:17:08 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Standard (HMO)	01	01		1			H5774	005	0	2010	Puerto Rico		2	2102	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	008	0	1	01	01	H5774_008_0	4	08/27/2009	2010.02	08/27/2009 03:01:59 PM SA Western Standard Time	08/20/2009 03:28:10 PM SA Western Standard Time	08/20/2009 01:13:58 PM SA Western Standard Time		08/27/2009 03:42:39 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Classic (HMO)	01	01		1			H5774	008	0	2010	Puerto Rico		2	2353	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	009	0	1	01	01	H5774_009_0	6	08/27/2009	2010.02	08/27/2009 03:02:27 PM SA Western Standard Time	08/20/2009 04:29:44 PM SA Western Standard Time	08/20/2009 01:14:18 PM SA Western Standard Time		08/27/2009 03:42:39 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Classic Plus (HMO)	01	01		1			H5774	009	0	2010	Puerto Rico		2	4192	2				1	4		1		000000100000000	www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	014	0	1	01	01	H5774_014_0	6	08/20/2009	2010.02	08/20/2009 02:33:40 PM SA Western Standard Time	08/20/2009 03:29:20 PM SA Western Standard Time	08/20/2009 01:14:38 PM SA Western Standard Time		08/20/2009 05:17:08 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Opal (HMO)	01	01		1			H5774	014	0	2010	Puerto Rico		2	2545	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	019	0	1	01	01	H5774_019_0	9	08/27/2009	2010.02	08/27/2009 03:03:12 PM SA Western Standard Time	08/25/2009 11:29:18 AM SA Western Standard Time	08/20/2009 01:14:58 PM SA Western Standard Time		08/27/2009 03:42:39 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Platino Plus (HMO)	01	01		1			H5774	019	0	2010	Puerto Rico		2	18736	2		1	1	1	3		1	3		www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	802	0	1	01	01	H5774_802_0	2	06/01/2009	2010.02	06/01/2009 07:30:18 PM SA Western Standard Time	06/01/2009 02:43:06 PM SA Western Standard Time			06/01/2009 07:56:55 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Executive Group (HMO)	01	01		1			H5774	802	0	2010	Puerto Rico		1	100	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420										(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520										1		
H5774	806	0	1	01	01	H5774_806_0	2	06/01/2009	2010.02	06/01/2009 05:02:56 PM SA Western Standard Time	06/01/2009 02:43:14 PM SA Western Standard Time			06/01/2009 07:56:55 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_ELA Premier (HMO)	01	01		1			H5774	806	0	2010	Puerto Rico		1	666	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5774	808	0	1	01	01	H5774_808_0	2	06/01/2009	2010.02	06/01/2009 07:30:55 PM SA Western Standard Time	06/01/2009 02:43:20 PM SA Western Standard Time			06/01/2009 07:56:55 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Executive Group Plus (HMO)	01	01		1			H5774	808	0	2010	Puerto Rico		1	100	2				2						www.ahmpr.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1		
H5782	001	0	1	01	01	H5782_001_0	3	06/23/2009	2010.02	06/23/2009 01:59:57 PM Pacific Daylight Time	08/19/2009 09:25:44 AM Pacific Daylight Time	08/19/2009 09:25:44 AM Pacific Daylight Time		08/19/2009 09:28:08 AM Pacific Daylight Time	PARTNERSHIP HEALTHPLAN OF CALIFORNIA	Partnership HealthPlan of California	www.partnershiphp.org	PartnershipAdvantage (HMO)	01	01		1			H5782	001	0	2010	Napa, Solano, and Yolo Counties		2	4165	2		2		1	3		1	5		www.partnershiphp.org	www.partnershiphp.org	(866)-264-3626		(866)-264-3626		(866)-249-9933		(866)-249-9933		(866)-264-3626		(866)-264-3626		(866)-249-9933		(866)-249-9933		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5783	002	0	1	01	01	H5783_002_0	7	08/19/2009	2010.02	08/19/2009 11:36:17 PM Pacific Daylight Time	08/20/2009 12:01:52 PM Pacific Daylight Time	08/20/2009 12:16:44 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care- Plus (HMO)	01	01		1			H5783	002	0	2010	Charleston		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	006	0	1	01	01	H5783_006_0	13	08/27/2009	2010.02	08/27/2009 02:36:49 PM Pacific Daylight Time	08/20/2009 03:29:46 PM Pacific Daylight Time	08/20/2009 03:33:14 PM Pacific Daylight Time		08/27/2009 02:43:04 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5783	006	0	2010	Greenville / Spartanburg		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	008	0	1	01	01	H5783_008_0	10	08/27/2009	2010.02	08/27/2009 02:34:58 PM Pacific Daylight Time	08/20/2009 03:52:54 PM Pacific Daylight Time	08/20/2009 03:53:22 PM Pacific Daylight Time		08/27/2009 02:43:04 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO)	01	01		1			H5783	008	0	2010	Greenville, Pickens, Spartanburg		2		2		2		1	3		1	1			www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	009	0	1	01	01	H5783_009_0	8	08/20/2009	2010.02	08/20/2009 09:18:51 AM Pacific Daylight Time	08/20/2009 03:29:46 PM Pacific Daylight Time	08/20/2009 03:33:16 PM Pacific Daylight Time		08/20/2009 03:59:39 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care- Plus (HMO)	01	01		1			H5783	009	0	2010	Allendale County		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	010	0	1	01	01	H5783_010_0	6	08/20/2009	2010.02	08/20/2009 12:29:10 PM Pacific Daylight Time	08/20/2009 12:01:44 PM Pacific Daylight Time	08/20/2009 12:16:40 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5783	010	0	2010	Columbia		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	011	0	1	01	01	H5783_011_0	7	08/19/2009	2010.02	08/19/2009 11:58:45 PM Pacific Daylight Time	08/20/2009 12:01:22 PM Pacific Daylight Time	08/20/2009 12:16:40 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO)	01	01		1			H5783	011	0	2010	South Carolina		2		2		2		1	3		1	5			www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	012	0	1	01	01	H5783_012_0	7	08/20/2009	2010.02	08/20/2009 12:29:24 PM Pacific Daylight Time	08/20/2009 12:01:12 PM Pacific Daylight Time	08/20/2009 12:16:34 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5783	012	0	2010	Pickens		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	013	0	1	01	01	H5783_013_0	9	08/19/2009	2010.02	08/19/2009 11:59:02 PM Pacific Daylight Time	08/20/2009 12:00:50 PM Pacific Daylight Time	08/20/2009 12:16:32 PM Pacific Daylight Time		08/20/2009 04:24:41 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Enhanced (HMO)	01	01		1			H5783	013	0	2010	South Carolina		2		2				2							www.southeastcommunitycare.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5783	801	0	1	01	01	H5783_801_0	3	05/28/2009	2010.02	05/28/2009 11:15:29 PM Eastern Daylight Time	07/14/2009 12:17:50 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care EGWP (SC) (HMO)	01	01		1			H5783	801	0	2010	South Carolina		1		2				2							www.southeastcommunitycare.com	(800)-573-8597		(843)-746-9990		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H5793	001	0	1	01	01	H5793_001_0	4	06/12/2009	2010.02	06/12/2009 02:05:47 PM Eastern Daylight Time	08/17/2009 10:27:42 AM Eastern Daylight Time	08/25/2009 10:38:58 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5793	001	0	2010	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5793	003	0	1	01	01	H5793_003_0	5	06/17/2009	2010.02	06/17/2009 07:00:44 PM Eastern Daylight Time	08/17/2009 10:28:09 AM Eastern Daylight Time	08/17/2009 03:25:40 PM Eastern Daylight Time		08/20/2009 08:27:38 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5793	003	0	2010	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5793	008	0	1	01	01	H5793_008_0	4	06/01/2009	2010.02	06/01/2009 06:32:33 AM Eastern Daylight Time	08/17/2009 10:28:36 AM Eastern Daylight Time	08/17/2009 03:26:10 PM Eastern Daylight Time		08/20/2009 08:27:38 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H5793	008	0	2010	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5793	801	0	1	01	01	H5793_801_0	2	05/19/2009	2010.02	05/19/2009 01:45:56 PM Eastern Daylight Time	06/01/2009 09:57:17 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5793	801	0	2010	Fairfield, Hartford,Litchfield, New Haven Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5793	802	0	1	01	01	H5793_802_0	2	05/19/2009	2010.02	05/19/2009 01:47:27 PM Eastern Daylight Time	06/01/2009 09:43:31 AM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5793	802	0	2010	Fairfield, Hartford,Litchfield, New Haven Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5810	001	0	1	01	01	H5810_001_0	11	08/17/2009	2010.02	08/17/2009 01:53:37 PM Pacific Daylight Time	08/19/2009 04:20:00 PM Pacific Daylight Time	08/19/2009 04:19:14 PM Pacific Daylight Time		08/20/2009 05:16:00 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H5810	001	0	2010	LA, San Diego, parts of Riverside, San Bernardino		2	2512	2		2		1	3		1	1		www.molinamedicare.com	www.molinahealthcare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5810	002	0	1	01	01	H5810_002_0	6	08/20/2009	2010.02	08/20/2009 03:08:06 PM Pacific Daylight Time	08/19/2009 03:43:09 PM Pacific Daylight Time	08/19/2009 03:42:26 PM Pacific Daylight Time		08/20/2009 05:16:00 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5810	002	0	2010	LA, San Diego, parts of Riverside, San Bernardino		2	252	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5810	007	0	1	01	01	H5810_007_0	6	08/20/2009	2010.02	08/20/2009 03:09:30 PM Pacific Daylight Time	08/19/2009 03:43:31 PM Pacific Daylight Time	08/19/2009 03:43:29 PM Pacific Daylight Time		08/20/2009 05:16:00 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H5810	007	0	2010	Sacramento County		2	2512	2		2		1	3		1	5		www.molinamedicare.com	www.molinahealthcare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5810	008	0	1	01	01	H5810_008_0	6	08/20/2009	2010.02	08/20/2009 03:08:56 PM Pacific Daylight Time	08/19/2009 03:44:31 PM Pacific Daylight Time	08/20/2009 03:56:35 PM Pacific Daylight Time		08/20/2009 05:16:00 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Healthy Advantage (HMO)	01	01		1			H5810	008	0	2010	Los Angeles County		2	2512	2		2		1	3		1	5		www.molinamedicare.com	www.molinahealthcare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5810	009	0	1	01	01	H5810_009_0	5	08/20/2009	2010.02	08/20/2009 03:10:39 PM Pacific Daylight Time	08/19/2009 04:20:21 PM Pacific Daylight Time	08/19/2009 04:20:20 PM Pacific Daylight Time		08/20/2009 05:16:00 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5810	009	0	2010	Sacramento County		2	38	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5811	001	0	1	01	01	H5811_001_0	4	05/28/2009	2010.02	05/28/2009 07:46:26 PM Pacific Daylight Time	08/20/2009 06:33:06 PM Pacific Daylight Time	08/20/2009 06:42:42 PM Pacific Daylight Time		08/20/2009 05:19:15 PM Pacific Daylight Time	MEDCORE HP	Medcore HP	www.medcorehp.com	Medcore Gold (HMO)	01	01		1			H5811	001	0	2010	San Joaquin County		2	2327	2				2						www.medcorehp.com	http://www.medcorehp.com/rx/rx.asp	(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		1		
H5811	002	0	1	01	01	H5811_002_0	7	08/20/2009	2010.02	08/20/2009 03:14:14 PM Pacific Daylight Time	08/20/2009 06:37:02 PM Pacific Daylight Time	08/20/2009 06:42:08 PM Pacific Daylight Time		08/20/2009 05:19:15 PM Pacific Daylight Time	MEDCORE HP	Medcore HP	www.medcorehp.com	Medcore Gold Select (Medicare and Medi-Cal) (HMO)	01	01		1			H5811	002	0	2010	San Joaquin County		2		2		2		1	3		1	3		www.medcorehp.com	http://www.medcorehp.com/rx/rx.asp	(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601		1		
H5811	003	0	1	01	01	H5811_003_0	1	05/28/2009	2010.02	05/28/2009 07:38:58 PM Pacific Daylight Time	05/31/2009 06:57:52 PM Pacific Daylight Time			06/01/2009 10:23:25 AM Pacific Daylight Time	MEDCORE HP	Medcore HP	www.medcorehp.com	Medcore Silver (HMO)	01	01		1			H5811	003	0	2010	San Joaquin County		2	75	2				2						www.medcorehp.com	http://www.medcorehp.com/rx/rx.asp	(800)-320-5688		(209)-320-2650		(800)-320-5688		(209)-320-2650										(800)-258-6810		(209)-320-2601		(800)-258-6810		(209)-320-2601										1		
H5812	044	0	1	09	04	H5812_044_0	5	05/30/2009	2010.02	05/30/2009 03:00:15 PM Eastern Daylight Time	08/28/2009 10:38:22 AM Eastern Daylight Time	08/18/2009 12:01:41 PM Eastern Daylight Time		08/28/2009 10:47:44 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open 3 $0 Deductible Rx (PFFS)	04	09	2	1			H5812	044	0	2010	PA -  Region 1		2		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H5812	054	0	1	09	04	H5812_054_0	3	05/30/2009	2010.02	05/30/2009 03:00:06 PM Eastern Daylight Time	08/18/2009 11:59:46 AM Eastern Daylight Time	08/18/2009 12:01:42 PM Eastern Daylight Time		08/18/2009 12:54:32 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open 3 $0 Deductible Rx (PFFS)	04	09	2	1			H5812	054	0	2010	PA - Region 2		2		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H5812	057	0	1	09	04	H5812_057_0	2	05/30/2009	2010.02	05/30/2009 03:01:02 PM Eastern Daylight Time	05/31/2009 02:20:49 PM Eastern Daylight Time			05/31/2009 02:26:12 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open 3 (PFFS)	04	09	2	1			H5812	057	0	2010	PA - Region 1		2		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H5812	058	0	1	09	04	H5812_058_0	2	05/30/2009	2010.02	05/30/2009 03:01:18 PM Eastern Daylight Time	05/31/2009 02:20:32 PM Eastern Daylight Time			05/31/2009 02:26:12 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open 3 (PFFS)	04	09	2	1			H5812	058	0	2010	PA - Region 2		2		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H5812	801	0	1	09	04	H5812_801_0	1	05/30/2009	2010.02	05/30/2009 12:36:52 PM Eastern Daylight Time	05/31/2009 04:05:04 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open (Employer Group) (PFFS)	04	09	2	1			H5812	801	0	2010	Pennsylvania		1		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										1		
H5812	802	0	1	09	04	H5812_802_0	1	05/31/2009	2010.02	05/31/2009 02:43:32 PM Eastern Daylight Time	05/31/2009 04:05:05 PM Eastern Daylight Time			05/31/2009 04:13:46 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Open Rx (Employer Group) (PFFS)	04	09	2	1			H5812	802	0	2010	Pennsylvania		1		2				2							https://www.thehealthplan.com/non_members/GoldFormularyInfo.cfm	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
H5813	003	0	1	01	01	H5813_003_0	5	08/19/2009	2010.02	08/19/2009 12:49:06 PM Eastern Daylight Time	08/18/2009 05:09:12 PM Eastern Daylight Time	08/25/2009 10:39:24 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H5813	003	0	2010	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5813	006	0	1	01	01	H5813_006_0	5	08/19/2009	2010.02	08/19/2009 12:49:15 PM Eastern Daylight Time	08/18/2009 05:10:33 PM Eastern Daylight Time	08/17/2009 03:27:06 PM Eastern Daylight Time		08/20/2009 09:24:06 PM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5813	006	0	2010	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5813	801	0	1	01	01	H5813_801_0	2	05/19/2009	2010.02	05/19/2009 01:49:35 PM Eastern Daylight Time	05/31/2009 07:35:13 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5813	801	0	2010	New Castle County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5813	802	0	1	01	01	H5813_802_0	2	05/19/2009	2010.02	05/19/2009 01:53:26 PM Eastern Daylight Time	05/31/2009 07:40:41 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5813	802	0	2010	New Castle County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5817	009	0	1	01	01	H5817_009_0	3	05/30/2009	2010.02	05/30/2009 06:55:15 PM Eastern Daylight Time	08/19/2009 09:33:04 PM Eastern Daylight Time	08/20/2009 11:38:46 AM Eastern Daylight Time		08/20/2009 03:27:40 PM Eastern Daylight Time	AMERIGROUP TEXAS, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H5817	009	0	2010	Houston Metro Area and San Antonio		2	995	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/amerivantage/_documents/Amvtg_FORMULARY.pdf	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5817	010	0	1	01	01	H5817_010_0	3	08/19/2009	2010.02	08/19/2009 05:12:59 PM Eastern Daylight Time	08/19/2009 09:33:56 PM Eastern Daylight Time	08/20/2009 11:39:15 AM Eastern Daylight Time		08/20/2009 03:27:40 PM Eastern Daylight Time	AMERIGROUP TEXAS, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H5817	010	0	2010	Houston Metro Area and San Antonio		2	751	2				2						http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/amerivantage/_documents/Amvtg_FORMULARY.pdf	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5817	011	0	1	01	01	H5817_011_0	4	08/19/2009	2010.02	08/19/2009 05:07:05 PM Eastern Daylight Time	08/19/2009 09:35:59 PM Eastern Daylight Time	08/20/2009 11:39:49 AM Eastern Daylight Time		08/20/2009 03:27:40 PM Eastern Daylight Time	AMERIGROUP TEXAS, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Balance + Rx (HMO)	01	01		1			H5817	011	0	2010	Houston Metro Area and San Antonio		2	159	2				2						http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/amerivantage/_documents/Amvtg_FORMULARY.pdf	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5820	002	0	1	09	04	H5820_002_0	5	07/22/2009	2010.02	07/22/2009 10:56:49 PM Eastern Daylight Time	08/20/2009 03:02:06 PM Eastern Daylight Time	08/20/2009 03:29:54 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	002	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	003	0	1	09	04	H5820_003_0	5	07/22/2009	2010.02	07/22/2009 10:56:58 PM Eastern Daylight Time	08/20/2009 03:12:18 PM Eastern Daylight Time	08/20/2009 03:30:43 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	003	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	004	0	1	09	04	H5820_004_0	5	07/22/2009	2010.02	07/22/2009 10:57:12 PM Eastern Daylight Time	08/20/2009 03:16:45 PM Eastern Daylight Time	08/20/2009 03:31:34 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	004	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	008	0	1	09	04	H5820_008_0	4	07/22/2009	2010.02	07/22/2009 10:57:22 PM Eastern Daylight Time	08/20/2009 03:19:09 PM Eastern Daylight Time	08/20/2009 03:32:52 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	2	1			H5820	008	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	009	0	1	09	04	H5820_009_0	4	07/22/2009	2010.02	07/22/2009 10:57:36 PM Eastern Daylight Time	08/20/2009 03:20:17 PM Eastern Daylight Time	08/20/2009 03:33:49 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	2	1			H5820	009	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	010	0	1	09	04	H5820_010_0	4	07/22/2009	2010.02	07/22/2009 10:57:46 PM Eastern Daylight Time	08/20/2009 03:21:26 PM Eastern Daylight Time	08/20/2009 03:34:47 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	2	1			H5820	010	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	011	0	1	09	04	H5820_011_0	5	07/22/2009	2010.02	07/22/2009 10:57:57 PM Eastern Daylight Time	08/20/2009 03:23:17 PM Eastern Daylight Time	08/20/2009 03:36:21 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	011	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	013	0	1	09	04	H5820_013_0	4	07/22/2009	2010.02	07/22/2009 10:58:07 PM Eastern Daylight Time	08/20/2009 03:24:55 PM Eastern Daylight Time	08/20/2009 03:37:43 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	2	1			H5820	013	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5820	026	0	1	09	04	H5820_026_0	3	07/22/2009	2010.02	07/22/2009 10:58:18 PM Eastern Daylight Time	05/31/2009 03:08:41 PM Eastern Daylight Time			07/24/2009 03:59:21 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any MA Only (PFFS)	04	09	2	1			H5820	026	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5820	027	0	1	09	04	H5820_027_0	3	07/22/2009	2010.02	07/22/2009 10:58:28 PM Eastern Daylight Time	05/31/2009 03:12:04 PM Eastern Daylight Time			07/24/2009 03:59:21 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any MA Only (PFFS)	04	09	2	1			H5820	027	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5820	028	0	1	09	04	H5820_028_0	3	07/22/2009	2010.02	07/22/2009 10:58:39 PM Eastern Daylight Time	05/31/2009 03:13:16 PM Eastern Daylight Time			07/24/2009 03:59:21 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any MA Only (PFFS)	04	09	2	1			H5820	028	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5820	029	0	1	09	04	H5820_029_0	3	07/22/2009	2010.02	07/22/2009 10:58:54 PM Eastern Daylight Time	05/31/2009 03:14:21 PM Eastern Daylight Time			07/24/2009 03:59:21 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any MA Only (PFFS)	04	09	2	1			H5820	029	0	2010	National PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H5820	801	0	1	09	04	H5820_801_0	3	08/05/2009	2010.02	08/05/2009 04:33:35 PM Eastern Daylight Time	06/04/2009 09:27:37 AM Eastern Daylight Time			08/05/2009 04:43:50 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Universal EGWP (PFFS)	04	09	2	1			H5820	801	0	2010	National PFFS		1		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H5821	001	0	1	02	01	H5821_001_0	5	08/19/2009	2010.02	08/19/2009 09:53:50 AM SA Western Standard Time	08/18/2009 08:10:50 PM SA Western Standard Time	08/20/2009 03:29:10 PM SA Western Standard Time		08/20/2009 04:38:11 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel (HMO-POS)	01	02		1			H5821	001	0	2010	State of Puerto Rico		2	748	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/Formularios	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1		
H5821	004	0	1	02	01	H5821_004_0	5	08/19/2009	2010.02	08/19/2009 09:51:28 AM SA Western Standard Time	08/20/2009 01:07:04 PM SA Western Standard Time	08/20/2009 03:30:22 PM SA Western Standard Time		08/20/2009 04:38:11 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel Premier (HMO-POS)	01	02		1			H5821	004	0	2010	State of Puerto Rico		2	946	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/Formularios	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1		
H5821	013	0	1	02	01	H5821_013_0	8	08/21/2009	2010.02	08/21/2009 04:14:07 PM SA Western Standard Time	08/24/2009 09:40:44 AM SA Western Standard Time	08/20/2009 03:30:54 PM SA Western Standard Time		08/24/2009 01:12:42 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel Extended (HMO-POS)	01	02		1			H5821	013	0	2010	State of Puerto Rico		2	8538	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/Formularios	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1		
H5821	804	0	1	02	01	H5821_804_0	2	05/29/2009	2010.02	05/29/2009 10:03:25 AM SA Western Standard Time	06/01/2009 08:21:26 AM SA Western Standard Time			06/01/2009 09:48:41 AM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel Employer Plan (HMO-POS)	01	02		1			H5821	804	0	2010	State of Puerto Rico		1	1010	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/Formularios	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1		
H5822	001	0	1	20	08	H5822_001_0	2	05/19/2009	2010.02	05/19/2009 09:58:19 AM Central Daylight Time		10/13/2009 03:29:01 PM Central Daylight Time		10/14/2009 05:26:47 PM Central Daylight Time	MIDLAND CARE CONNECTION	Midland PACE	www.midlandcc.org	Midland Care Connection - Dual Eligibles (PACE)	08	20		1			H5822	001	0	2010	Counties: DG, JA, JF, OS, PT, SN, WB		2		2				2							www.midlandcc.org									(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044																		1		
H5822	002	0	1	20	08	H5822_002_0	2	05/19/2009	2010.02	05/19/2009 09:58:41 AM Central Daylight Time		10/13/2009 03:29:01 PM Central Daylight Time		10/14/2009 05:26:47 PM Central Daylight Time	MIDLAND CARE CONNECTION	Midland PACE	www.midlandcc.org	Midland Care Connection - Medicare Only (PACE)	08	20		1			H5822	002	0	2010	Counties: DG, JA, JF, OS, PT, SN, WB		2		2				2							www.midlandcc.org									(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044																		1		
H5823	002	0	1	01	01	H5823_002_0	5	07/31/2009	2010.02	07/31/2009 10:44:28 AM Pacific Daylight Time	08/19/2009 03:50:03 PM Pacific Daylight Time	08/19/2009 03:49:32 PM Pacific Daylight Time		08/20/2009 01:43:07 PM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5823	002	0	2010	King, Pierce, Snohomish, Spokane Counties		2	611	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5823	004	0	1	01	01	H5823_004_0	5	07/31/2009	2010.02	07/31/2009 10:43:08 AM Pacific Daylight Time	08/19/2009 03:50:35 PM Pacific Daylight Time	08/19/2009 03:50:24 PM Pacific Daylight Time		08/20/2009 01:43:07 PM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	ChoicePartners Medicare (HMO)	01	01		1			H5823	004	0	2010	Spokane, Stevens, Whitman Counties		2	611	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5823	006	0	1	01	01	H5823_006_0	5	08/20/2009	2010.02	08/20/2009 01:35:33 PM Pacific Daylight Time	08/20/2009 10:27:39 AM Pacific Daylight Time	08/19/2009 05:06:57 PM Pacific Daylight Time		08/20/2009 01:43:07 PM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H5823	006	0	2010	King, Pierce, Snohomish, Spokane, Stevens, Whitman		2	1612	2		2		1	3		1	5		www.molinamedicare.com	www.molinahealthcare.com	(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-665-1029		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5826	005	0	1	01	01	H5826_005_0	4	08/19/2009	2010.02	08/19/2009 04:26:19 PM Pacific Daylight Time	08/19/2009 05:07:34 PM Pacific Daylight Time	08/14/2009 12:23:14 PM Pacific Daylight Time		08/20/2009 01:35:39 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage SNP (HMO)	01	01		1			H5826	005	0	2010	Eastern and Western Washington State		2		2		2		1	3		1	3		www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1		
H5826	006	0	1	01	01	H5826_006_0	4	07/22/2009	2010.02	07/22/2009 11:54:15 AM Pacific Daylight Time	05/25/2009 02:54:46 PM Pacific Daylight Time			07/23/2009 09:23:57 AM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage (HMO)	01	01		1			H5826	006	0	2010	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247										(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479										1		
H5826	008	0	1	01	01	H5826_008_0	4	08/19/2009	2010.02	08/19/2009 05:46:40 PM Pacific Daylight Time	08/19/2009 05:19:02 PM Pacific Daylight Time	08/14/2009 12:23:30 PM Pacific Daylight Time		08/20/2009 01:35:39 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst MA Plan with Pharmacy (HMO)	01	01		1			H5826	008	0	2010	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1		
H5826	009	0	1	01	01	H5826_009_0	4	07/22/2009	2010.02	07/22/2009 03:48:32 PM Pacific Daylight Time	08/19/2009 05:18:36 PM Pacific Daylight Time	08/14/2009 12:23:46 PM Pacific Daylight Time		08/20/2009 01:35:39 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst MA Plan with Pharmacy (HMO)	01	01		1			H5826	009	0	2010	Eastern and Western Washington State		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1		
H5826	010	0	1	01	01	H5826_010_0	8	08/19/2009	2010.02	08/19/2009 05:48:59 PM Pacific Daylight Time	08/19/2009 05:24:38 PM Pacific Daylight Time	08/14/2009 12:24:02 PM Pacific Daylight Time		08/20/2009 01:35:39 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage Extra (HMO)	01	01		1			H5826	010	0	2010	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1		
H5826	011	0	1	02	01	H5826_011_0	6	08/19/2009	2010.02	08/19/2009 05:51:18 PM Pacific Daylight Time	08/19/2009 05:27:56 PM Pacific Daylight Time	08/14/2009 12:24:18 PM Pacific Daylight Time		08/20/2009 01:35:39 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage Premium (HMO-POS)	01	02		1			H5826	011	0	2010	Eastern and Western Washington State		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1		
H5832	001	0	1	01	01	H5832_001_0	5	08/19/2009	2010.02	08/19/2009 02:00:31 PM Eastern Daylight Time	08/18/2009 03:40:49 PM Eastern Daylight Time	08/25/2009 10:40:05 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5832	001	0	2010	Oklahoma County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5832	801	0	1	01	01	H5832_801_0	1	05/19/2009	2010.02	05/19/2009 01:56:20 PM Eastern Daylight Time	05/29/2009 07:19:50 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5832	801	0	2010	Cleveland, Oklahoma and Tulsa Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5832	802	0	1	01	01	H5832_802_0	1	05/19/2009	2010.02	05/19/2009 01:56:05 PM Eastern Daylight Time	05/29/2009 07:24:22 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5832	802	0	2010	Cleveland, Oklahoma and Tulsa Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5839	001	0	1	09	04	H5839_001_0	8	08/07/2009	2010.01	08/07/2009 01:43:27 PM Pacific Daylight Time	08/19/2009 03:25:55 PM Pacific Daylight Time	08/18/2009 04:57:16 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY (MT)	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners - Montana (PFFS)	04	09	3	1			H5839	001	0	2010	Montana		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-467-8545		(866)-467-8545		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H5850	001	0	1	01	01	H5850_001_0	7	08/20/2009	2010.02	08/20/2009 11:24:19 AM Eastern Daylight Time	08/17/2009 01:26:50 PM Eastern Daylight Time	08/18/2009 11:26:38 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal (HMO)	01	01		1			H5850	001	0	2010	Miami-Dade County		2	4500	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	002	0	1	01	01	H5850_002_0	6	08/20/2009	2010.02	08/20/2009 11:27:08 AM Eastern Daylight Time	08/17/2009 01:27:01 PM Eastern Daylight Time	08/18/2009 11:27:32 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Maximum (HMO)	01	01		1			H5850	002	0	2010	Dade, Broward, Palm Beach, Martin and St. Lucie		2	3300	2		2		1	3		1	2		www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	003	0	1	01	01	H5850_003_0	6	08/20/2009	2010.02	08/20/2009 11:29:34 AM Eastern Daylight Time	08/17/2009 01:36:40 PM Eastern Daylight Time	08/18/2009 11:28:34 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal (HMO)	01	01		1			H5850	003	0	2010	Broward County		2	2500	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	004	0	1	01	01	H5850_004_0	6	08/20/2009	2010.02	08/20/2009 11:32:07 AM Eastern Daylight Time	08/17/2009 01:50:12 PM Eastern Daylight Time	08/18/2009 11:29:25 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal (HMO)	01	01		1			H5850	004	0	2010	Palm Beach County		2	300	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	005	0	1	01	01	H5850_005_0	6	08/20/2009	2010.02	08/20/2009 11:33:50 AM Eastern Daylight Time	08/17/2009 01:37:03 PM Eastern Daylight Time	08/18/2009 11:30:22 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal (HMO)	01	01		1			H5850	005	0	2010	Martin County		2	300	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	006	0	1	01	01	H5850_006_0	6	08/20/2009	2010.02	08/20/2009 11:36:07 AM Eastern Daylight Time	08/17/2009 01:37:14 PM Eastern Daylight Time	08/18/2009 11:31:18 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Plus (HMO)	01	01		1			H5850	006	0	2010	Miami-Dade County		2	600	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	007	0	1	01	01	H5850_007_0	6	08/20/2009	2010.02	08/20/2009 11:38:09 AM Eastern Daylight Time	08/17/2009 01:37:25 PM Eastern Daylight Time	08/18/2009 11:32:06 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal (HMO)	01	01		1			H5850	007	0	2010	St. Lucie County		2	1500	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	010	0	1	01	01	H5850_010_0	6	08/20/2009	2010.02	08/20/2009 11:38:58 AM Eastern Daylight Time	08/17/2009 01:37:36 PM Eastern Daylight Time	08/18/2009 11:32:49 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Plus (HMO)	01	01		1			H5850	010	0	2010	Broward County		2	200	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	012	0	1	01	01	H5850_012_0	6	08/20/2009	2010.02	08/20/2009 11:41:16 AM Eastern Daylight Time	08/18/2009 08:51:51 AM Eastern Daylight Time	08/18/2009 11:33:27 AM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Ideal One (HMO)	01	01		1			H5850	012	0	2010	Miami-Dade County		2	1000	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	014	0	1	01	01	H5850_014_0	4	07/06/2009	2010.02	07/06/2009 05:16:37 PM Eastern Daylight Time	07/24/2009 02:50:14 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Summit Value (HMO)	01	01		1			H5850	014	0	2010	St. Lucie County		2	150	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506										(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010										1		
H5850	015	0	1	01	01	H5850_015_0	5	08/20/2009	2010.02	08/20/2009 12:25:30 PM Eastern Daylight Time	08/17/2009 01:37:58 PM Eastern Daylight Time	08/18/2009 12:00:02 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Gold (HMO)	01	01		1			H5850	015	0	2010	Pinellas County		2	100	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	016	0	1	01	01	H5850_016_0	5	08/20/2009	2010.02	08/20/2009 11:45:23 AM Eastern Daylight Time	08/17/2009 01:38:08 PM Eastern Daylight Time	08/18/2009 12:00:49 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Gold (HMO)	01	01		1			H5850	016	0	2010	Hillsborough, Pasco and Polk counties		2	200	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	017	0	1	02	01	H5850_017_0	7	08/20/2009	2010.02	08/20/2009 11:47:23 AM Eastern Daylight Time	08/17/2009 01:38:20 PM Eastern Daylight Time	08/18/2009 12:01:36 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Diamond (HMO-POS)	01	02		1			H5850	017	0	2010	Hillsborough, Pasco, Pinellas and Polk Counties		2	50	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	019	0	1	01	01	H5850_019_0	5	08/20/2009	2010.02	08/20/2009 11:47:54 AM Eastern Daylight Time	08/17/2009 01:38:32 PM Eastern Daylight Time	08/18/2009 12:02:32 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Plus (HMO)	01	01		1			H5850	019	0	2010	Hernando, Hillsborough, Pasco, Pinellas, Polk area		2	100	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	020	0	1	01	01	H5850_020_0	5	08/20/2009	2010.02	08/20/2009 11:50:01 AM Eastern Daylight Time	08/17/2009 01:38:42 PM Eastern Daylight Time	08/18/2009 12:03:27 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Gold (HMO)	01	01		1			H5850	020	0	2010	Hernando County		2	50	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	021	0	1	01	01	H5850_021_0	5	08/20/2009	2010.02	08/20/2009 11:51:47 AM Eastern Daylight Time	08/17/2009 01:38:53 PM Eastern Daylight Time	08/18/2009 12:04:25 PM Eastern Daylight Time		08/20/2009 04:45:59 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Maximum (HMO)	01	01		1			H5850	021	0	2010	Hernando, Hillsborough, Pasco, Pinellas, Polk area		2	300	2		2		1	3		1	4		www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	802	0	1	01	01	H5850_802_0	3	05/31/2009	2010.02	05/31/2009 12:29:24 PM Eastern Daylight Time	07/23/2009 06:17:14 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Employer Group - (CY) (HMO)	01	01		1			H5850	802	0	2010	All Counties		1	250	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5850	803	0	1	01	01	H5850_803_0	3	05/31/2009	2010.02	05/31/2009 12:29:27 PM Eastern Daylight Time	07/23/2009 07:20:14 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Employer Group - MA Only (CY) (HMO)	01	01		1			H5850	803	0	2010	National		1	250	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506										(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010										1		
H5850	805	0	1	01	01	H5850_805_0	3	05/31/2009	2010.02	05/31/2009 12:29:31 PM Eastern Daylight Time	07/23/2009 07:27:28 PM Eastern Daylight Time			07/24/2009 11:05:17 PM Eastern Daylight Time	SUMMIT HEALTH PLAN, INC.	Summit Health Plan, Inc.	www.summithealthplan.com	Advantra Employer Group - (Non-Cal Yr) (HMO)	01	01		1			H5850	805	0	2010	National		1	250	2				2						www.summithealthplan.com	http://www.summithealthplan.com/Static/pdf/Formulary/SHP_Rx_2010.pdf	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(888)-988-7506		(888)-988-7506		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		(800)-490-7704		(800)-490-7704		(888)-788-4010		(888)-788-4010		1		
H5852	001	0	1	01	01	H5852_001_0	7	07/10/2009	2010.02	07/10/2009 06:31:58 PM Pacific Daylight Time	08/16/2009 01:19:31 PM Pacific Daylight Time	08/17/2009 08:01:56 PM Pacific Daylight Time		08/17/2009 08:43:42 PM Pacific Daylight Time	AIDS HEALTHCARE FOUNDATION	POSITIVE HEALTHCARE PARTNERS	www.positivehealthcare.org	POSITIVE HEALTHCARE PARTNERS (HMO)	01	01		1			H5852	001	0	2010	PHP LOS ANGELES COUNTY		2	687	2				1	4		1		000000000010000	WWW.POSITIVEHEALTHCARE .ORG	https://www.catalystrx.com/www/MedicareD/index.jsp?src=ahf	(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5854	002	0	1	01	01	H5854_002_0	7	08/20/2009	2010.02	08/20/2009 03:42:11 PM Pacific Daylight Time	08/20/2009 05:12:34 PM Pacific Daylight Time	08/17/2009 03:44:27 PM Pacific Daylight Time		08/20/2009 05:31:26 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue Plus (HMO)	01	01		1			H5854	002	0	2010	Fairfield, Hartford and New Haven counties		2	977	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H5854	003	0	1	01	01	H5854_003_0	7	08/03/2009	2010.02	08/03/2009 02:05:24 PM Pacific Daylight Time	08/20/2009 05:14:18 PM Pacific Daylight Time	08/17/2009 03:44:47 PM Pacific Daylight Time		08/20/2009 05:31:26 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue Select (HMO)	01	01		1			H5854	003	0	2010	Fairfield, Hartford and New Haven counties		2	792	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H5854	004	0	1	01	01	H5854_004_0	5	08/03/2009	2010.02	08/03/2009 02:07:40 PM Pacific Daylight Time	07/27/2009 07:30:36 AM Pacific Daylight Time			08/03/2009 02:42:31 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue Essential (HMO)	01	01		1			H5854	004	0	2010	Fairfield, Hartford and New Haven counties		2	178	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143												(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H5854	005	0	1	01	01	H5854_005_0	7	08/20/2009	2010.02	08/20/2009 03:52:34 PM Pacific Daylight Time	08/20/2009 05:14:18 PM Pacific Daylight Time	08/17/2009 03:45:07 PM Pacific Daylight Time		08/20/2009 05:31:26 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue Value (HMO)	01	01		1			H5854	005	0	2010	Fairfield, Hartford and New Haven counties		2	277	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H5854	801	0	1	01	01	H5854_801_0	4	08/03/2009	2010.02	08/03/2009 01:40:20 PM Pacific Daylight Time	07/24/2009 01:56:49 PM Pacific Daylight Time			08/03/2009 01:47:29 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue (HMO)	01	01		1			H5854	801	0	2010	Connecticut		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H5854	803	0	1	01	01	H5854_803_0	3	08/03/2009	2010.02	08/03/2009 01:42:10 PM Pacific Daylight Time	07/24/2009 01:57:04 PM Pacific Daylight Time			08/03/2009 01:47:29 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue (HMO)	01	01		1			H5854	803	0	2010	Connecticut		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1		
H5854	805	0	1	01	01	H5854_805_0	3	08/03/2009	2010.02	08/03/2009 01:46:03 PM Pacific Daylight Time	07/24/2009 01:57:17 PM Pacific Daylight Time			08/03/2009 01:47:29 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com	MediBlue (HMO)	01	01		1			H5854	805	0	2010	Connecticut		1	2895	2				2						www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143				(800)-241-6894		(800)-241-6894		(800)-241-6894				(800)-241-6894		(800)-241-6894		(800)-241-6894		1		
H5859	001	0	1	01	01	H5859_001_0	3	08/20/2009	2010.02	08/20/2009 08:43:05 AM Pacific Daylight Time	08/19/2009 02:57:18 PM Pacific Daylight Time	08/19/2009 02:57:18 PM Pacific Daylight Time		08/20/2009 09:00:04 AM Pacific Daylight Time	HEALTH PLAN OF CAREOREGON, INC.	CareOregon Advantage	www.careoregonadvantage.org	CareOregon Advantage Plus (HMO)	01	01		1			H5859	001	0	2010	Portland/Salem Area, Northwest and Southern Oregon		2	6061	2		2		1	3		1	3		http://www.careoregonadvantage.org	http://www.careoregon.org/medicare/formulary.html	(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		1		
H5859	003	0	1	01	01	H5859_003_0	3	08/20/2009	2010.02	08/20/2009 08:43:48 AM Pacific Daylight Time	08/19/2009 02:50:57 PM Pacific Daylight Time	08/19/2009 02:50:58 PM Pacific Daylight Time		08/20/2009 08:50:57 AM Pacific Daylight Time	HEALTH PLAN OF CAREOREGON, INC.	CareOregon Advantage	www.careoregonadvantage.org	CareOregon Advantage Star (HMO)	01	01		1			H5859	003	0	2010	Portland/Salem Area, Northwest and Southern Oregon		2	186	2				2						http://www.careoregonadvantage.org	http://www.careoregon.org/medicare/formulary.html	(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		(877)-416-4161		(503)-416-3700		1		
H5862	001	0	1	09	04	H5862_001_0	5	07/17/2009	2010.02	07/17/2009 03:28:56 PM Mountain Daylight Time	08/19/2009 03:40:05 PM Mountain Daylight Time	08/19/2009 03:40:14 PM Mountain Daylight Time		08/19/2009 04:26:40 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC.	Blue Cross of Idaho	www.bcidaho.com/medicare	Flexi Blue (PFFS)	04	09	2	1			H5862	001	0	2010	State of Idaho		2	850	2				2							bcidaho.com/ma_formulary	(866)-588-6167		(208)-395-8200		(888)-492-2583		(208)-387-6673		(866)-588-6167		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1		
H5868	001	0	1	04	01	H5868_001_0	7	07/28/2009	2010.02	07/28/2009 09:33:01 AM Eastern Daylight Time	08/19/2009 04:09:46 PM Eastern Daylight Time	08/19/2009 11:08:00 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5868-001 (PPO)	01	04		1			H5868	001	0	2010	Iowa Metro Area		2	5851	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H5868	004	0	1	04	01	H5868_004_0	5	07/27/2009	2010.02	07/27/2009 04:48:02 PM Eastern Daylight Time	07/17/2009 02:52:20 PM Eastern Daylight Time			07/27/2009 05:14:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5868-004 (PPO)	01	04		1			H5868	004	0	2010	Iowa LPPO MA Only		2	1410	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5868	801	0	1	04	01	H5868_801_0	4	05/26/2009	2010.02	05/27/2009 12:58:33 PM Eastern Daylight Time	07/21/2009 03:53:04 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5868	801	0	2010	Select Counties in Iowa		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5868	802	0	1	04	01	H5868_802_0	4	05/26/2009	2010.02	05/27/2009 12:59:06 PM Eastern Daylight Time	07/21/2009 04:49:10 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5868	802	0	2010	Select Counties in Iowa		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5868	803	0	1	04	01	H5868_803_0	4	05/26/2009	2010.02	05/27/2009 12:59:33 PM Eastern Daylight Time	07/21/2009 04:50:12 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5868	803	0	2010	Select Counties in Iowa		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5883	001	1	1	01	01	H5883_001_1	7	07/22/2009	2010.02	07/22/2009 04:14:37 PM Eastern Daylight Time	08/20/2009 09:43:03 AM Eastern Daylight Time			08/20/2009 11:39:40 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	001	1	2010	Option 1	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	1000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	001	2	1	01	01	H5883_001_2	8	07/23/2009	2010.02	07/23/2009 11:14:11 AM Eastern Daylight Time	08/20/2009 09:44:47 AM Eastern Daylight Time			08/20/2009 11:39:40 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	001	2	2010	Option 1	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	1000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	001	3	1	01	01	H5883_001_3	7	07/20/2009	2010.02	07/20/2009 02:57:13 PM Eastern Daylight Time	08/20/2009 09:47:09 AM Eastern Daylight Time			08/20/2009 11:39:40 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	001	3	2010	Option 1	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	1000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	001	4	1	01	01	H5883_001_4	8	07/20/2009	2010.02	07/20/2009 02:57:55 PM Eastern Daylight Time	08/20/2009 09:48:35 AM Eastern Daylight Time			08/20/2009 11:39:40 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	001	4	2010	Option 1	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	1000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	001	5	1	01	01	H5883_001_5	7	07/20/2009	2010.02	07/20/2009 02:58:21 PM Eastern Daylight Time	08/20/2009 09:49:51 AM Eastern Daylight Time			08/20/2009 11:39:40 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	001	5	2010	Option 1	Macomb, Oakland, St. Clair, Wayne counties	2	1000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	002	1	1	01	01	H5883_002_1	9	07/31/2009	2010.02	07/31/2009 02:23:17 PM Eastern Daylight Time	08/20/2009 09:51:47 AM Eastern Daylight Time	08/18/2009 04:08:57 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	002	1	2010	Option 2	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	002	2	1	01	01	H5883_002_2	10	07/31/2009	2010.02	07/31/2009 02:24:24 PM Eastern Daylight Time	08/20/2009 09:52:52 AM Eastern Daylight Time	08/18/2009 04:09:23 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	002	2	2010	Option 2	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	002	3	1	01	01	H5883_002_3	10	07/31/2009	2010.02	07/31/2009 02:24:25 PM Eastern Daylight Time	08/20/2009 09:54:53 AM Eastern Daylight Time	08/19/2009 08:18:05 AM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	002	3	2010	Option 2	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	002	4	1	01	01	H5883_002_4	9	07/31/2009	2010.02	07/31/2009 02:24:27 PM Eastern Daylight Time	08/20/2009 09:56:21 AM Eastern Daylight Time	08/18/2009 04:07:59 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	002	4	2010	Option 2	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	002	7	1	01	01	H5883_002_7	11	08/27/2009	2010.01	08/27/2009 05:45:50 PM Eastern Daylight Time	08/20/2009 09:57:29 AM Eastern Daylight Time	08/18/2009 04:09:50 PM Eastern Daylight Time		08/27/2009 05:53:14 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	002	7	2010	Option 2	Macomb, Oakland, St. Clair, Wayne counties	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	003	1	1	01	01	H5883_003_1	10	07/31/2009	2010.02	07/31/2009 11:54:40 AM Eastern Daylight Time	08/20/2009 09:58:35 AM Eastern Daylight Time	08/18/2009 04:11:50 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	003	1	2010	Option 3	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	003	2	1	01	01	H5883_003_2	10	07/31/2009	2010.02	07/31/2009 02:24:47 PM Eastern Daylight Time	08/20/2009 09:59:46 AM Eastern Daylight Time	08/18/2009 04:12:19 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	003	2	2010	Option 3	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	003	3	1	01	01	H5883_003_3	10	07/31/2009	2010.02	07/31/2009 02:24:48 PM Eastern Daylight Time	08/20/2009 10:01:08 AM Eastern Daylight Time	08/18/2009 04:12:44 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	003	3	2010	Option 3	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	003	4	1	01	01	H5883_003_4	10	07/31/2009	2010.02	07/31/2009 02:24:50 PM Eastern Daylight Time	08/20/2009 10:02:09 AM Eastern Daylight Time	08/18/2009 04:13:19 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	003	4	2010	Option 3	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	003	5	1	01	01	H5883_003_5	10	07/31/2009	2010.02	07/31/2009 02:24:52 PM Eastern Daylight Time	08/20/2009 10:03:15 AM Eastern Daylight Time	08/18/2009 04:11:11 PM Eastern Daylight Time		08/20/2009 11:00:09 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	003	5	2010	Option 3	Macomb, Oakland, St. Clair, Wayne counties	2	2000	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	801	0	1	01	01	H5883_801_0	4	07/24/2009	2010.01	07/24/2009 11:25:56 AM Eastern Daylight Time	07/22/2009 08:34:20 AM Eastern Daylight Time			07/24/2009 11:31:21 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	801	0	2010	Employer Group		1	82947	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1		
H5883	805	0	1	01	01	H5883_805_0	4	07/24/2009	2010.01	07/24/2009 11:28:11 AM Eastern Daylight Time	07/21/2009 01:46:55 PM Eastern Daylight Time			07/24/2009 11:31:21 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	805	0	2010	Employer Group		1	82947	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5883	807	0	1	01	01	H5883_807_0	4	07/24/2009	2010.01	07/24/2009 11:28:26 AM Eastern Daylight Time	07/21/2009 01:49:54 PM Eastern Daylight Time			07/24/2009 11:31:21 AM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	www.MiBCN.com/medicare	BCN Advantage (HMO)	01	01		1			H5883	807	0	2010	Employer Group		1	82947	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1		
H5884	003	1	1	09	04	H5884_003_1	4	08/17/2009	2010.02	08/20/2009 04:58:06 PM Eastern Daylight Time	08/18/2009 10:46:48 AM Eastern Daylight Time	08/18/2009 01:06:04 PM Eastern Daylight Time		08/20/2009 05:12:52 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Gold (PFFS)	04	09	2	1			H5884	003	1	2010	State of Tennessee	Middle and Western Tennessee	2	1226	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5884	003	2	1	09	04	H5884_003_2	4	08/17/2009	2010.02	08/20/2009 04:58:10 PM Eastern Daylight Time	08/18/2009 12:57:56 PM Eastern Daylight Time	08/17/2009 12:35:40 PM Eastern Daylight Time		08/20/2009 05:20:55 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Gold (PFFS)	04	09	2	1			H5884	003	2	2010	State of Tennessee	Southeast and Northeast Tennessee	2	2170	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5884	004	1	1	09	04	H5884_004_1	5	08/18/2009	2010.02	08/20/2009 04:58:15 PM Eastern Daylight Time	08/18/2009 03:46:30 PM Eastern Daylight Time	08/18/2009 01:06:10 PM Eastern Daylight Time		08/20/2009 05:26:34 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Platinum (PFFS)	04	09	2	1			H5884	004	1	2010	State of Tennessee	Middle and Western Tennessee	2	6717	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5884	004	2	1	09	04	H5884_004_2	4	08/18/2009	2010.02	08/20/2009 04:58:19 PM Eastern Daylight Time	08/18/2009 03:48:04 PM Eastern Daylight Time	08/17/2009 12:35:46 PM Eastern Daylight Time		08/20/2009 05:30:51 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Platinum (PFFS)	04	09	2	1			H5884	004	2	2010	State of Tennessee	Southeast and Northeast Tennessee	2	12334	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5884	802	0	1	09	04	H5884_802_0	2	05/27/2009	2010.02	05/27/2009 07:44:03 AM Eastern Daylight Time	07/31/2009 05:18:08 PM Eastern Daylight Time			08/06/2009 04:19:16 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PFFS)	04	09	2	1			H5884	802	0	2010	National		1	3200	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5884	803	0	1	09	04	H5884_803_0	2	05/26/2009	2010.02	05/26/2009 01:38:41 PM Eastern Daylight Time	08/03/2009 01:28:12 PM Eastern Daylight Time			08/06/2009 04:20:47 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage (PFFS)	04	09	2	1			H5884	803	0	2010	National		1	265	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										1		
H5884	804	0	1	09	04	H5884_804_0	2	05/27/2009	2010.02	05/27/2009 07:44:20 AM Eastern Daylight Time	08/03/2009 02:28:48 PM Eastern Daylight Time			08/06/2009 04:22:10 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PFFS)	04	09	2	1			H5884	804	0	2010	National		1	458	2				2							https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H5887	001	0	1	01	01	H5887_001_0	5	07/31/2009	2010.02	07/31/2009 01:13:08 PM SA Western Standard Time	08/17/2009 12:28:46 PM SA Western Standard Time	08/14/2009 09:12:48 AM SA Western Standard Time		08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First Care+Plus (HMO)	01	01		1			H5887	001	0	2010	Entire Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H5887	006	0	1	01	01	H5887_006_0	5	07/31/2009	2010.02	07/31/2009 01:13:24 PM SA Western Standard Time	08/17/2009 12:30:20 PM SA Western Standard Time	08/14/2009 09:12:02 AM SA Western Standard Time		08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Titanio (HMO)	01	01		1			H5887	006	0	2010	Entire Island Puerto Rico		2		2		1	2	1	3		1	3		www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H5887	007	0	1	01	01	H5887_007_0	5	07/31/2009	2010.02	07/31/2009 01:13:34 PM SA Western Standard Time	08/17/2009 12:31:44 PM SA Western Standard Time	08/14/2009 09:11:30 AM SA Western Standard Time		08/19/2009 12:44:14 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Complete (HMO)	01	01		1			H5887	007	0	2010	Entire Island Puerto Rico		2		2				1	4		1		000000100000000	www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
H5895	001	0	1	01	01	H5895_001_0	2	08/18/2009	2010.02	08/18/2009 11:32:25 AM Pacific Daylight Time	08/18/2009 11:05:20 AM Pacific Daylight Time	08/18/2009 11:05:20 AM Pacific Daylight Time		08/18/2009 11:35:47 AM Pacific Daylight Time	CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH	Contra Costa Health Plan	http://www.contracostahealthplan.org	SelectCare (HMO)	01	01		1			H5895	001	0	2010	Contra Costa County		2	85	2		2		1	3		1	3			http://www.contracostahealthplan.org	(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5896	007	0	1	01	01	H5896_007_0	5	07/28/2009	2010.02	07/28/2009 08:51:34 AM Eastern Daylight Time	08/19/2009 09:21:08 PM Eastern Daylight Time	08/20/2009 11:40:20 AM Eastern Daylight Time		08/20/2009 03:40:08 PM Eastern Daylight Time	AMERIGROUP MARYLAND, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H5896	007	0	2010	Central Maryland		2	1410	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/Amerivantage/_documents/Amvtg_Formulary	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5896	008	0	1	01	01	H5896_008_0	4	08/19/2009	2010.02	08/19/2009 05:23:32 PM Eastern Daylight Time	08/19/2009 09:22:05 PM Eastern Daylight Time	08/20/2009 11:40:52 AM Eastern Daylight Time		08/20/2009 03:40:08 PM Eastern Daylight Time	AMERIGROUP MARYLAND, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H5896	008	0	2010	Central Maryland		2	751	2				2						http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/Amerivantage/_documents/Amvtg_Formulary	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5896	012	0	1	02	01	H5896_012_0	6	08/19/2009	2010.02	08/19/2009 05:18:01 PM Eastern Daylight Time	08/19/2009 09:22:59 PM Eastern Daylight Time	08/20/2009 11:41:23 AM Eastern Daylight Time		08/20/2009 03:40:08 PM Eastern Daylight Time	AMERIGROUP MARYLAND, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Choice + Rx (HMO-POS)	01	02		1			H5896	012	0	2010	Central Maryland		2	175	2				2						http://www1.amerigroupcorp.com/providers/	https://www.amerigroupcorp.com/members/Amerivantage/_documents/Amvtg_Formulary	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H5909	001	0	1	38	05	H5909_001_0	1	06/01/2009	2010.02	06/01/2009 12:44:09 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5909	001	0	2010	Selected Counties in Conn-Mass-R.I.		2	10	2				2								(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5909	005	0	1	38	05	H5909_005_0	1	06/01/2009	2010.02	06/01/2009 12:44:33 AM Central Daylight Time				06/01/2009 02:17:43 AM Central Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK	Fresenius Medical Care Health Plan	www.fmchp.com	Fresenius Medical Care Health Plan (PFFS)	05	38	3	1			H5909	005	0	2010	Selected Counties in New York		2	10	2				2								(866)-660-4728		(866)-660-4728		(866)-307-3625		(866)-307-3625										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										2		
H5918	001	0	1	37	05	H5918_001_0	4	07/07/2009	2010.02	07/07/2009 09:54:08 AM Central Daylight Time	08/14/2009 10:50:42 AM Central Daylight Time	08/13/2009 05:56:40 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H5918	001	0	2010	Monmouth and Morris Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5918	002	0	1	37	05	H5918_002_0	2	07/07/2009	2010.02	07/07/2009 09:54:29 AM Central Daylight Time	07/16/2009 06:52:11 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H5918	002	0	2010	Monmouth and Morris Counties		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H5918	003	0	1	37	05	H5918_003_0	3	07/07/2009	2010.02	07/07/2009 09:54:43 AM Central Daylight Time	08/18/2009 02:35:08 PM Central Daylight Time	08/13/2009 05:56:44 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Guardian (HMO-POS)	05	37		1			H5918	003	0	2010	Monmouth and Morris Counties		2		2				1	1	1	1			www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5918	004	0	1	37	05	H5918_004_0	4	07/07/2009	2010.02	07/07/2009 09:55:01 AM Central Daylight Time	08/18/2009 02:34:24 PM Central Daylight Time	08/13/2009 05:56:48 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H5918	004	0	2010	Monmouth and Morris Counties		2		2				1	4		1		000110100000000	www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H5926	001	0	1	01	01	H5926_001_0	6	08/20/2009	2010.02	08/20/2009 05:21:21 PM Pacific Daylight Time	08/19/2009 04:21:36 PM Pacific Daylight Time	08/19/2009 04:20:44 PM Pacific Daylight Time		08/20/2009 05:37:01 PM Pacific Daylight Time	MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H5926	001	0	2010	Genesee, Kent, Macomb, Oakland, Wayne Counties		2	3530	2		2		1	3		1	1		www.molinamedicare.com	www.molinahealthcare.com	(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5926	002	0	1	01	01	H5926_002_0	4	07/29/2009	2010.02	07/29/2009 05:01:56 PM Pacific Daylight Time	08/19/2009 03:44:56 PM Pacific Daylight Time	08/19/2009 03:44:51 PM Pacific Daylight Time		08/20/2009 05:37:01 PM Pacific Daylight Time	MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5926	002	0	2010	Genesee, Kent, Macomb, Oakland, Wayne Counties		2	175	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5926	003	0	1	01	01	H5926_003_0	5	08/20/2009	2010.02	08/20/2009 05:27:26 PM Pacific Daylight Time	08/20/2009 10:29:45 AM Pacific Daylight Time	08/19/2009 04:21:56 PM Pacific Daylight Time		08/20/2009 05:37:01 PM Pacific Daylight Time	MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinamedicare.com	Healthy Advantage (HMO)	01	01		1			H5926	003	0	2010	Genesee, Kent, Macomb, Oakland, Wayne Counties		2	2512	2				2						www.molinamedicare.com	www.molinahealthcare.com	(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-665-3072		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H5928	001	0	1	01	01	H5928_001_0	10	08/07/2009	2010.02	08/07/2009 10:35:54 AM Pacific Daylight Time	08/17/2009 03:43:24 PM Pacific Daylight Time	08/17/2009 03:52:28 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Value Plan (HMO)	01	01		1			H5928	001	0	2010	Care1st Health Plan Los Angeles County		2		1	1	2		1	3		1	2		www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	002	0	1	01	01	H5928_002_0	8	08/07/2009	2010.02	08/07/2009 10:35:37 AM Pacific Daylight Time	08/24/2009 01:18:54 PM Pacific Daylight Time	08/17/2009 03:53:04 PM Pacific Daylight Time		08/24/2009 03:24:40 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plan (HMO)	01	01		1			H5928	002	0	2010	Care1st Health Plan Los Angeles County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	004	0	1	01	01	H5928_004_0	7	08/07/2009	2010.02	08/07/2009 10:35:22 AM Pacific Daylight Time	08/17/2009 03:45:18 PM Pacific Daylight Time	08/17/2009 03:53:42 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Platinum Plan (HMO)	01	01		1			H5928	004	0	2010	Care1st Health Plan Los Angeles County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	005	0	1	01	01	H5928_005_0	5	08/06/2009	2010.02	08/06/2009 03:30:01 PM Pacific Daylight Time	08/17/2009 03:46:08 PM Pacific Daylight Time	08/17/2009 03:54:20 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Plan (HMO)	01	01		1			H5928	005	0	2010	Care1st Health Plan Orange County		2		1	1	2		1	3		1	2		www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	006	0	1	01	01	H5928_006_0	4	08/03/2009	2010.02	08/03/2009 02:43:36 PM Pacific Daylight Time	08/17/2009 03:47:14 PM Pacific Daylight Time	08/17/2009 03:55:18 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Plan (HMO)	01	01		1			H5928	006	0	2010	Care1st Health Plan Orange County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	007	0	1	01	01	H5928_007_0	5	08/06/2009	2010.02	08/06/2009 03:30:43 PM Pacific Daylight Time	08/17/2009 03:48:00 PM Pacific Daylight Time	08/17/2009 03:56:06 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Plan (HMO)	01	01		1			H5928	007	0	2010	Care1st Health Plan San Bernardino County		2		1	1	2		1	3		1	2		www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	008	0	1	01	01	H5928_008_0	5	07/02/2009	2010.02	07/02/2009 12:31:02 PM Pacific Daylight Time	08/17/2009 03:48:52 PM Pacific Daylight Time	08/17/2009 03:56:42 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Plan (HMO)	01	01		1			H5928	008	0	2010	Care1st Health Plan San Bernardino County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	009	0	1	01	01	H5928_009_0	6	08/07/2009	2010.02	08/07/2009 10:35:08 AM Pacific Daylight Time	08/20/2009 05:44:10 PM Pacific Daylight Time	08/20/2009 05:37:32 PM Pacific Daylight Time		08/20/2009 07:05:23 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Value Plan (HMO)	01	01		1			H5928	009	0	2010	Care1st Health Plan San Diego County		2		1	1	2		1	3		1	2		www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	010	0	1	01	01	H5928_010_0	6	08/07/2009	2010.02	08/07/2009 10:34:58 AM Pacific Daylight Time	08/17/2009 03:49:50 PM Pacific Daylight Time	08/17/2009 03:57:22 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plan (HMO)	01	01		1			H5928	010	0	2010	Care1st Health Plan San Diego County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	012	0	1	01	01	H5928_012_0	6	07/02/2009	2010.02	07/02/2009 12:31:52 PM Pacific Daylight Time	08/17/2009 03:50:38 PM Pacific Daylight Time	08/17/2009 03:58:00 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Plan (HMO)	01	01		1			H5928	012	0	2010	Care1st Health Plan Riverside County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5928	013	0	1	01	01	H5928_013_0	8	08/07/2009	2010.02	08/07/2009 10:34:43 AM Pacific Daylight Time	08/17/2009 03:51:48 PM Pacific Daylight Time	08/17/2009 03:58:38 PM Pacific Daylight Time		08/19/2009 02:41:29 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Gold Plan (HMO)	01	01		1			H5928	013	0	2010	Care1st Health Plan Los Angeles County		2		1	1			2						www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222				(800)-735-2929		(800)-735-2929		(800)-735-2929				(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H5932	001	0	1	01	01	H5932_001_0	3	08/19/2009	2010.02	08/19/2009 09:22:51 AM Eastern Daylight Time	08/18/2009 03:27:30 PM Eastern Daylight Time	08/18/2009 03:28:36 PM Eastern Daylight Time		08/19/2009 09:29:41 AM Eastern Daylight Time	GATEWAY HEALTH PLAN, INC.	Gateway Health Plan Medicare Assured	www.gatewayhealthplan.com	Gateway Health Plan Medicare Assured (HMO)	01	01		1			H5932	001	0	2010	Pennsylvania		2	25090	2		2		1	3		1	1		www.gatewayhealthplan.com	www.gatewayhealthplan.com	(800)-685-5209		(412)-255-1323		(877)-428-3929		(412)-255-1323		(800)-685-5209		(412)-255-1323		(877)-428-3929		(412)-255-1323		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		1		
H5934	001	0	1	20	08	H5934_001_0	2	05/18/2009	2010.02	05/18/2009 02:08:59 PM Eastern Daylight Time		10/13/2009 04:30:36 PM Eastern Daylight Time		10/13/2009 04:39:23 PM Eastern Daylight Time	HOPE HOSPICE AND COMMUNITY SERVICES, INC.	Hope Select Care	hopehospice.org	Hope Select Care (PACE)	08	20		1			H5934	001	0	2010	Lee County Florida		2		2				2							hopehospice.org									(186)-665-9722		(239)-985-6400		(186)-665-9722		(239)-985-6400	67406																	1		
H5934	002	0	1	20	08	H5934_002_0	2	05/18/2009	2010.02	05/18/2009 02:09:33 PM Eastern Daylight Time		10/13/2009 04:30:22 PM Eastern Daylight Time		10/13/2009 04:39:23 PM Eastern Daylight Time	HOPE HOSPICE AND COMMUNITY SERVICES, INC.	Hope Select Care	hopehospice.org	Hope Select  Care (PACE)	08	20		1			H5934	002	0	2010	Lee County Florida		2		2				2							hopehospice.org									(186)-665-9722		(239)-985-6400		(186)-665-9722		(239)-985-6400																		1		
H5938	001	0	1	01	01	H5938_001_0	8	08/20/2009	2010.01	08/20/2009 09:39:07 AM Eastern Daylight Time	08/19/2009 04:41:16 PM Eastern Daylight Time	08/19/2009 04:34:18 PM Eastern Daylight Time		08/20/2009 10:33:08 AM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2010	Capital Health Plan Advantage Plus (HMO)	01	01		1			H5938	001	0	2010	Gadsden, Jefferson, Leon, Wakulla		2	3099	2				2						www.capitalhealth.com/Medicare-2010/Physician-Provider-Directory	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1		
H5938	006	0	1	01	01	H5938_006_0	9	08/20/2009	2010.01	08/20/2009 09:39:57 AM Eastern Daylight Time	08/19/2009 04:44:58 PM Eastern Daylight Time	08/19/2009 04:35:42 PM Eastern Daylight Time		08/20/2009 10:33:08 AM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2010	Capital Health Plan Preferred Advantage (HMO)	01	01		1			H5938	006	0	2010	Gadsden, Jefferson, Leon, Wakulla		2	1200	2				2						www.capitalhealth.com/Medicare-2010/Physician-Provider-Directory	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1		
H5938	802	0	1	01	01	H5938_802_0	2	05/29/2009	2010.02	05/29/2009 09:28:12 AM Eastern Daylight Time	07/30/2009 11:23:50 AM Eastern Daylight Time			07/30/2009 11:48:37 AM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2010	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	802	0	2010	Gadsden, Jefferson, Leon, Wakulla		1	4527	2				2						www.capitalhealth.com/Medicare-2010/Physician-Provider-Directory	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1		
H5938	803	0	1	01	01	H5938_803_0	2	05/28/2009	2010.02	05/28/2009 04:30:36 PM Eastern Daylight Time	07/30/2009 11:24:31 AM Eastern Daylight Time			07/30/2009 11:48:37 AM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2010	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	803	0	2010	Gadsden, Jefferson, Leon, Wakulla		1	388	2				2						www.capitalhealth.com/Medicare-2010/Physician-Provider-Directory	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441										(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534										1		
H5938	804	0	1	01	01	H5938_804_0	2	05/28/2009	2010.02	05/28/2009 04:39:16 PM Eastern Daylight Time	07/30/2009 11:25:07 AM Eastern Daylight Time			07/30/2009 11:48:37 AM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2010	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	804	0	2010	Gadsden, Jefferson, Leon, Wakulla		1	1014	2				2						www.capitalhealth.com/Medicare-2010/Physician-Provider-Directory	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1		
H5943	001	0	1	39	05	H5943_001_0	4	09/22/2009	2010.02	09/22/2009 03:39:11 PM Pacific Daylight Time		08/17/2009 03:38:34 PM Pacific Daylight Time		09/22/2009 03:44:35 PM Pacific Daylight Time	SCAN HEALTH PLAN	VillageHealth	www.villagehealthca.com	VillageHealth (HMO-POS)	05	39		1			H5943	001	0	2010	Riverside and  San Bernardino counties		2		2				1	4		1		000000001000000	www.villagehealthca.com	http://www.villagehealthca.com	(877)-586-1648		(877)-586-1648		(877)-916-1234		(877)-916-1234		(877)-586-1648		(877)-586-1648		(877)-916-1234		(877)-916-1234		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		1		
H5948	001	0	1	01	01	H5948_001_0	6	08/20/2009	2010.02	08/20/2009 04:45:04 PM Eastern Daylight Time	08/20/2009 03:59:11 PM Eastern Daylight Time	08/20/2009 03:59:33 PM Eastern Daylight Time		08/20/2009 05:09:07 PM Eastern Daylight Time	ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.mdcareadvantage.com	Advantage 1 MAPD (HMO)	01	01		1			H5948	001	0	2010	Orange and Riverside Counties		2	2448	2				2						www.artamedicare.com	www.artamedicare.com	(888)-327-2730		(562)-344-3400		(888)-327-2730		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-327-2730		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1		
H5948	002	0	1	01	01	H5948_002_0	5	08/20/2009	2010.02	08/20/2009 04:50:41 PM Eastern Daylight Time	08/20/2009 04:21:16 PM Eastern Daylight Time	08/20/2009 04:28:05 PM Eastern Daylight Time		08/20/2009 05:09:07 PM Eastern Daylight Time	ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.mdcareadvantage.com	Preferred Dual SNP (HMO)	01	01		1			H5948	002	0	2010	Orange and Riverside Counties		2	400	2		2		1	3		1	1		www.artamedicare.com	www.artamedicare.com	(888)-327-2730		(562)-344-3400		(888)-327-2730		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-327-2730		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1		
H5950	001	0	1	01	01	H5950_001_0	5	07/22/2009	2010.02	07/22/2009 05:38:56 PM Eastern Daylight Time	08/18/2009 12:32:37 PM Eastern Daylight Time	08/17/2009 03:28:02 PM Eastern Daylight Time		08/20/2009 08:27:38 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5950	001	0	2010	Davidson County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5950	801	0	1	01	01	H5950_801_0	2	05/19/2009	2010.02	05/19/2009 01:59:47 PM Eastern Daylight Time	05/31/2009 06:35:47 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5950	801	0	2010	Shelby County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H5950	802	0	1	01	01	H5950_802_0	2	05/19/2009	2010.02	05/19/2009 02:01:05 PM Eastern Daylight Time	05/31/2009 06:42:31 PM Eastern Daylight Time			06/01/2009 09:15:38 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5950	802	0	2010	Shelby County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H5962	001	0	1	38	05	H5962_001_0	1	05/29/2009	2010.01	05/29/2009 01:41:30 PM Pacific Daylight Time				05/29/2009 03:27:57 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Fresenius Medical Care Health Plan, Inc. - Texas	www.FMCHP.com	FRESENIUS MEDICAL CARE HEALTH PLAN (PFFS)	05	38	3	1			H5962	001	0	2010	Texas		2		2				2								(888)-270-0762		(888)-270-0762		(866)-307-3625		(866)-307-3625										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										2		
H5969	001	0	1	01	01	H5969_001_0	6	08/19/2009	2010.02	08/19/2009 11:45:42 AM Hawaiian Standard Time	08/18/2009 02:40:33 PM Hawaiian Standard Time	08/18/2009 02:40:34 PM Hawaiian Standard Time		08/19/2009 01:00:45 PM Hawaiian Standard Time	ALOHACARE	AlohaCare	http://AlohaCare.org/Advantage	AlohaCare Advantage (HMO)	01	01		1			H5969	001	0	2010	State of Hawaii		2	1292	2				2						http://www.AlohaCareHawaii.org/ProviderSearch	http://www.AlohaCareHawaii.org	(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H5969	002	0	1	01	01	H5969_002_0	6	08/19/2009	2010.02	08/19/2009 11:43:00 AM Hawaiian Standard Time	08/18/2009 02:40:36 PM Hawaiian Standard Time	08/18/2009 02:40:32 PM Hawaiian Standard Time		08/19/2009 01:00:45 PM Hawaiian Standard Time	ALOHACARE	AlohaCare	http://AlohaCare.org/AdvantagePlus	AlohaCare Advantage Plus (HMO)	01	01		1			H5969	002	0	2010	State of Hawaii		2	952	2		2		1	3		1	3		http://www.AlohaCareHawaii.org/ProviderSearch	http://www.AlohaCareHawaii.org	(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1		
H5970	001	0	1	04	01	H5970_001_0	5	07/22/2009	2010.02	07/22/2009 10:30:26 AM Eastern Daylight Time	08/18/2009 04:09:05 PM Eastern Daylight Time	08/19/2009 11:08:10 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	HumanaChoice H5970-001 (PPO)	01	04		1			H5970	001	0	2010	Steuben county		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5970	002	0	1	04	01	H5970_002_0	5	07/15/2009	2010.02	07/15/2009 04:34:13 PM Eastern Daylight Time	08/18/2009 04:10:53 PM Eastern Daylight Time	08/19/2009 11:08:20 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	HumanaChoice H5970-002 (PPO)	01	04		1			H5970	002	0	2010	Oneida, Onondaga, Oswego counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5970	801	0	1	04	01	H5970_801_0	4	07/10/2009	2010.02	07/10/2009 03:42:01 PM Eastern Daylight Time	07/21/2009 04:00:14 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5970	801	0	2010	Syracuse Metro Area and Stuben County		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5970	802	0	1	04	01	H5970_802_0	4	07/10/2009	2010.02	07/10/2009 04:03:05 PM Eastern Daylight Time	07/21/2009 04:24:42 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5970	802	0	2010	Syracuse Metro Area and Stuben County		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H5970	803	0	1	04	01	H5970_803_0	4	07/10/2009	2010.02	07/10/2009 04:03:16 PM Eastern Daylight Time	07/21/2009 04:24:56 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5970	803	0	2010	Syracuse Metro Area and Stuben County		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H5978	001	0	1	20	08	H5978_001_0	1	05/18/2009	2010.02	05/18/2009 02:11:12 PM Eastern Daylight Time		05/18/2009 07:20:24 AM Eastern Daylight Time		05/19/2009 11:16:33 AM Eastern Daylight Time	PHI LIFE	PHI LIFE dba everyday LIFE	www.phihomes.org	PHI LIFE dba everyday LIFE (PACE)	08	20		1			H5978	001	0	2010	Northampton and Lehigh counties		2		2				2							www.phihomes.org									(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433																		1		
H5978	002	0	1	20	08	H5978_002_0	1	05/18/2009	2010.02	05/18/2009 02:12:22 PM Eastern Daylight Time		05/18/2009 10:47:20 AM Eastern Daylight Time		05/19/2009 11:16:33 AM Eastern Daylight Time	PHI LIFE	PHI LIFE dba everyday LIFE	www.phihomes.org	PHI LIFE dba everyday LIFE (PACE)	08	20		1			H5978	002	0	2010	Lehigh and Northampton counties		2		2				2							www.phihomes.org									(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433																		1		
H5980	005	0	1	01	01	H5980_005_0	17	08/18/2009	2010.02	08/18/2009 09:06:40 PM Central Daylight Time	08/20/2009 09:40:05 PM Central Daylight Time	08/20/2009 09:39:56 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Comfort (HMO)	01	01		1			H5980	005	0	2010	Texas Area		2		2				1	1	1	1				http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5980	006	0	1	01	01	H5980_006_0	18	08/20/2009	2010.02	08/20/2009 09:20:23 PM Central Daylight Time	08/20/2009 09:40:11 PM Central Daylight Time	08/20/2009 09:40:01 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO)	01	01		1			H5980	006	0	2010	Texas Area		2		2				1	1	1	1				http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5980	007	0	1	01	01	H5980_007_0	18	08/18/2009	2010.02	08/18/2009 09:46:44 PM Central Daylight Time	08/20/2009 09:40:12 PM Central Daylight Time	08/20/2009 09:40:02 PM Central Daylight Time		08/21/2009 09:22:07 AM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Independence (HMO)	01	01		1			H5980	007	0	2010	Texas Area		2		2				1	1	2	1				http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H5985	001	0	1	01	01	H5985_001_0	5	07/17/2009	2010.02	07/17/2009 10:12:06 AM US Mountain Standard Time	08/20/2009 02:02:57 PM US Mountain Standard Time	08/20/2009 01:24:30 PM US Mountain Standard Time		08/20/2009 02:28:09 PM US Mountain Standard Time	ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	AbrazoAdvantage.com	Abrazo Advantage (HMO)	01	01		1			H5985	001	0	2010	Central Arizona		2	232	2				2						http://www.abrazoadvantage.com/providersDirectory.htm	AbrazoAdvantage.com	(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		1		
H5985	002	0	1	01	01	H5985_002_0	6	08/20/2009	2010.02	08/20/2009 09:29:40 AM US Mountain Standard Time	08/20/2009 02:03:12 PM US Mountain Standard Time	08/20/2009 01:25:03 PM US Mountain Standard Time		08/20/2009 02:22:47 PM US Mountain Standard Time	ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	AbrazoAdvantage.com	Abrazo Advantage Plus (HMO)	01	01		1			H5985	002	0	2010	Central Arizona		2	2563	2		2		1	3		1	3		http://www.abrazoadvantage.com/providersDirectory.htm	AbrazoAdvantage.com	(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		1		
H5989	002	0	1	01	01	H5989_002_0	10	08/20/2009	2010.02	08/20/2009 05:30:32 PM Eastern Daylight Time	08/19/2009 11:36:44 AM Eastern Daylight Time	08/19/2009 11:40:47 AM Eastern Daylight Time		08/20/2009 06:06:47 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Complete Plan (HMO)	01	01		1			H5989	002	0	2010	New York City Metro Area and Westchester County		2		2				1	1	1	1			www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H5989	003	0	1	01	01	H5989_003_0	7	08/20/2009	2010.02	08/20/2009 05:29:59 PM Eastern Daylight Time	08/19/2009 11:37:07 AM Eastern Daylight Time	08/19/2009 11:41:01 AM Eastern Daylight Time		08/20/2009 06:16:02 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Advantage Plan (HMO)	01	01		1			H5989	003	0	2010	New York City Metro Area and Westchester County		2	136	2				1	1	1	1			www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H5989	004	0	1	01	01	H5989_004_0	10	08/24/2009	2010.02	08/24/2009 04:04:18 PM Eastern Daylight Time	08/19/2009 11:37:34 AM Eastern Daylight Time	08/19/2009 11:41:19 AM Eastern Daylight Time		08/24/2009 04:06:36 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Value Plan (HMO)	01	01		1			H5989	004	0	2010	New York City Metro Area and Westchester County		2	79	2				2						www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H5989	005	0	1	01	01	H5989_005_0	7	08/20/2009	2010.02	08/20/2009 05:28:43 PM Eastern Daylight Time	08/19/2009 11:38:08 AM Eastern Daylight Time	08/19/2009 11:41:31 AM Eastern Daylight Time		08/20/2009 06:28:42 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Choice Plan (HMO)	01	01		1			H5989	005	0	2010	New York City Metro Area and Westchester County		2	159	2				2						www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H5989	006	0	1	01	01	H5989_006_0	10	08/20/2009	2010.02	08/20/2009 05:29:08 PM Eastern Daylight Time	08/19/2009 11:38:33 AM Eastern Daylight Time	08/19/2009 11:41:45 AM Eastern Daylight Time		08/20/2009 06:32:50 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	MAP (HMO)	01	01		1			H5989	006	0	2010	New York City Metro Area and Westchester County		2	7	2				1	1	1	1			www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1		
H5991	001	0	1	01	01	H5991_001_0	3	08/19/2009	2010.02	08/19/2009 03:59:25 PM Eastern Daylight Time	08/18/2009 05:29:00 PM Eastern Daylight Time	08/14/2009 10:46:00 AM Eastern Daylight Time		08/19/2009 04:02:06 PM Eastern Daylight Time	AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	Affinity Medicare Ultimate (HMO)	01	01		1			H5991	001	0	2010	New York City (5 Boroughs)		2	2686	2		2		1	3		1	3		https://www.affinityplan.org/medicare.asp	www.affinityplan.org	(877)-234-4499		(877)-234-4499		(877)-234-4499		(877)-234-4499		(800)-417-3367		(800)-417-3367		(877)-234-4499		(877)-234-4499		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-899-2114				(800)-662-1220		(800)-662-1220		1		
H5991	002	0	1	01	01	H5991_002_0	4	08/19/2009	2010.02	08/19/2009 03:58:30 PM Eastern Daylight Time	08/19/2009 02:35:00 PM Eastern Daylight Time	08/14/2009 10:47:00 AM Eastern Daylight Time		08/19/2009 05:36:33 PM Eastern Daylight Time	AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	Affinity Medicare Solutions (HMO)	01	01		1			H5991	002	0	2010	New York City (5 Boroughs)		2	1045	2		2		1	3		1	2		https://www.affinityplan.org/medicare.asp	www.affinityplan.org	(877)-234-4499		(877)-234-4499		(877)-234-4499		(877)-234-4499		(800)-417-3367		(800)-417-3367		(877)-234-4499		(877)-234-4499		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-899-2114				(800)-662-1220		(800)-662-1220		1		
H5992	005	0	1	01	01	H5992_005_0	4	08/25/2009	2010.02	08/25/2009 12:58:16 PM Eastern Daylight Time	08/19/2009 03:38:00 PM Eastern Daylight Time	08/19/2009 03:37:00 PM Eastern Daylight Time		08/26/2009 08:20:00 AM Eastern Daylight Time	SENIOR WHOLE HEALTH, LLC	Senior Whole Health of New York	www.seniorwholehealth.com	Senior Whole Health PLUS of New York (HMO)	01	01		1			H5992	005	0	2010	Capital District, Montgomery Co, and Catskill Area		2		2		2		1	3		1	5		www.seniorwholehealth.com	www.seniorwholehealth.com	(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		1		
H5995	001	0	1	01	01	H5995_001_0	5	08/20/2009	2010.02	08/20/2009 09:29:29 AM Pacific Daylight Time	08/20/2009 08:56:37 AM Pacific Daylight Time	08/20/2009 08:56:37 AM Pacific Daylight Time		08/20/2009 03:56:28 PM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.mpchpa.org	Marion Polk Community Health Plan Advantage (HMO)	01	01		1			H5995	001	0	2010	Marion and Polk Counties In Oregon		2	3300	2		2		1	3		1	3		http://www.physicianschoiceadvantage.com/pcarx/providersearch.php	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H5995	002	0	1	01	01	H5995_002_0	4	08/20/2009	2010.02	08/20/2009 09:29:39 AM Pacific Daylight Time	08/20/2009 08:56:45 AM Pacific Daylight Time	08/20/2009 08:56:45 AM Pacific Daylight Time		08/20/2009 03:56:28 PM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Advantage + Rx (HMO)	01	01		1			H5995	002	0	2010	Marion and Polk Counties in Oregon		2	1000	2				2						http://www.physicianschoiceadvantage.com/pcarx/providersearch.php	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H5995	003	0	1	01	01	H5995_003_0	4	08/20/2009	2010.02	08/20/2009 09:29:55 AM Pacific Daylight Time	07/27/2009 11:10:01 AM Pacific Daylight Time			08/20/2009 03:56:28 PM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Advantage (HMO)	01	01		1			H5995	003	0	2010	Marion and Polk Counties in Oregon		2	500	2				2						http://www.physicianschoiceadvantage.com/pcarx/providersearch.php	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H5998	003	0	1	01	01	H5998_003_0	4	07/16/2009	2010.02	07/16/2009 10:34:28 AM Central Daylight Time	08/19/2009 05:05:29 PM Central Daylight Time	08/18/2009 10:16:13 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	UNISON HEALTH PLAN OF TENNESSEE, INC.	Unison Advantage	www.unisonhealthplan.com	Unison Advantage Plus (HMO)	01	01		1			H5998	003	0	2010	Southwest Tennessee		2		2		2		1	3		1	3		www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(800)-290-4009		(888)-565-8180		(888)-565-8180		(800)-290-4009		(800)-290-4009		(888)-565-8180		(888)-565-8180		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		(888)-616-0021		1		
H6120	001	0	1	01	01	H6120_001_0	3	07/07/2009	2010.02	07/07/2009 04:47:56 PM Central Daylight Time	05/31/2009 05:12:21 PM Central Daylight Time			07/15/2009 12:21:24 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF FLORIDA	PHYSICIANS HEALTH CHOICE	physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H6120	001	0	2010	Ft. Lauderdale		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H6120	002	0	1	01	01	H6120_002_0	4	08/20/2009	2010.02	08/20/2009 10:14:39 AM Central Daylight Time	08/20/2009 04:47:57 PM Central Daylight Time	08/20/2009 04:49:24 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF FLORIDA	PHYSICIANS HEALTH CHOICE	physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H6120	002	0	2010	Ft. Lauderdale		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H6120	003	0	1	01	01	H6120_003_0	5	08/20/2009	2010.02	08/20/2009 10:14:56 AM Central Daylight Time	08/20/2009 04:47:58 PM Central Daylight Time	08/20/2009 04:49:25 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF FLORIDA	PHYSICIANS HEALTH CHOICE	physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H6120	003	0	2010	Ft. Lauderdale		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H6178	001	0	1	01	01	H6178_001_0	9	08/06/2009	2010.02	08/06/2009 01:21:53 PM Eastern Daylight Time	08/18/2009 07:18:34 AM Eastern Daylight Time	08/18/2009 07:15:44 AM Eastern Daylight Time		08/18/2009 07:37:55 AM Eastern Daylight Time	CARESOURCE	CareSource	www.caresourceadvantage.com	CareSource Advantage (HMO)	01	01		1			H6178	001	0	2010	17 counties in the most populated areas of Ohio		2	1393	2		2		1	3		1	3		www.caresourceadvantage.com	www.caresourceadvantage.com	(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1		
H6181	007	0	1	01	01	H6181_007_0	4	08/19/2009	2010.02	08/19/2009 05:51:09 PM Eastern Daylight Time	08/19/2009 09:37:07 PM Eastern Daylight Time	08/20/2009 11:41:54 AM Eastern Daylight Time		08/20/2009 03:36:59 PM Eastern Daylight Time	AMERIGROUP NEW YORK, LLC	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H6181	007	0	2010	New York City Area		2	1313	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H6181	008	0	1	01	01	H6181_008_0	3	08/19/2009	2010.02	08/19/2009 05:27:42 PM Eastern Daylight Time	08/19/2009 09:38:14 PM Eastern Daylight Time	08/20/2009 11:42:31 AM Eastern Daylight Time		08/20/2009 03:36:59 PM Eastern Daylight Time	AMERIGROUP NEW YORK, LLC	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H6181	008	0	2010	New York City Area		2	751	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H6181	009	0	1	01	01	H6181_009_0	6	08/19/2009	2010.02	08/19/2009 05:37:20 PM Eastern Daylight Time	08/19/2009 09:39:13 PM Eastern Daylight Time	08/20/2009 11:43:03 AM Eastern Daylight Time		08/20/2009 03:36:59 PM Eastern Daylight Time	AMERIGROUP NEW YORK, LLC	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Balance + Rx (HMO)	01	01		1			H6181	009	0	2010	New York City Area		2	200	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H6228	001	0	1	37	05	H6228_001_0	3	07/07/2009	2010.02	07/07/2009 09:55:20 AM Central Daylight Time	08/14/2009 10:05:50 AM Central Daylight Time	08/13/2009 05:56:52 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H6228	001	0	2010	Douglas County		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H6228	002	0	1	37	05	H6228_002_0	2	07/07/2009	2010.02	07/07/2009 09:55:37 AM Central Daylight Time	07/16/2009 06:53:45 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H6228	002	0	2010	Douglas County		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H6228	003	0	1	37	05	H6228_003_0	3	07/07/2009	2010.02	07/07/2009 09:55:55 AM Central Daylight Time	08/14/2009 10:10:32 AM Central Daylight Time	08/13/2009 05:56:56 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H6228	003	0	2010	Douglas County		2		2				1	4		1		000110100000000	www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H6231	001	0	1	20	08	H6231_001_0	3	05/18/2009	2010.02	05/18/2009 01:11:15 PM Central Daylight Time		05/18/2009 02:47:13 PM Central Daylight Time		05/18/2009 02:56:36 PM Central Daylight Time	FRANCISCAN PACE, INC.	PACE Baton Rouge	www.fmolhs.org	Franciscan PACE, Inc. (PACE)	08	20		1			H6231	001	0	2010	PACE Baton Rouge		2		2				2							www.ololrmc.com									(800)-789-2863		(225)-765-8255		(800)-789-2863		(225)-765-8255																		1		
H6231	002	0	1	20	08	H6231_002_0	2	05/18/2009	2010.02	05/18/2009 01:24:56 PM Central Daylight Time		05/18/2009 02:47:13 PM Central Daylight Time		05/18/2009 02:56:36 PM Central Daylight Time	FRANCISCAN PACE, INC.	PACE Baton Rouge	www.fmolhs.org	Franciscan PACE, Inc. (PACE)	08	20		1			H6231	002	0	2010	PACE Baton Rouge		2		2				2							www.ololrmc.com									(800)-789-2863		(225)-765-8255		(800)-789-2863		(225)-765-8255																		1		
H6264	001	0	1	01	01	H6264_001_0	4	08/18/2009	2010.02	08/18/2009 05:09:32 PM Eastern Daylight Time	08/18/2009 04:38:56 PM Eastern Daylight Time	08/18/2009 04:21:36 PM Eastern Daylight Time		08/18/2009 05:57:37 PM Eastern Daylight Time	HEALTHPLUS PHSP, INC.	HealthPlus Elite	www.healthplus-ny.org	HealthPlus Elite (HMO)	01	01		1			H6264	001	0	2010	New York City and Nassau		2	2700	2				2						www.healthplus-ny.org	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		1		
H6264	002	0	1	01	01	H6264_002_0	4	08/18/2009	2010.02	08/18/2009 05:03:50 PM Eastern Daylight Time	08/18/2009 04:20:44 PM Eastern Daylight Time	08/18/2009 04:12:10 PM Eastern Daylight Time		08/18/2009 06:04:53 PM Eastern Daylight Time	HEALTHPLUS PHSP, INC.	HealthPlus Elite	www.healthplus-ny.org	Health Plus Elite Special Needs Plan (HMO)	01	01		1			H6264	002	0	2010	New York City and Nassau		2	2700	2		2		1	3		1	5		www.healthplus-ny.org	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		1		
H6328	001	0	1	04	01	H6328_001_0	9	08/26/2009	2010.02	08/26/2009 06:09:11 PM Central Daylight Time	08/18/2009 11:00:45 AM Central Daylight Time	08/18/2009 11:00:45 AM Central Daylight Time		08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan I (PPO)	01	04		1			H6328	001	0	2010	Tarrant County, Johnson County and Parker County		2	1349	2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213		(800)-260-1327		(800)-260-1327		(877)-374-7993		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1		
H6328	002	0	1	04	01	H6328_002_0	8	08/26/2009	2010.02	08/26/2009 06:09:23 PM Central Daylight Time	08/18/2009 11:01:35 AM Central Daylight Time	08/18/2009 11:01:35 AM Central Daylight Time		08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan II (PPO)	01	04		1			H6328	002	0	2010	Tarrant County, Johnson County and Parker County		2	450	2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213		(800)-260-1327		(800)-260-1327		(877)-374-7993		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1		
H6328	003	0	1	04	01	H6328_003_0	8	08/26/2009	2010.02	08/26/2009 06:09:44 PM Central Daylight Time	08/18/2009 11:03:35 AM Central Daylight Time	08/18/2009 11:03:35 AM Central Daylight Time		08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan III (PPO)	01	04		1			H6328	003	0	2010	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213		(800)-260-1327		(800)-260-1327		(877)-374-7993		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1		
H6328	005	0	1	04	01	H6328_005_0	5	08/26/2009	2010.02	08/26/2009 06:10:09 PM Central Daylight Time	07/28/2009 12:11:44 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan I MA-Only (PPO)	01	04		1			H6328	005	0	2010	Tarrant County, Johnson County and Parker County		2	1349	2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1		
H6328	006	0	1	04	01	H6328_006_0	4	08/26/2009	2010.02	08/26/2009 06:10:29 PM Central Daylight Time	05/31/2009 02:42:00 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan II MA-Only (PPO)	01	04		1			H6328	006	0	2010	Tarrant County, Johnson County and Parker County		2	450	2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1		
H6328	801	0	1	04	01	H6328_801_0	4	08/26/2009	2010.02	08/26/2009 06:08:49 PM Central Daylight Time	06/01/2009 10:43:00 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group CY (PPO)	01	04		1			H6328	801	0	2010	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213		(800)-260-1327		(800)-260-1327		(877)-374-7993		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1		
H6328	802	0	1	04	01	H6328_802_0	4	08/26/2009	2010.02	08/26/2009 06:14:20 PM Central Daylight Time	06/01/2009 10:44:00 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group NCY (PPO)	01	04		1			H6328	802	0	2010	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213		(800)-260-1327		(800)-260-1327		(877)-374-7993		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1		
H6328	803	0	1	04	01	H6328_803_0	4	08/26/2009	2010.02	08/26/2009 06:15:39 PM Central Daylight Time	06/01/2009 10:44:00 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group CY (PPO)	01	04		1			H6328	803	0	2010	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1		
H6328	804	0	1	04	01	H6328_804_0	4	08/26/2009	2010.02	08/26/2009 06:16:50 PM Central Daylight Time	06/01/2009 10:45:00 PM Central Daylight Time			08/26/2009 06:26:45 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group NCY (PPO)	01	04		1			H6328	804	0	2010	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(877)-374-7993		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1		
H6360	001	0	1	18	06	H6360_001_0	4	08/18/2009	2010.02	08/18/2009 09:46:00 AM Eastern Daylight Time		08/17/2009 05:29:56 PM Eastern Daylight Time		08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus I (Cost)	06	18		1			H6360	001	0	2010	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	9082	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	002	0	1	18	06	H6360_002_0	3	08/18/2009	2010.02	08/18/2009 09:46:30 AM Eastern Daylight Time		08/17/2009 05:29:00 PM Eastern Daylight Time		08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus II (Cost)	06	18		1			H6360	002	0	2010	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	1426	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	004	0	1	18	06	H6360_004_0	2	08/18/2009	2010.02	08/18/2009 09:47:17 AM Eastern Daylight Time				08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic I (Cost)	06	18		1			H6360	004	0	2010	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	8	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353										(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741										1		
H6360	006	0	1	18	06	H6360_006_0	3	08/18/2009	2010.02	08/18/2009 09:33:00 AM Eastern Daylight Time		08/17/2009 05:20:41 PM Eastern Daylight Time		08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus III (Cost)	06	18		1			H6360	006	0	2010	Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum		2	621	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	007	0	1	18	06	H6360_007_0	2	08/18/2009	2010.02	08/18/2009 09:47:51 AM Eastern Daylight Time				08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic II (Cost)	06	18		1			H6360	007	0	2010	Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum		2	55	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353										(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741										1		
H6360	008	0	1	18	06	H6360_008_0	1	05/22/2009	2010.02	05/22/2009 01:32:59 PM Eastern Daylight Time				05/29/2009 10:54:07 AM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic III (Cost)	06	18		1			H6360	008	0	2010	Counties: Cuy,Gea,Lak,Lor,Med,Por,Sum		2	303	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353										(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741										1		
H6360	009	0	2	18	06	H6360_009_0	3	08/18/2009	2010.02	08/18/2009 03:59:56 PM Eastern Daylight Time		08/17/2009 05:30:38 PM Eastern Daylight Time		08/19/2009 04:43:07 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus I - B only (Cost)	06	18		2	1		H6360	009	0	2010	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	3	2				2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	801	0		18	06	H6360_801_0	1	05/15/2009	2010.02						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Group (Cost)	06	18					H6360	801	0	2010	Ohio		1						2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	805	0		18	06	H6360_805_0	1	05/15/2009	2010.02						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Group - B only (Cost)	06	18					H6360	805	0	2010	Ohio		1						2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	806	0		18	06	H6360_806_0	1	05/15/2009	2010.02						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	FEHB AB with D (Cost)	06	18					H6360	806	0	2010	Ohio		1						2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6360	807	0		18	06	H6360_807_0	1	05/15/2009	2010.02						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	FEHB B only with D (Cost)	06	18					H6360	807	0	2010	Ohio		1						2							www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-479-5003		(877)-479-5741		(877)-479-5741		1		
H6371	001	0	1	20	08	H6371_001_0	1	02/04/2010	2010.02	02/04/2010 10:21:54 AM Mountain Standard Time		02/04/2010 01:03:29 PM Mountain Standard Time		02/04/2010 01:19:34 PM Mountain Standard Time	LUTERHAN SENIOR HEALTHCARE, INC.	Lutheran Senior LIFE	www.lsmnj.org	Lutheran Senior Healthcare (PACE)	08	20		1			H6371	001	0	2010	Lutheran Senior LIFE		2		2				2							www.lsmnj.org									(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171										(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171		1		
H6371	002	0	1	20	08	H6371_002_0	1	02/04/2010	2010.02	02/04/2010 10:22:00 AM Mountain Standard Time		02/04/2010 01:03:29 PM Mountain Standard Time		02/04/2010 01:19:34 PM Mountain Standard Time	LUTERHAN SENIOR HEALTHCARE, INC.	Lutheran Senior LIFE	lsmjn.org	Lutheran Senior Healthcare (PACE)	08	20		1			H6371	002	0	2010	Lutheran Senior LIFE		2		2				2							www.lsmnj.org									(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171										(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171		1		
H6411	002	0	1	04	01	H6411_002_0	5	07/21/2009	2010.02	07/21/2009 03:41:42 PM Eastern Daylight Time	08/18/2009 05:49:22 PM Eastern Daylight Time	08/19/2009 11:08:31 AM Eastern Daylight Time		08/21/2009 09:44:32 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-002 (PPO)	01	04		1			H6411	002	0	2010	Dona Ana, Luna, Otero, and El Paso (TX) Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6411	007	0	1	04	01	H6411_007_0	4	07/21/2009	2010.02	07/21/2009 03:42:00 PM Eastern Daylight Time	08/18/2009 05:57:39 PM Eastern Daylight Time	08/19/2009 11:08:41 AM Eastern Daylight Time		08/20/2009 05:07:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-007 (PPO)	01	04		1			H6411	007	0	2010	Select Counties of New Mexico and Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6411	008	0	1	04	01	H6411_008_0	4	07/21/2009	2010.02	07/21/2009 03:42:22 PM Eastern Daylight Time	05/22/2009 02:18:20 PM Eastern Daylight Time			07/28/2009 04:09:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-008 (PPO)	01	04		1			H6411	008	0	2010	Select Counties of New Mexico and Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6411	801	0	1	04	01	H6411_801_0	5	07/10/2009	2010.02	07/10/2009 03:42:17 PM Eastern Daylight Time	07/21/2009 03:54:30 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6411	801	0	2010	Albuquerque, Outstate Region and El Paso Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6411	802	0	1	04	01	H6411_802_0	5	07/10/2009	2010.02	07/10/2009 04:03:29 PM Eastern Daylight Time	07/21/2009 04:51:26 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6411	802	0	2010	Albuquerque, Outstate Region and El Paso Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6411	803	0	1	04	01	H6411_803_0	5	07/10/2009	2010.02	07/10/2009 04:03:40 PM Eastern Daylight Time	07/21/2009 04:52:34 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H6411	803	0	2010	Albuquerque, Outstate Region and El Paso Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6421	012	0	1	09	04	H6421_012_0	4	07/28/2009	2010.02	07/28/2009 08:29:38 AM Eastern Daylight Time	08/19/2009 12:33:48 PM Eastern Daylight Time	08/14/2009 11:31:00 AM Eastern Daylight Time		08/20/2009 06:56:49 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo  Health	www.mybravohealth.com	Bravo Liberty II Rx (PFFS)	04	09	2	1			H6421	012	0	2010	Select Maryland and Delaware Counties and DC		2		2				2							www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-326-2827		(888)-326-2827		(800)-291-0396		(800)-291-0396		(888)-326-2827		(888)-326-2827		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H6528	001	0	1	04	01	H6528_001_0	4	08/17/2009	2010.02	08/17/2009 11:41:29 AM Eastern Daylight Time	08/18/2009 11:21:40 AM Eastern Daylight Time	08/14/2009 10:05:52 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement PPO	http://www.careimprovementppo.com	Care Improvement PPO (PPO)	01	04		1			H6528	001	0	2010	Arkansas		2		2				2						http://www.careimprovementppo.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(866)-460-9028		(866)-460-9028		(866)-460-9027		(866)-460-9027		(866)-460-9157		(866)-460-9157		(866)-460-9027		(866)-460-9027		(866)-460-9154		(866)-460-9154		(866)-460-9154		(866)-460-9154		(866)-460-9158		(866)-460-9158		(866)-460-9154		(866)-460-9154		1		
H6551	001	0	1	20	08	H6551_001_0	1	06/01/2009	2010.02	06/01/2009 04:35:43 PM Mountain Daylight Time		06/01/2009 12:41:35 PM Mountain Daylight Time		06/01/2009 04:36:59 PM Mountain Daylight Time	LIFE ST. MARY, INC.	LIFE St. Mary	www.stmaryhealthcare.org	LIFE St. Mary (PACE)	08	20		1			H6551	001	0	2010	LIFE St. Mary		2		2				2							stmaryhealthcare.org									(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147																		1		
H6551	002	0	1	20	08	H6551_002_0	1	06/01/2009	2010.02	06/01/2009 04:35:59 PM Mountain Daylight Time		06/01/2009 12:41:35 PM Mountain Daylight Time		06/01/2009 04:36:59 PM Mountain Daylight Time	LIFE ST. MARY, INC.	LIFE St. Mary	stmaryhealthcare.org	LIFE St. Mary (PACE)	08	20		1			H6551	002	0	2010	LIFE St. Mary		2		2				2							stmaryhealthcare.org									(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147																		1		
H6609	001	0	1	04	01	H6609_001_0	6	07/28/2009	2010.02	07/28/2009 09:59:06 AM Eastern Daylight Time	08/19/2009 04:09:28 PM Eastern Daylight Time	08/19/2009 11:08:51 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-001 (PPO)	01	04		1			H6609	001	0	2010	South Dakota Metro Area		2	664	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6609	002	0	1	04	01	H6609_002_0	5	07/21/2009	2010.02	07/21/2009 03:33:33 PM Eastern Daylight Time	07/17/2009 02:53:42 PM Eastern Daylight Time			07/22/2009 10:47:23 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-002 (PPO)	01	04		1			H6609	002	0	2010	South Dakota Metro Area		2	664	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	003	0	1	04	01	H6609_003_0	6	07/28/2009	2010.02	07/28/2009 10:00:57 AM Eastern Daylight Time	08/19/2009 04:04:38 PM Eastern Daylight Time	08/19/2009 11:09:02 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-003 (PPO)	01	04		1			H6609	003	0	2010	Omaha Metro Area		2	1359	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6609	004	0	1	04	01	H6609_004_0	5	07/21/2009	2010.02	07/21/2009 03:34:30 PM Eastern Daylight Time	07/17/2009 02:47:42 PM Eastern Daylight Time			07/22/2009 10:47:23 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-004 (PPO)	01	04		1			H6609	004	0	2010	Omaha		2	1359	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	005	0	1	04	01	H6609_005_0	6	07/21/2009	2010.02	07/21/2009 03:35:05 PM Eastern Daylight Time	08/19/2009 04:10:24 PM Eastern Daylight Time	08/19/2009 11:09:11 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-005 (PPO)	01	04		1			H6609	005	0	2010	Minnesota LPPO		2	1500	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6609	006	0	1	04	01	H6609_006_0	5	07/21/2009	2010.02	07/21/2009 03:35:29 PM Eastern Daylight Time	07/17/2009 02:54:38 PM Eastern Daylight Time			07/22/2009 10:47:23 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-006 (PPO)	01	04		1			H6609	006	0	2010	Minnesota LPPO		2	1500	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	007	0	1	04	01	H6609_007_0	6	07/28/2009	2010.02	07/28/2009 10:03:41 AM Eastern Daylight Time	08/19/2009 04:04:18 PM Eastern Daylight Time	08/19/2009 11:09:21 AM Eastern Daylight Time		08/20/2009 05:19:15 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-007 (PPO)	01	04		1			H6609	007	0	2010	Duluth Metro Area		2	785	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6609	008	0	1	04	01	H6609_008_0	6	07/21/2009	2010.02	07/21/2009 03:36:17 PM Eastern Daylight Time	07/17/2009 02:47:14 PM Eastern Daylight Time			07/22/2009 10:47:23 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-008 (PPO)	01	04		1			H6609	008	0	2010	Duluth MA Only  Metro Area		2	785	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	009	0	1	04	01	H6609_009_0	7	07/17/2009	2010.01	07/17/2009 02:02:11 PM Eastern Daylight Time	08/18/2009 04:31:12 PM Eastern Daylight Time	08/19/2009 11:09:31 AM Eastern Daylight Time		08/20/2009 02:44:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-009 (PPO)	01	04		1			H6609	009	0	2010	Ada, Canyon, Gem, Owyhee and Payette Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	010	0	1	04	01	H6609_010_0	5	07/17/2009	2010.01	07/17/2009 02:02:27 PM Eastern Daylight Time	08/18/2009 04:32:10 PM Eastern Daylight Time	08/19/2009 11:09:41 AM Eastern Daylight Time		08/20/2009 02:44:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-010 (PPO)	01	04		1			H6609	010	0	2010	Kootenai County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	011	0	1	04	01	H6609_011_0	5	07/16/2009	2010.01	07/16/2009 10:50:10 AM Eastern Daylight Time	08/18/2009 04:31:40 PM Eastern Daylight Time	08/19/2009 11:09:51 AM Eastern Daylight Time		08/20/2009 02:44:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-011 (PPO)	01	04		1			H6609	011	0	2010	Bannock, Bingham, Bonneville andJefferson Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	012	0	1	04	01	H6609_012_0	5	07/17/2009	2010.01	07/17/2009 02:02:48 PM Eastern Daylight Time	07/20/2009 03:44:22 PM Eastern Daylight Time			07/21/2009 04:16:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-012 (PPO)	01	04		1			H6609	012	0	2010	Boise Metro Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	013	0	1	04	01	H6609_013_0	6	08/20/2009	2010.02	08/20/2009 05:32:56 PM Eastern Daylight Time	08/18/2009 05:04:40 PM Eastern Daylight Time	08/19/2009 11:10:03 AM Eastern Daylight Time		08/20/2009 06:56:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-013 (PPO)	01	04		1			H6609	013	0	2010	King, Pierce and Snohomish Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	014	0	1	04	01	H6609_014_0	5	07/21/2009	2010.02	07/21/2009 01:16:20 PM Eastern Daylight Time	08/18/2009 05:05:12 PM Eastern Daylight Time	08/19/2009 11:10:12 AM Eastern Daylight Time		08/20/2009 06:56:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-014 (PPO)	01	04		1			H6609	014	0	2010	King, Pierce and Snohomish Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	015	0	1	04	01	H6609_015_0	7	08/20/2009	2010.02	08/20/2009 06:07:14 PM Eastern Daylight Time	08/18/2009 05:02:00 PM Eastern Daylight Time	08/19/2009 11:10:21 AM Eastern Daylight Time		08/20/2009 06:56:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-015 (PPO)	01	04		1			H6609	015	0	2010	Clark County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	016	0	1	04	01	H6609_016_0	5	08/20/2009	2010.02	08/20/2009 06:09:04 PM Eastern Daylight Time	08/18/2009 05:07:12 PM Eastern Daylight Time	08/19/2009 11:10:31 AM Eastern Daylight Time		08/20/2009 06:56:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-016 (PPO)	01	04		1			H6609	016	0	2010	Clark County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	801	0	1	04	01	H6609_801_0	5	07/10/2009	2010.02	07/10/2009 03:42:43 PM Eastern Daylight Time	07/21/2009 04:01:10 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6609	801	0	2010	Select Counties in IA, ID, MN, NE, SD and WA		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6609	802	0	1	04	01	H6609_802_0	3	07/10/2009	2010.02	07/10/2009 04:03:54 PM Eastern Daylight Time	07/21/2009 04:25:44 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6609	802	0	2010	Select Counties in IA, ID, MN, NE, SD and WA		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6609	803	0	1	04	01	H6609_803_0	3	07/10/2009	2010.02	07/10/2009 04:04:05 PM Eastern Daylight Time	07/21/2009 04:26:48 PM Eastern Daylight Time			07/28/2009 08:46:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H6609	803	0	2010	Select Counties in IA, ID, MN, NE, SD and WA		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6642	001	0	1	02	01	H6642_001_0	3	08/20/2009	2010.02	08/20/2009 03:07:17 PM Eastern Daylight Time	08/20/2009 04:40:43 PM Eastern Daylight Time	08/20/2009 04:45:16 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6642	001	0	2010	Texas HMO		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H6642	002	0	1	02	01	H6642_002_0	3	07/20/2009	2010.02	07/20/2009 12:18:22 PM Eastern Daylight Time	08/20/2009 04:41:52 PM Eastern Daylight Time	08/20/2009 04:45:59 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6642	002	0	2010	Texas HMO		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H6642	003	0	1	02	01	H6642_003_0	3	07/20/2009	2010.02	07/20/2009 12:18:48 PM Eastern Daylight Time	08/20/2009 04:43:56 PM Eastern Daylight Time	08/20/2009 04:47:35 PM Eastern Daylight Time		08/20/2009 05:16:45 PM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6642	003	0	2010	Texas HMO		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1		
H6642	004	0	1	02	01	H6642_004_0	2	07/20/2009	2010.02	07/20/2009 12:19:12 PM Eastern Daylight Time	06/01/2009 11:39:05 PM Eastern Daylight Time			07/21/2009 11:18:54 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	www.univhc.com	Medicare Masterpiece MA Only (HMO-POS)	01	02		1			H6642	004	0	2010	Texas HMO		2		2				2						www.univhc.com	http://www.univhc.com/Formulary/Plans_mp.asp	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1		
H6793	001	0	1	37	05	H6793_001_0	3	07/07/2009	2010.02	07/07/2009 09:56:11 AM Central Daylight Time	08/14/2009 10:06:53 AM Central Daylight Time	08/13/2009 05:57:04 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	05	37		1			H6793	001	0	2010	Johnson County		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H6793	002	0	1	37	05	H6793_002_0	2	07/07/2009	2010.02	07/07/2009 09:56:30 AM Central Daylight Time	07/16/2009 06:55:37 PM Central Daylight Time			07/23/2009 03:45:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	05	37		1			H6793	002	0	2010	Johnson County		2		2				2						www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H6793	003	0	1	37	05	H6793_003_0	3	07/07/2009	2010.02	07/07/2009 09:56:45 AM Central Daylight Time	08/14/2009 10:07:22 AM Central Daylight Time	08/13/2009 05:57:07 PM Central Daylight Time		08/20/2009 11:24:30 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.EricksonAdvantage.com	Erickson Advantage Champion (HMO-POS)	05	37		1			H6793	003	0	2010	Johnson County		2		2				1	4		1		000110100000000	www.EricksonAdvantage.com	http://www.ericksonadvantage.com/formulary.asp	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H6806	802	0	1	09	04	H6806_802_0	3	07/15/2009	2010.02	07/15/2009 10:19:19 AM Eastern Daylight Time	05/31/2009 07:35:00 PM Eastern Daylight Time			07/20/2009 08:41:14 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com/usacare	USACare Rx (PFFS)	04	09	2	1			H6806	802	0	2010	National Employer Group		1	16858	2				2							https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(888)-597-4419		(888)-597-4419		(888)-597-4419		(888)-597-4419		(888)-597-4419		(888)-597-4419		(888)-597-4419		(888)-597-4419		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		(800)-252-2452		(585)-325-2629		1		
H6864	001	0	1	02	01	H6864_001_0	7	08/27/2009	2010.02	08/27/2009 12:13:41 PM Eastern Daylight Time	08/27/2009 11:17:26 AM Eastern Daylight Time	08/20/2009 02:57:38 PM Eastern Daylight Time		08/27/2009 12:16:14 PM Eastern Daylight Time	GUILDNET, INC.	GuildNet	www.jgb.org/guildnet	GuildNet Gold (HMO-POS)	01	02		1			H6864	001	0	2010	Bronx, Kings, New York and Queens Counties		2	603	2		2		1	3		1	5		www.jgb.org/guildnet	http://www.jgb.org/guildnet	(800)-932-4703		(212)-769-7855		(800)-932-4703		(212)-769-7855		(877)-444-3973		(877)-444-3973		(800)-932-4703		(212)-769-7855		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H6900	001	0	1	04	01	H6900_001_0	9	07/22/2009	2010.02	07/22/2009 10:24:55 AM Eastern Daylight Time	08/18/2009 04:02:33 PM Eastern Daylight Time	08/19/2009 11:10:41 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-001 (PPO)	01	04		1			H6900	001	0	2010	North Central Metro Areas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6900	002	0	1	04	01	H6900_002_0	7	07/22/2009	2010.02	07/22/2009 10:26:00 AM Eastern Daylight Time	08/18/2009 04:03:27 PM Eastern Daylight Time	08/19/2009 11:10:51 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-002 (PPO)	01	04		1			H6900	002	0	2010	Erie, PA		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6900	004	0	1	04	01	H6900_004_0	9	07/22/2009	2010.02	07/22/2009 10:26:54 AM Eastern Daylight Time	08/18/2009 04:10:27 PM Eastern Daylight Time	08/19/2009 11:11:00 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-004 (PPO)	01	04		1			H6900	004	0	2010	Cumberland and Lancaster Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H6900	801	0	1	04	01	H6900_801_0	4	07/10/2009	2010.02	07/10/2009 03:42:59 PM Eastern Daylight Time	07/21/2009 03:56:06 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6900	801	0	2010	Select Counties in Pennsylvania and Maine		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6900	802	0	1	04	01	H6900_802_0	3	07/10/2009	2010.02	07/10/2009 04:04:19 PM Eastern Daylight Time	07/21/2009 04:52:50 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6900	802	0	2010	Select Counties in Pennsylvania and Maine		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H6900	803	0	1	04	01	H6900_803_0	3	07/10/2009	2010.02	07/10/2009 04:04:30 PM Eastern Daylight Time	07/21/2009 04:53:04 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H6900	803	0	2010	Select Counties in Pennsylvania and Maine		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H6923	001	0	1	01	01	H6923_001_0	4	08/19/2009	2010.02	08/19/2009 12:50:21 PM Eastern Daylight Time	08/17/2009 10:00:49 AM Eastern Daylight Time	08/17/2009 03:28:26 PM Eastern Daylight Time		08/20/2009 09:24:06 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Value Plan (HMO)	01	01		1			H6923	001	0	2010	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H6923	003	0	1	01	01	H6923_003_0	4	07/23/2009	2010.02	07/23/2009 12:28:06 PM Eastern Daylight Time	08/17/2009 10:01:56 AM Eastern Daylight Time	08/17/2009 03:28:50 PM Eastern Daylight Time		08/20/2009 09:24:06 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Premier Plan (HMO)	01	01		1			H6923	003	0	2010	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H6923	801	0	1	01	01	H6923_801_0	2	05/19/2009	2010.02	05/19/2009 02:06:22 PM Eastern Daylight Time	05/31/2009 06:43:33 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Plan (HMO)	01	01		1			H6923	801	0	2010	Denver and Surrounding Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H6923	802	0	1	01	01	H6923_802_0	2	05/19/2009	2010.02	05/19/2009 02:09:35 PM Eastern Daylight Time	05/31/2009 06:44:20 PM Eastern Daylight Time			06/01/2009 12:55:36 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Plan w/ RX CY (HMO)	01	01		1			H6923	802	0	2010	Denver and Surrounding Counties		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H6952	001	0	1	01	01	H6952_001_0	3	08/20/2009	2010.02	08/20/2009 03:37:41 PM Central Daylight Time	08/20/2009 09:46:00 AM Central Daylight Time	08/18/2009 09:12:40 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	GREAT LAKES HEALTH PLAN, INC.	Great Lakes Personal Care Plus	http://www.glhp.com	Great Lakes Personal Care Plus (HMO)	01	01		1			H6952	001	0	2010	Macomb, Oakland and Wayne Counties		2		2		2		1	3		1	3		http://www.glhp.com/ProviderDirectory.aspx	www.glhp.com	(888)-903-7587		(888)-903-7587		(888)-903-7587		(888)-903-7587		(877)-469-4547		(877)-469-4547		(888)-903-7587		(888)-903-7587		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(866)-547-0773		(866)-547-0773		(800)-649-3777		(800)-649-3777		1		
H6952	002	0	1	01	01	H6952_002_0	3	08/20/2009	2010.02	08/20/2009 03:37:59 PM Central Daylight Time	08/20/2009 09:44:56 AM Central Daylight Time	08/18/2009 09:06:54 AM Central Daylight Time		08/20/2009 07:43:20 PM Central Daylight Time	GREAT LAKES HEALTH PLAN, INC.	Great Lakes Personal Care Plus	http://www.glhp.com	Great Lakes Personal Care Plus (HMO)	01	01		1			H6952	002	0	2010	Michigan Counties		2		2		2		1	3		1	5		http://www.glhp.com/ProviderDirectory.aspx	www.glhp.com	(888)-903-7587		(888)-903-7587		(888)-903-7587		(888)-903-7587		(877)-469-4547		(877)-469-4547		(888)-903-7587		(888)-903-7587		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(866)-547-0773		(866)-547-0773		(800)-649-3777		(800)-649-3777		1		
H7002	002	0	1	04	01	H7002_002_0	4	07/17/2009	2010.02	07/17/2009 03:13:33 PM Eastern Daylight Time	08/18/2009 03:55:49 PM Eastern Daylight Time	08/19/2009 11:11:08 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H7002-002 (PPO)	01	04		1			H7002	002	0	2010	Select Louisiana Parishes		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7002	805	0	1	04	01	H7002_805_0	5	07/10/2009	2010.02	07/10/2009 03:43:19 PM Eastern Daylight Time	07/21/2009 05:06:00 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H7002	805	0	2010	Select Counties in Louisiana		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7002	806	0	1	04	01	H7002_806_0	4	07/10/2009	2010.02	07/10/2009 04:04:49 PM Eastern Daylight Time	07/21/2009 05:07:12 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H7002	806	0	2010	Select Counties in Louisiana		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H7002	807	0	1	04	01	H7002_807_0	5	07/10/2009	2010.02	07/10/2009 04:05:00 PM Eastern Daylight Time	07/21/2009 05:08:14 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H7002	807	0	2010	Select Counties in Louisiana		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7006	001	0	1	04	01	H7006_001_0	5	08/20/2009	2010.02	08/20/2009 09:38:26 AM Pacific Daylight Time	08/20/2009 08:56:53 AM Pacific Daylight Time	08/20/2009 08:56:53 AM Pacific Daylight Time		08/20/2009 03:56:28 PM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Preferred + Rx (PPO)	01	04		1			H7006	001	0	2010	Marion and Polk Counties in Oregon		2	350	2				2						http://www.physicianschoiceadvantage.com/mpchp/providersearch.php	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H7006	002	0	1	04	01	H7006_002_0	5	08/20/2009	2010.02	08/20/2009 09:38:38 AM Pacific Daylight Time	07/27/2009 11:15:13 AM Pacific Daylight Time			08/20/2009 03:56:28 PM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Preferred (PPO)	01	04		1			H7006	002	0	2010	Marion and Polk Counties in Oregon		2	150	2				2						http://www.physicianschoiceadvantage.com/mpchp/providersearch.php	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H7015	001	0	1	01	01	H7015_001_0	7	08/19/2009	2010.02	08/19/2009 04:56:17 PM Eastern Daylight Time	08/19/2009 05:15:42 PM Eastern Daylight Time	08/19/2009 05:22:05 PM Eastern Daylight Time		08/19/2009 06:57:43 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Healthfirst NJ Medicare Plus Plan (HMO)	01	01		1			H7015	001	0	2010	Bergen, Essex, Hudson, Passaic, and Union Counties		2	315	2				2						www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1		
H7015	002	0	1	01	01	H7015_002_0	7	08/19/2009	2010.02	08/19/2009 05:04:49 PM Eastern Daylight Time	08/19/2009 05:14:54 PM Eastern Daylight Time	08/19/2009 05:21:30 PM Eastern Daylight Time		08/19/2009 06:57:43 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Healthfirst NJ Increased Benefits Plan (HMO)	01	01		1			H7015	002	0	2010	Bergen, Essex, Hudson, Passaic, and Union Counties		2	3299	2				2						www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1		
H7015	003	0	1	01	01	H7015_003_0	4	07/10/2009	2010.02	07/10/2009 10:03:05 AM Eastern Daylight Time	07/16/2009 02:56:30 PM Eastern Daylight Time			07/27/2009 10:52:01 AM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Healthfirst NJ Coordinated Benefits Plan (HMO)	01	01		1			H7015	003	0	2010	Bergen, Essex, Hudson, Passaic, and Union Counties		2	257	2				2						www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365										(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897										1		
H7015	004	0	1	01	01	H7015_004_0	8	08/24/2009	2010.02	08/24/2009 12:20:11 PM Eastern Daylight Time	08/24/2009 03:30:45 PM Eastern Daylight Time	08/19/2009 05:20:44 PM Eastern Daylight Time		08/24/2009 03:35:30 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Healthfirst NJ Maximum Plan (HMO)	01	01		1			H7015	004	0	2010	Bergen, Essex, Hudson, Passaic, and Union Counties		2	1886	2		2		1	3		1	2		www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1		
H7015	801	0	1	01	01	H7015_801_0	7	07/15/2009	2010.02	07/15/2009 05:10:45 PM Eastern Daylight Time	07/16/2009 02:59:41 PM Eastern Daylight Time			07/27/2009 10:55:16 AM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Employer Group 1 (HMO)	01	01		1			H7015	801	0	2010	All New Jersey State Counties		1	3	2				2						www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1		
H7015	802	0	1	01	01	H7015_802_0	5	07/15/2009	2010.02	07/15/2009 05:13:16 PM Eastern Daylight Time	07/16/2009 02:58:21 PM Eastern Daylight Time			07/27/2009 10:55:16 AM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ	www.healthfirstnj.org	Employer Group 2 (HMO)	01	01		1			H7015	802	0	2010	All New Jersey State Counties		1	1	2				2						www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-464-4365		(877)-464-4365										(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897										1		
H7086	001	0	1	01	01	H7086_001_0	3	08/25/2009	2010.02	08/25/2009 09:10:41 AM Pacific Daylight Time	08/20/2009 12:51:16 PM Pacific Daylight Time	08/20/2009 12:50:50 PM Pacific Daylight Time		08/25/2009 09:14:38 AM Pacific Daylight Time	COMMUNITY HEALTH GROUP	Community Health Group	www.chgsd.com	CommuniCare Advantage (HMO)	01	01		1			H7086	001	0	2010	San Diego County California		2		2		2		1	3		1	3		www.chgsd.com/CHGSDphysHospFinder/physicianFinderLite.aspx	www.chgsd.com	(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H7149	001	0	1	01	01	H7149_001_0	7	08/27/2009	2010.02	08/27/2009 02:44:02 PM Central Daylight Time	08/19/2009 04:18:21 PM Central Daylight Time	08/18/2009 10:35:21 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care of Nebraska Advantra	www.ne.chcadvantra.com	Advantra Silver (HMO)	01	01		1			H7149	001	0	2010	Partial State of Nebraska		2	4600	2				2						www.ne.chcadvantra.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7149	801	0	1	01	01	H7149_801_0	6	07/13/2009	2010.02	07/13/2009 08:38:53 AM Central Daylight Time	06/01/2009 03:48:33 PM Central Daylight Time			07/29/2009 03:11:27 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care of Nebraska Advantra	www.advantraplans.com	Advantra Gold Employee Plan (HMO)	01	01		1			H7149	801	0	2010	Nebraska		1	404	2				2						www.ne.chcadvantra.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127										(811)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010										1		
H7149	802	0	1	01	01	H7149_802_0	5	07/13/2009	2010.02	07/13/2009 08:42:47 AM Central Daylight Time	06/01/2009 03:40:46 PM Central Daylight Time			07/29/2009 03:11:27 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care of Nebraska Advantra	www.advantraplans.com	Advantra Gold Rx CY Employee Plan (HMO)	01	01		1			H7149	802	0	2010	Nebraska		1	404	2				2						www.ne.chcadvantra.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7149	803	0	1	01	01	H7149_803_0	5	07/13/2009	2010.02	07/13/2009 08:47:31 AM Central Daylight Time	06/01/2009 03:35:50 PM Central Daylight Time			07/29/2009 03:11:27 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care of Nebraska Advantra	www.advantraplans.com	Advantra Gold Rx Employee Plan (HMO)	01	01		1			H7149	803	0	2010	Nebraska		1	404	2				2						www.ne.chcadvantra.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(877)-231-0573		(877)-231-0573		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7179	001	0	1	01	01	H7179_001_0	7	08/19/2009	2010.02	08/19/2009 11:36:56 PM Pacific Daylight Time	08/20/2009 12:00:44 PM Pacific Daylight Time	08/20/2009 12:16:26 PM Pacific Daylight Time		08/20/2009 04:36:19 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	001	0	2010	Lake Charles		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	002	0	1	01	01	H7179_002_0	6	08/19/2009	2010.02	08/19/2009 11:37:39 PM Pacific Daylight Time	08/20/2009 12:00:20 PM Pacific Daylight Time	08/20/2009 12:16:24 PM Pacific Daylight Time		08/20/2009 04:36:19 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	002	0	2010	Monroe		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	003	0	1	01	01	H7179_003_0	7	08/19/2009	2010.02	08/19/2009 11:59:48 PM Pacific Daylight Time	08/19/2009 11:32:12 AM Pacific Daylight Time	08/19/2009 11:06:46 AM Pacific Daylight Time		08/20/2009 04:36:19 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Dual Plus (HMO)	01	01		1			H7179	003	0	2010	Shreveport, Monroe and Lake Charles		2		2		2		1	3		1	1		www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	006	0	1	01	01	H7179_006_0	3	05/31/2009	2010.02	05/31/2009 04:53:21 PM Eastern Daylight Time	07/24/2009 11:48:32 AM Pacific Daylight Time			07/25/2009 04:43:03 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Basic (Monroe) (HMO)	01	01		1			H7179	006	0	2010	Monroe		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(318)-865-1061		(888)-261-1061		(318)-865-1061										(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613										1		
H7179	007	0	1	01	01	H7179_007_0	5	08/19/2009	2010.02	08/19/2009 11:38:25 PM Pacific Daylight Time	08/20/2009 12:00:14 PM Pacific Daylight Time	08/20/2009 12:16:24 PM Pacific Daylight Time		08/20/2009 04:36:19 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	007	0	2010	Shreveport		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	008	0	1	01	01	H7179_008_0	3	05/31/2009	2010.02	05/31/2009 04:54:32 PM Eastern Daylight Time	07/24/2009 11:49:06 AM Pacific Daylight Time			07/25/2009 04:43:03 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Basic (Shreveport) (HMO)	01	01		1			H7179	008	0	2010	Shreveport		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(318)-865-1061		(888)-261-1061		(318)-865-1061										(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613										1		
H7179	009	0	1	02	01	H7179_009_0	8	08/20/2009	2010.02	08/20/2009 12:08:02 PM Pacific Daylight Time	08/20/2009 11:58:56 AM Pacific Daylight Time	08/20/2009 12:16:18 PM Pacific Daylight Time		08/20/2009 04:48:29 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus Point (HMO-POS)	01	02		1			H7179	009	0	2010	Louisiana		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	010	0	1	01	01	H7179_010_0	7	08/19/2009	2010.02	08/19/2009 11:39:46 PM Pacific Daylight Time	08/20/2009 11:59:04 AM Pacific Daylight Time	08/20/2009 12:16:16 PM Pacific Daylight Time		08/20/2009 04:48:29 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care  - Plus (HMO)	01	01		1			H7179	010	0	2010	Lafayette		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	011	0	1	01	01	H7179_011_0	8	08/20/2009	2010.02	08/20/2009 01:57:57 PM Pacific Daylight Time	08/20/2009 11:58:26 AM Pacific Daylight Time	08/20/2009 12:16:14 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	011	0	2010	Alexandria		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	012	0	1	01	01	H7179_012_0	7	08/20/2009	2010.02	08/20/2009 01:58:13 PM Pacific Daylight Time	08/20/2009 11:58:02 AM Pacific Daylight Time	08/20/2009 12:16:08 PM Pacific Daylight Time		08/20/2009 06:32:54 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	012	0	2010	Baton Rouge		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	013	0	1	01	01	H7179_013_0	7	08/20/2009	2010.02	08/20/2009 12:00:16 AM Pacific Daylight Time	08/20/2009 11:58:02 AM Pacific Daylight Time	08/20/2009 12:16:08 PM Pacific Daylight Time		08/20/2009 04:48:29 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Dual Plus (HMO)	01	01		1			H7179	013	0	2010	Alexandria, Baton Rouge, Lafayette		2		2		2		1	3		1	5		www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	014	0	1	01	01	H7179_014_0	8	08/20/2009	2010.02	08/20/2009 12:00:33 AM Pacific Daylight Time	08/19/2009 11:33:30 AM Pacific Daylight Time	08/19/2009 11:06:26 AM Pacific Daylight Time		08/20/2009 04:48:29 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Enhanced (HMO)	01	01		1			H7179	014	0	2010	Alexandria, Baton Rouge, Lafayette		2		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7179	801	0	1	01	01	H7179_801_0	4	05/28/2009	2010.02	05/28/2009 11:15:36 PM Eastern Daylight Time	07/14/2009 12:18:44 PM Pacific Daylight Time			07/15/2009 11:33:25 PM Pacific Daylight Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care EGWP (LA) (HMO)	01	01		1			H7179	801	0	2010	Louisiana		1		2				2						www.arcadiancommunitycare.com	www.arcadianhealthplanlouisiana.com	(800)-573-8597		(318)-865-1061		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1		
H7187	001	0	1	02	01	H7187_001_0	4	08/26/2009	2010.02	08/26/2009 02:16:43 PM Central Daylight Time	08/18/2009 02:43:20 PM Central Daylight Time	08/13/2009 05:57:12 PM Central Daylight Time		08/26/2009 02:29:14 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS)	01	02		1			H7187	001	0	2010	Arlington County		2		2				1	1	1	1				www.aarpmedicarecomplete.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H7187	002	0	1	02	01	H7187_002_0	4	08/28/2009	2010.02	08/28/2009 01:39:07 PM Central Daylight Time	08/28/2009 02:51:09 PM Central Daylight Time	08/13/2009 05:57:16 PM Central Daylight Time		08/28/2009 03:01:34 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS)	01	02		1			H7187	002	0	2010	Chesterfld,Goochlnd,Hanover,Henrico,Richmond City		2		2		2		1	3		1	2			www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H7187	003	0	1	02	01	H7187_003_0	4	08/18/2009	2010.02	08/18/2009 03:36:30 PM Central Daylight Time	08/18/2009 02:44:01 PM Central Daylight Time	08/13/2009 05:57:20 PM Central Daylight Time		08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H7187	003	0	2010	Richmond and Roanoke areas		2		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H7187	008	0	1	02	01	H7187_008_0	3	07/17/2009	2010.02	07/17/2009 11:28:53 AM Central Daylight Time	08/18/2009 02:44:20 PM Central Daylight Time	08/13/2009 05:57:24 PM Central Daylight Time		08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH-POS (HMO-POS)	01	02		1			H7187	008	0	2010	Chesterfld,Goochlnd,Hanover,Henrico,Richmond City		2		2				1	4		1		000110100000000		www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H7187	009	0	1	02	01	H7187_009_0	3	07/20/2009	2010.02	07/20/2009 09:19:49 AM Central Daylight Time	08/18/2009 02:44:46 PM Central Daylight Time	08/13/2009 05:57:28 PM Central Daylight Time		08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H7187	009	0	2010	Portsmouth, Norfolk, Newport News counties		2		2				2							www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(866)-832-8671		(866)-832-8671		(866)-832-8671		(866)-832-8671		1		
H7187	801	0	1	02	01	H7187_801_0	3	05/28/2009	2010.02	05/28/2009 12:35:12 PM Central Daylight Time	07/22/2009 03:23:19 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	801	0	2010	Chest.,Goochl.,Hanover,Henrico,Richmond City Cos		1		2				2							www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H7187	803	0	1	02	01	H7187_803_0	3	05/28/2009	2010.02	05/28/2009 12:35:30 PM Central Daylight Time	07/22/2009 03:23:37 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	803	0	2010	Chest.,Goochl.,Hanover,Henrico,Richmond City Cos		1		2				2							www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H7187	804	0	1	02	01	H7187_804_0	3	05/28/2009	2010.02	05/28/2009 12:35:46 PM Central Daylight Time	07/22/2009 03:24:20 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	804	0	2010	Select Counties in VA		1		2				2							www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H7188	003	0	1	04	01	H7188_003_0	8	07/16/2009	2010.02	07/16/2009 12:12:44 PM Eastern Daylight Time	08/19/2009 04:30:04 PM Eastern Daylight Time	08/19/2009 11:11:17 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H7188-003 (PPO)	01	04		1			H7188	003	0	2010	Arkansas Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7188	801	0	1	04	01	H7188_801_0	4	07/10/2009	2010.02	07/10/2009 03:43:38 PM Eastern Daylight Time	07/21/2009 03:57:40 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H7188	801	0	2010	N.West-Central AR, S.Eeast KS and S.West MO		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7188	802	0	1	04	01	H7188_802_0	4	07/10/2009	2010.02	07/10/2009 04:05:15 PM Eastern Daylight Time	07/21/2009 04:54:24 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H7188	802	0	2010	N.West-Central AR, S.Eeast KS and S.West MO		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H7188	803	0	1	04	01	H7188_803_0	4	07/10/2009	2010.02	07/10/2009 04:05:27 PM Eastern Daylight Time	07/21/2009 04:55:16 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H7188	803	0	2010	N.West-Central AR, S.Eeast KS and S.West MO		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H7195	001	0	1	20	08	H7195_001_0	1	05/18/2009	2010.02	05/18/2009 12:11:16 PM Mountain Daylight Time		05/15/2009 06:26:56 PM Mountain Daylight Time		05/18/2009 12:38:03 PM Mountain Daylight Time	NORTHLAND PACE PROGRAM	Northland PACE Program	www.northlandhealth.com	Northland PACE - Dual (PACE)	08	20		1			H7195	001	0	2010	Burleigh, Morton, and Stark Counties		2		2				2							n/a									(888)-883-8959		(701)-751-3050		(888)-883-8959		(701)-751-3050																		1		
H7195	002	0	1	20	08	H7195_002_0	1	05/18/2009	2010.02	05/18/2009 12:11:45 PM Mountain Daylight Time		05/15/2009 05:41:53 PM Mountain Daylight Time		05/18/2009 12:38:03 PM Mountain Daylight Time	NORTHLAND PACE PROGRAM	Northland PACE Program	www.northlandhealth.com	Northland PACE - Medicare Only (PACE)	08	20		1			H7195	002	0	2010	Burleigh, Morton, and Stark Counties		2		2				2							n/a									(888)-883-8959		(701)-751-3050		(888)-883-8959		(701)-751-3050																		1		
H7200	006	0	1	01	01	H7200_006_0	5	08/19/2009	2010.02	08/19/2009 05:49:12 PM Eastern Daylight Time	08/19/2009 09:40:13 PM Eastern Daylight Time	08/20/2009 11:43:36 AM Eastern Daylight Time		08/20/2009 03:19:24 PM Eastern Daylight Time	AMERIGROUP TENNESSEE, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H7200	006	0	2010	Nashville		2	1195	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7200	007	0	1	01	01	H7200_007_0	6	08/19/2009	2010.02	08/19/2009 05:38:44 PM Eastern Daylight Time	08/19/2009 09:41:51 PM Eastern Daylight Time	08/20/2009 11:44:04 AM Eastern Daylight Time		08/20/2009 03:19:24 PM Eastern Daylight Time	AMERIGROUP TENNESSEE, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H7200	007	0	2010	Nashville Metro Area		2	751	2				2						http://www1.amerigroupcorp.com/providers/	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7220	001	0	1	01	01	H7220_001_0	5	09/29/2009	2010.02	09/29/2009 10:26:47 AM Eastern Daylight Time	08/05/2009 08:45:18 AM Eastern Daylight Time			09/29/2009 05:44:46 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Value (HMO)	01	01		1			H7220	001	0	2010	State of Indiana - 14 counties		2	50	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1		
H7220	002	0	1	01	01	H7220_002_0	6	09/29/2009	2010.02	09/29/2009 10:27:04 AM Eastern Daylight Time	08/20/2009 11:36:40 AM Eastern Daylight Time			09/29/2009 05:44:46 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Select (HMO)	01	01		1			H7220	002	0	2010	State of Indiana - 14 counties		2	60	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1		
H7220	003	0	1	01	01	H7220_003_0	6	09/29/2009	2010.02	09/29/2009 05:11:06 PM Eastern Daylight Time	08/20/2009 11:36:38 AM Eastern Daylight Time	08/20/2009 11:36:42 AM Eastern Daylight Time		09/29/2009 05:44:46 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Select Plus (HMO)	01	01		1			H7220	003	0	2010	State of Indiana - 14 counties		2	70	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H7220	004	0	1	02	01	H7220_004_0	8	09/29/2009	2010.02	09/29/2009 05:11:06 PM Eastern Daylight Time	08/20/2009 11:36:32 AM Eastern Daylight Time	08/20/2009 11:36:42 AM Eastern Daylight Time		09/29/2009 05:44:46 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Choice (HMO-POS)	01	02		1			H7220	004	0	2010	Marion,Boone, Hamilton, Hendricks, Morgan counties		2	3000	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(800)-455-9776		(317)-963-9700		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1		
H7226	001	0	1	09	04	H7226_001_0	2	05/28/2009	2010.02	05/28/2009 05:03:09 PM Eastern Daylight Time	05/28/2009 02:48:30 PM Central Daylight Time	07/28/2009 01:33:46 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom Plus - Drug (PFFS)	04	09	2	1			H7226	001	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	002	0	1	09	04	H7226_002_0	2	05/28/2009	2010.02	05/28/2009 05:06:58 PM Eastern Daylight Time	05/28/2009 03:38:58 PM Central Daylight Time	07/28/2009 01:44:36 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - Drug (PFFS)	04	09	2	1			H7226	002	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	006	0	1	09	04	H7226_006_0	1	05/21/2009	2010.02	05/21/2009 08:02:39 AM Central Daylight Time	05/28/2009 04:09:40 PM Eastern Daylight Time			05/29/2009 11:29:16 AM Eastern Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - No Drug (PFFS)	04	09	2	1			H7226	006	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723										(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276										1		
H7226	007	0	1	09	04	H7226_007_0	2	05/28/2009	2010.02	05/28/2009 05:04:13 PM Eastern Daylight Time	05/28/2009 03:11:52 PM Central Daylight Time	07/28/2009 01:45:02 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom Plus - Drug (PFFS)	04	09	2	1			H7226	007	0	2010	Essex, Middlesex, Norfolk, Suffolk Counties, MA		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	008	0	1	09	04	H7226_008_0	2	05/28/2009	2010.02	05/28/2009 05:07:14 PM Eastern Daylight Time	05/28/2009 03:12:50 PM Central Daylight Time	07/28/2009 01:47:34 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - Drug (PFFS)	04	09	2	1			H7226	008	0	2010	Essex,Middlesex,Norfolk, Suffolk Counties, MA		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	009	0	1	09	04	H7226_009_0	1	05/21/2009	2010.02	05/21/2009 08:02:41 AM Central Daylight Time	05/29/2009 10:19:34 AM Eastern Daylight Time			05/29/2009 11:29:16 AM Eastern Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - No Drug (PFFS)	04	09	2	1			H7226	009	0	2010	Essex,Middlesex,Norfolk, Suffolk Counties, MA		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723										(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276										1		
H7226	011	0	1	09	04	H7226_011_0	2	05/28/2009	2010.02	05/28/2009 05:04:13 PM Eastern Daylight Time	05/28/2009 03:18:40 PM Central Daylight Time	07/28/2009 01:48:04 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom Plus - Drug (PFFS)	04	09	2	1			H7226	011	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	013	0	1	09	04	H7226_013_0	2	05/28/2009	2010.02	05/28/2009 05:07:15 PM Eastern Daylight Time	05/28/2009 03:22:30 PM Central Daylight Time	07/28/2009 01:48:22 PM Central Daylight Time		07/29/2009 08:29:28 AM Central Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - Drug (PFFS)	04	09	2	1			H7226	013	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7226	015	0	1	09	04	H7226_015_0	1	05/21/2009	2010.02	05/21/2009 08:02:57 AM Central Daylight Time	05/28/2009 04:30:00 PM Eastern Daylight Time			05/29/2009 11:29:16 AM Eastern Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom - No Drug (PFFS)	04	09	2	1			H7226	015	0	2010	Select Counties in MA, NH and ME		2		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723										(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276										1		
H7226	807	0	1	09	04	H7226_807_0	2	05/18/2009	2010.02	05/18/2009 02:59:14 PM Central Daylight Time	05/29/2009 05:29:16 PM Eastern Daylight Time			06/01/2009 10:34:12 AM Eastern Daylight Time	HARVARD PILGRIM HEALTH CARE INC.	HARVARD PILGRIM HEALTH CARE INC.	http://www.harvardpilgrim.org	First Seniority Freedom Premier - Drug (PFFS)	04	09	2	1			H7226	807	0	2010	Nationwide		1		2				2							http://www.harvardpilgrim.org/fsformulary	(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3550		(800)-421-3550		(800)-779-7723		(800)-779-7723		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		(800)-421-3599		(800)-421-3599		(888)-259-8276		(888)-259-8276		1		
H7252	001	0	1	01	01	H7252_001_0	3	07/07/2009	2010.02	07/07/2009 04:49:18 PM Central Daylight Time	05/31/2009 11:32:00 AM Central Daylight Time			07/15/2009 12:21:24 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF ARKANSAS	Physicians Health Choice	physicianshealthchoice.com	Physicians Health Choice Basic (HMO)	01	01		1			H7252	001	0	2010	Little Rock, AR		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659										1		
H7252	002	0	1	01	01	H7252_002_0	4	08/20/2009	2010.02	08/20/2009 10:13:22 AM Central Daylight Time	08/20/2009 04:48:00 PM Central Daylight Time	08/20/2009 04:49:25 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF ARKANSAS	Physicians Health Choice	physicianshealthchoice.com	Physicians Health Choice Standard (HMO)	01	01		1			H7252	002	0	2010	Little Rock, AR		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H7252	003	0	1	01	01	H7252_003_0	4	08/20/2009	2010.02	08/20/2009 10:13:51 AM Central Daylight Time	08/20/2009 04:48:01 PM Central Daylight Time	08/20/2009 04:49:26 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF ARKANSAS	Physicians Health Choice	physicianshealthchoice.com	Physicians Health Choice Extra (HMO)	01	01		1			H7252	003	0	2010	Little Rock, AR		2		2				2						http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H7252	004	0	1	01	01	H7252_004_0	4	08/20/2009	2010.02	08/20/2009 10:14:10 AM Central Daylight Time	08/20/2009 04:48:02 PM Central Daylight Time	08/20/2009 04:49:26 PM Central Daylight Time		08/20/2009 05:41:28 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF ARKANSAS	Physicians Health Choice	physicianshealthchoice.com	Physicians Health Choice Select (HMO)	01	01		1			H7252	004	0	2010	Little Rock, AR		2		2		2		1	3		1	5		http://www.physicianshealthchoice.com/products-findadoctor.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		(866)-858-0659		1		
H7281	001	0	1	02	01	H7281_001_0	3	08/20/2009	2010.02	08/20/2009 02:47:20 PM Eastern Daylight Time	08/20/2009 04:05:23 PM Eastern Daylight Time	08/14/2009 11:31:10 AM Eastern Daylight Time		08/20/2009 05:20:49 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health Pennsylvania	www.mybravohealth.com	Bravo Classic Plus (HMO-POS)	01	02		1			H7281	001	0	2010	Camden and Gloucester Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7281	002	0	1	02	01	H7281_002_0	2	05/22/2009	2010.02	05/22/2009 02:52:34 PM Eastern Daylight Time	08/19/2009 07:43:20 PM Eastern Daylight Time	08/14/2009 11:31:24 AM Eastern Daylight Time		08/20/2009 05:20:49 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health Pennsylvania	www.mybravohealth.com	Bravo Premier Plus (HMO-POS)	01	02		1			H7281	002	0	2010	Camden and Gloucester counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7281	003	0	1	01	01	H7281_003_0	2	05/22/2009	2010.02	05/22/2009 02:42:26 PM Eastern Daylight Time	08/19/2009 01:41:44 PM Eastern Daylight Time	08/14/2009 11:31:40 AM Eastern Daylight Time		08/20/2009 05:20:49 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health Pennsylvania	www.mybravohealth.com	Bravo Silver (HMO)	01	01		1			H7281	003	0	2010	Camden and Gloucester counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7281	004	0	1	01	01	H7281_004_0	1	05/22/2009	2010.02	05/22/2009 02:42:26 PM Eastern Daylight Time	05/28/2009 06:17:54 PM Eastern Daylight Time	05/26/2009 08:03:39 AM Eastern Daylight Time		05/28/2009 09:25:09 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health Pennsylvania	www.mybravohealth.com	Bravo Traditions (HMO)	01	01		1			H7281	004	0	2010	Camden and Gloucester counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7281	005	0	1	01	01	H7281_005_0	3	08/20/2009	2010.02	08/20/2009 02:47:47 PM Eastern Daylight Time	08/20/2009 04:05:25 PM Eastern Daylight Time	08/14/2009 11:32:12 AM Eastern Daylight Time		08/20/2009 05:20:49 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health Pennsylvania	www.mybravohealth.com	Bravo Achieve (HMO)	01	01		1			H7281	005	0	2010	Camden and Gloucester counties		2		2				1	4		1		000000100000000	www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7292	001	0	1	01	01	H7292_001_0	7	08/20/2009	2010.02	08/20/2009 04:07:04 PM Pacific Daylight Time	08/20/2009 03:19:14 PM Pacific Daylight Time	08/20/2009 03:19:15 PM Pacific Daylight Time		08/20/2009 04:12:04 PM Pacific Daylight Time	ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA)	Alliance for Health	http://www.alliancecompletecare.org	Alliance CompleteCare (HMO)	01	01		1			H7292	001	0	2010	Alameda County		2	2000	2		2		1	3		1	5		http://www.alliancecompletecare.org	http://www.alliancecompletecare.org	(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		1		
H7301	002	0	1	04	01	H7301_002_0	8	08/19/2009	2010.02	08/19/2009 09:52:52 AM Central Daylight Time	08/19/2009 02:47:00 PM Central Daylight Time	08/18/2009 10:37:51 AM Central Daylight Time		08/20/2009 10:55:40 AM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare Advantra	www.pcadvantra.com	PersonalCare Advantra Silver (PPO)	01	04		1			H7301	002	0	2010	Central and Northern Illinois		2	1632	2				2						www.pcadvantra.com	www.pcadvantra.com	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7301	801	0	1	04	01	H7301_801_0	3	08/05/2009	2010.02	08/05/2009 12:38:13 PM Central Daylight Time	05/27/2009 08:40:00 PM Central Daylight Time			08/05/2009 12:39:39 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare Advantra	www.pcadvantra.com	PersonalCare MA Integrated Calendar (PPO)	01	04		1			H7301	801	0	2010	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	www.pcadvantra.com	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7301	802	0	1	04	01	H7301_802_0	3	08/05/2009	2010.02	08/05/2009 12:38:47 PM Central Daylight Time	05/27/2009 08:38:00 PM Central Daylight Time			08/05/2009 12:39:39 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare Advantra	www.pcadvantra.com	PersonalCare MA Integrated Non-Calendar (PPO)	01	04		1			H7301	802	0	2010	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	www.pcadvantra.com	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7301	803	0	1	04	01	H7301_803_0	3	08/05/2009	2010.02	08/05/2009 12:39:10 PM Central Daylight Time	05/27/2009 08:37:00 PM Central Daylight Time			08/05/2009 12:39:39 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare Advantra	www.pcadvantra.com	PersonalCare MA Only (PPO)	01	04		1			H7301	803	0	2010	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	www.pcadvantra.com	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775										(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010										1		
H7306	001	0	1	04	01	H7306_001_0	4	08/20/2009	2010.02	08/20/2009 09:04:06 AM Eastern Daylight Time	08/19/2009 05:06:37 PM Eastern Daylight Time	08/18/2009 11:38:57 AM Eastern Daylight Time		08/20/2009 10:25:32 AM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Advantra	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	001	0	2010	Dallas/Houston/El Paso and other Texas counties		2	4501	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7306	801	0	1	04	01	H7306_801_0	2	05/28/2009	2010.02	05/28/2009 02:00:34 PM Eastern Daylight Time	05/27/2009 11:27:00 PM Eastern Daylight Time			05/28/2009 02:01:19 PM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Advantra	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	801	0	2010	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780										(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010										1		
H7306	803	0	1	04	01	H7306_803_0	1	05/28/2009	2010.02	05/28/2009 02:00:43 PM Eastern Daylight Time	05/28/2009 11:12:00 AM Eastern Daylight Time			05/28/2009 02:01:19 PM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Advantra	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	803	0	2010	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7306	804	0	1	04	01	H7306_804_0	1	05/28/2009	2010.02	05/28/2009 02:00:51 PM Eastern Daylight Time	05/28/2009 11:11:00 AM Eastern Daylight Time			05/28/2009 02:01:19 PM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Advantra	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	804	0	2010	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H7352	002	0	1	01	01	H7352_002_0	2	05/26/2009	2010.02	05/26/2009 09:51:59 AM Central Daylight Time	05/29/2009 11:02:21 PM Central Daylight Time	08/03/2009 05:20:39 PM Central Daylight Time		08/04/2009 10:29:14 AM Central Daylight Time	UPH/MIHS VENTURES L.L.C.	University Physicians/Maricopa Care Advantage	www.upcareaz.com and www.mcareaz.com	University Physicians Care Advantage (HMO)	01	01		1			H7352	002	0	2010	Pima County		2		2		2		1	3		1	2		www.upcareaz.com and www.mcareaz.com	www.express-scripts.com	(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		1		
H7352	003	0	1	01	01	H7352_003_0	2	05/26/2009	2010.02	05/26/2009 01:39:41 AM Central Daylight Time	05/29/2009 11:01:48 PM Central Daylight Time	08/03/2009 05:21:26 PM Central Daylight Time		08/04/2009 10:29:14 AM Central Daylight Time	UPH/MIHS VENTURES L.L.C.	University Physicians/Maricopa Care Advantage	www.upcareaz.com and www.mcareaz.com	Maricopa Care Advantage (HMO)	01	01		1			H7352	003	0	2010	Maricopa County		2		2		2		1	3		1	2		www.upcareaz.com and www.mcareaz.com	www.express-scripts.com	(877)-874-3935		(520)-874-3935		(877)-874-3938		(520)-874-3938		(877)-874-3935		(520)-874-3935		(877)-874-3938		(520)-874-3938		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		1		
H7406	001	0	1	09	04	H7406_001_0	4	08/18/2009	2010.02	08/18/2009 09:46:39 AM Eastern Daylight Time	08/19/2009 02:58:20 PM Eastern Daylight Time	08/14/2009 11:32:44 AM Eastern Daylight Time		08/20/2009 06:56:49 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY,  INC.	Bravo Health	www.mybravohealth.com	Bravo Liberty II Rx (PFFS)	04	09	2	1			H7406	001	0	2010	Select Texas Counties		2		2				2							www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705		(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7406	004	0	1	09	04	H7406_004_0	4	08/18/2009	2010.02	08/18/2009 01:12:59 PM Eastern Daylight Time	08/19/2009 02:59:56 PM Eastern Daylight Time	08/14/2009 11:33:00 AM Eastern Daylight Time		08/20/2009 06:56:49 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY,  INC.	Bravo Health	www.mybravohealth.com	Bravo Liberty II Rx (PFFS)	04	09	2	1			H7406	004	0	2010	Select Texas Counties		2		2				2							www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705		(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H7406	006	0	1	09	04	H7406_006_0	2	07/23/2009	2010.02	07/23/2009 10:50:02 AM Eastern Daylight Time	07/23/2009 02:08:20 PM Eastern Daylight Time			07/28/2009 08:48:32 AM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY,  INC.	Bravo Health	www.mybravohealth.com	Bravo Liberty I (PFFS)	04	09	2	1			H7406	006	0	2010	Select Texas Counties		2		2				2							www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561										1		
H7406	011	0	1	09	04	H7406_011_0	1	05/20/2009	2010.02	05/20/2009 03:54:33 PM Eastern Daylight Time	05/28/2009 06:27:48 PM Eastern Daylight Time			05/28/2009 09:42:33 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY,  INC.	Bravo Health	www.mybravohealth.com	Bravo Liberty Silver (PFFS)	04	09	2	1			H7406	011	0	2010	Select Texas Counties		2		2				2							www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-464-0705		(866)-464-0705										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561										1		
H7475	001	0	1	01	01	H7475_001_0	2	05/20/2009	2010.02	05/20/2009 04:00:36 PM Central Daylight Time	08/14/2009 09:20:00 AM Central Daylight Time	08/14/2009 08:16:00 AM Central Daylight Time		08/17/2009 04:37:19 PM Central Daylight Time	CARE WISCONSIN HEALTH PLAN, INC.	Care Wisconsin Health Plan, Inc.	www.carewisconsinhealthplan.org	Partnership (HMO)	01	01		1			H7475	001	0	2010	Columbia, Dodge, Jefferson and Sauk Counties		2	273	2		2		1	3		1	5		www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1		
H7526	001	0	1	01	01	H7526_001_0	6	08/18/2009	2010.02	08/18/2009 12:44:41 PM Central Daylight Time	08/20/2009 03:12:12 PM Central Daylight Time	08/20/2009 03:35:37 PM Central Daylight Time		08/20/2009 04:09:27 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	centerforhealthyaging@medica.com	Medica Complete Solution - Dementia (HMO)	01	01		1			H7526	001	0	2010	Specific Minnesota Counties		2	3	2				1	4		1		000001000000000	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7526	002	0	1	01	01	H7526_002_0	7	08/26/2009	2010.02	08/26/2009 03:54:08 PM Central Daylight Time	08/26/2009 06:20:38 PM Central Daylight Time	08/20/2009 03:30:00 PM Central Daylight Time		08/26/2009 06:23:02 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	centerforhealthyaging@medica.com	Medica AccessAbility (HMO)	01	01		1			H7526	002	0	2010	Select Minnesota Counties		2	1203	2		2		1	3		1	5		https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7526	003	0	1	01	01	H7526_003_0	6	08/18/2009	2010.02	08/18/2009 12:45:21 PM Central Daylight Time	08/20/2009 03:14:23 PM Central Daylight Time	08/20/2009 03:34:19 PM Central Daylight Time		08/20/2009 04:20:13 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	centerforhealthyaging@medica.com	Medica Complete Solution - Chronic Lung Disorders (HMO)	01	01		1			H7526	003	0	2010	Select Minnesota Counties		2	54	2				1	4		1		000000000001000	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7526	004	0	1	01	01	H7526_004_0	6	08/18/2009	2010.02	08/18/2009 12:46:02 PM Central Daylight Time	08/20/2009 03:16:58 PM Central Daylight Time	08/20/2009 03:34:57 PM Central Daylight Time		08/20/2009 04:24:25 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	centerforhealthyaging@medica.com	Medica Complete Solution-Diabetes, Cardio Dis  HF (HMO)	01	01		1			H7526	004	0	2010	Selected Minnesota Counties		2	437	2				1	4		1		000110100000000	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H7660	001	0	1	20	08	H7660_001_0	1	05/27/2009	2010.02	05/27/2009 03:44:44 PM Eastern Daylight Time		05/27/2009 03:44:34 PM Eastern Daylight Time		05/27/2009 04:06:39 PM Eastern Daylight Time	LUTHERAN SENIORLIFE LIFE-BEAVER COUNTY	LIFE-Beaver County	www.Lutheran SeniorLife.org	LIFE Beaver-Dual (PACE)	08	20		1			H7660	001	0	2010	LIFE-Beaver County		2		2				2							www.lutheranseniorlife.org									(724)-776-1100		(724)-776-1100		(724)-776-1100		(724)-776-1100																		1		
H7660	002	0	1	20	08	H7660_002_0	1	05/27/2009	2010.02	05/27/2009 03:45:15 PM Eastern Daylight Time		05/27/2009 03:44:34 PM Eastern Daylight Time		05/27/2009 04:06:39 PM Eastern Daylight Time	LUTHERAN SENIORLIFE LIFE-BEAVER COUNTY	LIFE-Beaver County	www.Lutheran SeniorLife.org	LIFE Beaver-Medicare only (PACE)	08	20		1			H7660	002	0	2010	LIFE Beaver County		2		2				2							www.lutheranseniorlife.org									(724)-776-1100		(724)-776-1100		(724)-776-1100		(724)-776-1100																		1		
H7678	001	0	1	01	01	H7678_001_0	6	08/20/2009	2010.02	08/20/2009 06:04:27 PM Pacific Daylight Time	08/19/2009 03:47:17 PM Pacific Daylight Time	08/19/2009 03:46:42 PM Pacific Daylight Time		08/20/2009 06:11:08 PM Pacific Daylight Time	MOLINA HEALTHCARE OF TEXAS, INC.	Molina Healthcare of Texas, Inc.	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H7678	001	0	2010	Bexar, Galveston,  Harris Counties		2	1368	2		2		1	3		1	1		www.molinamedicare.com	www.molinahealthcare.com	(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H7678	002	0	1	01	01	H7678_002_0	4	08/20/2009	2010.02	08/20/2009 06:06:10 PM Pacific Daylight Time	08/19/2009 04:22:58 PM Pacific Daylight Time	08/19/2009 04:22:16 PM Pacific Daylight Time		08/20/2009 06:11:08 PM Pacific Daylight Time	MOLINA HEALTHCARE OF TEXAS, INC.	Molina Healthcare of Texas, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H7678	002	0	2010	Bexar, Galveston, Harris Counties		2	59	2				2						www.molinamedicare.com	www.molinahealthcare.com	(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(866)-440-0012		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H7731	001	0	1	01	01	H7731_001_0	4	08/20/2009	2010.02	08/20/2009 04:52:45 PM Eastern Daylight Time	08/20/2009 03:57:14 PM Eastern Daylight Time	08/20/2009 03:57:27 PM Eastern Daylight Time		08/20/2009 05:19:43 PM Eastern Daylight Time	MD CARE, INC.	MD Care Inc	www.mdcareadvantage.com	Advantage I MAPD (HMO)	01	01		1			H7731	001	0	2010	Counties:  LA, OC, RV, SB		2	11202	2				2						MDCareAdvantage.com	MDCareAdvantage.com	(888)-327-2730		(562)-344-3400		(888)-327-2730		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-327-2730		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1		
H7731	007	0	1	01	01	H7731_007_0	2	06/01/2009	2010.02	06/01/2009 12:08:14 AM Eastern Daylight Time	06/01/2009 10:12:12 PM Eastern Daylight Time			06/01/2009 11:11:38 PM Eastern Daylight Time	MD CARE, INC.	MD Care Inc	www.mdcareadvantage.com	Advantage Select MA (HMO)	01	01		1			H7731	007	0	2010	Counties:  LA, OC, RV, SB		2	230	2				2						MDCareAdvantage.com	MDCareAdvantage.com	(888)-327-2730		(562)-344-3400		(888)-327-2730		(562)-344-3400										(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929										1		
H7731	008	0	1	01	01	H7731_008_0	3	08/20/2009	2010.02	08/20/2009 04:51:11 PM Eastern Daylight Time	08/20/2009 04:01:21 PM Eastern Daylight Time	08/20/2009 04:01:52 PM Eastern Daylight Time		08/20/2009 05:19:43 PM Eastern Daylight Time	MD CARE, INC.	MD Care Inc	www.mdcareadvantage.com	Preferred Dual SNP (HMO)	01	01		1			H7731	008	0	2010	Los Angeles County		2	2523	2		2		1	3		1	3		MDCareAdvantage.com	MDCareAdvantage.com	(888)-327-2730		(562)-344-3400		(888)-327-2730		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-327-2730		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1		
H7787	001	0	1	04	01	H7787_001_0	8	08/20/2009	2010.02	08/20/2009 06:06:48 PM Central Daylight Time	08/20/2009 04:39:45 PM Central Daylight Time	08/19/2009 10:09:31 AM Central Daylight Time		08/20/2009 06:40:08 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage	www.healthspring.com	HealthSpring HealthyAdvantage Plus DFW (PPO)	01	04		1			H7787	001	0	2010	North Texas		2	682	2				2						www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H7787	002	0	1	04	01	H7787_002_0	4	08/20/2009	2010.02	08/20/2009 06:10:54 PM Central Daylight Time	07/27/2009 03:46:52 PM Central Daylight Time			08/25/2009 02:28:54 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage	www.healthspring.com	HealthSpring HealthyAdvantage DFW (PPO)	01	04		1			H7787	002	0	2010	North Texas		2	98	2				2						www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1		
H7787	003	0	1	04	01	H7787_003_0	4	08/20/2009	2010.02	08/20/2009 06:07:35 PM Central Daylight Time	08/20/2009 04:39:49 PM Central Daylight Time	08/19/2009 10:09:33 AM Central Daylight Time		08/20/2009 06:40:08 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage	www.healthspring.com	HealthSpring HealthyAdvantage Premier DFW (PPO)	01	04		1			H7787	003	0	2010	North Texas		2	546	2				2						www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H7787	004	0	1	04	01	H7787_004_0	4	08/20/2009	2010.02	08/20/2009 06:08:06 PM Central Daylight Time	08/20/2009 04:39:53 PM Central Daylight Time	08/19/2009 10:09:35 AM Central Daylight Time		08/20/2009 06:40:08 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage	www.healthspring.com	HealthSpring HealthyAdvantage Plus (PPO)	01	04		1			H7787	004	0	2010	North Texas		2	564	2				2						www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H7787	005	0	1	04	01	H7787_005_0	5	08/20/2009	2010.02	08/20/2009 06:08:37 PM Central Daylight Time	08/20/2009 04:39:41 PM Central Daylight Time	08/19/2009 10:09:37 AM Central Daylight Time		08/20/2009 06:40:08 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage	www.healthspring.com	HealthSpring HealthyAdvantage Premier (PPO)	01	04		1			H7787	005	0	2010	North Texas		2	450	1	1			2						www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
H7908	001	0	1	01	01	H7908_001_0	5	08/19/2009	2010.02	08/19/2009 02:00:48 PM Eastern Daylight Time	08/20/2009 06:49:06 AM Eastern Daylight Time	08/25/2009 10:40:35 AM Eastern Daylight Time		08/25/2009 01:04:42 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H7908	001	0	2010	Clark County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H7908	801	0	1	01	01	H7908_801_0	1	05/19/2009	2010.02	05/19/2009 02:16:45 PM Eastern Daylight Time	05/29/2009 06:45:34 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H7908	801	0	2010	Clark County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H7908	802	0	1	01	01	H7908_802_0	1	05/19/2009	2010.02	05/19/2009 02:16:39 PM Eastern Daylight Time	05/29/2009 07:11:31 AM Eastern Daylight Time			05/29/2009 09:06:31 AM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H7908	802	0	2010	Clark County		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H7917	004	0	1	04	01	H7917_004_0	4	08/18/2009	2010.02	08/20/2009 04:58:24 PM Eastern Daylight Time	08/18/2009 11:51:46 AM Eastern Daylight Time	08/17/2009 12:35:54 PM Eastern Daylight Time		08/20/2009 05:42:00 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Sapphire (PPO)	01	04		1			H7917	004	0	2010	West Tennessee		2	273	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	005	0	1	04	01	H7917_005_0	4	08/18/2009	2010.02	08/20/2009 04:58:26 PM Eastern Daylight Time	08/18/2009 11:50:22 AM Eastern Daylight Time	08/17/2009 12:36:00 PM Eastern Daylight Time		08/20/2009 05:46:00 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Sapphire (PPO)	01	04		1			H7917	005	0	2010	Middle Tennessee		2	273	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	006	0	1	04	01	H7917_006_0	4	08/18/2009	2010.02	08/20/2009 04:58:29 PM Eastern Daylight Time	08/18/2009 11:49:12 AM Eastern Daylight Time	08/17/2009 12:36:10 PM Eastern Daylight Time		08/20/2009 05:55:55 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Sapphire (PPO)	01	04		1			H7917	006	0	2010	Southeast Tennessee		2	205	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	007	0	1	04	01	H7917_007_0	4	08/18/2009	2010.02	08/20/2009 04:58:31 PM Eastern Daylight Time	08/18/2009 11:46:24 AM Eastern Daylight Time	08/17/2009 12:36:16 PM Eastern Daylight Time		08/20/2009 06:00:00 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Sapphire (PPO)	01	04		1			H7917	007	0	2010	Northeast Tennessee		2	615	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	008	0	1	04	01	H7917_008_0	3	08/18/2009	2010.02	08/20/2009 04:58:34 PM Eastern Daylight Time	08/18/2009 11:59:16 AM Eastern Daylight Time	08/17/2009 12:36:26 PM Eastern Daylight Time		08/20/2009 06:13:20 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	008	0	2010	West Tennessee		2	2822	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	009	0	1	04	01	H7917_009_0	3	08/18/2009	2010.02	08/20/2009 04:58:37 PM Eastern Daylight Time	08/18/2009 11:58:06 AM Eastern Daylight Time	08/17/2009 12:36:32 PM Eastern Daylight Time		08/20/2009 06:21:52 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	009	0	2010	Middle Tennessee		2	2822	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	010	0	1	04	01	H7917_010_0	3	08/18/2009	2010.02	08/20/2009 04:58:40 PM Eastern Daylight Time	08/18/2009 11:56:52 AM Eastern Daylight Time	08/17/2009 12:36:40 PM Eastern Daylight Time		08/20/2009 06:25:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	010	0	2010	Southeast Tennessee		2	4049	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	011	0	1	04	01	H7917_011_0	3	08/18/2009	2010.02	08/20/2009 04:58:43 PM Eastern Daylight Time	08/18/2009 11:55:34 AM Eastern Daylight Time	08/17/2009 12:36:46 PM Eastern Daylight Time		08/20/2009 06:35:49 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	011	0	2010	Northeast Tennessee		2	1213	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	012	0	1	04	01	H7917_012_0	3	08/19/2009	2010.02	08/20/2009 04:58:46 PM Eastern Daylight Time	08/18/2009 10:40:22 AM Eastern Daylight Time	08/17/2009 12:37:04 PM Eastern Daylight Time		08/20/2009 06:42:23 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	012	0	2010	West Tennessee		2	702	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	013	0	1	04	01	H7917_013_0	3	08/19/2009	2010.02	08/20/2009 04:58:49 PM Eastern Daylight Time	08/18/2009 10:38:56 AM Eastern Daylight Time	08/17/2009 12:37:12 PM Eastern Daylight Time		08/20/2009 06:46:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	013	0	2010	Middle Tennessee		2	702	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	014	0	1	04	01	H7917_014_0	3	08/19/2009	2010.02	08/20/2009 04:58:52 PM Eastern Daylight Time	08/18/2009 10:35:56 AM Eastern Daylight Time	08/17/2009 12:37:20 PM Eastern Daylight Time		08/20/2009 06:58:19 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	014	0	2010	Southeast Tennessee		2	1009	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	015	0	1	04	01	H7917_015_0	3	08/19/2009	2010.02	08/20/2009 04:58:56 PM Eastern Daylight Time	08/18/2009 10:31:30 AM Eastern Daylight Time	08/17/2009 12:37:26 PM Eastern Daylight Time		08/20/2009 07:08:32 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	015	0	2010	Northeast Tennessee		2	300	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	801	0	1	04	01	H7917_801_0	3	07/28/2009	2010.02	07/28/2009 01:53:41 PM Eastern Daylight Time	05/29/2009 04:31:04 PM Eastern Daylight Time			07/28/2009 05:33:25 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PPO)	01	04		1			H7917	801	0	2010	22 County Region		1	458	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	802	0	1	04	01	H7917_802_0	2	07/28/2009	2010.02	07/28/2009 01:54:00 PM Eastern Daylight Time	05/29/2009 04:25:54 PM Eastern Daylight Time			07/28/2009 05:34:51 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PPO)	01	04		1			H7917	802	0	2010	22 County Region		1	3200	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1		
H7917	803	0	1	04	01	H7917_803_0	2	07/28/2009	2010.02	07/28/2009 03:16:00 PM Eastern Daylight Time	05/29/2009 04:17:42 PM Eastern Daylight Time			07/28/2009 05:36:24 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage (PPO)	01	04		1			H7917	803	0	2010	22 County Region		1	915	2				2						www.bcbst-medicare.com	https://bcbstn-co-pc.destinationrx.com/2009/Gateway30/Consumer/Template/Util/HelpfulTools.aspx	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										1		
H7949	801	0	1	01	01	H7949_801_0	3	05/26/2009	2010.02	05/28/2009 04:37:45 AM Central Daylight Time	07/20/2009 04:20:56 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	Pacificare/UHC of Nevada	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	801	0	2010	NV Employer Sponsored Plan Service Area		1		2				2							www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
H7949	803	0	1	01	01	H7949_803_0	3	05/26/2009	2010.02	05/28/2009 04:37:59 AM Central Daylight Time	07/20/2009 04:21:23 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	Pacificare/UHC of Nevada	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	803	0	2010	NV Employer Sponsored Plan Service Area		1		2				2							www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H7949	804	0	1	01	01	H7949_804_0	3	05/26/2009	2010.02	05/28/2009 04:38:12 AM Central Daylight Time	07/20/2009 04:21:46 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	Pacificare/UHC of Nevada	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	804	0	2010	NV Employer Sponsored Plan Service Area		1		2				2							www.aarpmedicarecomplete.com	(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(800)-533-2743		(800)-533-2743		(800)-610-2660		(800)-610-2660		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H8050	001	0	1	02	01	H8050_001_0	5	08/20/2009	2010.02	08/20/2009 11:07:12 AM Central Daylight Time	08/19/2009 11:05:48 AM Central Daylight Time	08/19/2009 11:26:45 AM Central Daylight Time		08/20/2009 02:48:52 PM Central Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan 60 (HMO-POS)	01	02		1			H8050	001	0	2010	Western Virginia		2	1600	2				2							www.carilionmedicare.com	(877)-233-7057		(877)-233-7057		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H8050	005	0	1	01	01	H8050_005_0	6	08/25/2009	2010.02	08/25/2009 10:25:31 AM Central Daylight Time	08/25/2009 10:03:00 AM Central Daylight Time	08/19/2009 11:26:55 AM Central Daylight Time		08/25/2009 10:27:36 AM Central Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan (HMO)	01	01		1			H8050	005	0	2010	Western Virginia		2	800	2				2							www.carilionmedicare.com	(877)-233-7055		(877)-233-7055		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H8050	006	0	1	02	01	H8050_006_0	5	08/20/2009	2010.02	08/20/2009 11:06:39 AM Central Daylight Time	08/19/2009 10:52:08 AM Central Daylight Time	08/19/2009 11:27:05 AM Central Daylight Time		08/20/2009 02:48:52 PM Central Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan 30 (HMO-POS)	01	02		1			H8050	006	0	2010	Western Virginia		2	800	2				2							www.carilionmedicare.com	(877)-233-7056		(877)-233-7056		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1		
H8096	001	0	1	20	08	H8096_001_0	1	05/21/2009	2010.02	05/21/2009 08:21:17 AM Eastern Daylight Time		05/19/2009 10:19:56 AM Eastern Daylight Time		05/21/2009 08:22:24 AM Eastern Daylight Time	CENTRA HEALTH, INC.	Centra PACE	www.centrahealth.com	Centra PACE - Dual (PACE)	08	20		1			H8096	001	0	2010	Centra PACE - Lynchburg		2		2				2							http:\\www.centrahealth.com									(434)-200-4190		(434)-200-4190		(434)-200-4190		(434)-200-4190										(434)-200-4190		(434)-200-4190		(434)-200-4190		(434)-200-4190		1		
H8096	002	0	1	20	08	H8096_002_0	1	05/19/2009	2010.02	05/19/2009 02:35:30 PM Eastern Daylight Time		05/19/2009 10:19:56 AM Eastern Daylight Time		05/21/2009 08:22:24 AM Eastern Daylight Time	CENTRA HEALTH, INC.	Centra PACE	www.centrahealth.com	Centra PACE - Medicare only (PACE)	08	20		1			H8096	002	0	2010	Centra PACE - Lynchburg		2		2				2							http:\\www.centrahealth.com									(434)-200-4190		(434)-200-4190		(434)-200-4190		(434)-200-4190										(434)-200-4190		(434)-200-4190		(434)-200-4190		(434)-200-4190		1		
H8105	001	0	1	04	01	H8105_001_0	5	08/24/2009	2010.02	08/24/2009 01:19:50 PM Eastern Daylight Time	08/20/2009 07:09:25 PM Eastern Daylight Time	08/14/2009 11:33:16 AM Eastern Daylight Time		08/24/2009 02:47:50 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H8105	001	0	2010	Central PA Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(866)-862-4623		(866)-862-4623		(800)-291-0396		(800)-291-0396		(866)-862-4623		(866)-862-4623		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H8130	001	0	1	01	01	H8130_001_0	3	08/20/2009	2010.02	08/20/2009 03:22:07 PM Pacific Daylight Time	08/19/2009 01:22:29 PM Pacific Daylight Time	08/19/2009 01:21:45 PM Pacific Daylight Time		08/20/2009 04:56:20 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Plus (HMO)	01	01		1			H8130	001	0	2010	Broward, Miami-Dade, Palm Beach		2	365	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H8130	002	0	1	01	01	H8130_002_0	5	08/20/2009	2010.02	08/20/2009 03:22:53 PM Pacific Daylight Time	08/20/2009 10:31:35 AM Pacific Daylight Time	08/20/2009 10:30:55 AM Pacific Daylight Time		08/20/2009 04:56:20 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Miami-Dade (HMO)	01	01		1			H8130	002	0	2010	Miami-Dade County		2	28	2				2						www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H8130	003	0	1	01	01	H8130_003_0	3	08/20/2009	2010.02	08/20/2009 03:23:42 PM Pacific Daylight Time	08/20/2009 10:32:24 AM Pacific Daylight Time	08/20/2009 10:31:58 AM Pacific Daylight Time		08/20/2009 04:56:20 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Broward (HMO)	01	01		1			H8130	003	0	2010	Broward County		2	11	2				2						www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H8130	004	0	1	01	01	H8130_004_0	3	08/20/2009	2010.02	08/20/2009 03:24:09 PM Pacific Daylight Time	08/20/2009 10:33:03 AM Pacific Daylight Time	08/20/2009 10:32:45 AM Pacific Daylight Time		08/20/2009 04:56:20 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Palm Beach (HMO)	01	01		1			H8130	004	0	2010	Palm Beach County		2	14	2				2						www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H8130	005	0	1	01	01	H8130_005_0	4	08/20/2009	2010.02	08/20/2009 03:24:48 PM Pacific Daylight Time	08/19/2009 01:25:21 PM Pacific Daylight Time	08/19/2009 01:24:38 PM Pacific Daylight Time		08/20/2009 04:56:20 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare SmartSaver (HMO)	01	01		1			H8130	005	0	2010	Miami-Dade		2	20	2				2						www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(866)-553-9494		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H8189	001	0	1	01	01	H8189_001_0	6	05/30/2009	2010.02	05/30/2009 04:41:36 PM Pacific Daylight Time	08/17/2009 01:40:22 PM Pacific Daylight Time	08/17/2009 10:58:49 AM Pacific Daylight Time		08/19/2009 04:50:51 PM Pacific Daylight Time	MANAGED HEALTH SERVICES, WISCONSIN	Advantage by Managed Health Services	https://www.mhswi.com/portal/public/mhs_wi	Managed Health Services (HMO)	01	01		1			H8189	001	0	2010	Managed Health Services		2	70	2		2		1	3		1	3		https://www.mhswi.com/portal/public/mhs_wi	www.mhswi.com	(888)-713-6180		(800)-547-1647		(888)-713-6180		(800)-547-1647		(888)-713-6180		(800)-547-1647		(888)-713-6180		(800)-547-1647		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		1		
H8393	001	0	1	04	01	H8393_001_0	7	08/27/2009	2010.02	08/27/2009 02:49:04 PM Central Daylight Time	08/19/2009 04:20:07 PM Central Daylight Time	08/18/2009 10:40:03 AM Central Daylight Time		08/27/2009 03:37:14 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health and Life Insurance Company	www.ne.chcadvantra.com	Advantra Platinum PPO (PPO)	01	04		1			H8393	001	0	2010	Partial State of Nebraska		2	2090	2				2						www.ne.chcadvantra.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(877)-982-9127		(877)-982-9127		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H8393	801	0	1	04	01	H8393_801_0	4	05/30/2009	2010.02	05/30/2009 05:49:56 PM Central Daylight Time	06/01/2009 02:56:53 PM Central Daylight Time			07/29/2009 03:14:03 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health and Life Insurance Company	www.advantraplans.com	Advantra Platinum PPO Employee Plan (PPO)	01	04		1			H8393	801	0	2010	State of Nebraska		1	404	2				2						www.chcnebraska.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127										(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010										1		
H8393	802	0	1	04	01	H8393_802_0	4	05/30/2009	2010.02	05/30/2009 05:49:57 PM Central Daylight Time	06/01/2009 02:52:50 PM Central Daylight Time			07/29/2009 03:14:03 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health and Life Insurance Company	www.advantraplans.com	Advantra Platinum PPO Rx CY Employee Plan (PPO)	01	04		1			H8393	802	0	2010	State of Nebraska		1	404	2				2						www.chcnebraska.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(800)-707-7052		(800)-707-7052		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1		
H8393	803	0	1	04	01	H8393_803_0	4	05/30/2009	2010.02	05/30/2009 05:49:57 PM Central Daylight Time	06/01/2009 02:48:47 PM Central Daylight Time			07/29/2009 03:14:03 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health and Life Insurance Company	www.advantraplans.com	Advantra Platinum PPO Rx Employee Plan (PPO)	01	04		1			H8393	803	0	2010	State of Nebraska		1	404	2				2						www.chcnebraska.com	www.advantraplans.com	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(800)-707-7052		(800)-707-7052		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1		
H8424	001	0	1	20	08	H8424_001_0	2	05/18/2009	2010.02	05/18/2009 01:04:40 PM Central Daylight Time		10/13/2009 04:55:16 PM Central Daylight Time		10/14/2009 11:10:42 AM Central Daylight Time	SIOUXLAND PACE, INC.	SIOUXLAND PACE, INC.	www.siouxlandpace.org	Siouxland PACE, INC (PACE)	08	20		1			H8424	001	0	2010	Siouxland PACE, INC		2		2				2							www.siouxlandpace.org									(800)-383-4545		(712)-233-4144		(800)-383-4545		(712)-233-4144																		1		
H8424	002	0	1	20	08	H8424_002_0	2	05/18/2009	2010.02	05/18/2009 01:05:08 PM Central Daylight Time		10/13/2009 04:55:16 PM Central Daylight Time		10/14/2009 11:10:42 AM Central Daylight Time	SIOUXLAND PACE, INC.	SIOUXLAND PACE, INC.	www.siouxlandpace.org	Siouxland PACE, INC (PACE)	08	20		1			H8424	002	0	2010	Siouxland PACE, INC		2		2				2							www.siouxlandpace.org									(800)-383-4545		(712)-233-4144		(800)-383-4545		(712)-233-4144																		1		
H8468	001	0	1	07	02	H8468_001_0	2	05/27/2009	2010.02	05/27/2009 01:56:37 PM Eastern Daylight Time			05/27/2009 05:44:52 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 1 (MSA)	02	07	2	1			H8468	001	0	2010	PA - Region 1		2		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8468	002	0	1	07	02	H8468_002_0	2	05/27/2009	2010.02	05/27/2009 02:20:19 PM Eastern Daylight Time			05/27/2009 05:45:18 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 2 (MSA)	02	07	2	1			H8468	002	0	2010	PA - Region 2		2		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8468	003	0	1	07	02	H8468_003_0	2	05/27/2009	2010.02	05/27/2009 02:21:10 PM Eastern Daylight Time			05/27/2009 05:45:40 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 3 (MSA)	02	07	2	1			H8468	003	0	2010	PA - Region 3		2		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8468	801	0	1	07	02	H8468_801_0	2	05/27/2009	2010.02	05/27/2009 02:23:16 PM Eastern Daylight Time			05/27/2009 05:42:12 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 1 (Employer Group) (MSA)	02	07	2	1			H8468	801	0	2010	PA - Region 1		1		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8468	802	0	1	07	02	H8468_802_0	2	05/27/2009	2010.02	05/27/2009 02:23:54 PM Eastern Daylight Time			05/27/2009 05:43:24 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 2 (Employer Group) (MSA)	02	07	2	1			H8468	802	0	2010	PA - Region 2		1		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8468	803	0	1	07	02	H8468_803_0	2	05/27/2009	2010.02	05/27/2009 02:24:19 PM Eastern Daylight Time			05/27/2009 05:44:08 PM Eastern Daylight Time	05/28/2009 07:55:42 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve 3 (Employer Group) (MSA)	02	07	2	1			H8468	803	0	2010	PA - Region 3		1		2				2								(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833										2		
H8558	001	0	1	04	01	H8558_001_0	4	08/06/2009	2010.01	08/06/2009 02:32:45 PM Pacific Daylight Time	08/06/2009 03:16:35 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	001	0	2010	Billings		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H8558	002	0	1	04	01	H8558_002_0	6	08/06/2009	2010.01	08/06/2009 02:32:57 PM Pacific Daylight Time	08/19/2009 02:46:19 PM Pacific Daylight Time	08/18/2009 05:01:47 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	002	0	2010	Billings		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H8558	003	0	1	04	01	H8558_003_0	4	08/06/2009	2010.01	08/06/2009 02:27:38 PM Pacific Daylight Time	08/06/2009 03:38:45 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	003	0	2010	Salt Lake City		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H8558	004	0	1	04	01	H8558_004_0	6	08/06/2009	2010.01	08/06/2009 02:33:10 PM Pacific Daylight Time	08/19/2009 02:52:45 PM Pacific Daylight Time	08/18/2009 05:02:25 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	004	0	2010	Salt Lake City		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H8558	005	0	1	04	01	H8558_005_0	4	08/06/2009	2010.01	08/06/2009 02:33:22 PM Pacific Daylight Time	08/06/2009 04:00:07 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	005	0	2010	Bellingham		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H8558	006	0	1	04	01	H8558_006_0	6	08/06/2009	2010.01	08/06/2009 02:33:32 PM Pacific Daylight Time	08/19/2009 02:54:30 PM Pacific Daylight Time	08/18/2009 05:03:02 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	006	0	2010	Bellingham		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H8578	001	0	1	01	01	H8578_001_0	3	07/22/2009	2010.02	07/22/2009 02:12:54 PM Eastern Daylight Time	08/20/2009 04:39:20 PM Eastern Daylight Time	08/20/2009 04:39:21 PM Eastern Daylight Time		08/20/2009 04:43:20 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Premium Rx Enhanced (HMO)	01	01		1			H8578	001	0	2010	Hampden, Hampshire and Franklin Counties		2	237	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	002	0	1	01	01	H8578_002_0	3	07/22/2009	2010.02	07/22/2009 02:13:06 PM Eastern Daylight Time	08/20/2009 04:39:23 PM Eastern Daylight Time	08/20/2009 04:39:24 PM Eastern Daylight Time		08/20/2009 04:43:20 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Premium Rx (HMO)	01	01		1			H8578	002	0	2010	Hampden, Hampshire and Franklin Counties		2	474	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	003	0	1	01	01	H8578_003_0	2	07/22/2009	2010.02	07/22/2009 02:13:41 PM Eastern Daylight Time	06/01/2009 10:28:55 AM Eastern Daylight Time			07/22/2009 02:27:44 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Premium No Rx (HMO)	01	01		1			H8578	003	0	2010	Hampden, Hampshire and Franklin Counties		2	12	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1		
H8578	004	0	1	01	01	H8578_004_0	5	09/21/2009	2010.02	09/21/2009 08:50:58 AM Eastern Daylight Time	08/20/2009 04:39:26 PM Eastern Daylight Time	08/20/2009 04:39:28 PM Eastern Daylight Time		09/21/2009 09:25:41 AM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Plus Rx Enhanced (HMO)	01	01		1			H8578	004	0	2010	Hampden, Hampshire and Franklin Counties		2	324	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	005	0	1	01	01	H8578_005_0	5	09/21/2009	2010.02	09/21/2009 08:51:22 AM Eastern Daylight Time	08/20/2009 04:39:29 PM Eastern Daylight Time	08/20/2009 04:39:30 PM Eastern Daylight Time		09/21/2009 09:25:41 AM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Plus Rx (HMO)	01	01		1			H8578	005	0	2010	Hampden, Hampshire and Franklin Counties		2	947	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	006	0	1	01	01	H8578_006_0	3	09/21/2009	2010.02	09/21/2009 08:51:35 AM Eastern Daylight Time	06/01/2009 10:28:57 AM Eastern Daylight Time			09/21/2009 09:00:09 AM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Plus No Rx (HMO)	01	01		1			H8578	006	0	2010	Hampden, Hampshire and Franklin Counties		2	24	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1		
H8578	007	0	1	01	01	H8578_007_0	3	08/03/2009	2010.02	08/03/2009 10:01:42 AM Eastern Daylight Time	08/20/2009 04:39:34 PM Eastern Daylight Time	08/20/2009 04:39:35 PM Eastern Daylight Time		08/20/2009 04:43:20 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Basic Rx Enhanced (HMO)	01	01		1			H8578	007	0	2010	Hampden, Hampshire and Franklin Counties		2	190	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	008	0	1	01	01	H8578_008_0	3	07/22/2009	2010.02	07/22/2009 02:14:46 PM Eastern Daylight Time	08/20/2009 04:39:38 PM Eastern Daylight Time	08/20/2009 04:39:39 PM Eastern Daylight Time		08/20/2009 04:43:20 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Basic Rx (HMO)	01	01		1			H8578	008	0	2010	Hampden, Hampshire and Franklin Counties		2	379	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	009	0	1	01	01	H8578_009_0	2	07/22/2009	2010.02	07/22/2009 02:14:58 PM Eastern Daylight Time	06/01/2009 10:28:59 AM Eastern Daylight Time			07/22/2009 02:27:44 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Basic No Rx (HMO)	01	01		1			H8578	009	0	2010	Hampden, Hampshire and Franklin Counties		2	12	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1		
H8578	010	0	1	02	01	H8578_010_0	3	07/22/2009	2010.02	07/22/2009 02:15:09 PM Eastern Daylight Time	08/20/2009 04:39:41 PM Eastern Daylight Time	08/20/2009 04:39:42 PM Eastern Daylight Time		08/20/2009 04:43:20 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Freedom (HMO-POS)	01	02		1			H8578	010	0	2010	Franklin, Hampden, Hampshire		2	150	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	801	0	1	01	01	H8578_801_0	2	07/22/2009	2010.02	07/22/2009 02:15:19 PM Eastern Daylight Time	06/01/2009 10:02:22 AM Eastern Daylight Time			07/22/2009 02:27:44 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group RX (HMO)	01	01		1			H8578	801	0	2010	United States		1	47	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8578	802	0	1	01	01	H8578_802_0	2	07/22/2009	2010.02	07/22/2009 02:15:30 PM Eastern Daylight Time	06/01/2009 09:49:28 AM Eastern Daylight Time			07/22/2009 02:27:44 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group Calendar (HMO)	01	01		1			H8578	802	0	2010	United States		1	38	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1		
H8578	803	0	1	01	01	H8578_803_0	2	07/22/2009	2010.02	07/22/2009 02:15:40 PM Eastern Daylight Time	06/01/2009 10:07:37 AM Eastern Daylight Time			07/22/2009 02:27:44 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group Non-Calendar (HMO)	01	01		1			H8578	803	0	2010	United States		1	10	2				2						www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		1		
H8604	001	0	1	04	01	H8604_001_0	5	09/29/2009	2010.02	09/29/2009 10:38:28 AM Eastern Daylight Time	08/19/2009 10:34:40 AM Eastern Daylight Time	08/14/2009 10:58:06 AM Eastern Daylight Time		09/29/2009 10:58:54 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	001	0	2010	East Central Ohio		2		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1		
H8604	002	0	1	04	01	H8604_002_0	4	08/04/2009	2010.02	08/04/2009 10:03:59 AM Eastern Daylight Time	08/04/2009 11:33:53 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	002	0	2010	East Central Ohio		2		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1		
H8604	003	0	1	04	01	H8604_003_0	5	09/29/2009	2010.02	09/29/2009 10:38:54 AM Eastern Daylight Time	08/19/2009 10:38:00 AM Eastern Daylight Time	08/14/2009 11:00:52 AM Eastern Daylight Time		09/29/2009 10:58:54 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	003	0	2010	Eastern Ohio and Northern West Virginia		2		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1		
H8604	004	0	1	04	01	H8604_004_0	4	08/04/2009	2010.02	08/04/2009 10:06:59 AM Eastern Daylight Time	08/04/2009 11:38:47 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	004	0	2010	Eastern Ohio and Northern West Virginia		2		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1		
H8604	801	0	1	04	01	H8604_801_0	4	08/04/2009	2010.02	08/04/2009 10:08:28 AM Eastern Daylight Time	08/04/2009 11:40:35 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	801	0	2010	Eastern Ohio and Northern West Virginia		1		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1		
H8604	802	0	1	04	01	H8604_802_0	6	08/04/2009	2010.02	08/04/2009 10:09:52 AM Eastern Daylight Time	08/04/2009 11:42:23 AM Eastern Daylight Time			08/04/2009 02:07:37 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice (PPO)	01	04		1			H8604	802	0	2010	Eastern Ohio and Northern West Virginia		1		2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1		
H8644	003	0	1	04	01	H8644_003_0	8	07/16/2009	2010.02	07/16/2009 12:13:00 PM Eastern Daylight Time	08/19/2009 04:30:22 PM Eastern Daylight Time	08/19/2009 11:11:25 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8644-003 (PPO)	01	04		1			H8644	003	0	2010	Oklahoma Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8644	801	0	1	04	01	H8644_801_0	4	07/10/2009	2010.02	07/10/2009 03:43:54 PM Eastern Daylight Time	07/21/2009 03:58:48 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H8644	801	0	2010	Oklahoma City, East Region and Tulsa Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8644	802	0	1	04	01	H8644_802_0	4	07/10/2009	2010.02	07/10/2009 04:05:44 PM Eastern Daylight Time	07/21/2009 04:56:06 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H8644	802	0	2010	Oklahoma City, East Region and Tulsa Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H8644	803	0	1	04	01	H8644_803_0	4	07/10/2009	2010.02	07/10/2009 04:05:54 PM Eastern Daylight Time	07/21/2009 04:57:30 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H8644	803	0	2010	Oklahoma City, East Region and Tulsa Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8649	002	0	1	02	01	H8649_002_0	9	08/18/2009	2010.01	08/18/2009 03:02:57 PM Mountain Daylight Time	08/20/2009 10:17:22 AM Mountain Daylight Time	08/18/2009 09:41:11 AM Mountain Daylight Time		08/20/2009 02:43:06 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Option 2 (HMO-POS)	01	02		1			H8649	002	0	2010	Northern Utah		2	2500	2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H8649	003	0	1	02	01	H8649_003_0	9	08/19/2009	2010.01	08/19/2009 03:37:18 PM Mountain Daylight Time	08/20/2009 10:21:44 AM Mountain Daylight Time	08/18/2009 09:42:26 AM Mountain Daylight Time		08/20/2009 02:43:06 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Option 1 (HMO-POS)	01	02		1			H8649	003	0	2010	Northern Utah		2	2500	2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H8649	801	0	1	02	01	H8649_801_0	1	05/31/2009	2010.01	05/31/2009 06:15:14 PM Mountain Daylight Time	05/31/2009 06:51:00 PM Mountain Daylight Time			06/01/2009 03:30:19 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Emp Calendar Year (HMO-POS)	01	02		1			H8649	801	0	2010	State of Utah		1		2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H8649	802	0	1	02	01	H8649_802_0	1	05/31/2009	2010.01	05/31/2009 03:39:05 PM Mountain Daylight Time	05/31/2009 06:52:00 PM Mountain Daylight Time			06/01/2009 03:30:19 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Emp Non-Calendar Year (HMO-POS)	01	02		1			H8649	802	0	2010	State of Utah		1		2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H8649	803	0	1	02	01	H8649_803_0	2	05/31/2009	2010.01	05/31/2009 03:58:02 PM Mountain Daylight Time	05/31/2009 06:53:00 PM Mountain Daylight Time			06/01/2009 03:30:19 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Advantra	www.altiusadvantra.com	Altius Advantra Emp MA Only (HMO-POS)	01	02		1			H8649	803	0	2010	State of Utah		1		2				2						www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561										(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010										1		
H8655	004	0	1	20	08	H8655_004_0	2	05/18/2009	2010.02	05/18/2009 02:25:29 PM Eastern Daylight Time		10/14/2009 07:38:32 AM Eastern Daylight Time		10/14/2009 09:27:26 AM Eastern Daylight Time	RIVERSIDE RETIREMENT SERVICES, INC.	Riverside PACE	www.riversideonline.com	Riverside PACE Dual (PACE)	08	20		1			H8655	004	0	2010	Riverside PACE Dual		2		2				2							N/A - no formulary									(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050																		1		
H8655	005	0	1	20	08	H8655_005_0	2	05/18/2009	2010.02	05/18/2009 02:20:46 PM Eastern Daylight Time		10/14/2009 07:38:32 AM Eastern Daylight Time		10/14/2009 09:27:26 AM Eastern Daylight Time	RIVERSIDE RETIREMENT SERVICES, INC.	Riverside PACE	www.riversideonline.com	Riverside PACE Medicare ONLY (PACE)	08	20		1			H8655	005	0	2010	Riverside PACE Medicare ONLY		2		2				2							N/A - no formulary									(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050																		1		
H8684	001	0	1	04	01	H8684_001_0	5	09/25/2009	2010.02	09/25/2009 04:14:20 PM Eastern Daylight Time	08/18/2009 05:12:34 PM Eastern Daylight Time	08/17/2009 03:29:42 PM Eastern Daylight Time		09/25/2009 04:25:38 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Premier Plan (PPO)	01	04		1			H8684	001	0	2010	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H8684	801	0	1	04	01	H8684_801_0	2	07/08/2009	2010.02	07/08/2009 03:09:19 PM Eastern Daylight Time	05/29/2009 09:24:38 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Plan (PPO)	01	04		1			H8684	801	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H8684	802	0	1	04	01	H8684_802_0	2	07/08/2009	2010.02	07/08/2009 03:09:37 PM Eastern Daylight Time	05/29/2009 10:07:42 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H8684	802	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H8684	804	0	1	04	01	H8684_804_0	2	07/08/2009	2010.02	07/08/2009 03:10:39 PM Eastern Daylight Time	05/29/2009 10:11:06 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Plan w/ Rx NCY (PPO)	01	04		1			H8684	804	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H8684	805	0	2	04	01	H8684_805_0	2	07/08/2009	2010.02	07/08/2009 03:10:48 PM Eastern Daylight Time	05/29/2009 10:14:45 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H8684	805	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1		
H8684	806	0	2	04	01	H8684_806_0	2	07/08/2009	2010.02	07/08/2009 03:10:59 PM Eastern Daylight Time	05/29/2009 10:18:10 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H8684	806	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H8684	807	0	2	04	01	H8684_807_0	2	07/08/2009	2010.02	07/08/2009 03:11:05 PM Eastern Daylight Time	05/29/2009 10:23:05 AM Eastern Daylight Time			07/08/2009 03:18:22 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Part B Only Plan w/Rx NCY (PPO)	01	04		2	2		H8684	807	0	2010	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
H8707	001	0	1	04	01	H8707_001_0	4	07/20/2009	2010.02	07/20/2009 03:12:35 PM Eastern Daylight Time	08/18/2009 03:24:42 PM Eastern Daylight Time	08/19/2009 11:11:33 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-001 (PPO)	01	04		1			H8707	001	0	2010	Charleston Metro Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8707	003	0	1	04	01	H8707_003_0	4	07/20/2009	2010.02	07/20/2009 03:12:57 PM Eastern Daylight Time	08/18/2009 03:25:08 PM Eastern Daylight Time	08/19/2009 11:11:42 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-003 (PPO)	01	04		1			H8707	003	0	2010	Spartanburg Metro Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8707	005	0	1	04	01	H8707_005_0	4	07/20/2009	2010.02	07/20/2009 03:13:18 PM Eastern Daylight Time	08/18/2009 03:27:10 PM Eastern Daylight Time	08/19/2009 11:11:50 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-005 (PPO)	01	04		1			H8707	005	0	2010	Richland County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8707	006	0	1	04	01	H8707_006_0	4	07/20/2009	2010.02	07/20/2009 03:13:39 PM Eastern Daylight Time	08/18/2009 03:34:42 PM Eastern Daylight Time	08/19/2009 11:11:58 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-006 (PPO)	01	04		1			H8707	006	0	2010	Beaufort County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8707	007	0	1	04	01	H8707_007_0	4	07/20/2009	2010.02	07/20/2009 03:13:59 PM Eastern Daylight Time	08/18/2009 03:52:09 PM Eastern Daylight Time	08/19/2009 11:12:07 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-007 (PPO)	01	04		1			H8707	007	0	2010	Greenville and Spartanburg Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8707	801	0	1	04	01	H8707_801_0	3	07/10/2009	2010.02	07/10/2009 03:44:10 PM Eastern Daylight Time	07/21/2009 03:59:04 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H8707	801	0	2010	Charleston, Greenville, Spartanburg, Aiken Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8707	802	0	1	04	01	H8707_802_0	3	07/10/2009	2010.02	07/10/2009 04:06:08 PM Eastern Daylight Time	07/21/2009 04:57:48 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H8707	802	0	2010	Charleston, Greenville, Spartanburg, Aiken Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H8707	803	0	1	04	01	H8707_803_0	3	07/10/2009	2010.02	07/10/2009 04:06:20 PM Eastern Daylight Time	07/21/2009 04:58:08 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H8707	803	0	2010	Charleston, Greenville, Spartanburg, Aiken Areas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8742	001	0	1	01	01	H8742_001_0	10	06/16/2009	2010.02	06/16/2009 12:47:17 PM Central Daylight Time	08/19/2009 10:40:32 AM Central Daylight Time	08/15/2009 08:17:03 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Classic powered by CCRx (HMO)	01	01		1			H8742	001	0	2010	Greater Milwaukee Metro Area		2	0	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H8742	003	0	1	01	01	H8742_003_0	2	05/29/2009	2010.02	05/29/2009 01:44:00 PM Central Daylight Time	07/13/2009 03:26:11 PM Central Daylight Time			07/14/2009 05:17:42 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Value (HMO)	01	01		1			H8742	003	0	2010	Greater Milwaukee Metro Area		2	0	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H8742	008	0	1	01	01	H8742_008_0	9	07/24/2009	2010.02	07/24/2009 12:39:20 PM Central Daylight Time	08/19/2009 10:41:35 AM Central Daylight Time	08/15/2009 08:13:52 PM Central Daylight Time		08/19/2009 09:00:05 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Premier powered by CCRx (HMO)	01	01		1			H8742	008	0	2010	Greater Milwaukee Metro Area		2	50	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H8742	801	0	1	01	01	H8742_801_0	1	05/28/2009	2010.02	05/28/2009 11:38:39 PM Central Daylight Time	05/29/2009 09:46:13 PM Central Daylight Time			05/29/2009 09:53:03 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	Retiree MA-PD CY (HMO)	01	01		1			H8742	801	0	2010	Today's Health Employer Group (MAPD--CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H8742	802	0	1	01	01	H8742_802_0	1	05/28/2009	2010.02	05/28/2009 11:38:42 PM Central Daylight Time	05/29/2009 09:45:30 PM Central Daylight Time			05/29/2009 09:53:03 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	Retiree MA-PD non-CY (HMO)	01	01		1			H8742	802	0	2010	Today's Health Employer Group (MAPD--non-CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681		1		
H8742	803	0	1	01	01	H8742_803_0	1	05/28/2009	2010.02	05/28/2009 11:38:45 PM Central Daylight Time	05/29/2009 09:44:42 PM Central Daylight Time			05/29/2009 09:53:03 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Today's Health	www.todayshealthwi.com	Retiree MA (HMO)	01	01		1			H8742	803	0	2010	Today's Health Employer Group (MA--CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704										(866)-338-4681		(866)-338-4681		(866)-338-4681		(866)-338-4681										1		
H8748	001	0	1	02	01	H8748_001_0	3	07/20/2009	2010.02	07/20/2009 08:56:20 AM Central Daylight Time	08/14/2009 12:42:40 PM Central Daylight Time	08/13/2009 05:57:32 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	001	0	2010	York County		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8748	002	0	1	02	01	H8748_002_0	3	07/17/2009	2010.02	07/17/2009 03:37:33 PM Central Daylight Time	08/14/2009 12:43:19 PM Central Daylight Time	08/13/2009 05:57:36 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	002	0	2010	Greenville SC		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8748	003	0	1	02	01	H8748_003_0	3	07/17/2009	2010.02	07/17/2009 03:43:59 PM Central Daylight Time	08/14/2009 12:43:52 PM Central Daylight Time	08/13/2009 05:57:40 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	003	0	2010	Beaufort SC		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8748	004	0	1	02	01	H8748_004_0	3	07/20/2009	2010.02	07/20/2009 08:56:58 AM Central Daylight Time	08/14/2009 12:44:13 PM Central Daylight Time	08/13/2009 05:57:44 PM Central Daylight Time		08/18/2009 02:14:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	004	0	2010	Charleston SC		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8748	801	0	1	02	01	H8748_801_0	2	05/28/2009	2010.02	05/28/2009 12:36:02 PM Central Daylight Time	07/21/2009 10:03:07 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	801	0	2010	Select Counties in SC		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-702-8400		(888)-702-8400		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8748	802	0	1	02	01	H8748_802_0	2	05/28/2009	2010.02	05/28/2009 12:36:22 PM Central Daylight Time	07/21/2009 10:03:24 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	802	0	2010	Select Counties in SC		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H8748	803	0	1	02	01	H8748_803_0	2	05/28/2009	2010.02	05/28/2009 12:36:40 PM Central Daylight Time	07/21/2009 10:03:41 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	803	0	2010	Select Counties in SC		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-702-8400		(888)-702-8400		(888)-702-8400		(888)-702-8400		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
H8777	001	0	1	20	08	H8777_001_0	1	06/02/2010	2010.02	06/02/2010 01:38:51 PM Eastern Daylight Time		06/02/2010 12:34:00 PM Eastern Daylight Time		06/02/2010 01:40:49 PM Eastern Daylight Time	COMPLETE SENIOR CARE	Complete Senior Care	completeseniorcare.org	Complete Senior Care - Dual (PACE)	08	20		1			H8777	001	0	2010	Niagara, NY		2		2				2							completeseniorcare.org									(716)-285-8224		(716)-285-8224	147	(716)-285-8224		(716)-285-8224	147									(716)-285-8224		(716)-285-8224		(716)-285-8224		(716)-285-8224		1		
H8777	002	0	1	20	08	H8777_002_0	1	06/02/2010	2010.02	06/02/2010 01:39:20 PM Eastern Daylight Time		06/02/2010 12:34:00 PM Eastern Daylight Time		06/02/2010 01:40:49 PM Eastern Daylight Time	COMPLETE SENIOR CARE	Complete Senior Care	completeseniorcare.org	Complete Senior Care - Medicare only (PACE)	08	20		1			H8777	002	0	2010	Niagara, NY		2		2				2							completeseniorcare.org									(716)-285-8224		(716)-285-8224	147	(716)-285-8224		(716)-285-8224	147									(716)-285-8224		(716)-285-8224		(716)-285-8224		(716)-285-8224		1		
H8778	001	0	1	01	01	H8778_001_0	6	08/19/2009	2010.01	08/19/2009 02:27:12 PM Central Daylight Time	08/19/2009 08:16:54 AM Central Daylight Time	08/19/2009 08:31:39 AM Central Daylight Time		08/19/2009 09:44:33 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H8778	001	0	2010	Lexington Louisville Service Area		2	7478	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H8778	004	0	1	01	01	H8778_004_0	7	08/19/2009	2010.01	08/19/2009 02:27:31 PM Central Daylight Time	08/19/2009 08:17:59 AM Central Daylight Time	08/19/2009 08:32:19 AM Central Daylight Time		08/19/2009 09:47:46 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO)	01	01		1			H8778	004	0	2010	Lexington Louisville Service Area		2	617	2				1	4		1		000000100000000	www.essencehealthcare.com	www.essencehealthcare.com	(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H8778	801	0	1	01	01	H8778_801_0	4	05/29/2009	2010.01	05/29/2009 04:59:44 PM Central Daylight Time	05/26/2009 01:41:01 PM Central Daylight Time			05/29/2009 05:19:19 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H8778	801	0	2010	Lexington Louisville Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H8778	802	0	1	01	01	H8778_802_0	4	05/29/2009	2010.01	05/29/2009 04:58:30 PM Central Daylight Time	05/26/2009 01:40:07 PM Central Daylight Time			05/29/2009 05:19:19 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H8778	802	0	2010	Lexington Louisville Service Area		1	50	2				2						www.essencehealthcare.com	www.essencehealthcare.com	(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(888)-896-0333		(502)-896-0333		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1		
H8800	001	0	1	20	08	H8800_001_0	1	05/19/2009	2010.02	05/19/2009 03:52:08 PM Eastern Daylight Time		05/19/2009 04:17:23 PM Eastern Daylight Time		05/19/2009 04:21:40 PM Eastern Daylight Time	TOTAL SENIOR CARE, INC.	Total Senior Care, Inc.	homecare-hospice.org	Total Senior Care - Dual (PACE)	08	20		1			H8800	001	0	2010	Total Senior Care, Inc.		2		2				2							www.homecare-hospice.org									(866)-939-8613		(716)-379-8474		(866)-939-8613		(716)-379-8474																		1		
H8800	002	0	1	20	08	H8800_002_0	1	05/19/2009	2010.02	05/19/2009 03:52:17 PM Eastern Daylight Time		05/19/2009 04:16:10 PM Eastern Daylight Time		05/19/2009 04:21:40 PM Eastern Daylight Time	TOTAL SENIOR CARE, INC.	Total Senior Care, Inc.	homecare-hospice.org	Total Senior Care - Medicare Small Only (PACE)	08	20		1			H8800	002	0	2010	Total Senior Care, Inc.		2		2				2							www.homecare-hospice.org									(866)-939-8613		(716)-379-8474		(866)-939-8613		(716)-379-8474																		1		
H8822	001	0	1	01	01	H8822_001_0	4	08/18/2009	2010.02	08/18/2009 01:25:58 PM Eastern Daylight Time	09/16/2009 01:10:19 PM Eastern Daylight Time	09/16/2009 01:10:19 PM Eastern Daylight Time		09/17/2009 08:04:03 AM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	Wishard Complete Care Basic (HMO)	01	01		1			H8822	001	0	2010	Marion County		2	150	2				2						www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H8822	002	0	1	01	01	H8822_002_0	4	07/24/2009	2010.02	07/24/2009 09:23:44 AM Eastern Daylight Time	09/16/2009 01:10:22 PM Eastern Daylight Time	09/16/2009 01:10:22 PM Eastern Daylight Time		09/17/2009 08:04:03 AM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	Wishard Complete Care Enhanced (HMO)	01	01		1			H8822	002	0	2010	Marion County		2	200	2				2						www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H8822	003	0	1	01	01	H8822_003_0	4	07/24/2009	2010.02	07/24/2009 09:04:53 AM Eastern Daylight Time	08/18/2009 12:01:45 PM Eastern Daylight Time	08/18/2009 12:01:45 PM Eastern Daylight Time		08/18/2009 01:33:09 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Network Basic (HMO)	01	01		1			H8822	003	0	2010	Central Indiana		2	200	2				2						www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H8822	004	0	1	01	01	H8822_004_0	3	07/24/2009	2010.02	07/24/2009 09:30:25 AM Eastern Daylight Time	08/18/2009 11:23:42 AM Eastern Daylight Time	08/18/2009 11:23:42 AM Eastern Daylight Time		08/18/2009 01:33:09 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Network Enhanced (HMO)	01	01		1			H8822	004	0	2010	Central Indiana		2	200	2				2						www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(866)-533-3633		(866)-533-3633		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-579-4990		(800)-579-4990		(866)-547-0773		(866)-547-0773		(800)-579-4990		(800)-579-4990		1		
H8953	001	0	1	01	01	H8953_001_0	8	08/12/2009	2010.02	08/12/2009 02:40:12 PM Eastern Daylight Time	08/18/2009 04:05:03 PM Eastern Daylight Time	08/19/2009 11:12:15 AM Eastern Daylight Time		08/20/2009 09:48:04 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Gold Plus H8953-001 (HMO)	01	01		1			H8953	001	0	2010	Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
H8953	801	0	1	01	01	H8953_801_0	2	05/26/2009	2010.02	05/26/2009 04:11:11 PM Eastern Daylight Time	07/21/2009 03:36:04 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H8953	801	0	2010	Cincinnati Metro Area		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8953	802	0	1	01	01	H8953_802_0	2	05/26/2009	2010.02	05/26/2009 04:11:35 PM Eastern Daylight Time	07/21/2009 04:08:30 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H8953	802	0	2010	Cincinnati Metro Area		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H8953	803	0	1	01	01	H8953_803_0	2	05/26/2009	2010.02	05/26/2009 04:11:57 PM Eastern Daylight Time	07/21/2009 04:09:54 PM Eastern Daylight Time			07/27/2009 11:13:26 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H8953	803	0	2010	Cincinnati Metro Area		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H8980	002	0	1	04	01	H8980_002_0	10	08/20/2009	2010.02	08/20/2009 08:45:09 AM Eastern Daylight Time	08/17/2009 04:30:32 PM Eastern Daylight Time	08/18/2009 11:43:52 AM Eastern Daylight Time		08/20/2009 01:17:02 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H8980	002	0	2010	Columbiana, Mahoning and Trumbull Counties		2		2				2						www.chcadvantra.com	http://www.oh.chcadvantra.com/framesetdef.asp?Community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(877)-300-5135		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H8980	003	0	1	04	01	H8980_003_0	8	08/20/2009	2010.02	08/20/2009 03:01:31 PM Eastern Daylight Time	08/19/2009 04:10:47 PM Eastern Daylight Time	08/18/2009 11:45:05 AM Eastern Daylight Time		08/20/2009 04:03:30 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H8980	003	0	2010	Columbiana, Mahoning and Trumbull Counties		2		2				2						www.chcadvantra.com	http://www.oh.chcadvantra.com/framesetdef.asp?Community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(877)-300-5135		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H8980	801	0	1	04	01	H8980_801_0	5	08/05/2009	2010.02	08/05/2009 02:37:31 PM Eastern Daylight Time	06/01/2009 06:51:12 AM Eastern Daylight Time			08/05/2009 03:04:39 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica Advantra	http://coventry-medicare.com	Advantra MA Only (PPO)	01	04		1			H8980	801	0	2010	Ohio		1		2				2						www.chcadvantra.com	http://www.oh.chcadvantra.com/framesetdef.asp?Community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262										1		
H8980	802	0	1	04	01	H8980_802_0	5	08/05/2009	2010.02	08/05/2009 02:37:54 PM Eastern Daylight Time	06/01/2009 06:57:16 AM Eastern Daylight Time			08/05/2009 03:04:39 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H8980	802	0	2010	Ohio		1		2				2						www.chcadvantra.com	http://www.oh.chcadvantra.com/framesetdef.asp?Community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(888)-620-1743		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H8980	803	0	1	04	01	H8980_803_0	5	08/05/2009	2010.02	08/05/2009 02:38:20 PM Eastern Daylight Time	06/01/2009 07:04:08 AM Eastern Daylight Time			08/05/2009 03:04:39 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica Advantra	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H8980	803	0	2010	Ohio		1		2				2						www.chcadvantra.com	http://www.oh.chcadvantra.com/framesetdef.asp?Community=Member	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(888)-620-1743		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1		
H8991	012	0	1	01	01	H8991_012_0	3	08/19/2009	2010.02	08/19/2009 05:41:51 PM Eastern Daylight Time	08/19/2009 09:23:54 PM Eastern Daylight Time	08/20/2009 11:44:33 AM Eastern Daylight Time		08/20/2009 03:23:06 PM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H8991	012	0	2010	South Florida - Miami/Dade County		2	751	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H8991	017	0	1	01	01	H8991_017_0	3	08/19/2009	2010.02	08/19/2009 05:47:59 PM Eastern Daylight Time	08/20/2009 10:47:29 AM Eastern Daylight Time	08/20/2009 11:45:07 AM Eastern Daylight Time		08/20/2009 03:23:06 PM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Specialty + Rx (HMO)	01	01		1			H8991	017	0	2010	South and Central Florida		2	4000	2		2		1	3		1	1		http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H8991	018	0	1	01	01	H8991_018_0	4	08/19/2009	2010.02	08/19/2009 05:40:27 PM Eastern Daylight Time	08/19/2009 09:26:10 PM Eastern Daylight Time	08/20/2009 11:45:41 AM Eastern Daylight Time		08/20/2009 03:23:06 PM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H8991	018	0	2010	Central Florida		2	751	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H8991	022	0	1	01	01	H8991_022_0	3	08/19/2009	2010.02	08/19/2009 05:41:09 PM Eastern Daylight Time	08/19/2009 09:27:34 PM Eastern Daylight Time	08/20/2009 11:46:16 AM Eastern Daylight Time		08/20/2009 03:23:06 PM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com	Amerivantage Classic + Rx (HMO)	01	01		1			H8991	022	0	2010	South Florida - Broward /Palm Beach County		2	751	2				2						http://www1.amerigroupcorp.com/providers/	http://www.amerigroupcorp.com/Members/amerivantage/_documents	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1		
H9001	001	0	1	01	01	H9001_001_0	2	07/14/2009	2010.02	07/14/2009 02:09:46 PM Eastern Daylight Time	07/10/2009 10:13:38 AM Eastern Daylight Time			07/14/2009 02:26:58 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard (HMO)	01	01		1			H9001	001	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	1777	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1		
H9001	010	0	1	01	01	H9001_010_0	2	07/14/2009	2010.02	07/14/2009 02:09:52 PM Eastern Daylight Time	07/10/2009 10:18:06 AM Eastern Daylight Time			07/14/2009 02:26:58 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver (HMO)	01	01		1			H9001	010	0	2010	WORC,HMDcounties,parts of FRK,HPS,MSEX,NOFcounties		2	1231	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1		
H9001	011	0	1	01	01	H9001_011_0	3	08/20/2009	2010.02	08/20/2009 08:57:47 AM Eastern Daylight Time	08/20/2009 08:24:03 AM Eastern Daylight Time	08/20/2009 08:24:12 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Basic Rx (HMO)	01	01		1			H9001	011	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	3132	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	013	0	1	01	01	H9001_013_0	4	08/20/2009	2010.02	08/20/2009 08:57:53 AM Eastern Daylight Time	08/20/2009 08:24:22 AM Eastern Daylight Time	08/20/2009 08:24:29 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Enhanced Rx (HMO)	01	01		1			H9001	013	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	4320	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	014	0	1	01	01	H9001_014_0	3	08/20/2009	2010.02	08/20/2009 08:57:59 AM Eastern Daylight Time	08/20/2009 08:24:39 AM Eastern Daylight Time	08/20/2009 08:24:45 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Basic Rx (HMO)	01	01		1			H9001	014	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	2622	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	015	0	1	01	01	H9001_015_0	4	08/20/2009	2010.02	08/20/2009 08:58:06 AM Eastern Daylight Time	08/20/2009 08:24:55 AM Eastern Daylight Time	08/20/2009 08:25:05 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Enhanced Rx (HMO)	01	01		1			H9001	015	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	3019	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	017	0	1	01	01	H9001_017_0	6	08/24/2009	2010.02	08/24/2009 11:53:35 AM Eastern Daylight Time	08/20/2009 08:25:30 AM Eastern Daylight Time	08/24/2009 11:34:30 AM Eastern Daylight Time		08/24/2009 11:55:22 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Plus Enhanced Rx (HMO)	01	01		1			H9001	017	0	2010	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	5695	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	019	0	1	01	01	H9001_019_0	4	08/20/2009	2010.02	08/20/2009 08:58:19 AM Eastern Daylight Time	08/20/2009 08:25:47 AM Eastern Daylight Time	08/20/2009 08:25:55 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.navicare.org	NaviCare (HMO)	01	01		1			H9001	019	0	2010	Worcester County		2	300	2		2		1	3		1	5		http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(877)-700-6996		(877)-700-6996		(877)-255-7108		(877)-255-7108		(877)-700-6996		(877)-700-6996		(877)-255-7108		(877)-255-7108		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		1		
H9001	020	0	1	01	01	H9001_020_0	4	08/20/2009	2010.02	08/20/2009 08:58:24 AM Eastern Daylight Time	08/20/2009 08:26:05 AM Eastern Daylight Time	08/20/2009 08:26:13 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Basic Rx (HMO)	01	01		1			H9001	020	0	2010	Hampden County		2	64	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	021	0	1	01	01	H9001_021_0	3	08/20/2009	2010.02	08/20/2009 08:58:30 AM Eastern Daylight Time	08/20/2009 08:26:23 AM Eastern Daylight Time	08/20/2009 08:26:29 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Enhanced Rx (HMO)	01	01		1			H9001	021	0	2010	Hampden County		2	73	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	022	0	1	01	01	H9001_022_0	1	05/29/2009	2010.02	05/29/2009 06:00:13 PM Eastern Daylight Time	05/31/2009 11:04:27 PM Eastern Daylight Time			05/31/2009 11:54:24 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard (HMO)	01	01		1			H9001	022	0	2010	Hampden County		2	24	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1		
H9001	023	0	1	01	01	H9001_023_0	2	08/20/2009	2010.02	08/20/2009 08:58:38 AM Eastern Daylight Time	08/20/2009 08:26:41 AM Eastern Daylight Time	08/20/2009 08:26:52 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Basic Rx (HMO)	01	01		1			H9001	023	0	2010	Hampden County		2	35	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	024	0	1	01	01	H9001_024_0	3	08/20/2009	2010.02	08/20/2009 08:58:44 AM Eastern Daylight Time	08/20/2009 08:27:01 AM Eastern Daylight Time	08/20/2009 08:27:08 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Enhanced Rx (HMO)	01	01		1			H9001	024	0	2010	Hampden County		2	35	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	025	0	1	01	01	H9001_025_0	3	08/20/2009	2010.02	08/20/2009 08:58:51 AM Eastern Daylight Time	08/20/2009 08:27:17 AM Eastern Daylight Time	08/20/2009 08:27:23 AM Eastern Daylight Time		08/20/2009 09:24:46 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Plus Enhanced Rx (HMO)	01	01		1			H9001	025	0	2010	Hampden County		2	56	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9001	801	0	1	01	01	H9001_801_0	1	05/29/2009	2010.02	05/29/2009 01:54:54 PM Eastern Daylight Time	05/31/2009 11:05:23 PM Eastern Daylight Time			05/31/2009 11:54:24 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	HMO MA Only (HMO)	01	01		1			H9001	801	0	2010	Full Service Area - Employer Groups		1	1084	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1		
H9001	803	0	1	01	01	H9001_803_0	1	05/29/2009	2010.02	05/29/2009 01:55:05 PM Eastern Daylight Time	05/31/2009 11:05:33 PM Eastern Daylight Time			05/31/2009 11:54:24 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	HMO MA RX Coinsurance - Calendar Year (HMO)	01	01		1			H9001	803	0	2010	Full Service Area - Employer Groups		1	5732	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1		
H9003	001	0	1	01	01	H9003_001_0	5	08/14/2009	2010.02	08/14/2009 05:36:25 PM Pacific Daylight Time	08/18/2009 02:00:18 PM Pacific Daylight Time	08/18/2009 02:00:35 PM Pacific Daylight Time		08/18/2009 02:37:14 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H9003	001	0	2010	Portland-Vancouver Metro, Salem OR, Longview WA		2		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H9003	006	0	1	01	01	H9003_006_0	5	07/31/2009	2010.02	07/31/2009 10:15:40 AM Pacific Daylight Time	08/18/2009 02:02:14 PM Pacific Daylight Time	08/18/2009 02:02:03 PM Pacific Daylight Time		08/18/2009 02:37:14 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H9003	006	0	2010	Portland-Vancouver Metro, Salem OR, Longview WA		2		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H9003	801	0	1	01	01	H9003_801_0	2	07/31/2009	2010.02	07/31/2009 10:16:13 AM Pacific Daylight Time	07/31/2009 07:52:30 AM Pacific Daylight Time			07/31/2009 10:54:26 AM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Employer Group Only with Part D (HMO)	01	01		1			H9003	801	0	2010	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H9003	802	0	1	01	01	H9003_802_0	2	07/30/2009	2010.02	07/30/2009 05:15:26 PM Pacific Daylight Time	07/31/2009 07:53:07 AM Pacific Daylight Time			07/31/2009 10:54:26 AM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Employer Group Only without Part D (HMO)	01	01		1			H9003	802	0	2010	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1		
H9003	805	0	1	01	01	H9003_805_0	2	07/30/2009	2010.02	07/30/2009 05:16:10 PM Pacific Daylight Time	07/31/2009 09:18:18 AM Pacific Daylight Time			07/31/2009 10:54:26 AM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	FEHB AB with D (HMO)	01	01		1			H9003	805	0	2010	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H9005	007	0	1	01	01	H9005_007_0	4	05/28/2009	2010.01	05/28/2009 05:05:25 PM Central Daylight Time	05/29/2009 03:41:53 PM Central Daylight Time	05/28/2009 04:41:24 PM Central Daylight Time		05/29/2009 03:55:03 PM Central Daylight Time	HEALTHPARTNERS, INC.	HealthPartners Classic Plan	healthpartners.com/medicare	HealthPartners Classic (HMO)	01	01		1			H9005	007	0	2010	MN Twin Cities Metro Area		2		2				2						healthpartners.com/medicare	Healthpartners.com/partdpharmacy	(866)-233-8734		(952)-883-7676		(800)-247-7015		(952)-883-5601		(866)-233-8734		(952)-883-7676		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
H9011	003	0	1	01	01	H9011_003_0	4	05/28/2009	2010.02	05/28/2009 10:23:18 AM Central Daylight Time	08/17/2009 02:23:37 PM Central Daylight Time	08/13/2009 05:57:48 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H9011	003	0	2010	Miami-Dade County		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H9011	011	0	1	01	01	H9011_011_0	4	09/25/2009	2010.02	09/25/2009 03:41:45 PM Central Daylight Time	08/19/2009 03:27:58 PM Central Daylight Time	08/13/2009 05:57:52 PM Central Daylight Time		09/25/2009 03:51:20 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	UnitedHealthcare Personal Care Plus (HMO)	01	01		1			H9011	011	0	2010	Miami-Dade County		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
H9011	016	0	1	02	01	H9011_016_0	4	08/18/2009	2010.02	08/18/2009 10:27:36 AM Central Daylight Time	08/17/2009 02:23:59 PM Central Daylight Time	08/13/2009 05:57:56 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H9011	016	0	2010	Miami-Dade FL		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
H9011	801	0	1	01	01	H9011_801_0	4	05/30/2009	2010.02	05/30/2009 01:24:26 PM Central Daylight Time	07/20/2009 05:38:03 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	801	0	2010	Broward, Dade and Palm Beach Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9011	802	0	1	01	01	H9011_802_0	4	05/30/2009	2010.02	05/30/2009 01:31:44 PM Central Daylight Time	07/20/2009 05:37:46 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	802	0	2010	Broward, Dade and Palm Beach Counties		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
H9011	803	0	1	01	01	H9011_803_0	4	05/30/2009	2010.02	05/30/2009 01:33:19 PM Central Daylight Time	07/20/2009 05:37:30 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	803	0	2010	Select Counties in FL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9011	805	0	2	01	01	H9011_805_0	4	05/30/2009	2010.02	05/30/2009 01:45:40 PM Central Daylight Time	07/20/2009 05:39:07 PM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H9011	805	0	2010	Select counties in FL		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(800)-642-7552		(800)-642-7552		(800)-221-6746		(800)-221-6746		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9047	001	0	1	01	01	H9047_001_0	9	08/04/2009	2010.02	08/04/2009 10:05:17 AM Pacific Daylight Time	08/24/2009 01:13:53 PM Pacific Daylight Time	08/19/2009 08:08:05 AM Pacific Daylight Time		08/24/2009 01:15:21 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Plan 1 + RX (HMO)	01	01		1			H9047	001	0	2010	Portland Metro, Willamette Valley, Clark County		2	14257	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1		
H9047	013	0	2	01	01	H9047_013_0	7	07/23/2009	2010.02	07/23/2009 09:31:04 AM Pacific Daylight Time	08/19/2009 09:05:03 AM Pacific Daylight Time	08/19/2009 08:08:05 AM Pacific Daylight Time		08/19/2009 02:24:43 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Part B Only + RX (HMO)	01	01		2	2		H9047	013	0	2010	Portland Metro and Willamette Valley		2	4	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1		
H9047	024	0	1	02	01	H9047_024_0	10	07/28/2009	2010.02	07/28/2009 09:22:21 AM Pacific Daylight Time	08/19/2009 09:05:56 AM Pacific Daylight Time	08/19/2009 08:08:05 AM Pacific Daylight Time		08/19/2009 02:24:43 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice + RX (HMO-POS)	01	02		1			H9047	024	0	2010	Portland Metro, Willamette Valley, Clark County		2	5051	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1		
H9047	033	0	1	01	01	H9047_033_0	6	05/20/2009	2010.02	05/20/2009 08:05:26 AM Pacific Daylight Time	07/16/2009 09:54:52 AM Pacific Daylight Time			07/16/2009 10:20:03 AM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Plan 1 (HMO)	01	01		1			H9047	033	0	2010	Portland Metro, Willamette Valley, Clark County		2	2323	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1		
H9047	035	0	1	02	01	H9047_035_0	8	07/28/2009	2010.02	07/28/2009 09:22:47 AM Pacific Daylight Time	07/27/2009 10:34:46 AM Pacific Daylight Time			07/28/2009 09:34:05 AM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice (HMO-POS)	01	02		1			H9047	035	0	2010	Portland Metro, Willamette Valley, Clark County		2	847	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1		
H9047	801	0	1	01	01	H9047_801_0	7	07/28/2009	2010.02	07/28/2009 01:08:48 PM Pacific Daylight Time	06/01/2009 10:26:19 AM Pacific Daylight Time			07/28/2009 03:45:39 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Group Plan (HMO)	01	01		1			H9047	801	0	2010	Portland Metro, Willamette Valley, Clark County		1	12250	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1		
H9047	804	0	1	01	01	H9047_804_0	7	07/28/2009	2010.02	07/28/2009 09:30:00 AM Pacific Daylight Time	06/01/2009 10:26:49 AM Pacific Daylight Time			07/28/2009 03:45:39 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Group Plan + RX (HMO)	01	01		1			H9047	804	0	2010	Portland Metro, Willamette Valley, Clark County		1	12250	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1		
H9047	805	0	1	02	01	H9047_805_0	7	07/28/2009	2010.02	07/28/2009 09:30:30 AM Pacific Daylight Time	06/01/2009 10:27:08 AM Pacific Daylight Time			07/28/2009 03:45:39 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice Group Plan + RX (HMO-POS)	01	02		1			H9047	805	0	2010	Portland Metro, Willamette Valley, Clark County		1	12250	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1		
H9047	806	0	1	02	01	H9047_806_0	7	07/28/2009	2010.02	07/28/2009 09:30:02 AM Pacific Daylight Time	06/01/2009 10:27:29 AM Pacific Daylight Time			07/28/2009 03:45:39 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice Group Plan (HMO-POS)	01	02		1			H9047	806	0	2010	Portland Metro, Willamette Valley, Clark County		1	12250	2				2						www.providence.org/Health Plans/Members/Directories.htm	http://www.providence.org/resources/healthplans/images/PME_DrugFormulary.pdf	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1		
H9082	002	0	1	01	01	H9082_002_0	6	06/15/2009	2010.02	06/15/2009 03:38:51 PM Pacific Daylight Time	08/21/2009 12:34:49 PM Pacific Daylight Time	08/19/2009 10:00:32 AM Pacific Daylight Time		08/24/2009 10:13:30 AM Pacific Daylight Time	MOLINA HEALTHCARE OF NEW MEXICO, INC.	Molina Healthcare of New Mexico, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H9082	002	0	2010	Northwest, Central, Santa Fe, Southwest New Mexico		2	611	2				2						www.molinamedicare.com	www.molinahealthcare.com	(866)-440-0127		(866)-440-0127		(866)-440-0127		(866)-440-0127		(866)-440-0127		(866)-440-0127		(866)-440-0127		(866)-440-0127		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H9082	801	0	1	01	01	H9082_801_0	2	06/01/2009	2010.02	06/01/2009 03:36:02 PM Pacific Daylight Time	06/01/2009 04:25:00 PM Pacific Daylight Time			06/01/2009 08:41:26 PM Pacific Daylight Time	MOLINA HEALTHCARE OF NEW MEXICO, INC.	Molina Healthcare of New Mexico, Inc.	www.molinamedicare.com	Molina Medicare Employer Group (HMO)	01	01		1			H9082	801	0	2010	Northwest, Central, Santa Fe, Southwest New Mexico		1	597	2				2						www.molinamedicare.com	www.molinahealthcare.com	(866)-440-0127		(505)-342-4660		(866)-403-8293		(505)-342-4660		(866)-440-0127		(505)-342-4660		(866)-403-8293		(505)-342-4660		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1		
H9101	007	0	1	01	01	H9101_007_0	3	08/20/2009	2010.02	08/20/2009 02:10:35 PM Eastern Daylight Time	08/20/2009 12:50:40 PM Eastern Daylight Time	08/19/2009 10:41:48 AM Eastern Daylight Time		08/20/2009 03:20:12 PM Eastern Daylight Time	ELDERPLAN, INC.  - SHMO	Elderplan, Inc.	www.Elderplan.org	Elderplan Classic I: Medicare Extra Needs (HMO)	01	01		1			H9101	007	0	2010	New York City Metropolitan Area		2		2				1	1	2	1			http://www.elderplan.org	www.elderplan.org	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9103	001	0	1	01	01	H9103_001_0	4	08/18/2009	2010.02	08/18/2009 07:54:50 AM Pacific Daylight Time	08/18/2009 02:03:25 PM Pacific Daylight Time	08/18/2009 02:03:33 PM Pacific Daylight Time		08/18/2009 02:37:14 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Kaiser Permanente Senior Advantage II (HMO)	01	01		1			H9103	001	0	2010	Portland-Vancouver Metro, Salem OR		2		2				2						kp.org	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1		
H9104	006	0	1	01	01	H9104_006_0	6	08/18/2009	2010.02	08/18/2009 02:04:27 PM Pacific Daylight Time	08/19/2009 02:45:15 PM Pacific Daylight Time	08/19/2009 08:36:18 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	006	0	2010	SCAN Legacy - Los Angeles		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	007	0	1	01	01	H9104_007_0	5	08/18/2009	2010.02	08/18/2009 02:04:51 PM Pacific Daylight Time	08/19/2009 02:49:29 PM Pacific Daylight Time	08/19/2009 08:36:31 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	007	0	2010	SCAN Legacy - Orange		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	008	0	1	01	01	H9104_008_0	6	08/18/2009	2010.02	08/18/2009 02:05:19 PM Pacific Daylight Time	08/19/2009 02:49:57 PM Pacific Daylight Time	08/19/2009 08:37:51 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	008	0	2010	SCAN Legacy - Riverside		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	009	0	1	01	01	H9104_009_0	5	08/18/2009	2010.02	08/18/2009 02:06:01 PM Pacific Daylight Time	08/19/2009 02:47:23 PM Pacific Daylight Time	08/19/2009 08:38:24 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	009	0	2010	SCAN Legacy - San Bernardino		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	013	0	1	01	01	H9104_013_0	10	08/20/2009	2010.02	08/20/2009 10:59:43 AM Pacific Daylight Time	08/19/2009 11:07:51 AM Pacific Daylight Time	08/19/2009 08:39:02 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	013	0	2010	SCAN Connections ILP - Los Angeles		2		2		2		1	3		1	1		http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	014	0	1	01	01	H9104_014_0	10	08/20/2009	2010.02	08/20/2009 11:00:00 AM Pacific Daylight Time	08/19/2009 11:09:03 AM Pacific Daylight Time	08/19/2009 08:43:26 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	014	0	2010	SCAN Connections ILP - Riverside		2		2		2		1	3		1	1		http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	015	0	1	01	01	H9104_015_0	9	08/20/2009	2010.02	08/20/2009 11:00:05 AM Pacific Daylight Time	08/19/2009 11:09:37 AM Pacific Daylight Time	08/19/2009 08:42:45 AM Pacific Daylight Time		08/20/2009 03:48:44 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Health Plan (HMO)	01	01		1			H9104	015	0	2010	SCAN Connections ILP - San Bernardino		2		2		2		1	3		1	1		http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	801	0	1	01	01	H9104_801_0	3	07/27/2009	2010.02	07/27/2009 05:08:11 PM Pacific Daylight Time	07/24/2009 11:17:39 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H9104	801	0	2010	SCAN Employer Group		1		2				2						http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226										(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929										1		
H9104	803	0	1	01	01	H9104_803_0	3	07/27/2009	2010.02	07/27/2009 05:08:17 PM Pacific Daylight Time	07/24/2009 11:18:55 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H9104	803	0	2010	SCAN Employer Group		1		2				2						http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9104	804	0	1	01	01	H9104_804_0	3	07/27/2009	2010.02	07/27/2009 05:08:24 PM Pacific Daylight Time	07/24/2009 11:19:37 AM Pacific Daylight Time			07/27/2009 06:00:15 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H9104	804	0	2010	SCAN Employer Group		1		2				2						http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1		
H9149	002	0	1	02	01	H9149_002_0	4	08/21/2009	2010.02	08/21/2009 02:45:51 PM Central Daylight Time	08/21/2009 02:57:36 PM Central Daylight Time	08/13/2009 05:58:04 PM Central Daylight Time		08/24/2009 10:21:54 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Plus (HMO-POS)	01	02		1			H9149	002	0	2010	East Baton Rouge, LA		2		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9149	801	0	1	02	01	H9149_801_0	2	05/28/2009	2010.02	05/28/2009 12:36:56 PM Central Daylight Time	07/21/2009 10:05:34 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H9149	801	0	2010	Select Counties in LA		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-854-4317		(800)-854-4317		(800)-854-4317		(800)-854-4317		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9149	802	0	1	02	01	H9149_802_0	2	05/28/2009	2010.02	05/28/2009 12:37:15 PM Central Daylight Time	07/21/2009 10:05:51 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H9149	802	0	2010	Select Counties in LA		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
H9149	803	0	1	02	01	H9149_803_0	2	05/28/2009	2010.02	05/28/2009 12:37:29 PM Central Daylight Time	07/21/2009 10:06:06 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H9149	803	0	2010	Select Counties in LA		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-854-4317		(800)-854-4317		(800)-854-4317		(800)-854-4317		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9149	805	0	2	02	01	H9149_805_0	2	05/29/2009	2010.02	05/29/2009 08:29:06 PM Central Daylight Time	07/21/2009 10:06:22 AM Central Daylight Time			07/23/2009 06:11:51 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		2	2		H9149	805	0	2010	Select counties in LA		1		2				2						www.SecureHorizons.com	www.rxsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-854-4317		(800)-854-4317		(800)-854-4317		(800)-854-4317		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
H9184	001	0	1	04	01	H9184_001_0	4	07/16/2009	2010.02	07/16/2009 03:38:41 PM Eastern Daylight Time	08/19/2009 04:06:56 PM Eastern Daylight Time	08/14/2009 11:33:32 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID-ATLANTIC, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H9184	001	0	2010	District of Columbia		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H9184	002	0	1	04	01	H9184_002_0	4	07/16/2009	2010.02	07/16/2009 03:38:56 PM Eastern Daylight Time	08/19/2009 04:11:16 PM Eastern Daylight Time	08/14/2009 11:33:52 AM Eastern Daylight Time		08/20/2009 06:25:54 PM Eastern Daylight Time	BRAVO HEALTH MID-ATLANTIC, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H9184	002	0	2010	Baltimore Metro Area		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
H9266	001	0	1	20	08	H9266_001_0	3	10/14/2009	2010.02	10/14/2009 01:39:43 PM Eastern Daylight Time		10/14/2009 01:26:19 PM Eastern Daylight Time		10/14/2009 01:41:39 PM Eastern Daylight Time	PIEDMONT HEALTH SERVICES, INC.	Piedmont Health SeniorCare	http://www.piedmonthealthseniorcare.org/	Piedmont Health SeniorCare - Dual (PACE)	08	20		1			H9266	001	0	2010	Piedmont Region of NC		2		2				2							www.piedmonthealth.org									(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000																		1		
H9266	003	0	1	20	08	H9266_003_0	3	10/14/2009	2010.02	10/14/2009 01:39:48 PM Eastern Daylight Time		10/14/2009 01:27:04 PM Eastern Daylight Time		10/14/2009 01:41:39 PM Eastern Daylight Time	PIEDMONT HEALTH SERVICES, INC.	Piedmont Health SeniorCare	http://www.piedmonthealthseniorcare.org/	Piedmont Health SeniorCare - Medicare only (PACE)	08	20		1			H9266	003	0	2010	Piedmont Region of NC		2		2				2							www.piedmonthealth.org									(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000																		1		
H9302	001	0	1	01	01	H9302_001_0	4	08/26/2009	2010.02	08/26/2009 05:10:06 PM Pacific Daylight Time	08/20/2009 11:28:08 AM Pacific Daylight Time	08/20/2009 11:28:08 AM Pacific Daylight Time		08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Apex Plus Rx (HMO)	01	01		1			H9302	001	0	2010	Counties: Lewis, Pierce, Snohomish,Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9302	002	0	1	01	01	H9302_002_0	3	08/26/2009	2010.02	08/26/2009 05:10:55 PM Pacific Daylight Time	07/23/2009 07:44:21 AM Pacific Daylight Time			08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Apex (HMO)	01	01		1			H9302	002	0	2010	Counties: Lewis, Pierce, Snohomish, Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830										(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900										1		
H9302	003	0	1	01	01	H9302_003_0	4	08/26/2009	2010.02	08/26/2009 05:12:11 PM Pacific Daylight Time	08/20/2009 11:31:22 AM Pacific Daylight Time	08/20/2009 11:31:22 AM Pacific Daylight Time		08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Charter Plus Rx (HMO)	01	01		1			H9302	003	0	2010	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9302	004	0	1	01	01	H9302_004_0	3	08/26/2009	2010.02	08/26/2009 05:12:36 PM Pacific Daylight Time	06/01/2009 08:47:52 AM Pacific Daylight Time			08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Charter (HMO)	01	01		1			H9302	004	0	2010	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830										(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900										1		
H9302	005	0	1	01	01	H9302_005_0	4	08/26/2009	2010.02	08/26/2009 05:13:01 PM Pacific Daylight Time	08/20/2009 11:33:15 AM Pacific Daylight Time	08/20/2009 11:33:15 AM Pacific Daylight Time		08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Apex Plus Rx King County (HMO)	01	01		1			H9302	005	0	2010	Counties: King		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9302	006	0	1	01	01	H9302_006_0	3	08/26/2009	2010.02	08/26/2009 05:13:19 PM Pacific Daylight Time	07/23/2009 07:47:14 AM Pacific Daylight Time			08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Apex King County (HMO)	01	01		1			H9302	006	0	2010	Counties: King		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830										(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900										1		
H9302	007	0	1	01	01	H9302_007_0	6	08/26/2009	2010.02	08/26/2009 05:14:31 PM Pacific Daylight Time	08/20/2009 11:35:40 AM Pacific Daylight Time	08/20/2009 11:35:40 AM Pacific Daylight Time		08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Sound Plus Rx (HMO)	01	01		1			H9302	007	0	2010	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9302	008	0	1	02	01	H9302_008_0	4	08/26/2009	2010.02	08/26/2009 05:15:13 PM Pacific Daylight Time	08/20/2009 11:37:00 AM Pacific Daylight Time	08/20/2009 11:37:00 AM Pacific Daylight Time		08/26/2009 05:49:09 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Summit Plus Rx (HMO-POS)	01	02		1			H9302	008	0	2010	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	2007	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9302	801	0	1	01	01	H9302_801_0	1	06/01/2009	2010.02	06/01/2009 10:14:45 AM Pacific Daylight Time	06/01/2009 06:33:00 AM Pacific Daylight Time			06/01/2009 12:09:30 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Plus Rx (HMO)	01	01		1			H9302	801	0	2010	Counties: King, Lewis, Pierce, Snohomish, Thurston		1	0	2				2						http://www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1		
H9313	007	0	1	02	01	H9313_007_0	8	07/30/2009	2010.02	07/30/2009 09:33:19 AM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time		08/14/2009 02:36:37 PM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Advantage Plan Securex (HMO-POS)	01	02		1			H9313	007	0	2010	Ohio		2		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H9313	012	1	1	02	01	H9313_012_1	6	07/10/2009	2010.02	07/10/2009 02:56:54 PM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time		08/14/2009 02:21:57 PM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Advantage Plan Optimumx (HMO-POS)	01	02		1			H9313	012	1	2010	State of Ohio	Ohio Metropolitan Service Area	2		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H9313	012	2	1	02	01	H9313_012_2	6	07/10/2009	2010.02	07/10/2009 09:32:23 AM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time	08/14/2009 02:21:45 PM Eastern Daylight Time		08/14/2009 02:36:37 PM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Advantage Plan Optimumx (HMO-POS)	01	02		1			H9313	012	2	2010	State of Ohio	Ohio Non Metropolitan Service Area	2		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H9313	801	0	1	02	01	H9313_801_0	3	06/01/2009	2010.02	06/01/2009 10:17:09 AM Eastern Daylight Time	06/02/2009 09:56:40 AM Eastern Daylight Time			06/02/2009 10:03:33 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer HMOPOS CY with PD (HMO-POS)	01	02		1			H9313	801	0	2010	Ohio		1		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H9313	802	0	1	02	01	H9313_802_0	3	06/01/2009	2010.02	06/01/2009 10:17:17 AM Eastern Daylight Time	06/02/2009 09:56:40 AM Eastern Daylight Time			06/02/2009 10:03:33 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer HMOPOS non-CY with PD (HMO-POS)	01	02		1			H9313	802	0	2010	Ohio		1		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583		(800)-935-9952		(800)-935-9952		(800)-613-2583		(800)-613-2583		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
H9313	803	0	1	02	01	H9313_803_0	4	07/15/2009	2010.02	07/15/2009 08:51:00 AM Eastern Daylight Time	06/02/2009 09:56:40 AM Eastern Daylight Time			07/15/2009 08:52:20 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer HMOPOS CY without PD (HMO-POS)	01	02		1			H9313	803	0	2010	Ohio		1		2				2						www.Advantage-Plan.com	www.Advantage-Plan.com	(800)-982-3117		(800)-982-3117		(800)-613-2583		(800)-613-2583										(800)-982-8109		(800)-982-8109		(800)-982-8109		(800)-982-8109										1		
H9385	001	0	1	01	01	H9385_001_0	7	08/20/2009	2010.02	08/20/2009 01:33:53 PM Pacific Daylight Time	08/20/2009 10:47:35 AM Pacific Daylight Time	08/20/2009 10:48:44 AM Pacific Daylight Time		08/20/2009 03:56:33 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Health Plan Arizona (HMO)	01	01		1			H9385	001	0	2010	SCAN - Maricopa SNP		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1		
H9385	002	0	1	01	01	H9385_002_0	6	08/27/2009	2010.02	08/27/2009 03:33:21 PM Pacific Daylight Time	08/20/2009 10:49:39 AM Pacific Daylight Time	08/20/2009 10:50:47 AM Pacific Daylight Time		08/27/2009 04:27:48 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Health Plan Arizona (HMO)	01	01		1			H9385	002	0	2010	SCAN - Maricopa MAPD		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1		
H9385	805	0	1	01	01	H9385_805_0	3	06/30/2009	2010.02	06/30/2009 11:20:16 AM Pacific Daylight Time	06/01/2009 07:49:33 AM Pacific Daylight Time			07/01/2009 03:07:19 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	805	0	2010	Maricopa County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300										(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939										1		
H9385	807	0	1	01	01	H9385_807_0	3	06/30/2009	2010.02	06/30/2009 11:21:19 AM Pacific Daylight Time	06/01/2009 07:49:47 AM Pacific Daylight Time			07/01/2009 03:07:19 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	807	0	2010	Maricopa County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1		
H9385	808	0	1	01	01	H9385_808_0	3	06/30/2009	2010.02	06/30/2009 11:21:56 AM Pacific Daylight Time	06/01/2009 07:50:02 AM Pacific Daylight Time			07/01/2009 03:07:19 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	808	0	2010	Maricopa County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1		
H9452	001	0	1	09	04	H9452_001_0	8	08/21/2009	2010.02	08/21/2009 08:59:11 PM Eastern Daylight Time	07/27/2009 12:12:34 PM Eastern Daylight Time			08/24/2009 01:57:11 PM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SmartValue Classic (PFFS)	04	09	2	1			H9452	001	0	2010	Select Counties, NV		2	58	2				2							www.anthem.com	(888)-445-8916		(888)-445-8916		(877)-831-3000		(877)-831-3000										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1		
H9452	002	0	1	09	04	H9452_002_0	13	08/21/2009	2010.02	08/21/2009 05:07:33 PM Eastern Daylight Time	08/27/2009 10:13:41 AM Eastern Daylight Time	08/17/2009 05:05:17 PM Eastern Daylight Time		08/27/2009 10:53:48 AM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SmartValue Plus (PFFS)	04	09	2	1			H9452	002	0	2010	Nevada, Select Counties		2	583	2				2							www.anthem.com	(888)-445-8916		(888)-445-8916		(877)-831-3000		(877)-831-3000		(888)-445-8916		(888)-445-8916		(877)-831-3000		(877)-831-3000		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1		
H9503	001	0	1	04	01	H9503_001_0	8	07/22/2009	2010.02	07/22/2009 02:14:49 PM Eastern Daylight Time	08/18/2009 04:36:16 PM Eastern Daylight Time	08/19/2009 11:12:23 AM Eastern Daylight Time		08/20/2009 12:26:18 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H9503-001 (PPO)	01	04		1			H9503	001	0	2010	Clark and Nye Counties		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H9503	003	0	1	04	01	H9503_003_0	8	07/27/2009	2010.02	07/27/2009 10:11:58 AM Eastern Daylight Time	08/18/2009 04:38:46 PM Eastern Daylight Time	08/19/2009 11:12:32 AM Eastern Daylight Time		08/20/2009 12:26:18 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H9503-003 (PPO)	01	04		1			H9503	003	0	2010	Washoe County		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H9503	801	0	1	04	01	H9503_801_0	3	07/10/2009	2010.02	07/10/2009 03:44:23 PM Eastern Daylight Time	07/21/2009 04:00:00 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H9503	801	0	2010	Clark, Nye and Washoe Counties		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H9503	802	0	1	04	01	H9503_802_0	3	07/10/2009	2010.02	07/10/2009 04:06:37 PM Eastern Daylight Time	07/21/2009 04:58:38 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H9503	802	0	2010	Clark, Nye and Washoe Counties		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
H9503	803	0	1	04	01	H9503_803_0	3	07/10/2009	2010.02	07/10/2009 04:06:48 PM Eastern Daylight Time	07/21/2009 04:59:02 PM Eastern Daylight Time			07/28/2009 09:12:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H9503	803	0	2010	Clark, Nye and Washoe Counties		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
H9519	001	0	1	09	04	H9519_001_0	6	08/19/2009	2010.02	08/19/2009 09:26:00 AM Eastern Daylight Time	08/20/2009 12:43:00 PM Eastern Daylight Time	08/20/2009 12:47:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Anywhere (PFFS)	04	09	2	1			H9519	001	0	2010	New York State		2	100	2				2							www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H9519	003	0	1	09	04	H9519_003_0	9	08/12/2009	2010.02	08/12/2009 04:46:15 PM Eastern Daylight Time	08/20/2009 12:44:00 PM Eastern Daylight Time	08/20/2009 12:47:00 PM Eastern Daylight Time		08/20/2009 04:55:08 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Anywhere Basic (PFFS)	04	09	2	1			H9519	003	0	2010	New York State		2	150	2				2							www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H9519	801	0	1	09	04	H9519_801_0	1	05/29/2009	2010.02	05/29/2009 09:45:37 PM Eastern Daylight Time	05/31/2009 10:55:14 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Anywhere Base (PFFS)	04	09	2	1			H9519	801	0	2010	Western New York and Deemed Medicare Network		1	100	2				2							www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H9519	803	0	1	09	04	H9519_803_0	1	05/29/2009	2010.02	05/29/2009 05:01:02 PM Eastern Daylight Time	06/01/2009 09:58:47 AM Eastern Daylight Time			06/01/2009 10:02:33 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Anywhere Base (PFFS)	04	09	2	1			H9519	803	0	2010	Western New York and Medicare Deemed Network		1	100	2				2							www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1		
H9519	804	0	1	09	04	H9519_804_0	1	05/29/2009	2010.02	05/29/2009 09:46:42 PM Eastern Daylight Time	05/31/2009 11:00:44 PM Eastern Daylight Time			06/01/2009 09:30:36 AM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Anywhere Base (PFFS)	04	09	2	1			H9519	804	0	2010	IH Network and Medicare Deemed Network		1	100	2				2							www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-625-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1		
H9572	001	1	1	04	01	H9572_001_1	8	09/18/2009	2010.02	09/18/2009 12:35:19 PM Eastern Daylight Time	08/20/2009 11:44:11 AM Eastern Daylight Time	08/18/2009 04:14:57 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	1	2010	State of Michigan	Grand Rapids and Muskegon Area	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	001	2	1	04	01	H9572_001_2	7	09/18/2009	2010.02	09/18/2009 01:05:47 PM Eastern Daylight Time	08/20/2009 11:45:31 AM Eastern Daylight Time	08/18/2009 04:15:25 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	2	2010	State of Michigan	Lansing and Southwesy Michigan	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	001	3	1	04	01	H9572_001_3	7	09/18/2009	2010.02	09/18/2009 01:06:19 PM Eastern Daylight Time	08/20/2009 11:51:58 AM Eastern Daylight Time	08/18/2009 04:15:51 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	3	2010	State of Michigan	UP + Northern Lower Michigan	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	001	4	1	04	01	H9572_001_4	7	09/18/2009	2010.02	09/18/2009 01:06:35 PM Eastern Daylight Time	08/20/2009 11:54:04 AM Eastern Daylight Time	08/18/2009 04:16:16 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	4	2010	State of Michigan	Ann Arbor-Jackson-Monroe Area	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	001	5	1	04	01	H9572_001_5	7	09/18/2009	2010.02	09/18/2009 01:06:54 PM Eastern Daylight Time	08/20/2009 11:57:01 AM Eastern Daylight Time	08/18/2009 04:16:38 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	5	2010	State of Michigan	Central Lower Michigan and Thumb Area	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	001	6	1	04	01	H9572_001_6	8	09/18/2009	2010.02	09/18/2009 01:07:11 PM Eastern Daylight Time	08/20/2009 11:59:23 AM Eastern Daylight Time	08/18/2009 04:14:29 PM Eastern Daylight Time		09/18/2009 01:28:37 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO (PPO)	01	04		1			H9572	001	6	2010	State of Michigan	Macomb, Oakland and Wayne Counties	2	913	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-422-9146		(800)-422-9146		(800)-485-4415		(800)-485-4415		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		(800)-807-4670		(800)-807-4670		(800)-481-8704		(800)-481-8704		1		
H9572	801	0	1	04	01	H9572_801_0	7	08/19/2009	2010.02	08/19/2009 05:13:51 PM Eastern Daylight Time	05/31/2009 05:08:56 PM Eastern Daylight Time			08/20/2009 12:29:15 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO Employer Rx CY (PPO)	01	04		1			H9572	801	0	2010	State of Michigan		1	12000	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H9572	802	0	1	04	01	H9572_802_0	7	08/19/2009	2010.02	08/19/2009 05:14:08 PM Eastern Daylight Time	05/31/2009 05:06:25 PM Eastern Daylight Time			08/20/2009 12:29:15 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO Employer CY (PPO)	01	04		1			H9572	802	0	2010	State of Michigan		1	12000	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704										1		
H9572	803	0	1	04	01	H9572_803_0	7	08/19/2009	2010.02	08/19/2009 05:14:32 PM Eastern Daylight Time	05/31/2009 05:03:48 PM Eastern Daylight Time			08/20/2009 12:29:15 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Medicare Plus Blue PPO Employer Rx non-CY (PPO)	01	04		1			H9572	803	0	2010	State of Michigan		1	12000	2				2						www.bcbsm.com/ma/pdf/ma_ppo_manual.pdf	www.bcbsm.com/medicare/formulary.shtml	(877)-241-2583		(877)-241-2583		(800)-485-4415		(800)-485-4415		(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
H9615	002	0	1	04	01	H9615_002_0	11	08/28/2009	2010.02	08/28/2009 04:08:53 PM Eastern Daylight Time	08/18/2009 12:45:00 PM Eastern Daylight Time	08/18/2009 12:37:00 PM Eastern Daylight Time		08/28/2009 04:14:28 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H9615	002	0	2010	East/Central Region		2	908	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9615	004	0	1	04	01	H9615_004_0	10	08/28/2009	2010.02	08/28/2009 04:09:20 PM Eastern Daylight Time	08/18/2009 12:46:00 PM Eastern Daylight Time	08/18/2009 12:37:00 PM Eastern Daylight Time		08/28/2009 04:14:28 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H9615	004	0	2010	Mid-Hudson Region		2	103	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9615	802	0	1	04	01	H9615_802_0	4	08/28/2009	2010.02	08/28/2009 04:10:24 PM Eastern Daylight Time	07/15/2009 03:23:48 PM Eastern Daylight Time			08/28/2009 04:14:28 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H9615	802	0	2010	East/Central Region		1	737	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9615	804	0	1	04	01	H9615_804_0	4	08/28/2009	2010.02	08/28/2009 04:10:32 PM Eastern Daylight Time	06/01/2009 09:37:00 AM Eastern Daylight Time			08/28/2009 04:14:28 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H9615	804	0	2010	Mid-Hudson Region		1	197	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9670	001	0	1	04	01	H9670_001_0	6	07/23/2009	2010.02	07/28/2009 01:54:36 PM Eastern Daylight Time	07/24/2009 01:47:04 PM Eastern Daylight Time	07/28/2009 01:48:41 PM Eastern Daylight Time		07/28/2009 04:57:10 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO Rx Enhanced Ohio (PPO)	01	04		1			H9670	001	0	2010	Ohio		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9670	002	0	1	04	01	H9670_002_0	6	07/23/2009	2010.02	07/28/2009 01:54:38 PM Eastern Daylight Time	07/24/2009 01:46:14 PM Eastern Daylight Time	07/28/2009 01:48:04 PM Eastern Daylight Time		07/28/2009 04:57:10 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO Rx Enhanced West Virginia (PPO)	01	04		1			H9670	002	0	2010	West Virginia		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9670	003	0	1	04	01	H9670_003_0	3	07/29/2009	2010.02	07/29/2009 09:01:46 AM Eastern Daylight Time	07/29/2009 02:30:08 PM Eastern Daylight Time	06/01/2009 09:14:45 AM Eastern Daylight Time		07/29/2009 02:39:24 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx Ohio (PPO)	01	04		1			H9670	003	0	2010	Ohio Counties		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9670	004	0	1	04	01	H9670_004_0	4	07/29/2009	2010.02	07/30/2009 08:38:37 AM Eastern Daylight Time	07/30/2009 08:38:54 AM Eastern Daylight Time	06/01/2009 09:15:10 AM Eastern Daylight Time		07/30/2009 08:43:34 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx WV (PPO)	01	04		1			H9670	004	0	2010	West Virginia Counties		2	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9670	801	0	1	04	01	H9670_801_0	3	05/28/2009	2010.02	05/28/2009 09:19:00 AM Eastern Daylight Time	06/01/2009 09:05:06 AM Eastern Daylight Time			06/01/2009 09:23:18 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PPO)	01	04		1			H9670	801	0	2010	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1		
H9670	802	0	1	04	01	H9670_802_0	3	05/28/2009	2010.02	05/28/2009 09:19:20 AM Eastern Daylight Time	06/01/2009 09:08:55 AM Eastern Daylight Time			06/01/2009 09:23:18 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H9670	802	0	2010	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9670	803	0	1	04	01	H9670_803_0	3	05/28/2009	2010.02	05/28/2009 09:19:32 AM Eastern Daylight Time	06/01/2009 09:14:03 AM Eastern Daylight Time			06/01/2009 09:23:18 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H9670	803	0	2010	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
H9720	008	0	1	09	04	H9720_008_0	5	07/26/2009	2010.02	07/26/2009 05:10:47 PM Eastern Daylight Time	07/29/2009 01:49:37 PM Eastern Daylight Time			07/29/2009 02:15:31 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Patriot Plan (PFFS)	04	09	2	1			H9720	008	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1		
H9720	009	0	1	09	04	H9720_009_0	7	08/19/2009	2010.02	08/19/2009 03:47:10 PM Eastern Daylight Time	08/19/2009 01:18:28 PM Eastern Daylight Time	08/19/2009 01:19:28 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Patriot Plus Plan (PFFS)	04	09	2	1			H9720	009	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1		
H9720	010	0	1	09	04	H9720_010_0	5	08/03/2009	2010.02	08/03/2009 03:43:25 PM Eastern Daylight Time	08/04/2009 11:25:08 AM Eastern Daylight Time			08/04/2009 01:32:21 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential Plan (PFFS)	04	09	2	1			H9720	010	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1		
H9720	011	0	1	09	04	H9720_011_0	5	08/19/2009	2010.02	08/19/2009 03:47:40 PM Eastern Daylight Time	08/19/2009 01:21:10 PM Eastern Daylight Time	08/19/2009 01:21:46 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential Plus Plan (PFFS)	04	09	2	1			H9720	011	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1		
H9720	025	0	1	09	04	H9720_025_0	6	06/01/2009	2010.02	06/01/2009 11:28:21 AM Eastern Daylight Time	08/04/2009 11:21:29 AM Eastern Daylight Time			08/04/2009 01:32:21 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential Plan (PFFS)	04	09	2	1			H9720	025	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1		
H9720	026	0	1	09	04	H9720_026_0	7	08/19/2009	2010.02	08/19/2009 03:48:16 PM Eastern Daylight Time	08/19/2009 01:24:16 PM Eastern Daylight Time	08/19/2009 01:24:58 PM Eastern Daylight Time		08/19/2009 05:54:02 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential Plus Plan (PFFS)	04	09	2	1			H9720	026	0	2010	Select Counties in South Carolina		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1		
H9720	038	0	1	09	04	H9720_038_0	7	07/26/2009	2010.02	07/26/2009 05:12:18 PM Eastern Daylight Time	08/04/2009 11:21:28 AM Eastern Daylight Time			08/04/2009 01:32:21 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Patriot Plan (PFFS)	04	09	2	1			H9720	038	0	2010	Select Counties in Georgia		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1		
H9720	039	0	1	09	04	H9720_039_0	7	08/19/2009	2010.02	08/19/2009 03:48:53 PM Eastern Daylight Time	08/24/2009 05:23:51 PM Eastern Daylight Time	08/24/2009 05:23:50 PM Eastern Daylight Time		08/24/2009 05:28:10 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Patriot Plus Plan (PFFS)	04	09	2	1			H9720	039	0	2010	Select Counties in Georgia		2		2				2							www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1		
H9779	001	0	1	04	01	H9779_001_0	11	08/21/2009	2010.02	08/21/2009 02:00:47 PM Eastern Daylight Time	08/20/2009 04:30:40 PM Eastern Daylight Time	08/18/2009 09:39:00 PM Eastern Daylight Time		08/21/2009 05:02:57 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	myguardianhealth.com	Guardian Tribute Select (PPO)	01	04		1			H9779	001	0	2010	Upstate South Carolina		2	1500	2				2						myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-554-8273		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-554-8273		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1		
H9793	001	0	1	09	04	H9793_001_0	6	08/25/2009	2010.02	08/25/2009 03:08:39 PM Eastern Daylight Time	08/17/2009 05:51:29 PM Eastern Daylight Time	08/14/2009 09:33:10 AM Eastern Daylight Time		08/25/2009 04:09:35 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmarkblueshield.com	FreedomBlue Choice Plus (PFFS)	04	09	2	1			H9793	001	0	2010	Pennsylvania Service Area		2		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H9793	002	0	1	09	04	H9793_002_0	3	07/14/2009	2010.02	07/14/2009 04:27:29 PM Eastern Daylight Time	06/01/2009 09:22:56 AM Eastern Daylight Time			07/15/2009 08:58:43 AM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmarkblueshield.com	FreedomBlue Choice (PFFS)	04	09	2	1			H9793	002	0	2010	Pennsylvania Service Area		2		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142										(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210										1		
H9793	801	0	1	09	04	H9793_801_0	4	07/14/2009	2010.02	07/14/2009 04:27:49 PM Eastern Daylight Time	05/31/2009 08:27:22 PM Eastern Daylight Time			07/15/2009 08:58:43 AM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmarkblueshield.com	FreedomBlue MA (PFFS)	04	09	2	1			H9793	801	0	2010	All Pennsylvania counties		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142										(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210										1		
H9793	802	0	1	09	04	H9793_802_0	4	07/14/2009	2010.02	07/14/2009 04:28:04 PM Eastern Daylight Time	05/31/2009 08:28:06 PM Eastern Daylight Time			07/15/2009 08:58:43 AM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmarkblueshield.com	FreedomBlue MA-PDP (PFFS)	04	09	2	1			H9793	802	0	2010	All Pennsylvania counties		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H9793	804	0	1	09	04	H9793_804_0	4	07/14/2009	2010.02	07/14/2009 04:33:05 PM Eastern Daylight Time	05/31/2009 08:28:54 PM Eastern Daylight Time			07/15/2009 08:58:43 AM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmarkblueshield.com	FreedomBlue MA-PDP Non-Calendar (PFFS)	04	09	2	1			H9793	804	0	2010	All Pennsylvania counties		1		2				2							http://highmark.medicare-approvedformularies.com/search.asp	(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(866)-675-8634		(866)-675-8634		(866)-730-4142		(866)-730-4142		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		(800)-988-0668		(800)-988-0668		(800)-227-8210		(800)-227-8210		1		
H9830	001	0	1	20	08	H9830_001_0	1	04/13/2010	2010.02	04/13/2010 03:14:59 PM Eastern Daylight Time		04/15/2010 02:10:36 PM Eastern Daylight Time		04/15/2010 02:27:22 PM Eastern Daylight Time	NEWCOURTLAND LIFE PROGRAM	NewCourtland LIFE Program	www.newcourtlandlife.org	NewCourtland LIFE  - Dual (PACE)	08	20		1			H9830	001	0	2010	NewCourtland LIFE - Dual		2		2				2							N/A									(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500										(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500		1		
H9830	002	0	1	20	08	H9830_002_0	1	04/13/2010	2010.02	04/13/2010 03:15:17 PM Eastern Daylight Time		04/15/2010 02:10:36 PM Eastern Daylight Time		04/15/2010 02:27:22 PM Eastern Daylight Time	NEWCOURTLAND LIFE PROGRAM	NewCourtland LIFE Program	www.newcourtlandlife.org	NewCourland LIFE - Medicare only (PACE)	08	20		1			H9830	002	0	2010	NewCourtland LIFE - Medicare only		2		2				2							N/A									(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500										(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500		1		
H9847	001	0	1	04	01	H9847_001_0	14	08/27/2009	2010.02	08/27/2009 09:01:16 AM Eastern Daylight Time	08/19/2009 02:55:00 PM Eastern Daylight Time	08/20/2009 10:58:32 AM Eastern Daylight Time		08/27/2009 09:24:02 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Advantra Gold (PPO)	01	04		1			H9847	001	0	2010	North Carolina		2	4255	2				2							www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H9847	003	0	1	04	01	H9847_003_0	11	08/20/2009	2010.02	08/20/2009 10:25:27 AM Eastern Daylight Time	08/19/2009 03:18:00 PM Eastern Daylight Time	08/18/2009 11:47:32 AM Eastern Daylight Time		08/20/2009 11:02:54 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Advantra Platinum (PPO)	01	04		1			H9847	003	0	2010	North Carolina		2	1031	2				2							www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H9847	801	0	1	04	01	H9847_801_0	2	06/01/2009	2010.02	06/01/2009 08:52:13 AM Eastern Daylight Time	05/30/2009 03:08:00 PM Eastern Daylight Time			06/01/2009 11:48:36 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	801	0	2010	North Carolina		1	15	2				2							www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110										(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010										1		
H9847	802	0	1	04	01	H9847_802_0	2	06/01/2009	2010.02	06/01/2009 09:29:21 AM Eastern Daylight Time	05/30/2009 02:56:00 PM Eastern Daylight Time			06/01/2009 11:55:08 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	802	0	2010	North Carolina		1	15	2				2							www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H9847	803	0	1	04	01	H9847_803_0	2	06/01/2009	2010.02	06/01/2009 11:11:23 AM Eastern Daylight Time	05/30/2009 02:37:00 PM Eastern Daylight Time			06/01/2009 12:00:12 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	803	0	2010	North Carolina		1	15	2				2							www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(866)-784-4931		(866)-784-4931		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1		
H9859	001	0	1	01	01	H9859_001_0	3	08/19/2009	2010.02	08/19/2009 04:10:17 PM Eastern Daylight Time	05/31/2009 07:15:00 PM Eastern Daylight Time			08/19/2009 04:23:58 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H9859	001	0	2010	East/Central Region		2	707	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1		
H9859	002	0	1	01	01	H9859_002_0	7	08/19/2009	2010.02	08/19/2009 04:10:28 PM Eastern Daylight Time	08/18/2009 12:38:00 PM Eastern Daylight Time	08/18/2009 12:37:00 PM Eastern Daylight Time		08/19/2009 04:23:58 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H9859	002	0	2010	East/Central Region		2	1935	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9859	003	0	1	01	01	H9859_003_0	3	08/19/2009	2010.02	08/19/2009 04:10:40 PM Eastern Daylight Time	05/31/2009 07:16:00 PM Eastern Daylight Time			08/19/2009 04:23:58 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H9859	003	0	2010	Mid-Hudson Region		2	180	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1		
H9859	004	0	1	01	01	H9859_004_0	9	08/19/2009	2010.02	08/19/2009 04:10:55 PM Eastern Daylight Time	08/18/2009 12:46:00 PM Eastern Daylight Time	08/24/2009 01:48:00 PM Eastern Daylight Time		08/25/2009 01:29:11 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H9859	004	0	2010	Mid-Hudson Region		2	227	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9859	802	0	1	01	01	H9859_802_0	3	08/19/2009	2010.02	08/19/2009 04:11:30 PM Eastern Daylight Time	05/31/2009 07:17:00 PM Eastern Daylight Time			08/19/2009 04:23:58 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H9859	802	0	2010	East/Central Region		1	2012	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9859	804	0	1	01	01	H9859_804_0	3	08/19/2009	2010.02	08/19/2009 04:11:49 PM Eastern Daylight Time	05/31/2009 07:14:00 PM Eastern Daylight Time			08/19/2009 04:23:58 PM Eastern Daylight Time	MVP HEALTH PLAN, INC,	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H9859	804	0	2010	Mid-Hudson Region		1	412	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2009_Comprehensive_Formulary.pdf	(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-209-3945		(800)-209-3945		(800)-671-7504		(800)-671-7504		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1		
H9988	001	0	1	04	01	H9988_001_0	4	08/06/2009	2010.01	08/06/2009 02:33:46 PM Pacific Daylight Time	08/06/2009 04:19:55 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	001	0	2010	Atlanta		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H9988	002	0	1	04	01	H9988_002_0	6	08/06/2009	2010.01	08/06/2009 02:34:04 PM Pacific Daylight Time	08/19/2009 02:57:13 PM Pacific Daylight Time	08/18/2009 05:03:38 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	002	0	2010	Atlanta		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H9988	003	0	1	04	01	H9988_003_0	4	08/06/2009	2010.01	08/06/2009 02:34:18 PM Pacific Daylight Time	08/06/2009 04:23:04 PM Pacific Daylight Time			08/07/2009 01:08:56 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	003	0	2010	Raleigh		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567										1		
H9988	004	0	1	04	01	H9988_004_0	7	08/06/2009	2010.01	08/06/2009 02:34:33 PM Pacific Daylight Time	08/19/2009 03:00:31 PM Pacific Daylight Time	08/18/2009 05:04:17 PM Pacific Daylight Time		08/19/2009 04:05:59 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	004	0	2010	Raleigh		2		2				2							http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(888)-858-8567		(888)-858-8567		(888)-858-8567		(888)-858-8567		(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
H9998	001	0	1	20	08	H9998_001_0	1	09/22/2009	2010.02	09/22/2009 10:25:43 AM Central Daylight Time		09/16/2009 10:35:42 AM Central Daylight Time		09/22/2009 10:27:54 AM Central Daylight Time	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	Lubbock Regional MHMR Center	www.lubbockmhmr.org	La Paloma - Dual (PACE)	08	20		1			H9998	001	0	2010	La Paloma - Dual		2		2				2							www.lubbockmhmr.org									(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360										(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360		1		
H9998	002	0	1	20	08	H9998_002_0	1	09/22/2009	2010.02	09/22/2009 10:25:58 AM Central Daylight Time		09/16/2009 10:35:42 AM Central Daylight Time		09/22/2009 10:27:54 AM Central Daylight Time	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	Lubbock Regional MHMR Center	www.lubbockmhmr.org	La Paloma - Medicare only (PACE)	08	20		1			H9998	002	0	2010	La Paloma - Medicare only		2		2				2							www.lubbockmhmr.org									(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360										(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360		1		
R3175	001	0	1	31	11	R3175_001_0	4	07/27/2009	2010.02	07/27/2009 12:59:40 PM Central Daylight Time	08/19/2009 05:29:22 PM Central Daylight Time	08/13/2009 05:58:08 PM Central Daylight Time		08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice (Regional PPO)	11	31		1			R3175	001	0	2010	State of Hawaii		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-238-7220		(866)-238-7220		(800)-555-5757		(800)-555-5757		(866)-238-7220		(866)-238-7220		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
R3175	002	0	1	31	11	R3175_002_0	4	07/27/2009	2010.02	07/27/2009 01:00:01 PM Central Daylight Time	08/19/2009 05:29:44 PM Central Daylight Time			08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice Essential (Regional PPO)	11	31		1			R3175	002	0	2010	State of Hawaii		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-238-7220		(866)-238-7220		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
R3175	003	0	1	31	11	R3175_003_0	4	08/20/2009	2010.02	08/20/2009 10:45:58 AM Central Daylight Time	08/19/2009 04:24:51 PM Central Daylight Time	08/13/2009 05:58:12 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO)	11	31		1			R3175	003	0	2010	State of Hawaii		2		2		2		1	3		1	2		www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
R3175	004	0	1	31	11	R3175_004_0	4	07/27/2009	2010.02	07/27/2009 01:00:22 PM Central Daylight Time	08/19/2009 05:30:07 PM Central Daylight Time	08/13/2009 05:58:16 PM Central Daylight Time		08/20/2009 10:36:21 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RMP (Regional PPO)	11	31		1			R3175	004	0	2010	State of Hawaii		2		2				1	4		1		000110100000000	www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
R3175	801	0	1	31	11	R3175_801_0	4	07/07/2009	2010.02	07/07/2009 09:22:49 AM Central Daylight Time	08/19/2009 04:25:12 PM Central Daylight Time			08/20/2009 11:17:36 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	801	0	2010	State of Hawaii		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(866)-391-6664		(866)-391-6664		(888)-867-5548		(888)-867-5548		(866)-391-6664		(866)-391-6664		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R3175	802	0	1	31	11	R3175_802_0	4	07/07/2009	2010.02	07/07/2009 09:23:09 AM Central Daylight Time	08/19/2009 04:25:32 PM Central Daylight Time			08/20/2009 11:17:36 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	802	0	2010	State of Hawaii		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(866)-391-6664		(866)-391-6664										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
R3175	803	0	1	31	11	R3175_803_0	4	07/07/2009	2010.02	07/07/2009 09:23:27 AM Central Daylight Time	08/19/2009 04:25:50 PM Central Daylight Time			08/20/2009 11:17:36 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	803	0	2010	Hawaii		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(866)-391-6664		(866)-391-6664		(888)-867-5548		(888)-867-5548		(866)-391-6664		(866)-391-6664		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R3332	001	0	1	31	11	R3332_001_0	6	08/10/2009	2010.02	08/10/2009 10:28:23 AM Eastern Daylight Time	08/20/2009 09:04:37 AM Eastern Daylight Time	08/20/2009 09:03:57 AM Eastern Daylight Time		08/20/2009 11:56:06 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FL, INC.	BlueMedicare Regional PPO	www.bcbsfl.com	BlueMedicare Regional PPO (Regional PPO)	11	31		1			R3332	001	0	2010	State of Florida		2		2				2						www.bcbsfl.com	www.myrxassistant.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
R3444	008	0	1	31	11	R3444_008_0	8	08/17/2009	2010.02	08/17/2009 11:54:47 AM Eastern Daylight Time	08/18/2009 12:57:16 PM Eastern Daylight Time	08/14/2009 09:56:52 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Low (Regional PPO)	11	31		1			R3444	008	0	2010	Arkansas and Missouri		2		2				1	4		1		000010100000000	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-769-1513		(866)-769-1513		(866)-673-3561		(866)-673-3561		(866)-769-1513		(866)-769-1513		(800)-713-1603		(800)-713-1603		(866)-769-1505		(866)-769-1505		(866)-673-3563		(866)-673-3563		(866)-769-1505		(866)-769-1505		1		
R3444	009	0	1	31	11	R3444_009_0	10	08/26/2009	2010.02	08/26/2009 10:19:19 AM Eastern Daylight Time	08/24/2009 11:37:00 AM Eastern Daylight Time	08/14/2009 09:57:16 AM Eastern Daylight Time		08/26/2009 03:23:17 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Mid (Regional PPO)	11	31		1			R3444	009	0	2010	Arkansas and Missouri		2		2				1	4		1		000010100000000	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-769-1513		(866)-769-1513		(866)-673-3561		(866)-673-3561		(866)-769-1513		(866)-769-1513		(800)-713-1603		(800)-713-1603		(866)-769-1505		(866)-769-1505		(866)-673-3563		(866)-673-3563		(866)-769-1505		(866)-769-1505		1		
R3444	010	0	1	31	11	R3444_010_0	8	08/17/2009	2010.02	08/17/2009 11:21:23 AM Eastern Daylight Time	08/18/2009 12:59:10 PM Eastern Daylight Time	08/14/2009 09:57:42 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus  Mid-Lis (Regional PPO)	11	31		1			R3444	010	0	2010	Arkansas and Missouri		2		2				1	4		1		000010100000000	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-769-1513		(866)-769-1513		(866)-673-3561		(866)-673-3561		(866)-769-1513		(866)-769-1513		(800)-713-1603		(800)-713-1603		(866)-769-1505		(866)-769-1505		(866)-673-3563		(866)-673-3563		(866)-769-1505		(866)-769-1505		1		
R3444	011	0	1	31	11	R3444_011_0	9	08/27/2009	2010.02	08/27/2009 04:23:06 PM Eastern Daylight Time	08/18/2009 10:52:08 AM Eastern Daylight Time	08/14/2009 09:58:06 AM Eastern Daylight Time		08/27/2009 04:27:33 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus D-SNP (Regional PPO)	11	31		1			R3444	011	0	2010	Arkansas and Missouri		2		2		2		1	3		1	5		www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-769-1513		(866)-769-1513		(866)-673-3561		(866)-673-3561		(866)-769-1513		(866)-769-1513		(800)-713-1603		(800)-713-1603		(866)-769-1505		(866)-769-1505		(866)-673-3563		(866)-673-3563		(866)-769-1505		(866)-769-1505		1		
R3444	012	0	1	31	11	R3444_012_0	6	08/20/2009	2010.02	08/20/2009 10:34:33 AM Eastern Daylight Time	08/18/2009 09:36:50 AM Eastern Daylight Time	08/14/2009 09:58:54 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus MA-PD (Regional PPO)	11	31		1			R3444	012	0	2010	Arkansas and Missouri		2		2				2						www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-769-1513		(866)-769-1513		(866)-673-3561		(866)-673-3561		(866)-769-1513		(866)-769-1513		(800)-713-1603		(800)-713-1603		(866)-769-1505		(866)-769-1505		(866)-673-3563		(866)-673-3563		(866)-769-1505		(866)-769-1505		1		
R3444	020	0	1	31	11	R3444_020_0	4	11/18/2009	2010.02	11/18/2009 09:36:50 AM Eastern Standard Time		11/13/2009 03:47:00 PM Eastern Standard Time		11/18/2009 11:17:26 AM Eastern Standard Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus ESRD (Regional PPO)	11	31		1			R3444	020	0	2010	Arkansas and Missouri		2	83	2				1	4		1		000000001000000	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1		
R5287	001	0	1	31	11	R5287_001_0	6	08/18/2009	2010.02	08/18/2009 07:55:34 AM Central Daylight Time	09/03/2009 03:08:24 PM Central Daylight Time	09/04/2009 10:47:56 AM Central Daylight Time		09/04/2009 12:42:19 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice Plan 2 (Regional PPO)	11	31		1			R5287	001	0	2010	State of Florida		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671		1		
R5287	002	0	1	31	11	R5287_002_0	5	08/18/2009	2010.02	08/18/2009 08:00:32 AM Central Daylight Time	08/19/2009 12:09:55 PM Central Daylight Time			08/20/2009 09:32:31 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicareComplete.com	AARP MedicareComplete Choice Essential (Regional PPO)	11	31		1			R5287	002	0	2010	State of Florida		2		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(888)-685-8480		(888)-685-8480		(866)-832-8671		(866)-832-8671										1		
R5287	003	0	1	31	11	R5287_003_0	5	08/20/2009	2010.02	08/20/2009 01:28:05 PM Central Daylight Time	08/19/2009 12:10:17 PM Central Daylight Time	08/13/2009 05:58:24 PM Central Daylight Time		08/20/2009 06:25:10 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO)	11	31		1			R5287	003	0	2010	State of Florida		2		2		2		1	3		1	2		https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R5287	801	0	1	31	11	R5287_801_0	5	07/07/2009	2010.02	07/07/2009 09:23:48 AM Central Daylight Time	08/19/2009 01:37:37 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	801	0	2010	State of Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-973-6467		(800)-973-6467		(888)-867-5548		(888)-867-5548		(800)-973-6467		(800)-973-6467		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R5287	802	0	1	31	11	R5287_802_0	5	07/07/2009	2010.02	07/07/2009 09:24:05 AM Central Daylight Time	08/19/2009 01:38:00 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	802	0	2010	State of Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-973-6467		(800)-973-6467										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
R5287	805	0	1	31	11	R5287_805_0	5	07/07/2009	2010.02	07/07/2009 09:24:24 AM Central Daylight Time	08/19/2009 01:38:25 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	805	0	2010	Florida		1		2				2						https://www.AARPMedicareComplete.com/ourplans/findaphysician.html	www.aarpmedicarecomplete.com	(888)-867-5548		(888)-867-5548		(800)-973-6467		(800)-973-6467		(888)-867-5548		(888)-867-5548		(800)-973-6467		(800)-973-6467		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R5342	001	0	1	31	11	R5342_001_0	5	07/27/2009	2010.02	07/27/2009 12:58:00 PM Central Daylight Time	08/17/2009 01:25:12 PM Central Daylight Time	08/13/2009 05:58:28 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice (Regional PPO)	11	31		1			R5342	001	0	2010	State of New York		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
R5342	002	0	1	31	11	R5342_002_0	5	07/27/2009	2010.02	07/27/2009 12:58:29 PM Central Daylight Time	08/17/2009 01:25:27 PM Central Daylight Time			08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice Essential (Regional PPO)	11	31		1			R5342	002	0	2010	State of New York		2		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757										(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074										1		
R5342	003	0	1	31	11	R5342_003_0	4	07/15/2009	2010.02	07/15/2009 04:53:38 PM Central Daylight Time	08/17/2009 01:25:41 PM Central Daylight Time	08/13/2009 05:58:32 PM Central Daylight Time		08/20/2009 04:22:17 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO)	11	31		1			R5342	003	0	2010	State of New York		2		2		2		1	3		1	2		www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
R5342	004	0	1	31	11	R5342_004_0	5	07/27/2009	2010.02	07/27/2009 12:58:55 PM Central Daylight Time	08/17/2009 01:25:55 PM Central Daylight Time	08/13/2009 05:58:37 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RMP (Regional PPO)	11	31		1			R5342	004	0	2010	State of New York		2		2				1	4		1		000110100000000	www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		(800)-387-1074		1		
R5342	801	0	1	31	11	R5342_801_0	5	07/07/2009	2010.02	07/07/2009 09:26:15 AM Central Daylight Time	08/17/2009 01:26:11 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	801	0	2010	State of New York		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(800)-348-1760		(800)-348-1760		(888)-867-5548		(888)-867-5548		(800)-348-1760		(800)-348-1760		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R5342	802	0	1	31	11	R5342_802_0	5	07/07/2009	2010.02	07/07/2009 09:25:34 AM Central Daylight Time	08/17/2009 01:26:25 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	802	0	2010	State of New York		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(800)-348-1760		(800)-348-1760										(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480										1		
R5342	803	0	1	31	11	R5342_803_0	5	07/07/2009	2010.02	07/07/2009 09:26:02 AM Central Daylight Time	08/17/2009 01:26:40 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	803	0	2010	New York		1		2				2						www.SecureHorizons.com	https://www.securehorizons.com/ourplans/searchformulary.html	(888)-867-5548		(888)-867-5548		(800)-348-1760		(800)-348-1760		(888)-867-5548		(888)-867-5548		(800)-348-1760		(800)-348-1760		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		(888)-685-8480		1		
R5566	005	0	1	31	11	R5566_005_0	4	08/18/2009	2010.02	08/18/2009 03:59:19 PM Central Daylight Time	08/13/2009 03:53:26 PM Central Daylight Time	08/13/2009 03:42:08 PM Central Daylight Time		08/19/2009 12:52:48 PM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue PPO	www.YourMedicareSolutions.com	MedicareBlue PPO (Regional PPO)	11	31		1			R5566	005	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2	29892	2				2						www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		1		
R5566	804	0	1	31	11	R5566_804_0	3	08/18/2009	2010.02	08/18/2009 03:59:51 PM Central Daylight Time	08/19/2009 09:02:10 AM Central Daylight Time			08/19/2009 12:52:48 PM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue PPO	www.YourMedicareSolutions.com	Group MedicareBlue PPO Without Rx (Regional PPO)	11	31		1			R5566	804	0	2010	States of IA,MN,MT,ND,NE,SD,WY		1	10492	2				2						www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038										(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550										1		
R5566	805	0	1	31	11	R5566_805_0	3	08/18/2009	2010.02	08/18/2009 04:01:34 PM Central Daylight Time	08/19/2009 09:05:00 AM Central Daylight Time			08/19/2009 12:52:48 PM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue PPO	www.YourMedicareSolutions.com	Group MedicareBlue PPO (Regional PPO)	11	31		1			R5566	805	0	2010	States of IA,MN,MT,ND,NE,SD,WY		1	10492	2				2						www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		1		
R5674	001	0	1	31	11	R5674_001_0	13	07/06/2009	2010.02	07/06/2009 07:29:33 AM Pacific Daylight Time	09/03/2009 10:41:01 AM Pacific Daylight Time	08/17/2009 04:32:53 PM Pacific Daylight Time		09/03/2009 12:57:21 PM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierranevadaspectrum.com	Sierra Nevada Spectrum (Regional PPO)	11	31		1			R5674	001	0	2010	Nevada		2		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
R5674	801	0	1	31	11	R5674_801_0	11	07/13/2009	2010.02	07/13/2009 09:50:46 AM Pacific Daylight Time	08/24/2009 08:47:21 AM Pacific Daylight Time			08/25/2009 09:49:48 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	Basic Group (with Drug) Coverage (Regional PPO)	11	31		1			R5674	801	0	2010	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
R5674	802	0	1	31	11	R5674_802_0	11	07/13/2009	2010.02	07/13/2009 09:52:28 AM Pacific Daylight Time	08/21/2009 12:54:35 PM Pacific Daylight Time			08/25/2009 09:49:48 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	Basic Group MA Only Coverage (Regional PPO)	11	31		1			R5674	802	0	2010	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1		
R5674	803	0	1	31	11	R5674_803_0	11	07/13/2009	2010.02	07/13/2009 09:53:19 AM Pacific Daylight Time	08/21/2009 12:56:33 PM Pacific Daylight Time			08/25/2009 09:49:48 AM Pacific Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	(NCY) Basic Group (With Drug) Coverage (Regional PPO)	11	31		1			R5674	803	0	2010	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1		
R5826	001	0	1	31	11	R5826_001_0	4	07/22/2009	2010.02	07/22/2009 03:16:55 PM Eastern Daylight Time	08/18/2009 03:59:55 PM Eastern Daylight Time	08/19/2009 11:12:41 AM Eastern Daylight Time		08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-001 (Regional PPO)	11	31		1			R5826	001	0	2010	States of Alabama and Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	002	0	1	31	11	R5826_002_0	7	07/22/2009	2010.02	07/22/2009 02:03:08 PM Eastern Daylight Time	08/18/2009 04:32:39 PM Eastern Daylight Time	08/19/2009 11:12:50 AM Eastern Daylight Time		08/20/2009 09:56:36 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-002 (Regional PPO)	11	31		1			R5826	002	0	2010	States of Pennsylvania and West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	003	0	1	31	11	R5826_003_0	3	07/22/2009	2010.02	07/22/2009 02:26:19 PM Eastern Daylight Time	08/18/2009 03:58:37 PM Eastern Daylight Time	08/19/2009 11:12:58 AM Eastern Daylight Time		08/19/2009 04:48:02 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-003 (Regional PPO)	11	31		1			R5826	003	0	2010	States of North Carolina and Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	004	0	1	31	11	R5826_004_0	4	07/22/2009	2010.02	07/22/2009 03:35:43 PM Eastern Daylight Time	08/18/2009 03:59:27 PM Eastern Daylight Time	08/19/2009 11:13:09 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-004 (Regional PPO)	11	31		1			R5826	004	0	2010	States of Georgia and South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	005	0	1	31	11	R5826_005_0	7	07/23/2009	2010.02	07/23/2009 01:46:40 PM Eastern Daylight Time	08/18/2009 05:28:18 PM Eastern Daylight Time	08/19/2009 11:13:19 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-005 (Regional PPO)	11	31		1			R5826	005	0	2010	State of Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	006	0	1	31	11	R5826_006_0	6	08/19/2009	2010.01	08/19/2009 02:10:49 PM Eastern Daylight Time	08/18/2009 03:23:48 PM Eastern Daylight Time	08/19/2009 11:13:27 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-006 (Regional PPO)	11	31		1			R5826	006	0	2010	State of Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	007	0	1	31	11	R5826_007_0	7	07/22/2009	2010.02	07/22/2009 12:15:06 PM Eastern Daylight Time	08/18/2009 04:33:35 PM Eastern Daylight Time	08/19/2009 11:13:35 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-007 (Regional PPO)	11	31		1			R5826	007	0	2010	State of Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	008	0	1	31	11	R5826_008_0	8	07/22/2009	2010.02	07/22/2009 11:47:55 AM Eastern Daylight Time	08/18/2009 04:33:08 PM Eastern Daylight Time	08/19/2009 11:13:43 AM Eastern Daylight Time		08/20/2009 09:31:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-008 (Regional PPO)	11	31		1			R5826	008	0	2010	States of Indiana and Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	009	0	1	31	11	R5826_009_0	7	08/20/2009	2010.01	08/20/2009 09:58:04 AM Eastern Daylight Time	08/18/2009 03:23:16 PM Eastern Daylight Time	08/19/2009 11:13:51 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-009 (Regional PPO)	11	31		1			R5826	009	0	2010	States of Illinois and Wisconsin		2	2792	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	010	0	1	31	11	R5826_010_0	10	07/23/2009	2010.02	07/23/2009 10:20:20 AM Eastern Daylight Time	08/19/2009 04:32:22 PM Eastern Daylight Time	08/19/2009 11:14:00 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-010 (Regional PPO)	11	31		1			R5826	010	0	2010	States of Arkansas and Missouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	011	0	1	31	11	R5826_011_0	3	07/22/2009	2010.02	07/22/2009 02:26:52 PM Eastern Daylight Time	08/18/2009 03:59:01 PM Eastern Daylight Time	08/19/2009 11:14:08 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-011 (Regional PPO)	11	31		1			R5826	011	0	2010	States of Louisiana and Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	012	0	1	31	11	R5826_012_0	7	08/19/2009	2010.02	08/19/2009 11:27:37 AM Eastern Daylight Time	08/18/2009 05:59:43 PM Eastern Daylight Time	08/19/2009 11:14:16 AM Eastern Daylight Time		08/20/2009 03:39:31 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-012 (Regional PPO)	11	31		1			R5826	012	0	2010	State of Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	013	0	1	31	11	R5826_013_0	10	07/23/2009	2010.02	07/23/2009 10:20:54 AM Eastern Daylight Time	08/19/2009 04:31:58 PM Eastern Daylight Time	08/19/2009 11:14:27 AM Eastern Daylight Time		08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-013 (Regional PPO)	11	31		1			R5826	013	0	2010	States of Kansas and Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	014	0	1	31	11	R5826_014_0	7	07/23/2009	2010.02	07/23/2009 09:27:48 AM Eastern Daylight Time	08/18/2009 05:04:06 PM Eastern Daylight Time	08/19/2009 11:14:37 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-014 (Regional PPO)	11	31		1			R5826	014	0	2010	State of Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	018	0	1	31	11	R5826_018_0	7	08/19/2009	2010.02	08/19/2009 12:00:44 PM Eastern Daylight Time	08/18/2009 05:18:53 PM Eastern Daylight Time			08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-018 (Regional PPO)	11	31		1			R5826	018	0	2010	State of Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	021	0	1	31	11	R5826_021_0	5	07/22/2009	2010.02	07/22/2009 12:15:34 PM Eastern Daylight Time	08/18/2009 03:58:49 PM Eastern Daylight Time			08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-021 (Regional PPO)	11	31		1			R5826	021	0	2010	State of Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	023	0	1	31	11	R5826_023_0	5	08/19/2009	2010.01	08/19/2009 02:07:10 PM Eastern Daylight Time	08/18/2009 03:02:52 PM Eastern Daylight Time			08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-023 (Regional PPO)	11	31		1			R5826	023	0	2010	States of Illinois and Wisconsin		2	2471	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	026	0	1	31	11	R5826_026_0	4	08/19/2009	2010.02	08/19/2009 01:44:26 PM Eastern Daylight Time	08/18/2009 05:49:03 PM Eastern Daylight Time			08/20/2009 03:39:31 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-026 (Regional PPO)	11	31		1			R5826	026	0	2010	State of Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	053	0	1	31	11	R5826_053_0	5	08/19/2009	2010.01	08/19/2009 03:18:02 PM Eastern Daylight Time	08/18/2009 03:04:32 PM Eastern Daylight Time			08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-053 (Regional PPO)	11	31		1			R5826	053	0	2010	State of Michigan		2	919	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	062	0	1	31	11	R5826_062_0	8	07/22/2009	2010.02	07/22/2009 12:06:02 PM Eastern Daylight Time	08/18/2009 04:03:59 PM Eastern Daylight Time			08/20/2009 09:56:36 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-062 (Regional PPO)	11	31		1			R5826	062	0	2010	States of Pennsylvania and West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	063	0	1	31	11	R5826_063_0	3	08/18/2009	2010.02	08/18/2009 09:57:41 AM Eastern Daylight Time	08/18/2009 03:26:46 PM Eastern Daylight Time			08/19/2009 04:48:02 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-063 (Regional PPO)	11	31		1			R5826	063	0	2010	States of North Carolina and Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	064	0	1	31	11	R5826_064_0	4	08/18/2009	2010.02	08/18/2009 10:39:42 AM Eastern Daylight Time	08/18/2009 03:30:51 PM Eastern Daylight Time			08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-064 (Regional PPO)	11	31		1			R5826	064	0	2010	States of Georgia and South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	065	0	1	31	11	R5826_065_0	3	08/18/2009	2010.02	08/18/2009 10:01:02 AM Eastern Daylight Time	08/18/2009 03:30:24 PM Eastern Daylight Time			08/19/2009 03:58:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-065 (Regional PPO)	11	31		1			R5826	065	0	2010	States of Alabama and Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	066	0	1	31	11	R5826_066_0	9	08/19/2009	2010.02	08/19/2009 09:35:54 AM Eastern Daylight Time	08/18/2009 04:04:33 PM Eastern Daylight Time			08/20/2009 09:31:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-066 (Regional PPO)	11	31		1			R5826	066	0	2010	States of Indiana and Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	067	0	1	31	11	R5826_067_0	10	08/19/2009	2010.02	08/19/2009 04:15:48 PM Eastern Daylight Time	08/19/2009 04:26:26 PM Eastern Daylight Time			08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-067 (Regional PPO)	11	31		1			R5826	067	0	2010	States of Arkansas and Missouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	068	0	1	31	11	R5826_068_0	3	07/22/2009	2010.02	07/22/2009 02:29:14 PM Eastern Daylight Time	08/18/2009 04:03:42 PM Eastern Daylight Time			08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-068 (Regional PPO)	11	31		1			R5826	068	0	2010	States of Louisiana and Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	069	0	1	31	11	R5826_069_0	10	08/19/2009	2010.02	08/19/2009 04:44:14 PM Eastern Daylight Time	08/19/2009 04:26:48 PM Eastern Daylight Time			08/20/2009 03:08:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-069 (Regional PPO)	11	31		1			R5826	069	0	2010	States of Kansas and Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	070	0	1	31	11	R5826_070_0	5	08/20/2009	2010.02	08/20/2009 03:59:13 PM Eastern Daylight Time	08/18/2009 05:00:00 PM Eastern Daylight Time			08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-070 (Regional PPO)	11	31		1			R5826	070	0	2010	State of Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	072	0	1	31	11	R5826_072_0	5	07/23/2009	2010.01	07/23/2009 03:08:57 PM Eastern Daylight Time	08/18/2009 03:05:42 PM Eastern Daylight Time	08/19/2009 11:14:45 AM Eastern Daylight Time		08/20/2009 01:55:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-072 (Regional PPO)	11	31		1			R5826	072	0	2010	State of Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	074	0	1	31	11	R5826_074_0	7	07/27/2009	2010.02	07/27/2009 04:27:45 PM Eastern Daylight Time	08/18/2009 05:21:55 PM Eastern Daylight Time	08/19/2009 11:14:54 AM Eastern Daylight Time		08/19/2009 04:36:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-074 (Regional PPO)	11	31		1			R5826	074	0	2010	State of Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	075	0	1	31	11	R5826_075_0	4	07/23/2009	2010.02	07/23/2009 01:36:30 PM Eastern Daylight Time	08/18/2009 05:57:20 PM Eastern Daylight Time	08/19/2009 11:15:05 AM Eastern Daylight Time		08/20/2009 03:39:31 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-075 (Regional PPO)	11	31		1			R5826	075	0	2010	State of Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	076	0	1	31	11	R5826_076_0	5	07/23/2009	2010.02	07/23/2009 10:40:53 AM Eastern Daylight Time	08/18/2009 05:02:30 PM Eastern Daylight Time	08/19/2009 11:15:14 AM Eastern Daylight Time		08/20/2009 06:10:50 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-076 (Regional PPO)	11	31		1			R5826	076	0	2010	Arizona Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	077	0	1	31	11	R5826_077_0	3	07/22/2009	2010.02	07/22/2009 03:37:27 PM Eastern Daylight Time	08/18/2009 03:53:46 PM Eastern Daylight Time	08/19/2009 11:15:24 AM Eastern Daylight Time		08/19/2009 03:28:00 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-077 (Regional PPO)	11	31		1			R5826	077	0	2010	Georgia and South Carolina Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	078	0	1	31	11	R5826_078_0	3	07/22/2009	2010.02	07/22/2009 02:29:58 PM Eastern Daylight Time	08/18/2009 03:52:58 PM Eastern Daylight Time	08/19/2009 11:15:32 AM Eastern Daylight Time		08/19/2009 04:32:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-078 (Regional PPO)	11	31		1			R5826	078	0	2010	Louisiana and Mississippi Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	079	0	1	31	11	R5826_079_0	3	07/22/2009	2010.02	07/22/2009 02:30:30 PM Eastern Daylight Time	08/18/2009 03:54:14 PM Eastern Daylight Time	08/19/2009 11:15:41 AM Eastern Daylight Time		08/19/2009 04:48:02 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-079 (Regional PPO)	11	31		1			R5826	079	0	2010	States of North Carolina and Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	080	0	1	31	11	R5826_080_0	6	07/22/2009	2010.02	07/22/2009 12:15:55 PM Eastern Daylight Time	08/18/2009 04:21:30 PM Eastern Daylight Time	08/19/2009 11:15:49 AM Eastern Daylight Time		08/20/2009 01:13:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-080 (Regional PPO)	11	31		1			R5826	080	0	2010	State of Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
R5826	081	0	1	31	11	R5826_081_0	7	08/19/2009	2010.02	08/19/2009 04:28:36 PM Eastern Daylight Time	08/18/2009 04:22:25 PM Eastern Daylight Time	08/19/2009 11:15:58 AM Eastern Daylight Time		08/20/2009 09:56:36 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-081 (Regional PPO)	11	31		1			R5826	081	0	2010	State of Pennsylvania and West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	082	0	1	31	11	R5826_082_0	8	07/22/2009	2010.02	07/22/2009 11:49:43 AM Eastern Daylight Time	08/18/2009 04:21:56 PM Eastern Daylight Time	08/19/2009 11:16:07 AM Eastern Daylight Time		08/20/2009 09:31:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-082 (Regional PPO)	11	31		1			R5826	082	0	2010	States of Indiana and Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	801	0	1	31	11	R5826_801_0	5	07/29/2009	2010.02	07/29/2009 10:36:04 AM Eastern Daylight Time	08/18/2009 11:06:34 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	801	0	2010	States of Alabama and Tennessee		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	802	0	1	31	11	R5826_802_0	4	07/29/2009	2010.02	07/29/2009 10:37:55 AM Eastern Daylight Time	08/18/2009 11:07:16 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	802	0	2010	States of Pennsylvania and West Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	803	0	1	31	11	R5826_803_0	5	07/29/2009	2010.02	07/29/2009 10:39:05 AM Eastern Daylight Time	08/18/2009 11:08:00 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	803	0	2010	States of North Carolina and Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	804	0	1	31	11	R5826_804_0	6	07/29/2009	2010.02	07/29/2009 10:40:15 AM Eastern Daylight Time	08/19/2009 04:19:34 PM Eastern Daylight Time			08/20/2009 12:41:44 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	804	0	2010	States of Georgia and South Carolina		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	805	0	1	31	11	R5826_805_0	5	07/29/2009	2010.02	07/29/2009 10:41:32 AM Eastern Daylight Time	08/18/2009 11:09:20 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	805	0	2010	State of Florida		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	806	0	1	31	11	R5826_806_0	5	07/29/2009	2010.02	07/29/2009 10:42:40 AM Eastern Daylight Time	08/17/2009 04:10:54 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	806	0	2010	State of Michigan		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	807	0	1	31	11	R5826_807_0	7	07/29/2009	2010.02	07/29/2009 10:43:54 AM Eastern Daylight Time	08/18/2009 11:10:02 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	807	0	2010	State of Ohio		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	808	0	1	31	11	R5826_808_0	7	07/29/2009	2010.02	07/29/2009 10:45:05 AM Eastern Daylight Time	08/17/2009 04:40:22 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	808	0	2010	States of Indiana and Kentucky		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	809	0	1	31	11	R5826_809_0	6	07/29/2009	2010.02	07/29/2009 10:46:11 AM Eastern Daylight Time	08/18/2009 11:11:26 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	809	0	2010	States of Illinois and Wisconsin		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	810	0	1	31	11	R5826_810_0	6	07/29/2009	2010.02	07/29/2009 10:47:28 AM Eastern Daylight Time	08/18/2009 11:10:44 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	810	0	2010	States of Arkansas and Missouri		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	811	0	1	31	11	R5826_811_0	6	07/29/2009	2010.02	07/29/2009 10:48:41 AM Eastern Daylight Time	08/17/2009 04:41:02 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	811	0	2010	States of Louisiana and Mississippi		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	812	0	1	31	11	R5826_812_0	6	07/29/2009	2010.02	07/29/2009 10:49:53 AM Eastern Daylight Time	08/18/2009 11:12:12 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	812	0	2010	State of Texas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	813	0	1	31	11	R5826_813_0	5	07/29/2009	2010.02	07/29/2009 10:51:09 AM Eastern Daylight Time	08/17/2009 04:41:42 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	813	0	2010	States of Kansas and Oklahoma		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	814	0	1	31	11	R5826_814_0	10	07/29/2009	2010.02	07/29/2009 10:52:24 AM Eastern Daylight Time	08/17/2009 04:42:20 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	814	0	2010	State of Arizona		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	815	0	1	31	11	R5826_815_0	5	07/29/2009	2010.02	07/29/2009 10:53:47 AM Eastern Daylight Time	08/18/2009 11:12:54 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	815	0	2010	States of Alabama and Tennessee		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	816	0	1	31	11	R5826_816_0	5	07/29/2009	2010.02	07/29/2009 10:55:05 AM Eastern Daylight Time	08/18/2009 11:14:18 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	816	0	2010	States of Pennsylvania and West Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	817	0	1	31	11	R5826_817_0	5	07/29/2009	2010.02	07/29/2009 10:56:26 AM Eastern Daylight Time	08/18/2009 11:15:42 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	817	0	2010	States of North Carolina and Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	818	0	1	31	11	R5826_818_0	5	07/29/2009	2010.02	07/29/2009 10:57:42 AM Eastern Daylight Time	08/18/2009 05:58:00 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	818	0	2010	States of Georgia and South Carolina		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	819	0	1	31	11	R5826_819_0	5	07/29/2009	2010.02	07/29/2009 10:59:10 AM Eastern Daylight Time	08/18/2009 11:18:44 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	819	0	2010	State of Florida		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	820	0	1	31	11	R5826_820_0	5	07/29/2009	2010.02	07/29/2009 11:00:33 AM Eastern Daylight Time	08/17/2009 04:42:58 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	820	0	2010	State of Michigan		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	821	0	1	31	11	R5826_821_0	5	07/29/2009	2010.02	07/29/2009 11:01:57 AM Eastern Daylight Time	08/18/2009 11:20:02 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	821	0	2010	State of Ohio		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	822	0	1	31	11	R5826_822_0	5	07/29/2009	2010.02	07/29/2009 11:03:18 AM Eastern Daylight Time	08/17/2009 04:44:18 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	822	0	2010	States of Indiana and Kentucky		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	823	0	1	31	11	R5826_823_0	5	07/29/2009	2010.02	07/29/2009 11:04:39 AM Eastern Daylight Time	08/17/2009 04:45:40 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	823	0	2010	States of Illinois and Wisconsin		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	824	0	1	31	11	R5826_824_0	5	07/29/2009	2010.02	07/29/2009 11:06:01 AM Eastern Daylight Time	08/18/2009 06:00:04 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	824	0	2010	States of Arkansas and Missouri		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	825	0	1	31	11	R5826_825_0	5	07/29/2009	2010.02	07/29/2009 11:07:24 AM Eastern Daylight Time	08/17/2009 04:47:02 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	825	0	2010	States of Louisiana and Mississippi		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	826	0	1	31	11	R5826_826_0	5	07/29/2009	2010.02	07/29/2009 11:08:51 AM Eastern Daylight Time	08/18/2009 11:22:50 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	826	0	2010	State of Texas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	827	0	1	31	11	R5826_827_0	5	07/29/2009	2010.02	07/29/2009 11:10:16 AM Eastern Daylight Time	08/17/2009 04:48:22 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	827	0	2010	States of Kansas and Oklahoma		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	828	0	1	31	11	R5826_828_0	6	07/29/2009	2010.02	07/29/2009 11:11:43 AM Eastern Daylight Time	08/17/2009 04:49:44 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	828	0	2010	State of Arizona		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1		
R5826	831	0	1	31	11	R5826_831_0	5	07/29/2009	2010.02	07/29/2009 11:13:01 AM Eastern Daylight Time	08/18/2009 11:14:58 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	831	0	2010	States of Pennsylvania and West Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	832	0	1	31	11	R5826_832_0	5	07/29/2009	2010.02	07/29/2009 11:14:22 AM Eastern Daylight Time	08/18/2009 11:16:36 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	832	0	2010	States of North Carolina and Virginia		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	833	0	1	31	11	R5826_833_0	5	07/29/2009	2010.02	07/29/2009 11:15:45 AM Eastern Daylight Time	08/18/2009 05:58:42 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	833	0	2010	States of Georgia and South Carolina		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	834	0	1	31	11	R5826_834_0	5	07/29/2009	2010.02	07/29/2009 11:17:02 AM Eastern Daylight Time	08/18/2009 05:59:22 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	834	0	2010	State of Florida		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	835	0	1	31	11	R5826_835_0	5	07/29/2009	2010.02	07/29/2009 11:18:10 AM Eastern Daylight Time	08/18/2009 11:13:36 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	835	0	2010	States of Alabama and Tennessee		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	836	0	1	31	11	R5826_836_0	5	07/29/2009	2010.02	07/29/2009 11:19:23 AM Eastern Daylight Time	08/17/2009 04:43:38 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	836	0	2010	State of Michigan		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	837	0	1	31	11	R5826_837_0	5	07/29/2009	2010.02	07/29/2009 11:20:35 AM Eastern Daylight Time	08/18/2009 11:20:42 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	837	0	2010	State of Ohio		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	838	0	1	31	11	R5826_838_0	5	07/29/2009	2010.02	07/29/2009 11:21:43 AM Eastern Daylight Time	08/17/2009 04:44:58 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	838	0	2010	States of Indiana and Kentucky		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	839	0	1	31	11	R5826_839_0	5	07/29/2009	2010.02	07/29/2009 11:23:00 AM Eastern Daylight Time	08/17/2009 04:46:20 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	839	0	2010	States of Illinois and Wisconsin		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	840	0	1	31	11	R5826_840_0	5	07/29/2009	2010.02	07/29/2009 11:24:13 AM Eastern Daylight Time	08/18/2009 06:00:44 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	840	0	2010	States of Arkansas and Missouri		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	841	0	1	31	11	R5826_841_0	5	07/29/2009	2010.02	07/29/2009 11:25:30 AM Eastern Daylight Time	08/17/2009 04:47:42 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	841	0	2010	States of Louisiana and Mississippi		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	842	0	1	31	11	R5826_842_0	5	07/29/2009	2010.02	07/29/2009 11:26:39 AM Eastern Daylight Time	08/18/2009 11:23:36 AM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	842	0	2010	State of Texas		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	843	0	1	31	11	R5826_843_0	5	07/29/2009	2010.02	07/29/2009 11:27:54 AM Eastern Daylight Time	08/17/2009 04:49:04 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	843	0	2010	States of Kansas and Oklahoma		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5826	844	0	1	31	11	R5826_844_0	6	07/29/2009	2010.02	07/29/2009 11:29:03 AM Eastern Daylight Time	08/17/2009 04:50:22 PM Eastern Daylight Time			08/19/2009 08:21:59 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	844	0	2010	State of Arizona		1		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1		
R5941	001	0	1	31	11	R5941_001_0	10	08/20/2009	2010.02	08/20/2009 06:47:14 PM Eastern Daylight Time	08/20/2009 10:09:29 PM Eastern Daylight Time	08/17/2009 05:28:06 PM Eastern Daylight Time		08/20/2009 11:26:03 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Standard (Regional PPO)	11	31		1			R5941	001	0	2010	Ohio		2	12351	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	003	0	1	31	11	R5941_003_0	11	08/20/2009	2010.02	08/20/2009 06:47:34 PM Eastern Daylight Time	08/20/2009 10:14:41 PM Eastern Daylight Time	08/17/2009 05:29:26 PM Eastern Daylight Time		08/20/2009 11:26:03 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Standard (Regional PPO)	11	31		1			R5941	003	0	2010	Indiana and Kentucky		2	11676	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	007	0	1	31	11	R5941_007_0	10	08/24/2009	2010.02	08/24/2009 05:16:40 PM Eastern Daylight Time	08/24/2009 10:28:49 AM Eastern Daylight Time			08/24/2009 05:18:13 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Classic (Regional PPO)	11	31		1			R5941	007	0	2010	Ohio		2	3000	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
R5941	008	0	1	31	11	R5941_008_0	9	08/20/2009	2010.02	08/20/2009 06:29:02 PM Eastern Daylight Time	08/20/2009 10:11:50 PM Eastern Daylight Time	08/17/2009 05:31:32 PM Eastern Daylight Time		08/20/2009 11:26:03 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Value (Regional PPO)	11	31		1			R5941	008	0	2010	Ohio		2	6100	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	009	0	1	31	11	R5941_009_0	8	08/04/2009	2010.02	08/04/2009 11:35:16 AM Eastern Daylight Time	08/19/2009 10:58:16 AM Eastern Daylight Time	08/17/2009 05:40:30 PM Eastern Daylight Time		08/20/2009 11:26:03 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Value (Regional PPO)	11	31		1			R5941	009	0	2010	Indiana and Kentucky		2	300	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	801	0	1	31	11	R5941_801_0	8	07/29/2009	2010.02	07/29/2009 08:40:29 PM Pacific Daylight Time	08/17/2009 06:03:21 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	801	0	2010	Ohio		1	473	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	802	0	1	31	11	R5941_802_0	7	07/29/2009	2010.02	07/29/2009 08:43:54 PM Pacific Daylight Time	08/17/2009 06:04:31 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	802	0	2010	Indiana and Kentucky		1	1948	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	805	0	1	31	11	R5941_805_0	7	07/29/2009	2010.02	07/29/2009 08:44:10 PM Pacific Daylight Time	08/17/2009 06:08:53 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	805	0	2010	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
R5941	806	0	1	31	11	R5941_806_0	7	07/29/2009	2010.02	07/29/2009 08:54:43 PM Pacific Daylight Time	08/17/2009 06:11:57 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	806	0	2010	Indiana and Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1		
R5941	807	0	1	31	11	R5941_807_0	7	07/29/2009	2010.02	07/29/2009 08:54:58 PM Pacific Daylight Time	08/17/2009 06:14:34 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	807	0	2010	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R5941	808	0	1	31	11	R5941_808_0	7	07/29/2009	2010.02	07/29/2009 09:15:20 PM Pacific Daylight Time	08/17/2009 06:17:07 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access (Regional PPO)	11	31		1			R5941	808	0	2010	Indiana and Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1		
R6801	008	0	1	31	11	R6801_008_0	7	08/17/2009	2010.02	08/17/2009 11:52:16 AM Eastern Daylight Time	08/18/2009 01:01:10 PM Eastern Daylight Time	08/14/2009 09:59:34 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Low (Regional PPO)	11	31		1			R6801	008	0	2010	Texas		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(877)-625-2207		(877)-625-2207		(866)-673-3561		(866)-673-3561		(877)-625-2207		(877)-625-2207		(800)-713-1603		(800)-713-1603		(866)-679-3052		(866)-679-3052		(866)-673-3563		(866)-673-3563		(866)-679-3052		(866)-679-3052		1		
R6801	009	0	1	31	11	R6801_009_0	10	08/27/2009	2010.02	08/27/2009 10:27:21 AM Eastern Daylight Time	08/27/2009 10:26:10 AM Eastern Daylight Time	08/14/2009 09:59:58 AM Eastern Daylight Time		08/27/2009 11:04:04 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Mid (Regional PPO)	11	31		1			R6801	009	0	2010	Texas		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(877)-625-2207		(877)-625-2207		(866)-673-3561		(866)-673-3561		(877)-625-2207		(877)-625-2207		(800)-713-1603		(800)-713-1603		(866)-679-3052		(866)-679-3052		(866)-673-3563		(866)-673-3563		(866)-679-3052		(866)-679-3052		1		
R6801	010	0	1	31	11	R6801_010_0	7	08/17/2009	2010.02	08/17/2009 11:13:39 AM Eastern Daylight Time	08/18/2009 01:04:22 PM Eastern Daylight Time	08/14/2009 10:00:26 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Mid-Lis (Regional PPO)	11	31		1			R6801	010	0	2010	Texas		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(877)-625-2207		(877)-625-2207		(866)-673-3561		(866)-673-3561		(877)-625-2207		(877)-625-2207		(800)-713-1603		(800)-713-1603		(866)-679-3052		(866)-679-3052		(866)-673-3563		(866)-673-3563		(866)-679-3052		(866)-679-3052		1		
R6801	011	0	1	31	11	R6801_011_0	8	08/20/2009	2010.02	08/20/2009 10:07:41 AM Eastern Daylight Time	08/19/2009 12:36:26 PM Eastern Daylight Time	08/14/2009 10:00:48 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus D-SNP (Regional PPO)	11	31		1			R6801	011	0	2010	Texas		2		2		2		1	3		1	5		http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(877)-625-2207		(877)-625-2207		(866)-673-3561		(866)-673-3561		(877)-625-2207		(877)-625-2207		(800)-713-1603		(800)-713-1603		(866)-679-3052		(866)-679-3052		(866)-673-3563		(866)-673-3563		(866)-679-3052		(866)-679-3052		1		
R6801	012	0	1	31	11	R6801_012_0	6	08/17/2009	2010.02	08/17/2009 11:15:29 AM Eastern Daylight Time	08/18/2009 12:50:26 PM Eastern Daylight Time	08/14/2009 10:01:12 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus MA-PD (Regional PPO)	11	31		1			R6801	012	0	2010	Texas		2		2				2						http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(877)-625-2207		(877)-625-2207		(866)-673-3561		(866)-673-3561		(877)-625-2207		(877)-625-2207		(800)-713-1603		(800)-713-1603		(866)-679-3052		(866)-679-3052		(866)-673-3563		(866)-673-3563		(866)-679-3052		(866)-679-3052		1		
R6801	020	0	1	31	11	R6801_020_0	4	11/18/2009	2010.02	11/18/2009 09:37:38 AM Eastern Standard Time		11/13/2009 03:47:00 PM Eastern Standard Time		11/18/2009 11:17:26 AM Eastern Standard Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus ESRD (Regional PPO)	11	31		1			R6801	020	0	2010	Texas		2	194	2				1	4		1		000000001000000	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1		
R7444	001	0	1	31	11	R7444_001_0	4	07/29/2009	2010.02	07/29/2009 03:53:44 PM Central Daylight Time	08/14/2009 04:28:02 PM Central Daylight Time	08/13/2009 05:58:40 PM Central Daylight Time		08/18/2009 02:32:44 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.AARPMedicareComplete.com	AARP MedicareComplete Choice (Regional PPO)	11	31		1			R7444	001	0	2010	New England		2		2				2						www.SecureHorizons.com	www.aarpmedicarecomplete.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		(888)-685-8480		(888)-685-8480		(800)-387-1074		(800)-387-1074		1		
R7444	801	0	1	31	11	R7444_801_0	4	07/29/2009	2010.02	07/29/2009 04:48:53 PM Central Daylight Time	08/14/2009 04:28:19 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	801	0	2010	Central New England Connecticut, Massachusetts		1		2				2						www.SecureHorizons.com	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
R7444	802	0	1	31	11	R7444_802_0	4	07/29/2009	2010.02	07/29/2009 04:49:25 PM Central Daylight Time	08/14/2009 04:28:35 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	802	0	2010	Central New England (Connecticut, Massachusetts		1		2				2						www.SecureHorizons.com	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(800)-303-6720		(800)-303-6720										(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874										1		
R7444	803	0	1	31	11	R7444_803_0	4	07/29/2009	2010.02	07/29/2009 04:49:41 PM Central Daylight Time	08/14/2009 04:28:52 PM Central Daylight Time			08/19/2009 04:52:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	AARP MedicareComplete from SecureHorizons	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	803	0	2010	Central New England (Connecticut, Massachusetts		1		2				2						www.SecureHorizons.com	www.aarpmedicarecomplete.com	(800)-854-4317		(800)-854-4317		(800)-303-6720		(800)-303-6720		(800)-234-1228		(800)-234-1228		(800)-303-6720		(800)-303-6720		(888)-685-8480		(888)-685-8480		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		(800)-201-4874		1		
R9896	008	0	1	31	11	R9896_008_0	8	08/17/2009	2010.02	08/17/2009 11:52:36 AM Eastern Daylight Time	08/18/2009 01:00:04 PM Eastern Daylight Time	08/14/2009 10:02:32 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus  Low (Regional PPO)	11	31		1			R9896	008	0	2010	Georgia and South Carolina		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-766-8698		(866)-766-8698		(866)-673-3561		(866)-673-3561		(866)-766-8698		(866)-766-8698		(800)-713-1603		(800)-713-1603		(866)-766-8695		(866)-766-8695		(866)-673-3563		(866)-673-3563		(866)-766-8695		(866)-766-8695		1		
R9896	009	0	1	31	11	R9896_009_0	7	08/17/2009	2010.02	08/17/2009 11:26:03 AM Eastern Daylight Time	08/18/2009 01:01:40 PM Eastern Daylight Time	08/14/2009 10:03:00 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Mid (Regional PPO)	11	31		1			R9896	009	0	2010	Georgia and South Carolina		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-766-8698		(866)-766-8698		(866)-673-3561		(866)-673-3561		(866)-766-8698		(866)-766-8698		(800)-713-1603		(800)-713-1603		(866)-766-8695		(866)-766-8695		(866)-673-3563		(866)-673-3563		(866)-766-8695		(866)-766-8695		1		
R9896	010	0	1	31	11	R9896_010_0	8	08/17/2009	2010.02	08/17/2009 11:26:40 AM Eastern Daylight Time	08/18/2009 01:02:24 PM Eastern Daylight Time	08/14/2009 10:03:28 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus  Mid-Lis (Regional PPO)	11	31		1			R9896	010	0	2010	Georgia and South Carolina		2		2				1	4		1		000010100000000	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-766-8698		(866)-766-8698		(866)-673-3561		(866)-673-3561		(866)-766-8698		(866)-766-8698		(800)-713-1603		(800)-713-1603		(866)-766-8695		(866)-766-8695		(866)-673-3563		(866)-673-3563		(866)-766-8695		(866)-766-8695		1		
R9896	012	0	1	31	11	R9896_012_0	7	08/17/2009	2010.02	08/17/2009 11:32:01 AM Eastern Daylight Time	08/18/2009 10:43:32 AM Eastern Daylight Time	08/14/2009 10:04:14 AM Eastern Daylight Time		08/20/2009 12:55:59 PM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus  MA-PD (Regional PPO)	11	31		1			R9896	012	0	2010	Georgia and South Carolina		2		2				2						http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(866)-766-8698		(866)-766-8698		(866)-673-3561		(866)-673-3561		(866)-766-8698		(866)-766-8698		(800)-713-1603		(800)-713-1603		(866)-766-8695		(866)-766-8695		(866)-673-3563		(866)-673-3563		(866)-766-8695		(866)-766-8695		1		
R9896	020	0	1	31	11	R9896_020_0	3	11/18/2009	2010.02	11/18/2009 09:38:15 AM Eastern Standard Time		11/13/2009 03:46:00 PM Eastern Standard Time		11/18/2009 11:17:26 AM Eastern Standard Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus ESRD (Regional PPO)	11	31		1			R9896	020	0	2010	Georgia and South Carolina		2	523	2				1	4		1		000000001000000	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1		
R9943	001	0	1	31	11	R9943_001_0	9	08/20/2009	2010.02	08/20/2009 04:18:46 PM Eastern Daylight Time	08/20/2009 03:23:11 PM Eastern Daylight Time	08/17/2009 06:04:00 PM Eastern Daylight Time		08/20/2009 10:47:40 PM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue Plan I (Regional PPO)	11	31		1			R9943	001	0	2010	California		2	47821	1	1			2							www.bluecrossca.com	(877)-811-3107		(877)-811-3107		(888)-211-9813		(888)-211-9813		(877)-811-3107		(877)-811-3107		(888)-211-9813		(888)-211-9813				(877)-247-1657		(800)-241-6894		(800)-241-6894				(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
R9943	003	0	1	31	11	R9943_003_0	11	11/18/2009	2010.02	11/18/2009 05:37:41 PM Eastern Standard Time	11/16/2009 01:20:38 PM Eastern Standard Time	11/16/2009 01:22:51 PM Eastern Standard Time		11/19/2009 02:31:06 PM Eastern Standard Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue Plus (Regional PPO)	11	31		1			R9943	003	0	2010	California		2	2500	1	1			2							www.bluecrossca.com	(877)-811-3107		(877)-811-3107		(888)-211-9813		(888)-211-9813		(877)-811-3107		(877)-811-3107		(888)-211-9813		(888)-211-9813				(877)-247-1657		(800)-241-6894		(800)-241-6894				(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
R9943	004	0	1	31	11	R9943_004_0	7	08/20/2009	2010.02	08/20/2009 04:19:39 PM Eastern Daylight Time	08/20/2009 03:24:32 PM Eastern Daylight Time			08/20/2009 10:47:40 PM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue Classic (Regional PPO)	11	31		1			R9943	004	0	2010	California		2	300	1	1			2							www.bluecrossca.com	(877)-811-3107		(877)-811-3107		(888)-211-9813		(888)-211-9813												(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
R9943	805	0	1	31	11	R9943_805_0	7	07/29/2009	2010.02	07/29/2009 08:38:19 PM Pacific Daylight Time	08/17/2009 06:18:41 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	805	0	2010	California		1	225	2				2							www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949				(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(877)-247-1657		(877)-247-1657		1		
R9943	806	0	1	31	11	R9943_806_0	6	07/29/2009	2010.02	07/29/2009 08:38:07 PM Pacific Daylight Time	08/17/2009 06:19:50 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	806	0	2010	California		1	50	2				2							www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949												(877)-247-1657		(800)-241-6894		(800)-241-6894										1		
R9943	807	0	1	31	11	R9943_807_0	6	07/29/2009	2010.02	07/29/2009 08:37:48 PM Pacific Daylight Time	08/17/2009 06:21:13 PM Pacific Daylight Time			08/17/2009 06:25:16 PM Pacific Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	807	0	2010	California		1	50	2				2							www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949				(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(877)-247-1657		(877)-247-1657		1		
S0043	009	0		29	10	S0043_009_0	1	05/27/2009	2010.02	05/27/2009 07:23:39 PM SA Western Standard Time		05/30/2009 02:42:56 PM SA Western Standard Time		06/01/2009 10:46:59 AM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax One (PDP)	10	29					S0043	009	0	2010	Puerto Rico		2						2							http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
S0043	010	0		29	10	S0043_010_0	1	05/30/2009	2010.02	05/30/2009 08:23:08 AM SA Western Standard Time		05/30/2009 07:04:07 PM SA Western Standard Time		06/01/2009 10:46:59 AM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax  Plus (PDP)	10	29					S0043	010	0	2010	Puerto Rico		2						2							http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
S0043	013	0		29	10	S0043_013_0	3	07/31/2009	2010.02	07/31/2009 01:34:57 PM SA Western Standard Time		05/30/2009 02:43:52 PM SA Western Standard Time		07/31/2009 01:39:05 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax Elite (PDP)	10	29					S0043	013	0	2010	Puerto Rico		2						2							http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(866)-516-7700		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1		
S0197	002	0		29	10	S0197_002_0	2	05/31/2009	2010.02	05/31/2009 12:59:07 PM Eastern Daylight Time		07/22/2009 08:11:32 PM Eastern Daylight Time		07/24/2009 03:19:04 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S0197	002	0	2010	AdvantraRx Value New York		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	003	0		29	10	S0197_003_0	2	05/31/2009	2010.02	05/31/2009 01:04:41 PM Eastern Daylight Time		07/22/2009 08:17:24 PM Eastern Daylight Time		07/24/2009 03:19:04 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S0197	003	0	2010	AdvantraRx Premier New York		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	005	0		29	10	S0197_005_0	2	05/31/2009	2010.02	05/31/2009 01:05:23 PM Eastern Daylight Time		07/22/2009 08:20:46 PM Eastern Daylight Time		07/24/2009 03:19:04 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S0197	005	0	2010	AdvantraRx Premier Plus New York		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	809	0		29	10	S0197_809_0	2	06/02/2009	2010.02	06/02/2009 03:36:47 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10450-CY (PDP)	10	29					S0197	809	0	2010	AdvantraRx Employer Group-10450-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	810	0		29	10	S0197_810_0	2	06/02/2009	2010.02	06/02/2009 03:36:52 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10450-NCY (PDP)	10	29					S0197	810	0	2010	AdvantraRx Employer Group-10450-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	811	0		29	10	S0197_811_0	2	06/02/2009	2010.02	06/02/2009 03:36:55 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-CY (PDP)	10	29					S0197	811	0	2010	AdvantraRx Employer Group-10446-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	812	0		29	10	S0197_812_0	2	06/02/2009	2010.02	06/02/2009 03:36:59 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-NCY (PDP)	10	29					S0197	812	0	2010	AdvantraRx Employer Group-10446-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	813	0		29	10	S0197_813_0	2	06/02/2009	2010.02	06/02/2009 03:37:03 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-CY (PDP)	10	29					S0197	813	0	2010	AdvantraRx Employer Group-10448-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	814	0		29	10	S0197_814_0	2	06/02/2009	2010.02	06/02/2009 03:37:07 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-NCY (PDP)	10	29					S0197	814	0	2010	AdvantraRx Employer Group-10448-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	815	0		29	10	S0197_815_0	2	06/02/2009	2010.02	06/02/2009 03:37:11 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10451-CY (PDP)	10	29					S0197	815	0	2010	AdvantraRx Employer Group-10451-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	816	0		29	10	S0197_816_0	2	06/02/2009	2010.02	06/02/2009 03:37:15 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10451-NCY (PDP)	10	29					S0197	816	0	2010	AdvantraRx Employer Group-10451-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	817	0		29	10	S0197_817_0	2	06/02/2009	2010.02	06/02/2009 03:37:20 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-CY (PDP)	10	29					S0197	817	0	2010	AdvantraRx Employer Group-10460-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0197	818	0		29	10	S0197_818_0	2	06/02/2009	2010.02	06/02/2009 03:37:24 PM Eastern Daylight Time				06/02/2009 03:39:12 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-NCY (PDP)	10	29					S0197	818	0	2010	AdvantraRx Employer Group-10460-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S0655	001	0		29	10	S0655_001_0	2	05/27/2009	2010.02	05/27/2009 05:39:00 PM Eastern Daylight Time		05/31/2009 01:24:00 PM Eastern Daylight Time		06/01/2009 12:07:35 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	www.tuftshealthplan.com/medicare	Tufts Health Plan Medicare Preferred PDP Standard (PDP)	10	29					S0655	001	0	2010	Central New England (CT, MA, RI, VT)		2						2							http://www.tuftshealthplan.com/medicare									(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
S0655	002	0		29	10	S0655_002_0	2	05/28/2009	2010.02	05/28/2009 08:17:07 AM Eastern Daylight Time		05/31/2009 01:24:00 PM Eastern Daylight Time		06/01/2009 12:07:35 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	www.tuftshealthplan.com/medicare	Tufts Health Plan Medicare Preferred PDP Enhanced (PDP)	10	29					S0655	002	0	2010	Central New England (CT, MA, RI, VT)		2						2							http://www.tuftshealthplan.com/medicare									(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
S0655	003	0		29	10	S0655_003_0	2	05/28/2009	2010.02	05/28/2009 10:21:30 AM Eastern Daylight Time		05/31/2009 01:25:00 PM Eastern Daylight Time		06/01/2009 12:07:35 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	www.tuftshealthplan.com/medicare	Tufts Health Plan Medicare Preferred PDP Premier (PDP)	10	29					S0655	003	0	2010	Central New England (CT, MA, RI, VT)		2						2							http://www.tuftshealthplan.com/medicare									(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
S0655	801	0		29	10	S0655_801_0	2	05/21/2009	2010.02	05/21/2009 09:05:46 AM Eastern Daylight Time				06/01/2009 12:07:35 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	www.tuftshealthplan.com/medicare	Tufts Health Plan Medicare Preferred PDP Group (PDP)	10	29					S0655	801	0	2010	Massachusetts and Nationwide		1						2							http://www.tuftshealthplan.com/medicare									(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
S0655	802	0		29	10	S0655_802_0	2	05/29/2009	2010.02	05/29/2009 05:07:59 PM Eastern Daylight Time				06/01/2009 12:07:35 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	www.tuftshealthplan.com/medicare	Tufts Health Plan Medicare Preferred PDP Group (PDP)	10	29					S0655	802	0	2010	Massachusetts and Nationwide		1						2							http://www.tuftshealthplan.com/medicare									(800)-701-9000		(800)-701-9000		(800)-254-2475		(800)-254-2475										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1		
S1030	001	0		29	10	S1030_001_0	2	05/18/2009	2010.02	05/18/2009 07:52:13 AM Central Daylight Time		05/29/2009 01:22:52 PM Central Daylight Time		05/29/2009 01:46:44 PM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Option II (PDP)	10	29					S1030	001	0	2010	State of Alabama, State of Tennessee		2						2							www.bcbsalmedicare.com/2010/tools									(800)-327-3998		(800)-327-3998		(877)-233-3555		(877)-233-3555										(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
S1030	006	0		29	10	S1030_006_0	2	05/18/2009	2010.02	05/18/2009 07:54:46 AM Central Daylight Time		05/29/2009 01:24:10 PM Central Daylight Time		05/29/2009 01:46:44 PM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Option I (PDP)	10	29					S1030	006	0	2010	State of Alabama, State of Tennessee		2						2							www.bcbsalmedicare.com/2010/tools									(800)-327-3998		(800)-327-3998		(877)-233-3555		(877)-233-3555										(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
S1030	801	0		29	10	S1030_801_0	1	05/26/2009	2010.02	05/26/2009 05:22:14 PM Central Daylight Time				05/27/2009 03:17:16 PM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Employer Group Plan 801 (PDP)	10	29					S1030	801	0	2010	State of Alabama, State of Tennessee		1						2							www.bcbsalmedicare.com/2010/tools									(800)-327-3998		(800)-327-3998		(877)-233-3555		(877)-233-3555										(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
S1030	802	0		29	10	S1030_802_0	1	05/26/2009	2010.02	05/26/2009 05:22:22 PM Central Daylight Time				05/27/2009 03:52:09 PM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Employer Group Plan 802 (PDP)	10	29					S1030	802	0	2010	State of Alabama, State of Tennessee		1						2							www.bcbsalmedicare.com/2010/tools									(800)-327-3998		(800)-327-3998		(877)-233-3555		(877)-233-3555										(800)-257-3384		(800)-257-3384		(800)-257-3384		(800)-257-3384		1		
S1822	801	0		29	10	S1822_801_0	1	04/29/2009	2010.02	04/29/2009 04:54:41 PM Central Daylight Time				05/27/2009 01:11:27 PM Central Daylight Time	HEALTHPARTNERS, INC	HealthPartners National PDP	healthpartners.com/medicare	HealthPartners Prescription Drug Plan CY (PDP)	10	29					S1822	801	0	2010	Nationwide		1						2							Healthpartners.com/partdpharmacy									(877)-816-9539		(952)-883-7373		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
S1822	802	0		29	10	S1822_802_0	1	04/29/2009	2010.02	04/29/2009 04:55:03 PM Central Daylight Time				05/27/2009 01:13:56 PM Central Daylight Time	HEALTHPARTNERS, INC	HealthPartners National PDP	healthpartners.com/medicare	HealthPartners Prescription Drug Plan NCY (PDP)	10	29					S1822	802	0	2010	Nationwide		1						2							Healthpartners.com/partdpharmacy									(877)-816-9539		(952)-883-7373		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1		
S2321	001	0		29	10	S2321_001_0	1	05/22/2009	2010.02	05/22/2009 02:37:16 PM Eastern Daylight Time		06/01/2009 04:39:11 PM Eastern Daylight Time		06/01/2009 04:51:52 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Rx	www.amerihealth65.com	AmeriHealth Rx Option I (PDP)	10	29					S2321	001	0	2010	Pennsylvania, West Virginia		2						2							http://www.amerihealth.com/amerihealth65/2008/rx_pa_wv/drug_formulary/index.html:									(888)-678-7007		(888)-678-7007		(866)-456-1690		(866)-456-1690										(888)-457-3002		(888)-457-3002		(877)-219-5457		(877)-219-5457		1		
S2321	002	0		29	10	S2321_002_0	2	07/27/2009	2010.02	07/27/2009 04:49:42 PM Eastern Daylight Time		07/20/2009 04:00:00 PM Eastern Daylight Time		07/27/2009 05:00:18 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Rx	www.amerihealth65.com	AmeriHealth Rx Option II (PDP)	10	29					S2321	002	0	2010	Pennsylvania, West Virginia		2						2							http://www.amerihealth.com/amerihealth65/2008/rx_pa_wv/drug_formulary/index.html:									(888)-678-7007		(888)-678-7007		(866)-456-1690		(866)-456-1690										(888)-457-3002		(888)-457-3002		(877)-219-5457				1		
S2468	001	0		29	10	S2468_001_0	2	05/27/2009	2010.02	05/27/2009 10:18:21 AM Pacific Daylight Time		05/27/2009 07:10:15 PM Pacific Daylight Time		05/28/2009 03:36:59 PM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield Medicare Rx Enhanced Plan (PDP)	10	29					S2468	001	0	2010	State of California		2						2							https://www.blueshieldca.com/medicarepartdplans/formulary/									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1		
S2468	002	0		29	10	S2468_002_0	2	05/27/2009	2010.02	05/27/2009 10:19:23 AM Pacific Daylight Time		05/27/2009 07:09:08 PM Pacific Daylight Time		05/28/2009 03:39:57 PM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield Medicare Rx Plan (PDP)	10	29					S2468	002	0	2010	State of California		2						2							https://www.blueshieldca.com/medicarepartdplans/formulary/									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1		
S2468	801	0		29	10	S2468_801_0	1	05/27/2009	2010.02	05/27/2009 09:45:08 AM Pacific Daylight Time				05/29/2009 09:13:34 AM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield of California Medicare Rx Plan (PDP)	10	29					S2468	801	0	2010	PDP Employer Group Plan		1						2							https://www.blueshieldca.com/medicarepartdplans/formulary/									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1		
S2468	802	0		29	10	S2468_802_0	1	05/27/2009	2010.02	05/27/2009 10:25:40 AM Pacific Daylight Time				05/29/2009 09:16:58 AM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield of California Medicare Rx Plan (PDP)	10	29					S2468	802	0	2010	PDP Employer Group Plan		1						2							https://www.blueshieldca.com/medicarepartdplans/formulary/									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1		
S2505	001	0		29	10	S2505_001_0	2	06/01/2009	2010.02	06/01/2009 10:17:25 AM Central Daylight Time		07/27/2009 04:03:18 PM Central Daylight Time		07/31/2009 10:09:57 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	001	0	2010	Alabama and Tennessee		2						2							www.windsorrx.com									(800)-875-4068		(615)-782-7969		(800)-811-8482		(800)-811-8482										(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		1		
S2505	003	0		29	10	S2505_003_0	2	06/01/2009	2010.02	06/01/2009 06:58:08 PM Central Daylight Time		07/27/2009 04:03:36 PM Central Daylight Time		07/31/2009 10:09:57 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	003	0	2010	Arkansas		2						2							www.windsorrx.com									(800)-875-4068		(615)-782-7969		(800)-811-8482		(800)-811-8482										(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		1		
S2505	005	0		29	10	S2505_005_0	2	06/01/2009	2010.02	06/01/2009 10:18:28 AM Central Daylight Time		07/27/2009 04:04:08 PM Central Daylight Time		07/31/2009 10:09:57 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	005	0	2010	Mississippi		2						2							www.windsorrx.com									(800)-875-4068		(615)-782-7969		(800)-811-8482		(800)-811-8482										(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		1		
S2505	007	0		29	10	S2505_007_0	2	06/01/2009	2010.02	06/01/2009 10:19:12 AM Central Daylight Time		07/27/2009 04:04:26 PM Central Daylight Time		07/31/2009 10:09:57 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	007	0	2010	South Carolina		2						2							www.windsorrx.com									(800)-875-4068		(615)-782-7969		(800)-811-8482		(800)-811-8482										(800)-848-0298		(800)-848-0298		(800)-848-0298		(800)-848-0298		1		
S2770	001	0		29	10	S2770_001_0	1	05/29/2009	2010.02	05/29/2009 01:27:25 PM Eastern Daylight Time		06/01/2009 04:33:03 PM Eastern Daylight Time		06/01/2009 04:51:52 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Advantage	www.amerihealth65.com	AmeriHealth Advantage (PDP)	10	29					S2770	001	0	2010	Pennsylvania,West Virginia		2						2							http://www.amerihealth.com/amerihealth65/2008/ahadvantage/formulary.html									(888)-567-9129		(888)-567-9129		(866)-456-1695		(866)-456-1695										(888)-457-3002		(888)-457-3002		(866)-456-1683		(866)-456-1683		1		
S2873	001	0		29	10	S2873_001_0	2	07/07/2009	2010.02	07/07/2009 12:59:11 AM Venezuela Standard Time		06/17/2009 10:32:00 AM Venezuela Standard Time		07/07/2009 01:01:43 AM Venezuela Standard Time	PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC.	Bella Vista PharmaCare	www.bellavistamedcare.com	Royal (PDP)	10	29					S2873	001	0	2010	Puerto Rico		2						2							www.bellavistamedcare.com									(888)-833-8074		(787)-833-8074		(888)-833-8074		(787)-833-8074										(888)-833-8076		(787)-833-8076		(888)-833-8076		(787)-833-8076		1		
S2873	002	0		29	10	S2873_002_0	2	06/29/2009	2010.02	06/29/2009 10:15:21 PM Venezuela Standard Time		06/17/2009 10:32:50 AM Venezuela Standard Time		06/29/2009 10:17:38 PM Venezuela Standard Time	PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC.	Bella Vista PharmaCare	www.bellavistamedcare.com	Royal Deluxe (PDP)	10	29					S2873	002	0	2010	Puerto Rico		2						2							www.bellavistamedcare.com									(888)-833-8074		(787)-833-8074		(888)-833-8074		(787)-833-8074										(888)-833-8076		(787)-833-8076		(888)-833-8076		(787)-833-8076		1		
S2873	003	0		29	10	S2873_003_0	4	07/30/2009	2010.02	07/30/2009 09:27:28 PM Venezuela Standard Time		07/29/2009 11:14:12 PM Venezuela Standard Time		07/31/2009 06:26:48 PM Venezuela Standard Time	PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC.	Bella Vista PharmaCare	www.bellavistamedcare.com	Royal Supreme (PDP)	10	29					S2873	003	0	2010	Puerto Rico		2						2							www.bellavistamedcare.com									(888)-833-8074		(787)-833-8074		(888)-833-8074		(787)-833-8074										(888)-833-8076		(787)-833-8076		(888)-833-8076		(787)-833-8076		1		
S2874	001	0		29	10	S2874_001_0	1	05/27/2009	2010.02	05/27/2009 06:23:51 PM Eastern Daylight Time		05/28/2009 01:36:47 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Standard S2874-001 (PDP)	10	29					S2874	001	0	2010	Puerto Rico - Island Wide		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560				(800)-722-2850				1		
S2874	002	0		29	10	S2874_002_0	1	05/27/2009	2010.02	05/27/2009 03:40:51 PM Eastern Daylight Time		05/28/2009 01:36:51 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Enhanced S2874-002 (PDP)	10	29					S2874	002	0	2010	Puerto Rico - Island Wide		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560				(800)-722-2850				1		
S2874	801	0		29	10	S2874_801_0	4	05/26/2009	2010.02	05/26/2009 09:13:54 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S2874	801	0	2010	Puerto Rico		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560				(800)-722-2850				1		
S2874	802	0		29	10	S2874_802_0	4	05/26/2009	2010.02	05/26/2009 09:14:34 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S2874	802	0	2010	Puerto Rico		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560				(800)-722-2850				1		
S2893	001	0		29	10	S2893_001_0	1	05/27/2009	2010.02	05/27/2009 01:05:01 PM Pacific Daylight Time		05/28/2009 08:21:14 AM Pacific Daylight Time		05/28/2009 08:33:25 AM Pacific Daylight Time	BLUE MEDICARERX	Blue MedicareRx	www.rxmedicareplans.com	Blue MedicareRx Value Plus (PDP)	10	29					S2893	001	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
S2893	003	0		29	10	S2893_003_0	1	05/27/2009	2010.02	05/27/2009 01:07:12 PM Pacific Daylight Time		05/28/2009 08:21:14 AM Pacific Daylight Time		05/28/2009 08:33:25 AM Pacific Daylight Time	BLUE MEDICARERX	Blue MedicareRx	www.rxmedicareplans.com	Blue MedicareRx Premier (PDP)	10	29					S2893	003	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
S2893	014	0		29	10	S2893_014_0	1	05/27/2009	2010.02	05/27/2009 01:03:30 PM Pacific Daylight Time		05/28/2009 08:21:14 AM Pacific Daylight Time		05/28/2009 08:33:25 AM Pacific Daylight Time	BLUE MEDICARERX	Blue MedicareRx	www.rxmedicareplans.com	Blue MedicareRx Value (PDP)	10	29					S2893	014	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
S2893	801	0		29	10	S2893_801_0	1	05/21/2009	2010.02	05/21/2009 02:42:44 PM Pacific Daylight Time				05/28/2009 08:33:25 AM Pacific Daylight Time	BLUE MEDICARERX	Blue MedicareRx	www.rxmedicareplans.com	Blue MedicareRx Group (PDP)	10	29					S2893	801	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		1						2							www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
S2893	802	0		29	10	S2893_802_0	1	05/21/2009	2010.02	05/21/2009 02:42:48 PM Pacific Daylight Time				05/28/2009 08:33:25 AM Pacific Daylight Time	BLUE MEDICARERX	Blue MedicareRx	www.rxmedicareplans.com	Blue MedicareRx Group (PDP)	10	29					S2893	802	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		1						2							www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1		
S3230	801	0		29	10	S3230_801_0	1	05/18/2009	2010.02	05/18/2009 12:57:43 PM Eastern Daylight Time				05/31/2009 06:20:38 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer plan (PDP)	10	29					S3230	801	0	2010	US		1						2							www.Advantage-Plan.com									(800)-935-7198		(800)-935-7198		(800)-982-3117		(800)-982-3117										(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
S3230	802	0		29	10	S3230_802_0	1	05/18/2009	2010.02	05/18/2009 12:57:54 PM Eastern Daylight Time				05/31/2009 06:20:38 AM Eastern Daylight Time	MEDICAL MUTUAL OF OHIO	Advantage Plans from Medical Mutual of Ohio	www.Advantage-Plan.com	Employer plan pdp non-calendar year (PDP)	10	29					S3230	802	0	2010	Ohio		1						2							www.Advantage-Plan.com									(800)-935-7198		(800)-935-7198		(800)-982-3117		(800)-982-3117										(800)-716-3231		(800)-716-3231		(800)-982-8109		(800)-982-8109		1		
S3389	005	0		29	10	S3389_005_0	3	06/03/2009	2010.02	07/24/2009 01:44:23 PM Eastern Daylight Time		07/24/2009 01:58:27 PM Eastern Daylight Time		07/24/2009 02:22:23 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life (PDP)	10	29					S3389	005	0	2010	States of Pennsylvania and West Virginia		2						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S3389	802	0		29	10	S3389_802_0	2	05/26/2009	2010.02	05/26/2009 07:28:47 PM Eastern Daylight Time				06/01/2009 08:57:48 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S3389	802	0	2010	States of Pennsylvania and West Virginia		1						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S3389	803	0		29	10	S3389_803_0	2	05/26/2009	2010.02	05/26/2009 07:28:59 PM Eastern Daylight Time				06/01/2009 08:57:48 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S3389	803	0	2010	States of Pennsylvania and West Virginia		1						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S3440	001	0		29	10	S3440_001_0	4	07/28/2009	2010.02	07/28/2009 05:05:26 PM Eastern Daylight Time		08/20/2009 03:57:18 PM Eastern Daylight Time		08/20/2009 05:58:04 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Alliance Medicare Rx	www.hap.org	Alliance Medicare RX (PDP)	10	29					S3440	001	0	2010	Alliance Medicare RX - Michigan		2						2							www.hap.org/medicare									(800)-765-3436		(313)-664-9064		(800)-868-3153		(800)-868-3153										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
S3440	002	0		29	10	S3440_002_0	4	08/04/2009	2010.02	08/04/2009 08:45:42 AM Eastern Daylight Time		08/20/2009 03:57:41 PM Eastern Daylight Time		08/20/2009 05:58:04 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Alliance Medicare Rx	www.hap.org	Alliance Medicare RX (PDP)	10	29					S3440	002	0	2010	Alliance Medicare RX - Michigan		2						2							www.hap.org/medicare									(800)-765-3436		(313)-664-9064		(800)-868-3153		(800)-868-3153										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1		
S3521	001	0		29	10	S3521_001_0	1	05/29/2009	2010.02	05/29/2009 04:38:05 PM Eastern Daylight Time		05/29/2009 04:44:00 PM Eastern Daylight Time		05/29/2009 05:02:23 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.excellusbcbs.com	Rx 1 (PDP)	10	29					S3521	001	0	2010	New York State		2						2							www.simplyprescriptions.com/check_our_drug_list.shtml									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
S3521	003	0		29	10	S3521_003_0	1	05/29/2009	2010.02	05/29/2009 08:28:15 AM Eastern Daylight Time		05/29/2009 04:43:00 PM Eastern Daylight Time		05/29/2009 05:02:23 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.excellusbcbs.com	Rx 3 (PDP)	10	29					S3521	003	0	2010	NY State		2						2							www.simplyprescriptions.com/check_our_drug_list.shtml									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
S3521	801	0		29	10	S3521_801_0	1	04/23/2009	2010.02	04/23/2009 02:57:25 PM Eastern Daylight Time				05/29/2009 08:40:37 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.excellusbcbs.com	Part D - Employer Group (PDP)	10	29					S3521	801	0	2010	National and US Territories		1						2							www.simplyprescriptions.com/check_our_drug_list.shtml									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1		
S3994	801	0		29	10	S3994_801_0	1	05/01/2009	2010.02	05/01/2009 05:10:04 PM Hawaiian Standard Time				05/20/2009 10:29:59 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's Medicare Rx Plan	www.hmsa.com	CY GRx (PDP)	10	29					S3994	801	0	2010	State of Hawaii		1						2							www.hmsa.com									(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555												(808)-948-6222				(808)-948-6222		1		
S3994	802	0		29	10	S3994_802_0	1	05/01/2009	2010.02	05/01/2009 05:10:31 PM Hawaiian Standard Time				05/20/2009 10:39:38 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's Medicare Rx Plan	www.hmsa.com	NCY GRx (PDP)	10	29					S3994	802	0	2010	State of Hawaii		1						2							www.hmsa.com									(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555												(808)-948-6222				(808)-948-6222		1		
S4248	001	0		29	10	S4248_001_0	1	05/28/2009	2010.02	05/28/2009 03:48:16 PM Eastern Daylight Time		05/29/2009 10:43:34 AM Eastern Daylight Time		05/30/2009 08:16:53 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Rx 1 (PDP)	10	29					S4248	001	0	2010	Pennsylvania and West Virginia		2						2							www.thehealthplan.com									(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
S4248	801	0		29	10	S4248_801_0	1	05/30/2009	2010.02	05/30/2009 08:01:10 AM Eastern Daylight Time				05/30/2009 08:16:53 AM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Rx (Employer Group) (PDP)	10	29					S4248	801	0	2010	Pennsylvania and West Virginia		1						2							www.thehealthplan.com									(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138										(800)-447-2833		(800)-447-2833		(800)-447-2833		(800)-447-2833		1		
S4802	001	0		29	10	S4802_001_0	4	07/28/2009	2010.01	07/28/2009 11:31:01 AM Pacific Daylight Time		07/17/2009 03:17:18 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	001	0	2010	Region 4		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	002	0		29	10	S4802_002_0	4	07/28/2009	2010.01	07/28/2009 11:31:14 AM Pacific Daylight Time		07/17/2009 03:17:57 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	002	0	2010	Region 5		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	003	0		29	10	S4802_003_0	4	07/28/2009	2010.01	07/28/2009 11:31:26 AM Pacific Daylight Time		07/17/2009 03:18:21 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	003	0	2010	Region 6		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	004	0		29	10	S4802_004_0	4	07/28/2009	2010.01	07/28/2009 11:33:57 AM Pacific Daylight Time		07/17/2009 03:10:32 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	004	0	2010	Region 7		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	005	0		29	10	S4802_005_0	4	07/28/2009	2010.01	07/28/2009 11:34:19 AM Pacific Daylight Time		07/17/2009 03:18:51 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	005	0	2010	Region 8		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	006	0		29	10	S4802_006_0	4	07/28/2009	2010.01	07/28/2009 11:34:32 AM Pacific Daylight Time		07/17/2009 03:19:16 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	006	0	2010	Region 9		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	007	0		29	10	S4802_007_0	4	07/28/2009	2010.01	07/28/2009 11:34:44 AM Pacific Daylight Time		07/17/2009 03:19:50 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	007	0	2010	Region 10		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	008	0		29	10	S4802_008_0	4	07/28/2009	2010.01	07/28/2009 11:34:55 AM Pacific Daylight Time		07/17/2009 03:20:22 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	008	0	2010	Region 11		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	009	0		29	10	S4802_009_0	4	07/28/2009	2010.01	07/28/2009 11:35:08 AM Pacific Daylight Time		07/17/2009 03:04:12 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	009	0	2010	Region 15		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	010	0		29	10	S4802_010_0	4	07/28/2009	2010.01	07/28/2009 11:35:21 AM Pacific Daylight Time		07/17/2009 03:21:09 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	010	0	2010	Region 18		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	011	0		29	10	S4802_011_0	4	07/28/2009	2010.01	07/28/2009 11:35:32 AM Pacific Daylight Time		07/17/2009 03:21:31 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	011	0	2010	Region 19		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	012	0		29	10	S4802_012_0	4	07/28/2009	2010.01	07/28/2009 11:35:43 AM Pacific Daylight Time		07/17/2009 03:22:02 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	012	0	2010	Region 21		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	013	0		29	10	S4802_013_0	4	07/28/2009	2010.01	07/28/2009 11:35:55 AM Pacific Daylight Time		07/17/2009 03:22:28 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	013	0	2010	Region 22		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	014	0		29	10	S4802_014_0	4	07/28/2009	2010.01	07/28/2009 11:36:11 AM Pacific Daylight Time		07/17/2009 03:22:54 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	014	0	2010	Region 23		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	015	0		29	10	S4802_015_0	4	07/28/2009	2010.01	07/28/2009 11:36:23 AM Pacific Daylight Time		07/17/2009 03:23:31 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	015	0	2010	Region 24		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	016	0		29	10	S4802_016_0	4	07/28/2009	2010.01	07/28/2009 11:36:36 AM Pacific Daylight Time		07/17/2009 03:24:04 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	016	0	2010	Region 26		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	017	0		29	10	S4802_017_0	4	07/28/2009	2010.01	07/28/2009 11:37:29 AM Pacific Daylight Time		07/17/2009 03:05:02 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	017	0	2010	Region 27		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	018	0		29	10	S4802_018_0	4	07/28/2009	2010.01	07/28/2009 11:37:42 AM Pacific Daylight Time		07/17/2009 03:05:32 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	018	0	2010	Region 28		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	019	0		29	10	S4802_019_0	4	07/28/2009	2010.01	07/28/2009 11:37:54 AM Pacific Daylight Time		07/17/2009 03:06:23 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	019	0	2010	Region 29		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	020	0		29	10	S4802_020_0	4	07/28/2009	2010.01	07/28/2009 11:38:05 AM Pacific Daylight Time		07/17/2009 03:11:03 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	020	0	2010	Region 30		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	021	0		29	10	S4802_021_0	4	07/28/2009	2010.01	07/28/2009 11:38:17 AM Pacific Daylight Time		07/17/2009 03:24:36 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	021	0	2010	Region 31		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	022	0		29	10	S4802_022_0	4	07/28/2009	2010.01	07/28/2009 11:38:55 AM Pacific Daylight Time		07/17/2009 03:24:58 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	022	0	2010	Region 1		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	023	0		29	10	S4802_023_0	4	07/28/2009	2010.01	07/28/2009 11:39:06 AM Pacific Daylight Time		07/17/2009 03:25:22 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	023	0	2010	Region 2		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	024	0		29	10	S4802_024_0	4	07/28/2009	2010.01	07/28/2009 11:39:17 AM Pacific Daylight Time		07/17/2009 03:25:37 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	024	0	2010	Region 3		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	025	0		29	10	S4802_025_0	4	07/28/2009	2010.01	07/28/2009 11:39:29 AM Pacific Daylight Time		07/17/2009 03:25:50 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	025	0	2010	Region 13		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	026	0		29	10	S4802_026_0	4	07/28/2009	2010.01	07/28/2009 11:39:41 AM Pacific Daylight Time		07/17/2009 03:26:02 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	026	0	2010	Region 14		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	027	0		29	10	S4802_027_0	4	07/28/2009	2010.01	07/28/2009 11:39:52 AM Pacific Daylight Time		07/17/2009 03:26:16 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	027	0	2010	Region 16		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	028	0		29	10	S4802_028_0	4	07/28/2009	2010.01	07/28/2009 11:40:02 AM Pacific Daylight Time		07/17/2009 03:06:56 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	028	0	2010	Region 17		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	029	0		29	10	S4802_029_0	4	07/28/2009	2010.01	07/28/2009 11:40:13 AM Pacific Daylight Time		07/17/2009 03:11:34 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	029	0	2010	Region 20		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	030	0		29	10	S4802_030_0	4	07/28/2009	2010.01	07/28/2009 11:40:24 AM Pacific Daylight Time		07/17/2009 03:27:39 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	030	0	2010	Region 25		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	032	0		29	10	S4802_032_0	4	07/28/2009	2010.01	07/28/2009 11:40:34 AM Pacific Daylight Time		07/17/2009 03:27:57 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	032	0	2010	Region 34		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	033	0		29	10	S4802_033_0	4	07/28/2009	2010.01	07/28/2009 11:40:45 AM Pacific Daylight Time		07/17/2009 03:28:12 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	033	0	2010	Region 12		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	067	0		29	10	S4802_067_0	4	07/28/2009	2010.01	07/28/2009 11:40:58 AM Pacific Daylight Time		07/24/2009 02:54:11 PM Pacific Daylight Time		07/28/2009 05:22:20 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	067	0	2010	Region 32		2						2							http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1		
S4802	801	0		29	10	S4802_801_0	1	05/31/2009	2010.01	05/31/2009 03:50:51 PM Pacific Daylight Time				06/01/2009 04:01:54 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Rx (PDP)	10	29					S4802	801	0	2010	Nationwide		1						2							http://www.sterlingplans.com									(800)-313-7667		(800)-313-7667		(800)-313-7667		(800)-313-7667										(800)-313-7667		(800)-313-7667		(800)-313-7667		(800)-313-7667		1		
S5540	002	0		29	10	S5540_002_0	4	07/31/2009	2010.02	07/31/2009 11:42:19 AM Eastern Daylight Time		07/30/2009 10:11:00 AM Eastern Daylight Time		07/31/2009 02:25:40 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/member/medicare	Blue Medicare Rx Standard (PDP)	10	29					S5540	002	0	2010	North Carolina		2						2							http://www.bcbsnc.com/member/medicare/formulary/index.jsp									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-992-3140		(800)-992-3140		1		
S5540	004	0		29	10	S5540_004_0	4	05/28/2009	2010.02	05/28/2009 03:02:06 PM Eastern Daylight Time		07/30/2009 10:04:00 AM Eastern Daylight Time		07/31/2009 02:25:40 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/member/medicare	Blue Medicare Rx Enhanced (PDP)	10	29					S5540	004	0	2010	North Carolina		2						2							http://www.bcbsnc.com/member/medicare/formulary/index.jsp									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-992-3140		(800)-992-3140		1		
S5540	801	0		29	10	S5540_801_0	3	04/24/2009	2010.02	04/24/2009 10:12:03 AM Eastern Daylight Time				05/29/2009 09:21:43 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/member/medicare	Blue Medicare Rx EGWP (PDP)	10	29					S5540	801	0	2010	National Employer Group Retirees		1						2							http://www.bcbsnc.com/member/medicare/formulary/index.jsp									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-992-3140		(800)-992-3140		1		
S5552	001	0		29	10	S5552_001_0	1	05/27/2009	2010.02	05/27/2009 04:14:49 PM Eastern Daylight Time		05/28/2009 01:36:54 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Enhanced S5552-001 (PDP)	10	29					S5552	001	0	2010	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5552	002	0		29	10	S5552_002_0	2	05/26/2009	2010.02	05/26/2009 08:37:02 AM Eastern Daylight Time		05/28/2009 01:36:58 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Complete S5552-002 (PDP)	10	29					S5552	002	0	2010	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5552	003	0		29	10	S5552_003_0	1	05/25/2009	2010.02	05/25/2009 11:31:59 AM Eastern Daylight Time		05/28/2009 01:37:02 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Standard S5552-003 (PDP)	10	29					S5552	003	0	2010	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5552	801	0		29	10	S5552_801_0	4	05/26/2009	2010.02	05/26/2009 09:14:46 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S5552	801	0	2010	State of New York		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5552	802	0		29	10	S5552_802_0	4	05/26/2009	2010.02	05/26/2009 09:14:54 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S5552	802	0	2010	State of New York		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5555	001	0		29	10	S5555_001_0	1	05/26/2009	2010.02	05/26/2009 06:56:07 PM Atlantic Standard Time		05/29/2009 10:38:14 AM Atlantic Standard Time		05/29/2009 11:58:43 AM Atlantic Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Rx (PDP)	10	29					S5555	001	0	2010	Puerto Rico		2						2							www.mcsclassicare.com									(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
S5555	003	0		29	10	S5555_003_0	1	05/26/2009	2010.02	05/26/2009 05:11:11 PM Atlantic Standard Time		05/29/2009 10:39:46 AM Atlantic Standard Time		05/29/2009 11:58:43 AM Atlantic Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Rx Standard (PDP)	10	29					S5555	003	0	2010	Puerto Rico		2						2							www.mcsclassicare.com									(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
S5555	801	0		29	10	S5555_801_0	1	05/16/2009	2010.02	05/16/2009 09:21:45 AM Atlantic Standard Time				05/29/2009 11:58:43 AM Atlantic Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare PDP Group (C) (PDP)	10	29					S5555	801	0	2010	Puerto Rico		1						2							www.mcsclassicare.com									(866)-627-8183		(866)-627-8183		(866)-627-8181		(866)-627-8181										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1		
S5557	004	0		29	10	S5557_004_0	2	07/28/2009	2010.02	07/28/2009 03:34:50 PM Eastern Daylight Time		07/27/2009 09:46:51 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	004	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	006	0		29	10	S5557_006_0	2	07/28/2009	2010.02	07/28/2009 03:35:44 PM Eastern Daylight Time		07/26/2009 11:30:12 AM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	006	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	009	0		29	10	S5557_009_0	2	07/28/2009	2010.02	07/28/2009 07:09:38 PM Eastern Daylight Time		07/27/2009 10:47:22 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	009	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	011	0		29	10	S5557_011_0	2	07/28/2009	2010.02	07/28/2009 02:37:45 PM Eastern Daylight Time		07/27/2009 10:59:11 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	011	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	013	0		29	10	S5557_013_0	2	07/28/2009	2010.02	07/28/2009 02:48:13 PM Eastern Daylight Time		07/27/2009 11:08:06 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	013	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	015	0		29	10	S5557_015_0	2	07/28/2009	2010.02	07/28/2009 02:53:13 PM Eastern Daylight Time		07/24/2009 03:23:51 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	015	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	017	0		29	10	S5557_017_0	2	07/28/2009	2010.02	07/28/2009 03:02:05 PM Eastern Daylight Time		07/27/2009 11:13:52 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	017	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	019	0		29	10	S5557_019_0	2	07/28/2009	2010.02	07/28/2009 03:06:06 PM Eastern Daylight Time		07/27/2009 11:21:37 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	019	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	021	0		29	10	S5557_021_0	2	07/28/2009	2010.02	07/28/2009 07:26:05 PM Eastern Daylight Time		07/28/2009 10:48:17 AM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Grand Plan (PDP)	10	29					S5557	021	0	2010	Fox Grand Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	023	0		29	10	S5557_023_0	2	07/28/2009	2010.02	07/28/2009 03:36:50 PM Eastern Daylight Time		05/29/2009 08:39:23 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	023	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	024	0		29	10	S5557_024_0	2	07/28/2009	2010.02	07/28/2009 03:37:20 PM Eastern Daylight Time		07/27/2009 07:09:33 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	024	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	025	0		29	10	S5557_025_0	2	07/28/2009	2010.02	07/28/2009 03:38:37 PM Eastern Daylight Time		07/25/2009 06:49:12 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	025	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	028	0		29	10	S5557_028_0	3	07/28/2009	2010.02	07/28/2009 03:39:23 PM Eastern Daylight Time		07/25/2009 09:07:35 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	028	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	031	0		29	10	S5557_031_0	2	07/28/2009	2010.02	07/28/2009 03:43:03 PM Eastern Daylight Time		07/26/2009 12:24:28 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	031	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	034	0		29	10	S5557_034_0	2	07/28/2009	2010.02	07/28/2009 04:15:12 PM Eastern Daylight Time		07/27/2009 02:54:12 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	034	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	036	0		29	10	S5557_036_0	2	07/28/2009	2010.02	07/28/2009 04:15:52 PM Eastern Daylight Time		07/27/2009 08:16:41 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	036	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	038	0		29	10	S5557_038_0	2	07/28/2009	2010.02	07/28/2009 04:16:37 PM Eastern Daylight Time		07/27/2009 08:58:56 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	038	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	040	0		29	10	S5557_040_0	2	07/28/2009	2010.02	07/28/2009 04:17:49 PM Eastern Daylight Time		07/27/2009 09:04:36 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	040	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	042	0		29	10	S5557_042_0	2	07/28/2009	2010.02	07/28/2009 04:18:26 PM Eastern Daylight Time		07/27/2009 08:36:35 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	042	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	044	0		29	10	S5557_044_0	2	07/28/2009	2010.02	07/28/2009 04:23:45 PM Eastern Daylight Time		07/27/2009 06:25:33 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	044	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	046	0		29	10	S5557_046_0	2	07/28/2009	2010.02	07/28/2009 04:24:21 PM Eastern Daylight Time		07/27/2009 09:57:21 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	046	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	048	0		29	10	S5557_048_0	2	07/28/2009	2010.02	07/28/2009 04:25:12 PM Eastern Daylight Time		07/27/2009 10:02:43 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	048	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	050	0		29	10	S5557_050_0	2	07/28/2009	2010.02	07/28/2009 04:25:52 PM Eastern Daylight Time		07/27/2009 10:07:57 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	050	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	052	0		29	10	S5557_052_0	2	07/28/2009	2010.02	07/28/2009 04:26:30 PM Eastern Daylight Time		07/27/2009 10:12:38 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	052	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	054	0		29	10	S5557_054_0	2	07/28/2009	2010.02	07/28/2009 04:27:46 PM Eastern Daylight Time		07/27/2009 08:27:37 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	054	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	056	0		29	10	S5557_056_0	2	07/28/2009	2010.02	07/28/2009 04:27:30 PM Eastern Daylight Time		07/27/2009 07:23:27 PM Eastern Daylight Time		07/28/2009 07:38:06 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Value Plan (PDP)	10	29					S5557	056	0	2010	Fox Value Plan		2						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	801	0		29	10	S5557_801_0	2	06/01/2009	2010.02	06/01/2009 02:11:41 PM Eastern Daylight Time				06/01/2009 02:26:10 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Rx Care Prescription Plan (PDP)	10	29					S5557	801	0	2010	Fox Rx Care Prescription Plan		1						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5557	802	0		29	10	S5557_802_0	2	06/01/2009	2010.02	06/01/2009 02:11:49 PM Eastern Daylight Time				06/01/2009 02:26:10 PM Eastern Daylight Time	FOX INSURANCE COMPANY	Fox Insurance Company	www.foxrxcare.com	Fox Insurance Prescription Drug Plan (PDP)	10	29					S5557	802	0	2010	Fox Insurance Prescription Drug Plan		1						2							http://www.foxrxcare.com/formulary.htm									(888)-369-7979		(212)-400-6134		(888)-369-7979		(212)-400-6134										(866)-369-7373				(866)-369-7373				1		
S5566	001	0		29	10	S5566_001_0	4	08/06/2009	2010.02	08/06/2009 01:02:15 PM Central Daylight Time		08/06/2009 02:17:02 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	Blue MedicareRx Standard (PDP)	10	29					S5566	001	0	2010	State of Oklahoma Region 23		2						2							https://www.myrxassistant.com/MyRxAssistant/app?service=external/FormularyHomesp=SBCBSOK									(888)-844-3781		(888)-844-3781		(888)-844-3781		(888)-844-3781										(888)-844-3792		(888)-844-3792		(888)-844-3792		(888)-844-3792		1		
S5566	002	0		29	10	S5566_002_0	5	08/06/2009	2010.02	08/06/2009 01:27:40 PM Central Daylight Time		08/06/2009 02:17:18 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	Blue MedicareRx Value (PDP)	10	29					S5566	002	0	2010	State of Oklahoma, Region 23		2						2							https://www.myrxassistant.com/MyRxAssistant/app?service=external/FormularyHomesp=SBCBSOK									(888)-844-3781		(888)-844-3781		(888)-844-3781		(888)-844-3781										(888)-844-3792		(888)-844-3792		(888)-844-3792		(888)-844-3792		1		
S5566	003	0		29	10	S5566_003_0	3	05/22/2009	2010.02	05/22/2009 02:33:04 PM Central Daylight Time		08/06/2009 02:17:42 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	Blue MedicareRx Plus (PDP)	10	29					S5566	003	0	2010	State of Oklahoma, Region 23		2						2							https://www.myrxassistant.com/MyRxAssistant/app?service=external/FormularyHomesp=SBCBSOK									(888)-844-3781		(888)-844-3781		(888)-844-3781		(888)-844-3781										(888)-844-3792		(888)-844-3792		(888)-844-3792		(888)-844-3792		1		
S5566	802	0		29	10	S5566_802_0	1	05/08/2009	2010.02	05/08/2009 06:33:36 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	Blue MedicareRx Group (PDP)	10	29					S5566	802	0	2010	State of Oklahoma Region 23		1						2							https://www.myrxassistant.com/MyRxAssistant/app?service=external/FormularyHomesp=SBCBSOK									(877)-838-3877		(877)-838-3877		(877)-838-3877		(877)-838-3877										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5566	803	0		29	10	S5566_803_0	1	05/08/2009	2010.02	05/08/2009 06:33:40 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA	www.bcbsok.com	Blue MedicareRx Group (PDP)	10	29					S5566	803	0	2010	State of Oklahoma Region 23		1						2							https://www.myrxassistant.com/MyRxAssistant/app?service=external/FormularyHomesp=SBCBSOK									(877)-838-3877		(877)-838-3877		(877)-838-3877		(877)-838-3877										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5569	003	0		29	10	S5569_003_0	2	06/01/2009	2010.02	06/01/2009 03:10:56 PM Eastern Daylight Time		07/23/2009 08:06:10 AM Eastern Daylight Time		07/24/2009 03:26:56 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5569	003	0	2010	First Health Part D-Premier-New York		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-823-4701		(866)-823-4701		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5569	005	0		29	10	S5569_005_0	2	05/31/2009	2010.02	05/31/2009 11:54:25 AM Eastern Daylight Time		07/24/2009 08:48:11 AM Eastern Daylight Time		07/24/2009 03:26:56 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5569	005	0	2010	First Health Part D- Secure-New York		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-823-4701		(866)-823-4701		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5580	003	0		29	10	S5580_003_0	1	05/29/2009	2010.02	05/29/2009 05:38:55 PM Central Daylight Time		05/30/2009 06:18:20 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com	First UA Medicare Part D Prescription Drug (PDP)	10	29					S5580	003	0	2010	State of New York		2						2							http://www.firstuamedicarepartd.com/									(866)-524-4171		(866)-524-4171		(866)-524-4171		(866)-524-4171										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1		
S5580	004	0		29	10	S5580_004_0	1	05/29/2009	2010.02	05/29/2009 04:01:39 PM Central Daylight Time		05/30/2009 06:19:00 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com	First UA Medicare Part D Rx Covg - Silver (PDP)	10	29					S5580	004	0	2010	State of New York		2						2							http://www.firstuamedicarepartd.com/									(866)-299-3407		(866)-299-3407		(866)-299-3407		(866)-299-3407										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1		
S5580	801	0		29	10	S5580_801_0	3	05/28/2009	2010.02	05/28/2009 01:01:31 PM Central Daylight Time				06/01/2009 09:39:20 AM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com/	First UA Employer Calendar Drug Plan (PDP)	10	29					S5580	801	0	2010	National		1						2							http://www.firstuamedicarepartd.com/									(866)-412-8499		(866)-412-8499		(866)-412-8499		(866)-412-8499										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1		
S5580	802	0		29	10	S5580_802_0	2	05/28/2009	2010.02	05/28/2009 01:02:24 PM Central Daylight Time				06/01/2009 09:39:20 AM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com/	First UA Employer Non-Calendar Drug Plan (PDP)	10	29					S5580	802	0	2010	National		1						2							http://www.firstuamedicarepartd.com/									(866)-412-8499		(866)-412-8499		(800)-446-0100		(800)-446-0100										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1		
S5584	001	0		29	10	S5584_001_0	2	07/31/2009	2010.02	07/31/2009 10:52:09 AM Eastern Daylight Time		05/29/2009 08:42:19 AM Eastern Daylight Time		07/31/2009 03:27:11 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Prescription Blue Option A (PDP)	10	29					S5584	001	0	2010	State of Michigan		2						2							www.bcbsm.com/medicare/formulary.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
S5584	002	0		29	10	S5584_002_0	3	07/31/2009	2010.02	07/31/2009 11:55:31 AM Eastern Daylight Time		07/24/2009 09:34:23 AM Eastern Daylight Time		07/31/2009 03:27:11 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Prescription Blue Option B (PDP)	10	29					S5584	002	0	2010	State of Michigan		2						2							www.bcbsm.com/medicare/formulary.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
S5584	801	0		29	10	S5584_801_0	1	05/27/2009	2010.02	05/27/2009 03:36:30 PM Eastern Daylight Time				05/29/2009 09:33:44 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Prescription Blue Employer Plan CY (PDP)	10	29					S5584	801	0	2010	State of Michigan		1						2							www.bcbsm.com/medicare/formulary.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
S5584	802	0		29	10	S5584_802_0	1	05/27/2009	2010.02	05/27/2009 03:36:44 PM Eastern Daylight Time				05/29/2009 09:33:44 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com	Prescription Blue Employer Plan non-CY (PDP)	10	29					S5584	802	0	2010	State of Michigan		1						2							www.bcbsm.com/medicare/formulary.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1		
S5585	001	0		29	10	S5585_001_0	6	08/14/2009	2010.02	08/14/2009 05:14:03 PM Eastern Daylight Time		08/17/2009 11:52:00 AM Eastern Daylight Time		08/20/2009 02:44:05 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HealthNow New York Inc.	www.smarthealthrx.com	SmartHealth RX PDP (PDP)	10	29					S5585	001	0	2010	State of New York		2						2							http://www.smarthealthrx.com									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(888)-676-6778		(888)-676-6778		(877)-513-1470		(877)-513-1470		1		
S5588	802	0		29	10	S5588_802_0	1	05/21/2009	2010.02	05/21/2009 02:12:52 PM Eastern Daylight Time				05/21/2009 02:37:35 PM Eastern Daylight Time	PARAMOUNT INSURANCE COMPANY	Paramount Prescription Drug Plan	www.paramounthealthcare.com	Paramount Std. Prescription Drug Plan Empl (PDP)	10	29					S5588	802	0	2010	Paramount Standard Prescription Drug Plan (Ohio)		1						2							http://www.paramounthealthcare.com/blank.cfm?id=1613									(800)-462-3589		(800)-462-3589		(800)-462-3589		(800)-462-3589										(888)-740-5670				(888)-740-5670		(888)-740-5670		1		
S5588	803	0		29	10	S5588_803_0	1	05/21/2009	2010.02	05/21/2009 02:13:10 PM Eastern Daylight Time				05/21/2009 02:37:35 PM Eastern Daylight Time	PARAMOUNT INSURANCE COMPANY	Paramount Prescription Drug Plan	www.paramounthealthcare.com	Paramount Enh. Prescription Drug Plan Empl (PDP)	10	29					S5588	803	0	2010	Paramount Enhanced Prescription Drug Plan (Ohio)		1						2							http://www.paramounthealthcare.com/blank.cfm?id=1613									(800)-462-3589		(800)-462-3589		(800)-462-3589		(800)-462-3589										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1		
S5593	002	0		29	10	S5593_002_0	5	05/28/2009	2010.02	05/28/2009 02:53:47 PM Eastern Daylight Time		07/28/2009 12:23:33 PM Eastern Daylight Time		07/30/2009 04:23:50 PM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Plus (PDP)	10	29					S5593	002	0	2010	Pennsylvania  and West Virginia		2						2							http://highmark.medicare-approvedformularies.com/									(800)-290-3914		(800)-290-3914		(866)-465-4030		(866)-465-4030										(800)-988-0668		(800)-988-0668		(866)-465-4026		(866)-465-4026		1		
S5593	003	0		29	10	S5593_003_0	6	05/29/2009	2010.02	05/29/2009 11:05:16 AM Eastern Daylight Time		07/28/2009 12:24:14 PM Eastern Daylight Time		07/31/2009 09:26:27 AM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Complete (PDP)	10	29					S5593	003	0	2010	Pennsylvania  and West Virginia		2						2							http://highmark.medicare-approvedformularies.com/									(800)-290-3914		(800)-290-3914		(866)-465-4030		(866)-465-4030										(800)-988-0668		(800)-988-0668		(866)-465-4026		(866)-465-4026		1		
S5593	004	0		29	10	S5593_004_0	5	05/28/2009	2010.02	05/28/2009 02:58:25 PM Eastern Daylight Time		07/28/2009 12:24:53 PM Eastern Daylight Time		07/31/2009 09:31:13 AM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Value (PDP)	10	29					S5593	004	0	2010	Pennsylvania and West Virginia		2						2							http://highmark.medicare-approvedformularies.com/									(800)-290-3914		(800)-290-3914		(866)-465-4030		(866)-465-4030										(800)-988-0668		(800)-988-0668		(866)-465-4026		(866)-465-4026		1		
S5593	801	0		29	10	S5593_801_0	2	05/14/2009	2010.02	05/14/2009 10:58:08 AM Eastern Daylight Time				05/29/2009 03:46:17 PM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Employer Group Calendar (PDP)	10	29					S5593	801	0	2010	National		1						2							http://highmark.medicare-approvedformularies.com/									(800)-290-3914		(800)-290-3914		(866)-465-4030		(866)-465-4030										(800)-988-0668		(800)-688-0668		(866)-465-4026		(866)-465-4026		1		
S5593	802	0		29	10	S5593_802_0	5	05/14/2009	2010.02	05/14/2009 10:59:01 AM Eastern Daylight Time				05/29/2009 03:46:17 PM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Employer Group Non-Calendar (PDP)	10	29					S5593	802	0	2010	National		1						2							http://highmark.medicare-approvedformularies.com/									(800)-290-3914		(800)-290-3914		(866)-465-4030		(866)-465-4030										(800)-988-0668		(800)-988-0668		(866)-465-4026		(866)-465-4026		1		
S5596	001	0		29	10	S5596_001_0	3	05/22/2009	2010.02	05/22/2009 03:09:29 PM Pacific Daylight Time		07/23/2009 05:24:39 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	001	0	2010	Maine and New Hampshire		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(866)-244-1241		(866)-244-1241										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	003	0		29	10	S5596_003_0	4	05/22/2009	2010.02	05/22/2009 03:15:15 PM Pacific Daylight Time		07/23/2009 05:24:39 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	003	0	2010	Maine and New Hampshire		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(866)-244-1241		(866)-244-1241										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	005	0		29	10	S5596_005_0	3	05/31/2009	2010.02	05/31/2009 01:57:25 AM Pacific Daylight Time		07/23/2009 05:24:39 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	005	0	2010	Virginia		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-481-8633		(877)-481-8633										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	006	0		29	10	S5596_006_0	3	05/22/2009	2010.02	05/22/2009 03:16:49 PM Pacific Daylight Time		07/23/2009 05:24:40 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	006	0	2010	Virginia		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-481-8633		(877)-481-8633										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	007	0		29	10	S5596_007_0	4	05/22/2009	2010.02	05/22/2009 03:16:34 PM Pacific Daylight Time		07/23/2009 05:24:40 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	007	0	2010	Virginia		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-481-8633		(877)-481-8633										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	009	0		29	10	S5596_009_0	3	05/31/2009	2010.02	05/31/2009 02:04:45 AM Pacific Daylight Time		07/23/2009 05:24:40 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	009	0	2010	Georgia		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5331		(866)-892-5331										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	010	0		29	10	S5596_010_0	3	05/22/2009	2010.02	05/22/2009 03:10:41 PM Pacific Daylight Time		07/23/2009 05:24:41 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	010	0	2010	Georgia		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5331		(866)-892-5331										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	011	0		29	10	S5596_011_0	4	05/22/2009	2010.02	05/22/2009 03:16:18 PM Pacific Daylight Time		07/23/2009 05:24:41 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	011	0	2010	Georgia		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5331		(866)-892-5331										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	013	0		29	10	S5596_013_0	3	05/31/2009	2010.02	05/31/2009 01:58:43 AM Pacific Daylight Time		07/23/2009 05:24:41 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	013	0	2010	Ohio		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	014	0		29	10	S5596_014_0	3	05/22/2009	2010.02	05/22/2009 03:10:42 PM Pacific Daylight Time		07/23/2009 05:24:42 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	014	0	2010	Ohio		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	015	0		29	10	S5596_015_0	4	05/22/2009	2010.02	05/22/2009 03:16:18 PM Pacific Daylight Time		07/23/2009 05:26:50 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	015	0	2010	Ohio		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	017	0		29	10	S5596_017_0	3	05/31/2009	2010.02	05/31/2009 02:07:21 AM Pacific Daylight Time		07/23/2009 05:26:50 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	017	0	2010	Indiana and Kentucky		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	018	0		29	10	S5596_018_0	3	05/22/2009	2010.02	05/22/2009 03:10:42 PM Pacific Daylight Time		07/23/2009 05:26:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	018	0	2010	Indiana and Kentucky		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	019	0		29	10	S5596_019_0	4	05/22/2009	2010.02	05/22/2009 03:16:19 PM Pacific Daylight Time		07/23/2009 05:26:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	019	0	2010	Indiana and Kentucky		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	021	0		29	10	S5596_021_0	3	05/31/2009	2010.02	05/31/2009 02:07:41 AM Pacific Daylight Time		07/23/2009 05:26:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	021	0	2010	Wisconsin		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(800)-216-5572		(800)-216-5572										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	022	0		29	10	S5596_022_0	3	05/22/2009	2010.02	05/22/2009 03:10:42 PM Pacific Daylight Time		07/23/2009 05:26:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	022	0	2010	Wisconsin		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(800)-216-5572		(800)-216-5572										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	023	0		29	10	S5596_023_0	4	05/22/2009	2010.02	05/22/2009 03:16:19 PM Pacific Daylight Time		07/23/2009 05:26:52 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	023	0	2010	Wisconsin		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(800)-216-5572		(800)-216-5572										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	025	0		29	10	S5596_025_0	3	05/31/2009	2010.02	05/31/2009 01:58:43 AM Pacific Daylight Time		07/23/2009 05:26:52 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	025	0	2010	Colorado		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5332		(866)-892-5332										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	026	0		29	10	S5596_026_0	3	05/22/2009	2010.02	05/22/2009 03:10:43 PM Pacific Daylight Time		07/23/2009 05:26:52 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	026	0	2010	Colorado		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5332		(866)-892-5332										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	027	0		29	10	S5596_027_0	4	05/22/2009	2010.02	05/22/2009 03:16:20 PM Pacific Daylight Time		07/23/2009 05:26:53 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	027	0	2010	Colorado		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5332		(866)-892-5332										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	029	0		29	10	S5596_029_0	3	05/31/2009	2010.02	05/31/2009 02:10:20 AM Pacific Daylight Time		07/23/2009 05:30:48 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	029	0	2010	Nevada		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5343		(866)-892-5343										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	030	0		29	10	S5596_030_0	3	05/22/2009	2010.02	05/22/2009 03:10:43 PM Pacific Daylight Time		07/23/2009 05:30:49 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	030	0	2010	Nevada		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5343		(866)-892-5343										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	031	0		29	10	S5596_031_0	4	05/22/2009	2010.02	05/22/2009 03:16:20 PM Pacific Daylight Time		07/23/2009 05:30:49 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	031	0	2010	Nevada		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5343		(866)-892-5343										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	033	0		29	10	S5596_033_0	3	05/31/2009	2010.02	05/31/2009 01:58:43 AM Pacific Daylight Time		07/23/2009 05:30:50 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/medicarerx	Blue Cross MedicareRx Standard (PDP)	10	29					S5596	033	0	2010	California		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5340		(866)-892-5340										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	034	0		29	10	S5596_034_0	3	05/22/2009	2010.02	05/22/2009 03:10:43 PM Pacific Daylight Time		07/23/2009 05:30:50 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/medicarerx	Blue Cross MedicareRx Plus (PDP)	10	29					S5596	034	0	2010	California		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5340		(866)-892-5340										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	035	0		29	10	S5596_035_0	5	05/22/2009	2010.02	05/22/2009 03:16:21 PM Pacific Daylight Time		07/23/2009 05:30:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/medicarerx	Blue Cross MedicareRx Gold (PDP)	10	29					S5596	035	0	2010	California		2						2							www.PartDCoverage.com									(800)-928-6201		(800)-928-6201		(866)-892-5340		(866)-892-5340										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1		
S5596	043	0		29	10	S5596_043_0	6	08/13/2009	2010.02	08/13/2009 11:08:11 AM Pacific Daylight Time		08/14/2009 09:27:03 AM Pacific Daylight Time		08/14/2009 09:29:40 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Value (PDP)	10	29					S5596	043	0	2010	Missouri		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	044	0		29	10	S5596_044_0	3	05/22/2009	2010.02	05/22/2009 03:10:44 PM Pacific Daylight Time		07/23/2009 05:30:51 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Plus (PDP)	10	29					S5596	044	0	2010	Missouri		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	045	0		29	10	S5596_045_0	4	05/22/2009	2010.02	05/22/2009 03:16:21 PM Pacific Daylight Time		07/23/2009 05:30:52 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Premier (PDP)	10	29					S5596	045	0	2010	Missouri		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	046	0		29	10	S5596_046_0	3	05/31/2009	2010.02	05/31/2009 02:11:26 AM Pacific Daylight Time		07/23/2009 05:30:52 PM Pacific Daylight Time		07/23/2009 06:28:39 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/partd	Blue MedicareRx Standard (PDP)	10	29					S5596	046	0	2010	Maine and New Hampshire		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(866)-244-1241		(866)-244-1241										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	803	0		29	10	S5596_803_0	1	05/21/2009	2010.02	05/21/2009 07:47:08 PM Pacific Daylight Time				05/28/2009 01:24:07 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Group (PDP)	10	29					S5596	803	0	2010	VA GA OH IN KY WI CO NV CA MO ME NH (Nationwide)		1						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5596	804	0		29	10	S5596_804_0	1	05/21/2009	2010.02	05/21/2009 07:47:12 PM Pacific Daylight Time				05/28/2009 01:24:07 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Group (PDP)	10	29					S5596	804	0	2010	VA GA OH IN KY WI CO NV CA MO ME NH (Nationwide)		1						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1		
S5597	034	0		29	10	S5597_034_0	2	07/24/2009	2010.02	07/24/2009 02:06:35 PM Eastern Daylight Time		07/23/2009 12:16:47 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	034	0	2010	State of New Hampshire and State of Maine		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	035	0		29	10	S5597_035_0	3	07/24/2009	2010.02	07/24/2009 02:06:51 PM Eastern Daylight Time		07/23/2009 12:17:04 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	035	0	2010	State of CT, MA, RI, VT		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	036	0		29	10	S5597_036_0	2	07/24/2009	2010.02	07/24/2009 02:06:51 PM Eastern Daylight Time		07/23/2009 12:17:37 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	036	0	2010	State of New Jersey		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	037	0		29	10	S5597_037_0	2	07/24/2009	2010.02	07/24/2009 02:06:52 PM Eastern Daylight Time		07/23/2009 12:17:53 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Gold (PDP)	10	29					S5597	037	0	2010	State of Delaware, District of Columbia, Maryland		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	038	0		29	10	S5597_038_0	2	07/24/2009	2010.02	07/24/2009 02:06:52 PM Eastern Daylight Time		07/23/2009 12:18:09 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	038	0	2010	State of Pennsylvania and State of West Virginia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	039	0		29	10	S5597_039_0	2	07/24/2009	2010.02	07/24/2009 02:06:52 PM Eastern Daylight Time		07/23/2009 12:18:26 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	039	0	2010	State of Virginia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	040	0		29	10	S5597_040_0	2	07/24/2009	2010.02	07/24/2009 02:06:53 PM Eastern Daylight Time		07/23/2009 12:18:41 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	040	0	2010	State of North Carolina		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	041	0		29	10	S5597_041_0	2	07/24/2009	2010.02	07/24/2009 02:06:53 PM Eastern Daylight Time		07/23/2009 12:18:57 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	041	0	2010	State of South Carolina		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	042	0		29	10	S5597_042_0	2	07/24/2009	2010.02	07/24/2009 02:06:54 PM Eastern Daylight Time		07/23/2009 12:19:21 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	042	0	2010	State of Georgia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	043	0		29	10	S5597_043_0	2	07/24/2009	2010.02	07/24/2009 02:06:54 PM Eastern Daylight Time		07/23/2009 12:19:41 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	043	0	2010	State of Florida		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	044	0		29	10	S5597_044_0	2	07/24/2009	2010.02	07/24/2009 02:06:55 PM Eastern Daylight Time		07/23/2009 12:19:56 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	044	0	2010	State of Alabama and State of Tennessee		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	045	0		29	10	S5597_045_0	2	07/24/2009	2010.02	07/24/2009 02:06:55 PM Eastern Daylight Time		07/23/2009 12:20:14 PM Eastern Daylight Time		07/31/2009 02:52:14 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	045	0	2010	State of Michigan		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	046	0		29	10	S5597_046_0	2	07/24/2009	2010.02	07/24/2009 02:06:55 PM Eastern Daylight Time		07/23/2009 12:20:31 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	046	0	2010	State of Ohio		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	047	0		29	10	S5597_047_0	2	07/24/2009	2010.02	07/24/2009 02:06:56 PM Eastern Daylight Time		07/23/2009 12:20:48 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	047	0	2010	State of Indiana and State of Kentucky		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	048	0		29	10	S5597_048_0	2	07/24/2009	2010.02	07/24/2009 02:06:56 PM Eastern Daylight Time		07/23/2009 12:21:04 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	048	0	2010	State of Wisconsin		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	049	0		29	10	S5597_049_0	2	07/24/2009	2010.02	07/24/2009 02:06:57 PM Eastern Daylight Time		07/23/2009 12:21:21 PM Eastern Daylight Time		07/27/2009 12:49:18 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	049	0	2010	State of Illinois		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	050	0		29	10	S5597_050_0	2	07/24/2009	2010.02	07/24/2009 02:06:57 PM Eastern Daylight Time		07/23/2009 12:21:40 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	050	0	2010	State of Missouri		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	051	0		29	10	S5597_051_0	2	07/24/2009	2010.02	07/24/2009 02:06:57 PM Eastern Daylight Time		07/23/2009 10:29:11 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	051	0	2010	State of Arkansas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	052	0		29	10	S5597_052_0	2	07/24/2009	2010.02	07/24/2009 02:06:58 PM Eastern Daylight Time		07/23/2009 01:12:59 PM Eastern Daylight Time		07/31/2009 02:52:14 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	052	0	2010	State of Mississippi		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	053	0		29	10	S5597_053_0	2	07/24/2009	2010.02	07/24/2009 02:06:58 PM Eastern Daylight Time		07/23/2009 09:36:29 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	053	0	2010	State of Louisiana		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	054	0		29	10	S5597_054_0	2	07/24/2009	2010.02	07/24/2009 02:06:59 PM Eastern Daylight Time		07/23/2009 12:22:06 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	054	0	2010	State of Texas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	055	0		29	10	S5597_055_0	2	07/24/2009	2010.02	07/24/2009 02:06:59 PM Eastern Daylight Time		07/23/2009 12:22:25 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	055	0	2010	State of Oklahoma		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	056	0		29	10	S5597_056_0	2	07/24/2009	2010.02	07/24/2009 02:06:59 PM Eastern Daylight Time		07/23/2009 12:22:43 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	056	0	2010	State of Kansas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	057	0		29	10	S5597_057_0	2	07/24/2009	2010.02	07/24/2009 02:07:00 PM Eastern Daylight Time		07/23/2009 12:23:00 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	057	0	2010	State of IA, MN, MT, NE, ND, SD, WY		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	058	0		29	10	S5597_058_0	2	07/24/2009	2010.02	07/24/2009 02:07:01 PM Eastern Daylight Time		07/23/2009 10:25:21 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	058	0	2010	State of New Mexico		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	059	0		29	10	S5597_059_0	2	07/24/2009	2010.02	07/24/2009 02:07:01 PM Eastern Daylight Time		07/23/2009 12:23:18 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	059	0	2010	State of Colorado		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	060	0		29	10	S5597_060_0	2	07/24/2009	2010.02	07/24/2009 02:07:02 PM Eastern Daylight Time		07/23/2009 12:23:37 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	060	0	2010	State of Arizona		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	061	0		29	10	S5597_061_0	2	07/24/2009	2010.02	07/24/2009 02:07:02 PM Eastern Daylight Time		07/23/2009 10:34:18 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	061	0	2010	State of Nevada		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	062	0		29	10	S5597_062_0	2	07/24/2009	2010.02	07/24/2009 02:07:02 PM Eastern Daylight Time		07/23/2009 12:23:54 PM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	062	0	2010	State of Oregon and State of Washington		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	063	0		29	10	S5597_063_0	2	07/24/2009	2010.02	07/24/2009 02:07:03 PM Eastern Daylight Time		07/23/2009 10:33:20 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	063	0	2010	State of Idaho and State of Utah		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	064	0		29	10	S5597_064_0	2	07/24/2009	2010.02	07/24/2009 02:07:03 PM Eastern Daylight Time		07/23/2009 09:37:18 AM Eastern Daylight Time		07/27/2009 01:06:34 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5597	064	0	2010	State of California		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	236	0		29	10	S5597_236_0	2	05/24/2009	2010.02	05/24/2009 12:41:51 PM Eastern Daylight Time		07/23/2009 09:01:40 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Bronze (PDP)	10	29					S5597	236	0	2010	State of New Hampshire and State of Maine		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	237	0		29	10	S5597_237_0	2	05/24/2009	2010.02	05/24/2009 12:03:29 PM Eastern Daylight Time		07/23/2009 11:23:06 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	237	0	2010	State of CT, MA, RI, VT		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	238	0		29	10	S5597_238_0	2	05/24/2009	2010.02	05/24/2009 12:03:29 PM Eastern Daylight Time		07/23/2009 11:04:37 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	238	0	2010	State of New Jersey		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	239	0		29	10	S5597_239_0	2	05/24/2009	2010.02	05/24/2009 12:03:29 PM Eastern Daylight Time		07/23/2009 11:05:00 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	239	0	2010	State of Delaware, District of Columbia,Maryland		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	240	0		29	10	S5597_240_0	2	05/24/2009	2010.02	05/24/2009 12:03:30 PM Eastern Daylight Time		07/23/2009 11:05:20 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	240	0	2010	State of Pennsylvania and State of West Virginia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	241	0		29	10	S5597_241_0	2	05/24/2009	2010.02	05/24/2009 12:03:30 PM Eastern Daylight Time		07/23/2009 11:05:38 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	241	0	2010	State of Virginia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	242	0		29	10	S5597_242_0	2	05/24/2009	2010.02	05/24/2009 12:03:30 PM Eastern Daylight Time		07/23/2009 11:05:59 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	242	0	2010	State of North Carolina		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	243	0		29	10	S5597_243_0	3	05/24/2009	2010.02	05/24/2009 12:03:30 PM Eastern Daylight Time		07/23/2009 11:06:20 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	243	0	2010	State of South Carolina		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	244	0		29	10	S5597_244_0	2	05/24/2009	2010.02	05/24/2009 12:03:30 PM Eastern Daylight Time		07/23/2009 11:06:39 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	244	0	2010	State of Georgia		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	245	0		29	10	S5597_245_0	2	05/24/2009	2010.02	05/24/2009 12:03:31 PM Eastern Daylight Time		07/23/2009 08:41:04 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Bronze (PDP)	10	29					S5597	245	0	2010	State of Florida		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	246	0		29	10	S5597_246_0	2	05/24/2009	2010.02	05/24/2009 12:03:31 PM Eastern Daylight Time		07/23/2009 11:07:04 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	246	0	2010	State of Alabama and State of Tennessee		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	247	0		29	10	S5597_247_0	2	05/24/2009	2010.02	05/24/2009 12:03:31 PM Eastern Daylight Time		07/23/2009 08:41:37 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Bronze (PDP)	10	29					S5597	247	0	2010	State of Michigan		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	248	0		29	10	S5597_248_0	2	05/24/2009	2010.02	05/24/2009 12:03:31 PM Eastern Daylight Time		07/23/2009 11:07:22 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	248	0	2010	State of Ohio		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	249	0		29	10	S5597_249_0	2	05/24/2009	2010.02	05/24/2009 12:03:32 PM Eastern Daylight Time		07/23/2009 11:07:39 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	249	0	2010	State of Indiana and State of Kentucky		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	250	0		29	10	S5597_250_0	2	05/24/2009	2010.02	05/24/2009 12:03:32 PM Eastern Daylight Time		07/23/2009 11:08:08 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	250	0	2010	State of Wisconsin		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	251	0		29	10	S5597_251_0	2	05/24/2009	2010.02	05/24/2009 12:03:32 PM Eastern Daylight Time		07/23/2009 11:08:32 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	251	0	2010	State of Illinois		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	252	0		29	10	S5597_252_0	2	05/24/2009	2010.02	05/24/2009 12:03:32 PM Eastern Daylight Time		07/23/2009 11:08:48 AM Eastern Daylight Time		07/23/2009 01:07:44 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	252	0	2010	State of Missouri		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	253	0		29	10	S5597_253_0	3	05/24/2009	2010.02	05/24/2009 12:03:33 PM Eastern Daylight Time		07/23/2009 11:09:04 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	253	0	2010	State of Arkansas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	254	0		29	10	S5597_254_0	2	05/24/2009	2010.02	05/24/2009 12:03:33 PM Eastern Daylight Time		07/23/2009 11:09:21 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	254	0	2010	State of Mississippi		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	255	0		29	10	S5597_255_0	2	05/24/2009	2010.02	05/24/2009 12:03:33 PM Eastern Daylight Time		07/23/2009 11:09:38 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	255	0	2010	State of Louisiana		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	256	0		29	10	S5597_256_0	2	05/24/2009	2010.02	05/24/2009 12:03:33 PM Eastern Daylight Time		07/23/2009 11:09:56 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	256	0	2010	State of Texas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	257	0		29	10	S5597_257_0	2	05/24/2009	2010.02	05/24/2009 12:03:34 PM Eastern Daylight Time		07/23/2009 11:10:13 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	257	0	2010	State of Oklahoma		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	258	0		29	10	S5597_258_0	2	05/24/2009	2010.02	05/24/2009 12:03:34 PM Eastern Daylight Time		07/23/2009 11:10:29 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	258	0	2010	State of Kansas		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	259	0		29	10	S5597_259_0	2	05/24/2009	2010.02	05/24/2009 12:03:34 PM Eastern Daylight Time		07/23/2009 11:10:49 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	259	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	260	0		29	10	S5597_260_0	2	05/24/2009	2010.02	05/24/2009 12:03:34 PM Eastern Daylight Time		07/23/2009 11:11:08 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	260	0	2010	State of New Mexico		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	261	0		29	10	S5597_261_0	3	05/24/2009	2010.02	05/24/2009 12:03:35 PM Eastern Daylight Time		07/23/2009 11:11:26 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	261	0	2010	State of Colorado		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	262	0		29	10	S5597_262_0	2	05/24/2009	2010.02	05/24/2009 12:03:35 PM Eastern Daylight Time		07/22/2009 01:21:07 PM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	262	0	2010	State of Arizona		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	263	0		29	10	S5597_263_0	3	05/24/2009	2010.02	05/24/2009 12:03:35 PM Eastern Daylight Time		07/22/2009 01:17:19 PM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	263	0	2010	State of Nevada		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	264	0		29	10	S5597_264_0	2	05/24/2009	2010.02	05/24/2009 12:03:35 PM Eastern Daylight Time		07/23/2009 11:23:32 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	264	0	2010	State of Oregon and State of Washington		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	265	0		29	10	S5597_265_0	2	05/24/2009	2010.02	05/24/2009 12:03:36 PM Eastern Daylight Time		07/23/2009 11:11:42 AM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	265	0	2010	State of Idaho and State of Utah		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	266	0		29	10	S5597_266_0	2	05/24/2009	2010.02	05/24/2009 12:03:36 PM Eastern Daylight Time		07/22/2009 01:19:30 PM Eastern Daylight Time		07/23/2009 01:19:07 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5597	266	0	2010	State of California		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	802	0		29	10	S5597_802_0	2	06/08/2009	2010.02	06/08/2009 03:33:29 PM Eastern Daylight Time				06/08/2009 03:35:58 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Employer Std Def CY 2 (PDP)	10	29					S5597	802	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	804	0		29	10	S5597_804_0	2	06/08/2009	2010.02	06/08/2009 03:35:29 PM Eastern Daylight Time				06/08/2009 03:35:58 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def CY 4 (PDP)	10	29					S5597	804	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	807	0		29	10	S5597_807_0	2	06/08/2009	2010.02	06/08/2009 03:34:40 PM Eastern Daylight Time				06/08/2009 03:35:58 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def NCY 2 (PDP)	10	29					S5597	807	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5597	809	0		29	10	S5597_809_0	2	06/08/2009	2010.02	06/08/2009 03:34:54 PM Eastern Daylight Time				06/08/2009 03:35:58 PM Eastern Daylight Time	PENNSYLVANIA LIFE INSURANCE COMPANY	Universal American	www.PrescribaRx.com	PrescribaRx  Employer Std Def NCY 4 (PDP)	10	29					S5597	809	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5601	002	0		29	10	S5601_002_0	3	07/23/2009	2010.02	07/23/2009 11:36:59 AM US Mountain Standard Time		07/23/2009 01:45:46 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	002	0	2010	Northern New England SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	003	0		29	10	S5601_003_0	2	07/23/2009	2010.02	07/23/2009 03:53:39 PM US Mountain Standard Time		07/23/2009 02:41:17 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	003	0	2010	Northern New England CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	004	0		29	10	S5601_004_0	2	07/23/2009	2010.02	07/23/2009 11:37:10 AM US Mountain Standard Time		07/23/2009 01:53:24 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	004	0	2010	Central New England SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	005	0		29	10	S5601_005_0	2	07/23/2009	2010.02	07/23/2009 03:54:17 PM US Mountain Standard Time		07/23/2009 02:43:23 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	005	0	2010	Central New England CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	006	0		29	10	S5601_006_0	2	07/23/2009	2010.02	07/23/2009 11:37:21 AM US Mountain Standard Time		07/23/2009 01:55:15 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	006	0	2010	New York SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	007	0		29	10	S5601_007_0	2	05/29/2009	2010.02	05/29/2009 04:50:12 PM US Mountain Standard Time		07/23/2009 02:47:19 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	007	0	2010	New York CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	008	0		29	10	S5601_008_0	2	07/23/2009	2010.02	07/23/2009 11:37:34 AM US Mountain Standard Time		07/23/2009 01:57:23 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	008	0	2010	New Jersey SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	009	0		29	10	S5601_009_0	2	05/29/2009	2010.02	05/29/2009 04:50:13 PM US Mountain Standard Time		07/23/2009 02:51:21 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	009	0	2010	New Jersey CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	010	0		29	10	S5601_010_0	2	07/23/2009	2010.02	07/23/2009 11:37:47 AM US Mountain Standard Time		07/23/2009 01:59:20 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	010	0	2010	Mid-Atlantic SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	011	0		29	10	S5601_011_0	2	05/29/2009	2010.02	05/29/2009 04:50:13 PM US Mountain Standard Time		07/23/2009 02:53:21 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	011	0	2010	Mid-Atlantic CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	012	0		29	10	S5601_012_0	2	07/23/2009	2010.02	07/23/2009 11:38:00 AM US Mountain Standard Time		07/23/2009 02:01:53 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	012	0	2010	Pennsylvania, West Virginia SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	013	0		29	10	S5601_013_0	2	05/29/2009	2010.02	05/29/2009 04:50:14 PM US Mountain Standard Time		07/23/2009 02:55:49 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	013	0	2010	Pennsylvania, West Virginia CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	014	0		29	10	S5601_014_0	2	07/23/2009	2010.02	07/23/2009 11:38:12 AM US Mountain Standard Time		07/23/2009 02:03:56 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	014	0	2010	Virginia SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	015	0		29	10	S5601_015_0	2	05/29/2009	2010.02	05/29/2009 04:50:14 PM US Mountain Standard Time		07/23/2009 02:57:30 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	015	0	2010	Virginia CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	016	0		29	10	S5601_016_0	2	07/23/2009	2010.02	07/23/2009 11:38:24 AM US Mountain Standard Time		07/23/2009 02:06:37 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	016	0	2010	North Carolina SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	017	0		29	10	S5601_017_0	2	05/29/2009	2010.02	05/29/2009 04:50:15 PM US Mountain Standard Time		07/23/2009 02:59:03 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	017	0	2010	North Carolina CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	018	0		29	10	S5601_018_0	2	07/23/2009	2010.02	07/23/2009 11:38:34 AM US Mountain Standard Time		07/23/2009 02:08:54 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	018	0	2010	South Carolina SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	019	0		29	10	S5601_019_0	2	05/29/2009	2010.02	05/29/2009 04:50:15 PM US Mountain Standard Time		07/23/2009 03:01:19 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	019	0	2010	South Carolina CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	020	0		29	10	S5601_020_0	2	07/23/2009	2010.02	07/23/2009 11:38:44 AM US Mountain Standard Time		07/23/2009 02:11:25 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	020	0	2010	Georgia SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	021	0		29	10	S5601_021_0	2	05/29/2009	2010.02	05/29/2009 04:50:16 PM US Mountain Standard Time		07/23/2009 03:04:24 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	021	0	2010	Georgia CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	022	0		29	10	S5601_022_0	2	07/23/2009	2010.02	07/23/2009 11:38:57 AM US Mountain Standard Time		07/23/2009 02:25:20 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	022	0	2010	Florida SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	023	0		29	10	S5601_023_0	2	05/29/2009	2010.02	05/29/2009 04:50:17 PM US Mountain Standard Time		07/23/2009 03:06:31 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	023	0	2010	Florida CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	024	0		29	10	S5601_024_0	2	07/23/2009	2010.02	07/23/2009 11:39:09 AM US Mountain Standard Time		07/23/2009 01:51:19 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	024	0	2010	Alabama, Tennessee SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	025	0		29	10	S5601_025_0	2	05/29/2009	2010.02	05/29/2009 04:50:17 PM US Mountain Standard Time		07/23/2009 02:55:54 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	025	0	2010	Alabama, Tennessee CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	026	0		29	10	S5601_026_0	2	07/23/2009	2010.02	07/23/2009 11:39:22 AM US Mountain Standard Time		07/23/2009 01:54:49 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	026	0	2010	Michigan SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	027	0		29	10	S5601_027_0	2	05/29/2009	2010.02	05/29/2009 04:50:18 PM US Mountain Standard Time		07/23/2009 02:58:00 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	027	0	2010	Michigan CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	028	0		29	10	S5601_028_0	2	07/23/2009	2010.02	07/23/2009 11:39:33 AM US Mountain Standard Time		07/23/2009 01:57:35 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	028	0	2010	Ohio SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	029	0		29	10	S5601_029_0	2	05/29/2009	2010.02	05/29/2009 04:50:18 PM US Mountain Standard Time		07/23/2009 03:01:03 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	029	0	2010	Ohio CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	030	0		29	10	S5601_030_0	2	07/23/2009	2010.02	07/23/2009 11:39:44 AM US Mountain Standard Time		07/23/2009 01:59:59 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	030	0	2010	Indiana, Kentucky SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	031	0		29	10	S5601_031_0	2	05/29/2009	2010.02	05/29/2009 04:50:19 PM US Mountain Standard Time		07/23/2009 03:03:17 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	031	0	2010	Indiana, Kentucky CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	032	0		29	10	S5601_032_0	2	07/23/2009	2010.02	07/23/2009 11:39:55 AM US Mountain Standard Time		07/23/2009 02:02:20 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	032	0	2010	Wisconsin SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	033	0		29	10	S5601_033_0	2	05/29/2009	2010.02	05/29/2009 04:50:19 PM US Mountain Standard Time		07/23/2009 03:05:19 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	033	0	2010	Wisconsin CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	034	0		29	10	S5601_034_0	2	07/23/2009	2010.02	07/23/2009 11:40:06 AM US Mountain Standard Time		07/23/2009 02:05:05 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	034	0	2010	Illinois SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	035	0		29	10	S5601_035_0	2	05/29/2009	2010.02	05/29/2009 04:50:20 PM US Mountain Standard Time		07/23/2009 03:07:39 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	035	0	2010	Illinois CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	036	0		29	10	S5601_036_0	2	07/23/2009	2010.02	07/23/2009 01:15:17 PM US Mountain Standard Time		07/23/2009 02:07:55 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	036	0	2010	Missouri SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	037	0		29	10	S5601_037_0	2	05/29/2009	2010.02	05/29/2009 04:50:20 PM US Mountain Standard Time		07/23/2009 03:09:41 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	037	0	2010	Missouri CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	038	0		29	10	S5601_038_0	2	07/23/2009	2010.02	07/23/2009 01:15:29 PM US Mountain Standard Time		07/23/2009 02:10:09 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	038	0	2010	Arkansas SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	039	0		29	10	S5601_039_0	2	05/29/2009	2010.02	05/29/2009 04:50:21 PM US Mountain Standard Time		07/23/2009 03:11:30 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	039	0	2010	Arkansas CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	040	0		29	10	S5601_040_0	2	07/23/2009	2010.02	07/23/2009 01:15:42 PM US Mountain Standard Time		07/23/2009 02:18:23 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	040	0	2010	Mississippi SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	041	0		29	10	S5601_041_0	2	05/29/2009	2010.02	05/29/2009 04:50:22 PM US Mountain Standard Time		07/23/2009 03:13:24 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	041	0	2010	Mississippi CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	042	0		29	10	S5601_042_0	2	07/23/2009	2010.02	07/23/2009 01:16:15 PM US Mountain Standard Time		07/23/2009 02:26:20 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	042	0	2010	Louisiana SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	043	0		29	10	S5601_043_0	2	05/29/2009	2010.02	05/29/2009 04:50:22 PM US Mountain Standard Time		07/23/2009 03:15:30 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	043	0	2010	Louisiana CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	044	0		29	10	S5601_044_0	2	07/23/2009	2010.02	07/23/2009 01:16:26 PM US Mountain Standard Time		07/23/2009 02:32:29 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	044	0	2010	Texas SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	045	0		29	10	S5601_045_0	2	05/29/2009	2010.02	05/29/2009 04:50:23 PM US Mountain Standard Time		07/23/2009 03:17:13 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	045	0	2010	Texas CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	046	0		29	10	S5601_046_0	2	07/23/2009	2010.02	07/23/2009 01:16:37 PM US Mountain Standard Time		07/23/2009 02:34:48 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	046	0	2010	Oklahoma SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	047	0		29	10	S5601_047_0	2	05/29/2009	2010.02	05/29/2009 04:50:23 PM US Mountain Standard Time		07/23/2009 03:18:46 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	047	0	2010	Oklahoma CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	048	0		29	10	S5601_048_0	2	07/23/2009	2010.02	07/23/2009 01:16:50 PM US Mountain Standard Time		07/23/2009 02:36:45 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	048	0	2010	Kansas SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	049	0		29	10	S5601_049_0	2	05/29/2009	2010.02	05/29/2009 04:50:24 PM US Mountain Standard Time		07/23/2009 03:20:13 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	049	0	2010	Kansas CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	050	0		29	10	S5601_050_0	2	07/23/2009	2010.02	07/23/2009 01:17:04 PM US Mountain Standard Time		07/23/2009 02:38:46 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	050	0	2010	Upper Midwest and N. Plains SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	051	0		29	10	S5601_051_0	2	05/29/2009	2010.02	05/29/2009 04:50:24 PM US Mountain Standard Time		07/23/2009 03:28:34 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	051	0	2010	Upper Midwest and N. Plains CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	052	0		29	10	S5601_052_0	2	07/23/2009	2010.02	07/23/2009 01:17:14 PM US Mountain Standard Time		07/23/2009 02:38:10 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	052	0	2010	New Mexico SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	053	0		29	10	S5601_053_0	2	05/29/2009	2010.02	05/29/2009 04:50:25 PM US Mountain Standard Time		07/23/2009 03:19:22 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	053	0	2010	New Mexico CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	054	0		29	10	S5601_054_0	2	07/23/2009	2010.02	07/23/2009 01:17:26 PM US Mountain Standard Time		07/23/2009 02:35:32 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	054	0	2010	Colorado SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	055	0		29	10	S5601_055_0	2	05/29/2009	2010.02	05/29/2009 04:50:25 PM US Mountain Standard Time		07/23/2009 03:16:29 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	055	0	2010	Colorado CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	056	0		29	10	S5601_056_0	2	07/23/2009	2010.02	07/23/2009 01:17:42 PM US Mountain Standard Time		07/23/2009 02:32:28 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	056	0	2010	Arizona SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	057	0		29	10	S5601_057_0	2	05/29/2009	2010.02	05/29/2009 04:50:26 PM US Mountain Standard Time		07/23/2009 03:08:51 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	057	0	2010	Arizona CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	058	0		29	10	S5601_058_0	2	07/23/2009	2010.02	07/23/2009 01:17:53 PM US Mountain Standard Time		07/23/2009 02:28:59 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	058	0	2010	Nevada SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	059	0		29	10	S5601_059_0	2	05/29/2009	2010.02	05/29/2009 04:50:27 PM US Mountain Standard Time		07/23/2009 03:06:27 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	059	0	2010	Nevada CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	060	0		29	10	S5601_060_0	2	07/23/2009	2010.02	07/23/2009 01:18:05 PM US Mountain Standard Time		07/23/2009 02:25:42 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	060	0	2010	Oregon, Washington SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	061	0		29	10	S5601_061_0	2	05/29/2009	2010.02	05/29/2009 04:50:27 PM US Mountain Standard Time		07/23/2009 03:03:44 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	061	0	2010	Oregon, Washington CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	062	0		29	10	S5601_062_0	2	07/23/2009	2010.02	07/23/2009 01:18:16 PM US Mountain Standard Time		07/23/2009 02:07:21 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	062	0	2010	Idaho, Utah SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	063	0		29	10	S5601_063_0	2	05/29/2009	2010.02	05/29/2009 04:50:28 PM US Mountain Standard Time		07/23/2009 03:00:15 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	063	0	2010	Idaho, Utah CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	064	0		29	10	S5601_064_0	2	07/23/2009	2010.02	07/23/2009 01:18:27 PM US Mountain Standard Time		07/23/2009 02:03:00 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	064	0	2010	California SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	065	0		29	10	S5601_065_0	2	05/29/2009	2010.02	05/29/2009 04:50:28 PM US Mountain Standard Time		07/23/2009 02:57:35 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	065	0	2010	California CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	066	0		29	10	S5601_066_0	2	07/23/2009	2010.02	07/23/2009 01:18:39 PM US Mountain Standard Time		07/23/2009 01:59:43 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	066	0	2010	Hawaii SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	067	0		29	10	S5601_067_0	2	05/29/2009	2010.02	05/29/2009 04:50:29 PM US Mountain Standard Time		07/23/2009 02:55:03 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	067	0	2010	Hawaii CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	068	0		29	10	S5601_068_0	2	07/23/2009	2010.02	07/23/2009 01:18:54 PM US Mountain Standard Time		07/23/2009 01:55:28 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	068	0	2010	Alaska SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	069	0		29	10	S5601_069_0	2	05/29/2009	2010.02	05/29/2009 04:50:29 PM US Mountain Standard Time		07/23/2009 02:52:24 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	069	0	2010	Alaska CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	070	0		29	10	S5601_070_0	2	07/23/2009	2010.02	07/23/2009 11:11:52 AM US Mountain Standard Time		07/23/2009 04:42:30 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Value (PDP)	10	29					S5601	070	0	2010	Puerto Rico SilverScript		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	071	0		29	10	S5601_071_0	2	05/29/2009	2010.02	05/29/2009 04:50:30 PM US Mountain Standard Time		07/23/2009 03:46:36 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	071	0	2010	Puerto Rico CVS Caremark Plus		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	072	0		29	10	S5601_072_0	2	05/29/2009	2010.02	05/29/2009 03:51:29 PM US Mountain Standard Time		07/23/2009 11:01:34 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	072	0	2010	Northern New England CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	073	0		29	10	S5601_073_0	2	05/29/2009	2010.02	05/29/2009 04:51:58 PM US Mountain Standard Time		07/23/2009 10:53:56 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	073	0	2010	Central New England CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	074	0		29	10	S5601_074_0	2	05/29/2009	2010.02	05/29/2009 04:51:58 PM US Mountain Standard Time		07/23/2009 11:00:04 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	074	0	2010	New York CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	075	0		29	10	S5601_075_0	3	06/01/2009	2010.02	06/01/2009 09:13:48 AM US Mountain Standard Time		07/23/2009 11:04:23 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	075	0	2010	New Jersey CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	076	0		29	10	S5601_076_0	2	05/29/2009	2010.02	05/29/2009 04:52:00 PM US Mountain Standard Time		07/23/2009 11:09:14 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	076	0	2010	Mid-Atlantic CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	077	0		29	10	S5601_077_0	2	05/29/2009	2010.02	05/29/2009 04:52:01 PM US Mountain Standard Time		07/23/2009 11:11:58 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	077	0	2010	Pennsylvania, West Virginia CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	078	0		29	10	S5601_078_0	2	05/29/2009	2010.02	05/29/2009 04:52:02 PM US Mountain Standard Time		07/23/2009 11:13:48 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	078	0	2010	Virginia CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	079	0		29	10	S5601_079_0	2	05/29/2009	2010.02	05/29/2009 04:52:03 PM US Mountain Standard Time		07/23/2009 11:15:27 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	079	0	2010	North Carolina CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	080	0		29	10	S5601_080_0	2	05/29/2009	2010.02	05/29/2009 04:52:04 PM US Mountain Standard Time		07/23/2009 11:17:00 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	080	0	2010	South Carolina CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	081	0		29	10	S5601_081_0	2	05/29/2009	2010.02	05/29/2009 04:52:05 PM US Mountain Standard Time		07/23/2009 11:18:30 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	081	0	2010	Georgia CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	082	0		29	10	S5601_082_0	2	05/29/2009	2010.02	05/29/2009 04:52:05 PM US Mountain Standard Time		07/23/2009 11:20:51 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	082	0	2010	Florida CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	083	0		29	10	S5601_083_0	2	05/29/2009	2010.02	05/29/2009 04:52:06 PM US Mountain Standard Time		07/23/2009 01:26:25 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	083	0	2010	Alabama, Tennessee CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	084	0		29	10	S5601_084_0	2	05/29/2009	2010.02	05/29/2009 04:52:07 PM US Mountain Standard Time		07/23/2009 01:28:37 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	084	0	2010	Michigan CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	085	0		29	10	S5601_085_0	2	05/29/2009	2010.02	05/29/2009 04:52:08 PM US Mountain Standard Time		07/23/2009 01:30:59 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	085	0	2010	Ohio CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	086	0		29	10	S5601_086_0	2	05/29/2009	2010.02	05/29/2009 04:52:08 PM US Mountain Standard Time		07/23/2009 01:28:23 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	086	0	2010	Indiana, Kentucky CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	087	0		29	10	S5601_087_0	2	05/29/2009	2010.02	05/29/2009 04:52:09 PM US Mountain Standard Time		07/23/2009 01:25:41 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	087	0	2010	Wisconsin CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	088	0		29	10	S5601_088_0	2	05/29/2009	2010.02	05/29/2009 04:52:10 PM US Mountain Standard Time		07/23/2009 01:16:44 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	088	0	2010	Illinois CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	089	0		29	10	S5601_089_0	2	05/29/2009	2010.02	05/29/2009 04:52:11 PM US Mountain Standard Time		07/23/2009 01:14:18 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	089	0	2010	Missouri CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	090	0		29	10	S5601_090_0	2	05/29/2009	2010.02	05/29/2009 04:52:11 PM US Mountain Standard Time		07/23/2009 01:09:59 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	090	0	2010	Arkansas CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	091	0		29	10	S5601_091_0	2	05/29/2009	2010.02	05/29/2009 04:52:12 PM US Mountain Standard Time		07/23/2009 01:07:07 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	091	0	2010	Mississippi CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	092	0		29	10	S5601_092_0	2	05/29/2009	2010.02	05/29/2009 04:52:13 PM US Mountain Standard Time		07/23/2009 01:03:32 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	092	0	2010	Louisiana CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	093	0		29	10	S5601_093_0	2	05/29/2009	2010.02	05/29/2009 04:52:14 PM US Mountain Standard Time		07/23/2009 12:58:40 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	093	0	2010	Texas CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	094	0		29	10	S5601_094_0	2	05/29/2009	2010.02	05/29/2009 04:52:14 PM US Mountain Standard Time		07/23/2009 12:54:26 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	094	0	2010	Oklahoma CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	095	0		29	10	S5601_095_0	2	05/29/2009	2010.02	05/29/2009 04:52:15 PM US Mountain Standard Time		07/23/2009 12:51:08 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	095	0	2010	Kansas CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	096	0		29	10	S5601_096_0	2	05/29/2009	2010.02	05/29/2009 04:53:24 PM US Mountain Standard Time		07/23/2009 12:47:54 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	096	0	2010	Upper Midwest- North Plains CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	097	0		29	10	S5601_097_0	2	05/29/2009	2010.02	05/29/2009 04:52:17 PM US Mountain Standard Time		07/23/2009 12:44:17 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	097	0	2010	New Mexico CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	098	0		29	10	S5601_098_0	2	05/29/2009	2010.02	05/29/2009 04:52:17 PM US Mountain Standard Time		07/23/2009 12:40:34 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	098	0	2010	Colorado CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	099	0		29	10	S5601_099_0	2	05/29/2009	2010.02	05/29/2009 04:52:18 PM US Mountain Standard Time		07/23/2009 12:37:24 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	099	0	2010	Arizona CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	100	0		29	10	S5601_100_0	2	05/29/2009	2010.02	05/29/2009 04:52:19 PM US Mountain Standard Time		07/23/2009 12:30:12 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	100	0	2010	Nevada CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	101	0		29	10	S5601_101_0	2	05/29/2009	2010.02	05/29/2009 04:52:20 PM US Mountain Standard Time		07/23/2009 12:27:00 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	101	0	2010	Oregon, Washington CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	102	0		29	10	S5601_102_0	2	05/29/2009	2010.02	05/29/2009 04:52:20 PM US Mountain Standard Time		07/23/2009 12:19:47 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	102	0	2010	Idaho, Utah CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	103	0		29	10	S5601_103_0	2	05/29/2009	2010.02	05/29/2009 04:52:21 PM US Mountain Standard Time		07/23/2009 12:12:50 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	103	0	2010	California CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	104	0		29	10	S5601_104_0	2	05/29/2009	2010.02	05/29/2009 04:52:22 PM US Mountain Standard Time		07/23/2009 11:55:13 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS  Caremark Complete (PDP)	10	29					S5601	104	0	2010	Hawaii CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	105	0		29	10	S5601_105_0	2	05/29/2009	2010.02	05/29/2009 04:52:23 PM US Mountain Standard Time		07/23/2009 11:51:36 AM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	105	0	2010	Alaska CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	106	0		29	10	S5601_106_0	2	05/29/2009	2010.02	05/29/2009 04:52:23 PM US Mountain Standard Time		07/23/2009 05:12:31 PM US Mountain Standard Time		07/23/2009 05:17:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Complete (PDP)	10	29					S5601	106	0	2010	Puerto Rico CVS Caremark Complete		2						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	801	0		29	10	S5601_801_0	2	06/01/2009	2010.02	06/01/2009 09:15:59 AM US Mountain Standard Time				06/01/2009 09:54:53 AM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Group - Calendar (PDP)	10	29					S5601	801	0	2010	National SilverScript Group		1						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5601	802	0		29	10	S5601_802_0	2	06/01/2009	2010.02	06/01/2009 09:14:16 AM US Mountain Standard Time				06/01/2009 09:54:53 AM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Group - Non-Calendar (PDP)	10	29					S5601	802	0	2010	National SilverScript Group - Non-Calendar		1						2							www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1		
S5609	001	0		29	10	S5609_001_0	6	07/28/2009	2010.02	07/28/2009 01:10:44 PM Pacific Daylight Time		07/29/2009 12:47:08 PM Pacific Daylight Time		07/29/2009 02:57:41 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script (PDP)	10	29					S5609	001	0	2010	Region of Oregon and Washington		2						2							www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5609	002	0		29	10	S5609_002_0	3	07/28/2009	2010.02	07/28/2009 01:13:45 PM Pacific Daylight Time		07/29/2009 12:55:19 PM Pacific Daylight Time		07/29/2009 03:00:43 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script Enhanced (PDP)	10	29					S5609	002	0	2010	Region of Oregon and Washington		2						2							www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5609	802	0		29	10	S5609_802_0	1	04/24/2009	2010.02	04/24/2009 03:46:54 PM Pacific Daylight Time				06/03/2009 01:57:51 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script (PDP)	10	29					S5609	802	0	2010	Region of Oregon and Washington		1						2							www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(866)-704-2708		(866)-704-2708										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5617	003	0		29	10	S5617_003_0	1	05/18/2009	2010.02	05/18/2009 06:50:48 PM Eastern Daylight Time		05/27/2009 05:32:29 PM Eastern Daylight Time		05/28/2009 08:54:26 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	003	0	2010	New Hampshire and Maine		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	005	0		29	10	S5617_005_0	1	05/21/2009	2010.02	05/21/2009 06:54:27 PM Eastern Daylight Time		05/27/2009 06:59:08 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	005	0	2010	New Hampshire and Maine		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	008	0		29	10	S5617_008_0	1	05/18/2009	2010.02	05/18/2009 06:52:48 PM Eastern Daylight Time		05/27/2009 05:52:44 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	008	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	010	0		29	10	S5617_010_0	1	05/21/2009	2010.02	05/21/2009 06:56:32 PM Eastern Daylight Time		05/27/2009 06:59:43 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	010	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	013	0		29	10	S5617_013_0	1	05/18/2009	2010.02	05/18/2009 06:56:23 PM Eastern Daylight Time		05/27/2009 05:53:33 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	013	0	2010	New York		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	015	0		29	10	S5617_015_0	1	05/21/2009	2010.02	05/21/2009 06:57:43 PM Eastern Daylight Time		05/27/2009 07:04:03 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	015	0	2010	New York		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	018	0		29	10	S5617_018_0	1	05/18/2009	2010.02	05/18/2009 06:55:55 PM Eastern Daylight Time		05/27/2009 05:54:20 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	018	0	2010	New Jersey		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	020	0		29	10	S5617_020_0	1	05/21/2009	2010.02	05/21/2009 06:59:17 PM Eastern Daylight Time		05/27/2009 07:04:42 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	020	0	2010	New Jersey		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	025	0		29	10	S5617_025_0	1	05/21/2009	2010.02	05/21/2009 07:01:02 PM Eastern Daylight Time		05/27/2009 07:12:05 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	025	0	2010	Delaware, Maryland and District of Columbia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	030	0		29	10	S5617_030_0	1	05/21/2009	2010.02	05/21/2009 07:02:27 PM Eastern Daylight Time		05/27/2009 07:12:39 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	030	0	2010	Pennsylvania and West Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	035	0		29	10	S5617_035_0	1	05/21/2009	2010.02	05/21/2009 07:03:43 PM Eastern Daylight Time		05/27/2009 07:13:18 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	035	0	2010	Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	040	0		29	10	S5617_040_0	1	05/21/2009	2010.02	05/21/2009 07:04:54 PM Eastern Daylight Time		05/27/2009 07:14:04 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	040	0	2010	North Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	045	0		29	10	S5617_045_0	1	05/21/2009	2010.02	05/21/2009 07:06:02 PM Eastern Daylight Time		05/27/2009 07:14:35 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	045	0	2010	South Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	050	0		29	10	S5617_050_0	1	05/21/2009	2010.02	05/21/2009 10:06:50 PM Eastern Daylight Time		05/27/2009 07:15:08 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	050	0	2010	Georgia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	053	0		29	10	S5617_053_0	1	05/18/2009	2010.02	05/18/2009 06:57:54 PM Eastern Daylight Time		05/27/2009 05:57:15 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	053	0	2010	Florida		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	055	0		29	10	S5617_055_0	1	05/21/2009	2010.02	05/21/2009 10:08:40 PM Eastern Daylight Time		05/27/2009 07:05:16 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	055	0	2010	Florida		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	060	0		29	10	S5617_060_0	1	05/21/2009	2010.02	05/21/2009 10:10:55 PM Eastern Daylight Time		05/27/2009 07:15:39 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	060	0	2010	Alabama and Tennessee		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	065	0		29	10	S5617_065_0	1	05/21/2009	2010.02	05/21/2009 10:12:44 PM Eastern Daylight Time		05/27/2009 07:16:21 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	065	0	2010	Michigan		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	068	0		29	10	S5617_068_0	1	05/18/2009	2010.02	05/18/2009 06:59:27 PM Eastern Daylight Time		05/27/2009 05:58:47 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	068	0	2010	Ohio		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	070	0		29	10	S5617_070_0	1	05/21/2009	2010.02	05/21/2009 10:14:13 PM Eastern Daylight Time		05/28/2009 04:15:12 PM Eastern Daylight Time		05/28/2009 04:22:43 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	070	0	2010	Ohio		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	075	0		29	10	S5617_075_0	1	05/21/2009	2010.02	05/21/2009 10:15:44 PM Eastern Daylight Time		05/27/2009 07:16:55 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	075	0	2010	Indiana and Kentucky		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	080	0		29	10	S5617_080_0	1	05/21/2009	2010.02	05/21/2009 10:17:54 PM Eastern Daylight Time		05/27/2009 07:17:28 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	080	0	2010	Wisconsin		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	085	0		29	10	S5617_085_0	1	05/21/2009	2010.02	05/21/2009 10:19:48 PM Eastern Daylight Time		05/27/2009 07:17:59 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	085	0	2010	Illinois		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	088	0		29	10	S5617_088_0	1	05/18/2009	2010.02	05/18/2009 07:01:06 PM Eastern Daylight Time		05/27/2009 05:59:41 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	088	0	2010	Missouri		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	090	0		29	10	S5617_090_0	1	05/21/2009	2010.02	05/21/2009 10:21:40 PM Eastern Daylight Time		05/27/2009 07:05:49 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	090	0	2010	Missouri		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	095	0		29	10	S5617_095_0	1	05/21/2009	2010.02	05/21/2009 10:23:09 PM Eastern Daylight Time		05/27/2009 07:18:32 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	095	0	2010	Arkansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	100	0		29	10	S5617_100_0	1	05/21/2009	2010.02	05/21/2009 10:24:44 PM Eastern Daylight Time		05/27/2009 07:19:03 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	100	0	2010	Mississippi		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	103	0		29	10	S5617_103_0	1	05/18/2009	2010.02	05/18/2009 07:02:29 PM Eastern Daylight Time		05/27/2009 06:00:35 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	103	0	2010	Louisiana		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	105	0		29	10	S5617_105_0	1	05/21/2009	2010.02	05/21/2009 10:26:49 PM Eastern Daylight Time		05/27/2009 07:06:24 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	105	0	2010	Louisiana		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	108	0		29	10	S5617_108_0	1	05/18/2009	2010.02	05/18/2009 07:04:00 PM Eastern Daylight Time		05/27/2009 06:01:22 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	108	0	2010	Texas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	110	0		29	10	S5617_110_0	1	05/21/2009	2010.02	05/21/2009 10:28:37 PM Eastern Daylight Time		05/27/2009 07:07:00 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	110	0	2010	Texas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	113	0		29	10	S5617_113_0	1	05/18/2009	2010.02	05/18/2009 07:05:19 PM Eastern Daylight Time		05/27/2009 06:02:15 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	113	0	2010	Oklahoma		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	115	0		29	10	S5617_115_0	1	05/21/2009	2010.02	05/21/2009 10:30:07 PM Eastern Daylight Time		05/28/2009 04:14:27 PM Eastern Daylight Time		05/28/2009 04:22:43 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	115	0	2010	Oklahoma		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	118	0		29	10	S5617_118_0	1	05/18/2009	2010.02	05/18/2009 07:06:37 PM Eastern Daylight Time		05/27/2009 06:03:00 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	118	0	2010	Kansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	120	0		29	10	S5617_120_0	1	05/21/2009	2010.02	05/21/2009 10:31:53 PM Eastern Daylight Time		05/27/2009 07:07:32 PM Eastern Daylight Time		05/28/2009 04:33:09 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	120	0	2010	Kansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	123	0		29	10	S5617_123_0	1	05/18/2009	2010.02	05/18/2009 07:07:49 PM Eastern Daylight Time		05/27/2009 06:03:43 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	123	0	2010	IA, MN, MT, ND, NE, SD, WY		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	125	0		29	10	S5617_125_0	1	05/21/2009	2010.02	05/21/2009 10:33:27 PM Eastern Daylight Time		05/27/2009 07:08:06 PM Eastern Daylight Time		05/28/2009 04:33:09 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	125	0	2010	IA, MN, MT, ND, NE, SD, WY		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	128	0		29	10	S5617_128_0	1	05/19/2009	2010.02	05/19/2009 04:39:43 PM Eastern Daylight Time		05/27/2009 06:04:40 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	128	0	2010	New Mexico		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	130	0		29	10	S5617_130_0	1	05/21/2009	2010.02	05/21/2009 10:34:49 PM Eastern Daylight Time		05/28/2009 04:38:50 PM Eastern Daylight Time		05/28/2009 04:41:14 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	130	0	2010	New Mexico		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	133	0		29	10	S5617_133_0	1	05/19/2009	2010.02	05/19/2009 04:50:05 PM Eastern Daylight Time		05/27/2009 06:05:21 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	133	0	2010	Colorado		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	135	0		29	10	S5617_135_0	1	05/21/2009	2010.02	05/21/2009 10:36:34 PM Eastern Daylight Time		05/27/2009 07:08:41 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	135	0	2010	Colorado		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	138	0		29	10	S5617_138_0	1	05/18/2009	2010.02	05/18/2009 07:11:21 PM Eastern Daylight Time		05/27/2009 06:06:03 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	138	0	2010	Arizona		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	140	0		29	10	S5617_140_0	1	05/21/2009	2010.02	05/21/2009 10:37:57 PM Eastern Daylight Time		05/28/2009 04:15:59 PM Eastern Daylight Time		05/28/2009 04:22:43 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	140	0	2010	Arizona		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	143	0		29	10	S5617_143_0	1	05/19/2009	2010.02	05/19/2009 04:49:31 PM Eastern Daylight Time		05/27/2009 06:06:48 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	143	0	2010	Nevada		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	145	0		29	10	S5617_145_0	1	05/21/2009	2010.02	05/21/2009 10:39:27 PM Eastern Daylight Time		05/27/2009 07:09:14 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	145	0	2010	Nevada		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	148	0		29	10	S5617_148_0	1	05/18/2009	2010.02	05/18/2009 07:14:32 PM Eastern Daylight Time		05/27/2009 06:08:01 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	148	0	2010	Oregon and Washington		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	150	0		29	10	S5617_150_0	1	05/22/2009	2010.02	05/22/2009 12:12:27 PM Eastern Daylight Time		05/27/2009 07:09:44 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	150	0	2010	Oregon and Washington		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	153	0		29	10	S5617_153_0	1	05/18/2009	2010.02	05/18/2009 07:16:12 PM Eastern Daylight Time		05/27/2009 06:10:00 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	153	0	2010	Idaho and Utah		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	155	0		29	10	S5617_155_0	1	05/21/2009	2010.02	05/21/2009 10:42:23 PM Eastern Daylight Time		05/27/2009 07:10:17 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	155	0	2010	Idaho and Utah		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	158	0		29	10	S5617_158_0	1	05/18/2009	2010.02	05/18/2009 07:17:21 PM Eastern Daylight Time		05/27/2009 06:10:43 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	158	0	2010	California		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	160	0		29	10	S5617_160_0	1	05/21/2009	2010.02	05/21/2009 10:43:58 PM Eastern Daylight Time		05/27/2009 07:10:48 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	160	0	2010	California		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	163	0		29	10	S5617_163_0	1	05/19/2009	2010.02	05/19/2009 04:52:24 PM Eastern Daylight Time		05/27/2009 06:11:42 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	163	0	2010	Hawaii		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	165	0		29	10	S5617_165_0	2	05/21/2009	2010.02	05/21/2009 10:46:40 PM Eastern Daylight Time		07/29/2009 08:42:27 AM Eastern Daylight Time		07/29/2009 08:45:37 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	165	0	2010	Hawaii		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	170	0		29	10	S5617_170_0	1	05/22/2009	2010.02	05/22/2009 12:13:49 PM Eastern Daylight Time		05/27/2009 07:19:50 PM Eastern Daylight Time		05/28/2009 11:26:43 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	170	0	2010	Alaska		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	171	0		29	10	S5617_171_0	1	05/19/2009	2010.02	05/19/2009 11:33:49 AM Eastern Daylight Time		05/27/2009 06:25:41 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	171	0	2010	New Hampshire and Maine		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	172	0		29	10	S5617_172_0	1	05/19/2009	2010.02	05/19/2009 11:36:03 AM Eastern Daylight Time		05/27/2009 06:26:57 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	172	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	173	0		29	10	S5617_173_0	1	05/19/2009	2010.02	05/19/2009 11:36:03 AM Eastern Daylight Time		05/27/2009 06:27:33 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	173	0	2010	New York		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	174	0		29	10	S5617_174_0	1	05/19/2009	2010.02	05/19/2009 11:36:04 AM Eastern Daylight Time		05/27/2009 06:28:12 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	174	0	2010	New Jersey		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	175	0		29	10	S5617_175_0	1	05/19/2009	2010.02	05/19/2009 11:36:04 AM Eastern Daylight Time		05/27/2009 06:28:51 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	175	0	2010	Delaware, Maryland and District of Columbia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	176	0		29	10	S5617_176_0	1	05/19/2009	2010.02	05/19/2009 11:36:05 AM Eastern Daylight Time		05/27/2009 06:29:52 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	176	0	2010	Pennsylvania and West Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	177	0		29	10	S5617_177_0	1	05/19/2009	2010.02	05/19/2009 11:36:53 AM Eastern Daylight Time		05/27/2009 06:30:33 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	177	0	2010	Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	178	0		29	10	S5617_178_0	1	05/19/2009	2010.02	05/19/2009 11:36:05 AM Eastern Daylight Time		05/27/2009 06:36:36 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	178	0	2010	North Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	179	0		29	10	S5617_179_0	1	05/19/2009	2010.02	05/19/2009 11:37:48 AM Eastern Daylight Time		05/27/2009 06:37:30 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	179	0	2010	South Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	180	0		29	10	S5617_180_0	1	05/19/2009	2010.02	05/19/2009 11:37:48 AM Eastern Daylight Time		05/27/2009 06:38:11 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	180	0	2010	Georgia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	181	0		29	10	S5617_181_0	1	05/19/2009	2010.02	05/19/2009 11:37:49 AM Eastern Daylight Time		05/27/2009 06:40:24 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	181	0	2010	Florida		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	182	0		29	10	S5617_182_0	1	05/19/2009	2010.02	05/19/2009 11:37:49 AM Eastern Daylight Time		05/27/2009 06:42:56 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	182	0	2010	Alabama and Tennessee		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	183	0		29	10	S5617_183_0	1	05/19/2009	2010.02	05/19/2009 11:36:06 AM Eastern Daylight Time		05/27/2009 06:43:34 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	183	0	2010	Michigan		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	184	0		29	10	S5617_184_0	1	05/19/2009	2010.02	05/19/2009 11:36:06 AM Eastern Daylight Time		05/27/2009 06:44:21 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	184	0	2010	Ohio		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	185	0		29	10	S5617_185_0	1	05/19/2009	2010.02	05/19/2009 11:37:50 AM Eastern Daylight Time		05/27/2009 06:44:53 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	185	0	2010	Indiana and Kentucky		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	186	0		29	10	S5617_186_0	1	05/19/2009	2010.02	05/19/2009 11:37:50 AM Eastern Daylight Time		05/27/2009 06:45:32 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	186	0	2010	Wisconsin		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	187	0		29	10	S5617_187_0	1	05/19/2009	2010.02	05/19/2009 11:37:50 AM Eastern Daylight Time		05/27/2009 06:46:04 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	187	0	2010	Illinois		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	188	0		29	10	S5617_188_0	1	05/19/2009	2010.02	05/19/2009 11:37:51 AM Eastern Daylight Time		05/27/2009 06:46:39 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	188	0	2010	Missouri		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	189	0		29	10	S5617_189_0	1	05/19/2009	2010.02	05/19/2009 11:36:07 AM Eastern Daylight Time		05/27/2009 06:47:11 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	189	0	2010	Arkansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	190	0		29	10	S5617_190_0	1	05/21/2009	2010.02	05/21/2009 06:03:55 PM Eastern Daylight Time		05/27/2009 06:48:08 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	190	0	2010	Mississippi		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	191	0		29	10	S5617_191_0	1	05/19/2009	2010.02	05/19/2009 06:04:13 PM Eastern Daylight Time		05/27/2009 06:48:42 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	191	0	2010	Louisiana		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	192	0		29	10	S5617_192_0	1	05/19/2009	2010.02	05/19/2009 11:37:52 AM Eastern Daylight Time		05/27/2009 06:49:20 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	192	0	2010	Texas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	193	0		29	10	S5617_193_0	1	05/19/2009	2010.02	05/19/2009 11:36:08 AM Eastern Daylight Time		05/27/2009 06:49:51 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	193	0	2010	Oklahoma		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	194	0		29	10	S5617_194_0	1	05/19/2009	2010.02	05/19/2009 11:37:52 AM Eastern Daylight Time		05/27/2009 06:50:35 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	194	0	2010	Kansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	195	0		29	10	S5617_195_0	1	05/19/2009	2010.02	05/19/2009 11:37:53 AM Eastern Daylight Time		05/27/2009 06:51:10 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	195	0	2010	IA, MN, MT, ND, NE, SD, WY		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	196	0		29	10	S5617_196_0	1	05/22/2009	2010.02	05/22/2009 12:07:49 PM Eastern Daylight Time		05/27/2009 06:51:42 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	196	0	2010	New Mexico		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	197	0		29	10	S5617_197_0	1	05/19/2009	2010.02	05/19/2009 11:36:08 AM Eastern Daylight Time		05/27/2009 06:52:17 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	197	0	2010	Colorado		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	198	0		29	10	S5617_198_0	1	05/19/2009	2010.02	05/19/2009 11:36:09 AM Eastern Daylight Time		05/27/2009 06:52:51 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	198	0	2010	Arizona		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	199	0		29	10	S5617_199_0	1	05/19/2009	2010.02	05/19/2009 11:36:09 AM Eastern Daylight Time		05/27/2009 06:53:23 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	199	0	2010	Nevada		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	200	0		29	10	S5617_200_0	1	05/19/2009	2010.02	05/19/2009 11:36:10 AM Eastern Daylight Time		05/27/2009 06:53:57 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	200	0	2010	Oregon and Washington		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	201	0		29	10	S5617_201_0	1	05/19/2009	2010.02	05/19/2009 11:36:10 AM Eastern Daylight Time		05/27/2009 06:54:31 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	201	0	2010	Idaho and Utah		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	202	0		29	10	S5617_202_0	1	05/19/2009	2010.02	05/19/2009 11:36:11 AM Eastern Daylight Time		05/27/2009 06:55:04 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	202	0	2010	California		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	203	0		29	10	S5617_203_0	1	05/19/2009	2010.02	05/19/2009 11:36:11 AM Eastern Daylight Time		05/27/2009 06:55:39 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	203	0	2010	Hawaii		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	204	0		29	10	S5617_204_0	1	05/19/2009	2010.02	05/19/2009 11:36:12 AM Eastern Daylight Time		05/27/2009 06:56:16 PM Eastern Daylight Time		05/28/2009 10:25:30 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Three (PDP)	10	29					S5617	204	0	2010	Alaska		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	214	0		29	10	S5617_214_0	1	05/22/2009	2010.02	05/22/2009 10:06:38 AM Eastern Daylight Time		05/27/2009 06:14:16 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	214	0	2010	Delaware, Maryland and District of Columbia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	215	0		29	10	S5617_215_0	1	05/22/2009	2010.02	05/22/2009 10:08:40 AM Eastern Daylight Time		05/27/2009 06:15:04 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	215	0	2010	Pennsylvania and West Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	216	0		29	10	S5617_216_0	1	05/22/2009	2010.02	05/22/2009 10:10:58 AM Eastern Daylight Time		05/27/2009 06:15:51 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	216	0	2010	Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	217	0		29	10	S5617_217_0	1	05/22/2009	2010.02	05/22/2009 10:13:06 AM Eastern Daylight Time		05/27/2009 06:16:35 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	217	0	2010	North Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	218	0		29	10	S5617_218_0	1	05/22/2009	2010.02	05/22/2009 10:15:26 AM Eastern Daylight Time		05/27/2009 06:17:29 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	218	0	2010	South Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	219	0		29	10	S5617_219_0	1	05/22/2009	2010.02	05/22/2009 10:16:20 AM Eastern Daylight Time		05/27/2009 06:18:10 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	219	0	2010	Georgia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	220	0		29	10	S5617_220_0	1	05/22/2009	2010.02	05/22/2009 10:17:54 AM Eastern Daylight Time		05/27/2009 06:18:46 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	220	0	2010	Alabama and Tennessee		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	221	0		29	10	S5617_221_0	1	05/22/2009	2010.02	05/22/2009 10:19:38 AM Eastern Daylight Time		05/27/2009 06:19:23 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	221	0	2010	Michigan		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	222	0		29	10	S5617_222_0	1	05/22/2009	2010.02	05/22/2009 10:21:13 AM Eastern Daylight Time		05/27/2009 06:20:00 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	222	0	2010	Indiana and Kentucky		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	223	0		29	10	S5617_223_0	1	05/22/2009	2010.02	05/22/2009 10:24:54 AM Eastern Daylight Time		05/27/2009 06:20:32 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	223	0	2010	Wisconsin		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	224	0		29	10	S5617_224_0	1	05/22/2009	2010.02	05/22/2009 10:26:25 AM Eastern Daylight Time		05/27/2009 06:21:11 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	224	0	2010	Illinois		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	225	0		29	10	S5617_225_0	1	05/22/2009	2010.02	05/22/2009 10:28:16 AM Eastern Daylight Time		05/27/2009 06:22:08 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	225	0	2010	Arkansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	226	0		29	10	S5617_226_0	1	05/22/2009	2010.02	05/22/2009 10:29:11 AM Eastern Daylight Time		05/27/2009 06:22:45 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	226	0	2010	Mississippi		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	227	0		29	10	S5617_227_0	1	05/22/2009	2010.02	05/22/2009 10:31:12 AM Eastern Daylight Time		05/27/2009 06:23:20 PM Eastern Daylight Time		05/28/2009 09:34:02 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	227	0	2010	Alaska		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451				(800)-322-1451				1		
S5617	801	0		29	10	S5617_801_0	1	05/18/2009	2010.02	05/18/2009 11:29:01 AM Eastern Daylight Time				05/28/2009 04:30:15 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	Employer Plan CY (PDP)	10	29					S5617	801	0	2010	Nationwide		1						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-558-9562		(800)-558-9562		(800)-558-9562		(800)-558-9562										(800)-987-8816				(800)-987-8816				1		
S5617	802	0		29	10	S5617_802_0	1	05/18/2009	2010.02	05/18/2009 11:29:15 AM Eastern Daylight Time				05/28/2009 04:30:15 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	Employer Plan NCY (PDP)	10	29					S5617	802	0	2010	Nationwide		1						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html									(800)-558-9562		(800)-558-9562		(800)-558-9562		(800)-558-9562										(800)-987-8816				(800)-987-8816				1		
S5644	004	0		29	10	S5644_004_0	3	05/29/2009	2010.02	05/29/2009 02:37:25 PM Mountain Daylight Time		07/21/2009 02:40:34 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	004	0	2010	NY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	005	0		29	10	S5644_005_0	3	05/29/2009	2010.02	05/29/2009 02:11:16 PM Mountain Daylight Time		07/21/2009 02:41:37 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	005	0	2010	NJ		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	012	0		29	10	S5644_012_0	3	05/29/2009	2010.02	05/29/2009 01:37:32 PM Mountain Daylight Time		07/21/2009 02:42:05 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	012	0	2010	AL-TN		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	045	0		29	10	S5644_045_0	4	05/29/2009	2010.02	05/29/2009 04:31:55 PM Mountain Daylight Time		07/21/2009 01:41:33 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	045	0	2010	ME-NH		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	047	0		29	10	S5644_047_0	3	05/29/2009	2010.02	05/29/2009 04:33:33 PM Mountain Daylight Time		07/21/2009 01:42:07 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	047	0	2010	MA-RI-VT-CT		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	048	0		29	10	S5644_048_0	3	05/29/2009	2010.02	05/29/2009 04:33:34 PM Mountain Daylight Time		07/21/2009 01:42:53 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	048	0	2010	NY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	049	0		29	10	S5644_049_0	3	05/29/2009	2010.02	05/29/2009 04:33:36 PM Mountain Daylight Time		07/21/2009 01:42:27 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	049	0	2010	NJ		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	050	0		29	10	S5644_050_0	3	05/29/2009	2010.02	05/29/2009 04:33:37 PM Mountain Daylight Time		07/21/2009 01:43:14 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	050	0	2010	DE-MD-DC		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	051	0		29	10	S5644_051_0	3	05/29/2009	2010.02	05/29/2009 04:33:39 PM Mountain Daylight Time		07/21/2009 01:43:35 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	051	0	2010	PA-WV		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	052	0		29	10	S5644_052_0	3	05/29/2009	2010.02	05/29/2009 04:33:41 PM Mountain Daylight Time		07/21/2009 01:43:53 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	052	0	2010	VA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	053	0		29	10	S5644_053_0	3	05/29/2009	2010.02	05/29/2009 04:33:43 PM Mountain Daylight Time		07/21/2009 01:44:09 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	053	0	2010	NC		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	054	0		29	10	S5644_054_0	3	05/29/2009	2010.02	05/29/2009 04:33:44 PM Mountain Daylight Time		07/21/2009 01:44:27 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	054	0	2010	SC		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	055	0		29	10	S5644_055_0	3	05/29/2009	2010.02	05/29/2009 04:33:46 PM Mountain Daylight Time		07/21/2009 01:44:42 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	055	0	2010	GA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	056	0		29	10	S5644_056_0	3	05/29/2009	2010.02	05/29/2009 04:33:48 PM Mountain Daylight Time		07/21/2009 01:44:58 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	056	0	2010	AL-TN		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	057	0		29	10	S5644_057_0	3	05/29/2009	2010.02	05/29/2009 04:33:49 PM Mountain Daylight Time		07/21/2009 01:45:21 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	057	0	2010	MI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	058	0		29	10	S5644_058_0	3	05/29/2009	2010.02	05/29/2009 04:33:51 PM Mountain Daylight Time		07/21/2009 01:48:50 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	058	0	2010	TX		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	059	0		29	10	S5644_059_0	3	05/29/2009	2010.02	05/29/2009 04:33:53 PM Mountain Daylight Time		07/21/2009 01:49:06 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	059	0	2010	IA-MN-MT-NE-ND-SD-WY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	060	0		29	10	S5644_060_0	3	05/29/2009	2010.02	05/29/2009 04:33:55 PM Mountain Daylight Time		07/21/2009 01:49:23 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	060	0	2010	AZ		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	061	0		29	10	S5644_061_0	3	05/29/2009	2010.02	05/29/2009 04:33:57 PM Mountain Daylight Time		07/21/2009 01:49:41 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	061	0	2010	NV		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	062	0		29	10	S5644_062_0	3	05/29/2009	2010.02	05/29/2009 04:33:58 PM Mountain Daylight Time		07/21/2009 01:49:56 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	062	0	2010	OR-WA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	063	0		29	10	S5644_063_0	3	05/29/2009	2010.02	05/29/2009 04:34:00 PM Mountain Daylight Time		07/21/2009 01:50:12 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	063	0	2010	UT-ID		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	064	0		29	10	S5644_064_0	3	05/29/2009	2010.02	05/29/2009 04:34:01 PM Mountain Daylight Time		07/21/2009 01:50:29 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	064	0	2010	CA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	065	0		29	10	S5644_065_0	3	05/29/2009	2010.02	05/29/2009 04:34:03 PM Mountain Daylight Time		07/21/2009 01:50:45 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	065	0	2010	HI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	067	0		29	10	S5644_067_0	3	05/29/2009	2010.02	05/29/2009 02:03:04 PM Mountain Daylight Time		07/21/2009 02:42:28 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	067	0	2010	ME-NH		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	068	0		29	10	S5644_068_0	3	05/29/2009	2010.02	05/29/2009 02:30:02 PM Mountain Daylight Time		07/21/2009 02:42:53 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	068	0	2010	MA-RI-VT-CT		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	071	0		29	10	S5644_071_0	3	05/29/2009	2010.02	05/29/2009 02:38:07 PM Mountain Daylight Time		07/21/2009 02:43:17 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	071	0	2010	DE-DC-MD		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	072	0		29	10	S5644_072_0	3	05/29/2009	2010.02	05/29/2009 01:56:33 PM Mountain Daylight Time		07/21/2009 02:43:45 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	072	0	2010	PA-WV		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	073	0		29	10	S5644_073_0	3	05/29/2009	2010.02	05/29/2009 01:41:55 PM Mountain Daylight Time		07/21/2009 02:44:51 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	073	0	2010	VA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	074	0		29	10	S5644_074_0	3	05/29/2009	2010.02	05/29/2009 01:42:24 PM Mountain Daylight Time		07/21/2009 02:45:19 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	074	0	2010	NC		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	075	0		29	10	S5644_075_0	3	05/29/2009	2010.02	05/29/2009 01:31:44 PM Mountain Daylight Time		07/21/2009 02:45:43 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	075	0	2010	SC		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	076	0		29	10	S5644_076_0	3	05/29/2009	2010.02	05/29/2009 01:58:26 PM Mountain Daylight Time		07/21/2009 02:46:09 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	076	0	2010	GA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	078	0		29	10	S5644_078_0	3	05/29/2009	2010.02	05/29/2009 02:11:17 PM Mountain Daylight Time		07/21/2009 02:46:34 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	078	0	2010	MI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	079	0		29	10	S5644_079_0	3	05/29/2009	2010.02	05/29/2009 01:58:27 PM Mountain Daylight Time		07/21/2009 02:46:56 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	079	0	2010	TX		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	080	0		29	10	S5644_080_0	3	05/29/2009	2010.02	05/29/2009 01:38:06 PM Mountain Daylight Time		07/21/2009 02:47:32 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	080	0	2010	IA-MN-MT-NE-ND-SD-WY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	081	0		29	10	S5644_081_0	3	05/29/2009	2010.02	05/29/2009 02:46:26 PM Mountain Daylight Time		07/21/2009 02:47:56 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	081	0	2010	AZ		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	082	0		29	10	S5644_082_0	3	05/29/2009	2010.02	05/29/2009 02:57:42 PM Mountain Daylight Time		07/21/2009 02:48:22 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	082	0	2010	NV		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	083	0		29	10	S5644_083_0	3	05/29/2009	2010.02	05/29/2009 01:42:25 PM Mountain Daylight Time		07/21/2009 02:48:52 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	083	0	2010	OR-WA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	084	0		29	10	S5644_084_0	3	05/29/2009	2010.02	05/29/2009 01:58:29 PM Mountain Daylight Time		07/21/2009 02:49:17 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	084	0	2010	CA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	085	0		29	10	S5644_085_0	3	05/29/2009	2010.02	05/29/2009 01:32:53 PM Mountain Daylight Time		07/21/2009 02:49:44 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	085	0	2010	HI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	087	0		29	10	S5644_087_0	3	05/29/2009	2010.02	05/29/2009 01:38:07 PM Mountain Daylight Time		07/21/2009 02:50:09 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	087	0	2010	ID-UT		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	174	0		29	10	S5644_174_0	3	05/29/2009	2010.02	05/29/2009 04:34:05 PM Mountain Daylight Time		07/21/2009 01:51:02 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	174	0	2010	FL		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	175	0		29	10	S5644_175_0	3	05/29/2009	2010.02	05/29/2009 04:34:06 PM Mountain Daylight Time		07/21/2009 01:51:18 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	175	0	2010	OH		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	176	0		29	10	S5644_176_0	3	05/29/2009	2010.02	05/29/2009 04:34:08 PM Mountain Daylight Time		07/21/2009 01:51:39 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	176	0	2010	IN-KY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	177	0		29	10	S5644_177_0	3	05/29/2009	2010.02	05/29/2009 04:34:10 PM Mountain Daylight Time		07/21/2009 01:52:02 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	177	0	2010	WI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	178	0		29	10	S5644_178_0	3	05/29/2009	2010.02	05/29/2009 04:34:11 PM Mountain Daylight Time		07/21/2009 01:52:17 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	178	0	2010	IL		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	179	0		29	10	S5644_179_0	3	05/29/2009	2010.02	05/29/2009 04:34:13 PM Mountain Daylight Time		07/21/2009 01:52:34 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	179	0	2010	MO		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	180	0		29	10	S5644_180_0	3	05/29/2009	2010.02	05/29/2009 04:34:15 PM Mountain Daylight Time		07/21/2009 01:52:51 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	180	0	2010	AR		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	181	0		29	10	S5644_181_0	3	05/29/2009	2010.02	05/29/2009 04:34:16 PM Mountain Daylight Time		07/21/2009 01:53:10 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	181	0	2010	MS		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	182	0		29	10	S5644_182_0	3	05/29/2009	2010.02	05/29/2009 04:34:18 PM Mountain Daylight Time		07/21/2009 01:53:31 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	182	0	2010	LA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	183	0		29	10	S5644_183_0	3	05/29/2009	2010.02	05/29/2009 04:34:20 PM Mountain Daylight Time		07/21/2009 01:53:51 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	183	0	2010	OK		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	184	0		29	10	S5644_184_0	3	05/29/2009	2010.02	05/29/2009 04:34:21 PM Mountain Daylight Time		07/21/2009 01:54:17 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	184	0	2010	KS		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	185	0		29	10	S5644_185_0	3	05/29/2009	2010.02	05/29/2009 04:34:23 PM Mountain Daylight Time		07/21/2009 01:54:41 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	185	0	2010	NM		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	186	0		29	10	S5644_186_0	3	05/29/2009	2010.02	05/29/2009 04:34:25 PM Mountain Daylight Time		07/21/2009 01:55:04 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	186	0	2010	CO		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	187	0		29	10	S5644_187_0	3	05/29/2009	2010.02	05/29/2009 04:34:27 PM Mountain Daylight Time		07/21/2009 01:55:26 PM Mountain Daylight Time		07/21/2009 02:06:41 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Freedom Plan by RxAmerica (PDP)	10	29					S5644	187	0	2010	AK		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	188	0		29	10	S5644_188_0	3	05/29/2009	2010.02	05/29/2009 01:58:30 PM Mountain Daylight Time		07/21/2009 02:50:35 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	188	0	2010	FL		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	189	0		29	10	S5644_189_0	3	05/29/2009	2010.02	05/29/2009 02:26:19 PM Mountain Daylight Time		07/21/2009 02:50:58 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	189	0	2010	OH		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	190	0		29	10	S5644_190_0	3	05/29/2009	2010.02	05/29/2009 02:42:27 PM Mountain Daylight Time		07/21/2009 02:51:23 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	190	0	2010	IN-KY		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	191	0		29	10	S5644_191_0	3	05/29/2009	2010.02	05/29/2009 02:31:19 PM Mountain Daylight Time		07/21/2009 02:51:45 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	191	0	2010	WI		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	192	0		29	10	S5644_192_0	3	05/29/2009	2010.02	05/29/2009 02:52:27 PM Mountain Daylight Time		07/21/2009 02:52:09 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	192	0	2010	IL		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	193	0		29	10	S5644_193_0	3	05/29/2009	2010.02	05/29/2009 01:32:55 PM Mountain Daylight Time		07/21/2009 02:52:33 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	193	0	2010	MO		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	194	0		29	10	S5644_194_0	3	05/29/2009	2010.02	05/29/2009 01:32:56 PM Mountain Daylight Time		07/21/2009 02:52:57 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	194	0	2010	AR		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	195	0		29	10	S5644_195_0	3	05/29/2009	2010.02	05/29/2009 01:38:08 PM Mountain Daylight Time		07/21/2009 02:53:21 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	195	0	2010	MS		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	196	0		29	10	S5644_196_0	3	05/29/2009	2010.02	05/29/2009 02:11:18 PM Mountain Daylight Time		07/21/2009 02:53:43 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	196	0	2010	LA		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	197	0		29	10	S5644_197_0	3	05/29/2009	2010.02	05/29/2009 02:11:19 PM Mountain Daylight Time		07/21/2009 02:54:07 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	197	0	2010	OK		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	198	0		29	10	S5644_198_0	3	05/29/2009	2010.02	05/29/2009 01:58:31 PM Mountain Daylight Time		07/21/2009 02:54:29 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	198	0	2010	KS		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	199	0		29	10	S5644_199_0	3	05/29/2009	2010.02	05/29/2009 02:31:20 PM Mountain Daylight Time		07/21/2009 02:54:51 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	199	0	2010	NM		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	200	0		29	10	S5644_200_0	3	05/29/2009	2010.02	05/29/2009 02:11:21 PM Mountain Daylight Time		07/21/2009 02:55:13 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	200	0	2010	CO		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	201	0		29	10	S5644_201_0	4	05/29/2009	2010.02	05/29/2009 01:26:49 PM Mountain Daylight Time		07/21/2009 02:55:41 PM Mountain Daylight Time		07/21/2009 03:02:21 PM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	201	0	2010	AK		2						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	801	0		29	10	S5644_801_0	1	06/01/2009	2010.02	06/01/2009 11:38:38 AM Mountain Daylight Time				06/01/2009 11:39:32 AM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Group Calendar Year by RxAmerica (PDP)	10	29					S5644	801	0	2010	National		1						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5644	802	0		29	10	S5644_802_0	1	06/01/2009	2010.02	06/01/2009 11:39:11 AM Mountain Daylight Time				06/01/2009 11:39:32 AM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Group Non-Calendar Year by RxA (PDP)	10	29					S5644	802	0	2010	National		1						2							www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1		
S5660	001	0		29	10	S5660_001_0	2	05/30/2009	2010.02	05/30/2009 10:52:51 AM Eastern Daylight Time		06/01/2009 11:20:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	001	0	2010	Northern New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	003	0		29	10	S5660_003_0	2	05/30/2009	2010.02	05/30/2009 10:53:48 AM Eastern Daylight Time		06/01/2009 11:20:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	003	0	2010	Central New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	004	0		29	10	S5660_004_0	2	05/30/2009	2010.02	05/30/2009 10:54:22 AM Eastern Daylight Time		06/01/2009 11:21:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	004	0	2010	Mid-Atlantic		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	005	0		29	10	S5660_005_0	2	05/31/2009	2010.02	05/31/2009 10:07:49 AM Eastern Daylight Time		06/01/2009 11:21:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	005	0	2010	States of Pennsylvania and West Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	006	0		29	10	S5660_006_0	2	05/30/2009	2010.02	05/30/2009 12:38:56 PM Eastern Daylight Time		06/01/2009 11:22:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	006	0	2010	State of Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	007	0		29	10	S5660_007_0	2	05/30/2009	2010.02	05/30/2009 12:38:56 PM Eastern Daylight Time		06/01/2009 11:22:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	007	0	2010	State of North Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	008	0		29	10	S5660_008_0	2	05/30/2009	2010.02	05/30/2009 12:23:05 PM Eastern Daylight Time		06/01/2009 11:23:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	008	0	2010	State of South Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	009	0		29	10	S5660_009_0	2	05/30/2009	2010.02	05/30/2009 12:33:01 PM Eastern Daylight Time		06/01/2009 11:23:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	009	0	2010	State of Georgia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	010	0		29	10	S5660_010_0	2	05/30/2009	2010.02	05/30/2009 12:23:06 PM Eastern Daylight Time		06/01/2009 11:24:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	010	0	2010	State of Florida		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	012	0		29	10	S5660_012_0	2	05/30/2009	2010.02	05/30/2009 12:33:01 PM Eastern Daylight Time		06/01/2009 11:24:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	012	0	2010	States of Alabama and Tennessee		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	013	0		29	10	S5660_013_0	2	05/30/2009	2010.02	05/30/2009 12:23:06 PM Eastern Daylight Time		06/01/2009 11:25:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	013	0	2010	State of Michigan		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	014	0		29	10	S5660_014_0	2	05/30/2009	2010.02	05/30/2009 12:23:06 PM Eastern Daylight Time		06/01/2009 11:25:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	014	0	2010	State of Ohio		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	015	0		29	10	S5660_015_0	2	05/30/2009	2010.02	05/30/2009 12:33:01 PM Eastern Daylight Time		06/01/2009 11:26:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	015	0	2010	States of Indiana and Kentucky		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	016	0		29	10	S5660_016_0	2	05/30/2009	2010.02	05/30/2009 12:23:07 PM Eastern Daylight Time		06/01/2009 11:27:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	016	0	2010	State of Wisconsin		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	017	0		29	10	S5660_017_0	2	05/30/2009	2010.02	05/30/2009 12:23:07 PM Eastern Daylight Time		06/01/2009 11:27:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	017	0	2010	State of Illinois		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	018	0		29	10	S5660_018_0	2	05/30/2009	2010.02	05/30/2009 12:23:07 PM Eastern Daylight Time		06/01/2009 11:27:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	018	0	2010	State of Missouri		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	019	0		29	10	S5660_019_0	2	05/30/2009	2010.02	05/30/2009 12:38:56 PM Eastern Daylight Time		06/01/2009 11:28:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	019	0	2010	State of Arkansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	020	0		29	10	S5660_020_0	2	05/30/2009	2010.02	05/30/2009 12:38:57 PM Eastern Daylight Time		06/01/2009 11:28:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	020	0	2010	State of Mississippi		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	021	0		29	10	S5660_021_0	2	05/30/2009	2010.02	05/30/2009 10:55:07 AM Eastern Daylight Time		06/01/2009 11:28:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	021	0	2010	State of Louisiana		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	022	0		29	10	S5660_022_0	2	05/30/2009	2010.02	05/30/2009 12:33:02 PM Eastern Daylight Time		06/01/2009 11:28:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	022	0	2010	State of Texas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	023	0		29	10	S5660_023_0	2	05/30/2009	2010.02	05/30/2009 12:23:08 PM Eastern Daylight Time		06/01/2009 11:29:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	023	0	2010	State of Oklahoma		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	024	0		29	10	S5660_024_0	2	05/31/2009	2010.02	05/31/2009 10:07:28 AM Eastern Daylight Time		06/01/2009 11:29:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	024	0	2010	State of Kansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	025	0		29	10	S5660_025_0	2	05/30/2009	2010.02	05/30/2009 12:33:02 PM Eastern Daylight Time		06/01/2009 11:30:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	025	0	2010	Upper Midwest and Northern Plains		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	026	0		29	10	S5660_026_0	2	05/30/2009	2010.02	05/30/2009 12:38:57 PM Eastern Daylight Time		06/01/2009 11:30:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	026	0	2010	State of New Mexico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	027	0		29	10	S5660_027_0	2	05/30/2009	2010.02	05/30/2009 12:33:03 PM Eastern Daylight Time		06/01/2009 11:30:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	027	0	2010	State of Colorado		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	028	0		29	10	S5660_028_0	2	05/30/2009	2010.02	05/30/2009 12:23:08 PM Eastern Daylight Time		06/01/2009 11:31:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	028	0	2010	State of Arizona		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	029	0		29	10	S5660_029_0	2	05/30/2009	2010.02	05/30/2009 12:23:08 PM Eastern Daylight Time		06/01/2009 11:31:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	029	0	2010	State of Nevada		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	030	0		29	10	S5660_030_0	2	05/30/2009	2010.02	05/30/2009 12:23:09 PM Eastern Daylight Time		06/01/2009 11:31:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	030	0	2010	States of Oregon and Washington		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	031	0		29	10	S5660_031_0	2	05/30/2009	2010.02	05/30/2009 12:23:09 PM Eastern Daylight Time		06/01/2009 11:32:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	031	0	2010	States of Idaho and Utah		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	032	0		29	10	S5660_032_0	2	05/30/2009	2010.02	05/30/2009 12:23:09 PM Eastern Daylight Time		06/01/2009 11:33:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	032	0	2010	State of California		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	033	0		29	10	S5660_033_0	3	05/30/2009	2010.02	05/30/2009 12:23:10 PM Eastern Daylight Time		06/01/2009 11:33:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	033	0	2010	State of Hawaii		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	034	0		29	10	S5660_034_0	2	05/30/2009	2010.02	05/30/2009 12:33:03 PM Eastern Daylight Time		06/01/2009 11:33:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	034	0	2010	State of Alaska		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	035	0		29	10	S5660_035_0	2	05/30/2009	2010.02	05/30/2009 12:33:03 PM Eastern Daylight Time		06/01/2009 11:34:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	035	0	2010	State of New Jersey		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	103	0		29	10	S5660_103_0	2	05/30/2009	2010.02	05/30/2009 12:33:04 PM Eastern Daylight Time		06/01/2009 11:34:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	103	0	2010	Puerto Rico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	104	0		29	10	S5660_104_0	3	05/29/2009	2010.02	05/29/2009 01:55:04 PM Eastern Daylight Time		06/01/2009 11:49:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	104	0	2010	Northern New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	105	0		29	10	S5660_105_0	2	05/29/2009	2010.02	05/29/2009 01:57:17 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	105	0	2010	Central New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	106	0		29	10	S5660_106_0	2	05/29/2009	2010.02	05/29/2009 01:57:17 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	106	0	2010	State of New Jersey		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	107	0		29	10	S5660_107_0	2	05/29/2009	2010.02	05/29/2009 01:57:17 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	107	0	2010	Mid-Atlantic		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	108	0		29	10	S5660_108_0	2	05/29/2009	2010.02	05/29/2009 01:57:17 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	108	0	2010	States of Pennsylvania and West Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	109	0		29	10	S5660_109_0	2	05/29/2009	2010.02	05/29/2009 01:57:18 PM Eastern Daylight Time		06/01/2009 11:51:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	109	0	2010	State of Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	110	0		29	10	S5660_110_0	2	05/29/2009	2010.02	05/29/2009 01:57:18 PM Eastern Daylight Time		06/01/2009 11:51:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	110	0	2010	State of North Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	111	0		29	10	S5660_111_0	2	05/29/2009	2010.02	05/29/2009 01:57:18 PM Eastern Daylight Time		06/01/2009 11:52:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	111	0	2010	State of South Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	112	0		29	10	S5660_112_0	2	05/29/2009	2010.02	05/29/2009 01:57:18 PM Eastern Daylight Time		06/01/2009 11:52:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	112	0	2010	State of Georgia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	113	0		29	10	S5660_113_0	2	05/29/2009	2010.02	05/29/2009 01:57:18 PM Eastern Daylight Time		06/01/2009 11:53:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	113	0	2010	State of Florida		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	114	0		29	10	S5660_114_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:53:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	114	0	2010	States of Alabama and Tennessee		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	115	0		29	10	S5660_115_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:53:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	115	0	2010	State of Michigan		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	116	0		29	10	S5660_116_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:54:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	116	0	2010	State of Ohio		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	117	0		29	10	S5660_117_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:54:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	117	0	2010	States of Indiana and Kentucky		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	118	0		29	10	S5660_118_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:54:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	118	0	2010	State of Wisconsin		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	119	0		29	10	S5660_119_0	2	05/29/2009	2010.02	05/29/2009 01:57:19 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	119	0	2010	State of Illinois		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	120	0		29	10	S5660_120_0	2	05/29/2009	2010.02	05/29/2009 01:57:20 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	120	0	2010	State of Missouri		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	121	0		29	10	S5660_121_0	2	05/29/2009	2010.02	05/29/2009 01:57:20 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	121	0	2010	State of Arkansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	122	0		29	10	S5660_122_0	2	05/29/2009	2010.02	05/29/2009 01:57:20 PM Eastern Daylight Time		06/01/2009 11:56:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	122	0	2010	State of Mississippi		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	123	0		29	10	S5660_123_0	2	05/29/2009	2010.02	05/29/2009 01:57:20 PM Eastern Daylight Time		06/01/2009 11:56:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	123	0	2010	State of Louisiana		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	124	0		29	10	S5660_124_0	2	05/29/2009	2010.02	05/29/2009 01:57:20 PM Eastern Daylight Time		06/01/2009 11:56:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	124	0	2010	State of Texas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	125	0		29	10	S5660_125_0	2	05/29/2009	2010.02	05/29/2009 01:57:21 PM Eastern Daylight Time		06/01/2009 11:56:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	125	0	2010	State of Oklahoma		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	126	0		29	10	S5660_126_0	2	05/29/2009	2010.02	05/29/2009 01:57:21 PM Eastern Daylight Time		06/01/2009 11:57:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	126	0	2010	State of Kansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	127	0		29	10	S5660_127_0	2	05/29/2009	2010.02	05/29/2009 01:57:21 PM Eastern Daylight Time		06/01/2009 11:57:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	127	0	2010	Upper Midwest and Northern Plains		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	128	0		29	10	S5660_128_0	2	05/29/2009	2010.02	05/29/2009 01:57:21 PM Eastern Daylight Time		06/01/2009 11:57:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	128	0	2010	State of New Mexico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	129	0		29	10	S5660_129_0	2	05/29/2009	2010.02	05/29/2009 01:57:21 PM Eastern Daylight Time		06/01/2009 11:58:00 AM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	129	0	2010	State of Colorado		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	130	0		29	10	S5660_130_0	2	05/29/2009	2010.02	05/29/2009 01:57:22 PM Eastern Daylight Time		06/01/2009 12:02:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	130	0	2010	State of Arizona		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	131	0		29	10	S5660_131_0	2	05/29/2009	2010.02	05/29/2009 01:57:22 PM Eastern Daylight Time		06/01/2009 12:03:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	131	0	2010	State of Nevada		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	132	0		29	10	S5660_132_0	2	05/29/2009	2010.02	05/29/2009 01:57:22 PM Eastern Daylight Time		06/01/2009 12:03:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	132	0	2010	States of Oregon and Washington		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	133	0		29	10	S5660_133_0	2	05/29/2009	2010.02	05/29/2009 01:57:22 PM Eastern Daylight Time		06/01/2009 12:03:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	133	0	2010	States of Idaho and Utah		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	134	0		29	10	S5660_134_0	2	05/29/2009	2010.02	05/29/2009 01:57:22 PM Eastern Daylight Time		06/01/2009 12:04:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	134	0	2010	State of California		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	135	0		29	10	S5660_135_0	2	05/29/2009	2010.02	05/29/2009 01:57:23 PM Eastern Daylight Time		06/01/2009 12:04:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	135	0	2010	State of Hawaii		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	136	0		29	10	S5660_136_0	2	05/29/2009	2010.02	05/29/2009 01:57:23 PM Eastern Daylight Time		06/01/2009 12:04:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	136	0	2010	State of Alaska		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	137	0		29	10	S5660_137_0	2	05/29/2009	2010.02	05/29/2009 01:57:23 PM Eastern Daylight Time		06/01/2009 12:05:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	137	0	2010	Puerto Rico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	172	0		29	10	S5660_172_0	3	05/29/2009	2010.02	05/29/2009 02:33:35 PM Eastern Daylight Time		06/01/2009 11:35:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	172	0	2010	Northern New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	173	0		29	10	S5660_173_0	3	05/29/2009	2010.02	05/29/2009 02:37:07 PM Eastern Daylight Time		06/01/2009 11:35:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	173	0	2010	Central New England		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	174	0		29	10	S5660_174_0	3	05/29/2009	2010.02	05/29/2009 02:37:08 PM Eastern Daylight Time		06/01/2009 11:35:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	174	0	2010	State of New Jersey		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	175	0		29	10	S5660_175_0	3	05/29/2009	2010.02	05/29/2009 02:37:08 PM Eastern Daylight Time		06/01/2009 11:36:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	175	0	2010	Mid-Atlantic		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	176	0		29	10	S5660_176_0	3	05/29/2009	2010.02	05/29/2009 02:37:09 PM Eastern Daylight Time		06/01/2009 11:36:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	176	0	2010	States of Pennsylvania and West Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	177	0		29	10	S5660_177_0	3	05/29/2009	2010.02	05/29/2009 02:37:09 PM Eastern Daylight Time		06/01/2009 11:37:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	177	0	2010	State of Virginia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	178	0		29	10	S5660_178_0	3	05/29/2009	2010.02	05/29/2009 02:37:10 PM Eastern Daylight Time		06/01/2009 11:43:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	178	0	2010	State of North Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	179	0		29	10	S5660_179_0	3	05/29/2009	2010.02	05/29/2009 02:37:10 PM Eastern Daylight Time		06/01/2009 11:43:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	179	0	2010	State of South Carolina		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	180	0		29	10	S5660_180_0	3	05/29/2009	2010.02	05/29/2009 02:37:11 PM Eastern Daylight Time		06/01/2009 11:43:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	180	0	2010	State of Georgia		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	181	0		29	10	S5660_181_0	3	05/29/2009	2010.02	05/29/2009 02:37:11 PM Eastern Daylight Time		06/01/2009 11:44:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	181	0	2010	State of Florida		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	182	0		29	10	S5660_182_0	3	05/29/2009	2010.02	05/29/2009 02:37:12 PM Eastern Daylight Time		06/01/2009 11:44:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	182	0	2010	States of Alabama and Tennessee		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	183	0		29	10	S5660_183_0	3	05/29/2009	2010.02	05/29/2009 02:37:12 PM Eastern Daylight Time		06/01/2009 11:44:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	183	0	2010	State of Michigan		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	184	0		29	10	S5660_184_0	3	05/29/2009	2010.02	05/29/2009 02:37:13 PM Eastern Daylight Time		06/01/2009 11:45:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	184	0	2010	State of Ohio		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	185	0		29	10	S5660_185_0	3	05/29/2009	2010.02	05/29/2009 02:37:13 PM Eastern Daylight Time		06/01/2009 11:45:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	185	0	2010	States of Indiana and Kentucky		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	186	0		29	10	S5660_186_0	3	05/29/2009	2010.02	05/29/2009 02:37:13 PM Eastern Daylight Time		06/01/2009 11:46:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	186	0	2010	State of Wisconsin		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	187	0		29	10	S5660_187_0	3	05/29/2009	2010.02	05/29/2009 02:37:14 PM Eastern Daylight Time		06/01/2009 11:46:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	187	0	2010	State of Illinois		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	188	0		29	10	S5660_188_0	3	05/29/2009	2010.02	05/29/2009 02:37:14 PM Eastern Daylight Time		06/01/2009 11:46:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	188	0	2010	State of Missouri		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	189	0		29	10	S5660_189_0	3	05/29/2009	2010.02	05/29/2009 02:37:15 PM Eastern Daylight Time		06/01/2009 11:48:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	189	0	2010	State of Arkansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	190	0		29	10	S5660_190_0	3	05/29/2009	2010.02	05/29/2009 02:37:15 PM Eastern Daylight Time		06/01/2009 11:48:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	190	0	2010	State of Mississippi		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	191	0		29	10	S5660_191_0	3	05/29/2009	2010.02	05/29/2009 02:37:16 PM Eastern Daylight Time		06/01/2009 11:48:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	191	0	2010	State of Louisiana		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	192	0		29	10	S5660_192_0	3	05/29/2009	2010.02	05/29/2009 02:37:16 PM Eastern Daylight Time		06/01/2009 11:49:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	192	0	2010	State of Texas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	193	0		29	10	S5660_193_0	3	05/29/2009	2010.02	05/29/2009 02:37:17 PM Eastern Daylight Time		06/01/2009 11:49:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	193	0	2010	State of Oklahoma		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	194	0		29	10	S5660_194_0	3	05/29/2009	2010.02	05/29/2009 02:37:17 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	194	0	2010	State of Kansas		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	195	0		29	10	S5660_195_0	3	05/29/2009	2010.02	05/29/2009 02:37:18 PM Eastern Daylight Time		06/01/2009 11:50:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	195	0	2010	Upper Midwest and Northern Plains		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	196	0		29	10	S5660_196_0	3	05/29/2009	2010.02	05/29/2009 02:37:18 PM Eastern Daylight Time		06/01/2009 11:51:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	196	0	2010	State of New Mexico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	197	0		29	10	S5660_197_0	3	05/29/2009	2010.02	05/29/2009 02:37:19 PM Eastern Daylight Time		06/01/2009 11:51:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	197	0	2010	State of Colorado		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	198	0		29	10	S5660_198_0	3	05/29/2009	2010.02	05/29/2009 02:37:19 PM Eastern Daylight Time		06/01/2009 11:52:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	198	0	2010	State of Arizona		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	199	0		29	10	S5660_199_0	3	05/29/2009	2010.02	05/29/2009 02:37:20 PM Eastern Daylight Time		06/01/2009 11:53:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	199	0	2010	State of Nevada		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	200	0		29	10	S5660_200_0	3	05/29/2009	2010.02	05/29/2009 02:37:20 PM Eastern Daylight Time		06/01/2009 11:53:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	200	0	2010	States of Oregon and Washington		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	201	0		29	10	S5660_201_0	3	05/29/2009	2010.02	05/29/2009 02:37:21 PM Eastern Daylight Time		06/01/2009 11:54:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	201	0	2010	States of Idaho and Utah		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	202	0		29	10	S5660_202_0	3	05/29/2009	2010.02	05/29/2009 02:37:21 PM Eastern Daylight Time		06/01/2009 11:54:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	202	0	2010	State of California		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	203	0		29	10	S5660_203_0	3	05/29/2009	2010.02	05/29/2009 02:37:22 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	203	0	2010	State of Hawaii		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	204	0		29	10	S5660_204_0	3	05/29/2009	2010.02	05/29/2009 02:37:22 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	204	0	2010	State of Alaska		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	205	0		29	10	S5660_205_0	3	05/29/2009	2010.02	05/29/2009 02:37:23 PM Eastern Daylight Time		06/01/2009 11:55:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5660	205	0	2010	Puerto Rico		2						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	801	0		29	10	S5660_801_0	1	05/28/2009	2010.02	05/28/2009 03:36:47 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	801	0	2010	National Plan - Employer, Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	802	0		29	10	S5660_802_0	1	05/28/2009	2010.02	05/28/2009 03:36:54 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	802	0	2010	National Plan - Employer, Non-Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	803	0		29	10	S5660_803_0	1	05/28/2009	2010.02	05/28/2009 03:37:10 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	803	0	2010	National Plan K - Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	804	0		29	10	S5660_804_0	1	05/28/2009	2010.02	05/28/2009 03:37:15 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	804	0	2010	National Plan OF - Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	805	0		29	10	S5660_805_0	1	05/28/2009	2010.02	05/28/2009 03:37:23 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	805	0	2010	National Plan N1 - Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	806	0		29	10	S5660_806_0	1	05/28/2009	2010.02	05/28/2009 03:37:29 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	806	0	2010	National Plan N2 - Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5660	807	0		29	10	S5660_807_0	1	05/28/2009	2010.02	05/28/2009 03:37:33 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	807	0	2010	National Plan K - Non-Calendar Year		1						2							www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5670	027	0		29	10	S5670_027_0	3	05/31/2009	2010.02	05/31/2009 11:55:38 AM Eastern Daylight Time		07/22/2009 08:14:47 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	027	0	2010	AdvantraRx Value Mid-Atlantic		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	028	0		29	10	S5670_028_0	3	05/31/2009	2010.02	05/31/2009 11:55:57 AM Eastern Daylight Time		07/22/2009 08:19:52 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	028	0	2010	AdvantraRx Premier Mid-Atlantic		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	030	0		29	10	S5670_030_0	3	05/31/2009	2010.02	05/31/2009 01:06:47 PM Eastern Daylight Time		07/22/2009 08:24:40 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	030	0	2010	AdvantraRx Premier Plus Mid-Atlantic		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	033	0		29	10	S5670_033_0	3	05/31/2009	2010.02	05/31/2009 11:56:37 AM Eastern Daylight Time		07/22/2009 08:16:17 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	033	0	2010	AdvantraRx Value Pennsylvania, West Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	034	0		29	10	S5670_034_0	3	05/31/2009	2010.02	05/31/2009 11:57:12 AM Eastern Daylight Time		07/22/2009 08:21:18 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	034	0	2010	AdvantraRx Premier Pennsylvania, West Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	036	0		29	10	S5670_036_0	3	05/31/2009	2010.02	05/31/2009 01:07:48 PM Eastern Daylight Time		07/22/2009 08:32:52 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	036	0	2010	AdvantraRx Premier Plus Pennsylvania, W. Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	039	0		29	10	S5670_039_0	3	05/31/2009	2010.02	05/31/2009 11:57:52 AM Eastern Daylight Time		07/22/2009 08:17:42 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	039	0	2010	AdvantraRx Value Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	040	0		29	10	S5670_040_0	3	05/31/2009	2010.02	05/31/2009 11:58:46 AM Eastern Daylight Time		07/22/2009 08:22:30 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	040	0	2010	AdvantraRx Premier Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	042	0		29	10	S5670_042_0	3	05/31/2009	2010.02	05/31/2009 01:08:01 PM Eastern Daylight Time		07/22/2009 08:35:38 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	042	0	2010	AdvantraRx Premier Plus Virginia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	045	0		29	10	S5670_045_0	3	05/31/2009	2010.02	05/31/2009 11:59:28 AM Eastern Daylight Time		07/22/2009 08:19:54 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	045	0	2010	AdvantraRx Value North Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	046	0		29	10	S5670_046_0	3	05/31/2009	2010.02	05/31/2009 01:08:40 PM Eastern Daylight Time		07/22/2009 08:23:37 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	046	0	2010	AdvantraRx Premier North Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	048	0		29	10	S5670_048_0	3	05/31/2009	2010.02	05/31/2009 01:09:06 PM Eastern Daylight Time		07/22/2009 08:37:56 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	048	0	2010	AdvantraRx Premier Plus North Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	051	0		29	10	S5670_051_0	3	05/31/2009	2010.02	05/31/2009 01:09:25 PM Eastern Daylight Time		07/22/2009 08:29:39 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	051	0	2010	AdvantraRx Value South Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	052	0		29	10	S5670_052_0	3	05/31/2009	2010.02	05/31/2009 01:09:59 PM Eastern Daylight Time		07/22/2009 08:24:51 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	052	0	2010	AdvantraRx Premier South Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	054	0		29	10	S5670_054_0	3	05/31/2009	2010.02	05/31/2009 01:10:19 PM Eastern Daylight Time		07/23/2009 10:44:27 AM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	054	0	2010	AdvantraRx Premier Plus South Carolina		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	057	0		29	10	S5670_057_0	3	05/31/2009	2010.02	05/31/2009 01:10:42 PM Eastern Daylight Time		07/22/2009 08:31:14 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	057	0	2010	AdvantraRx Value Georgia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	058	0		29	10	S5670_058_0	3	05/31/2009	2010.02	05/31/2009 01:11:04 PM Eastern Daylight Time		07/22/2009 08:26:17 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	058	0	2010	AdvantraRx Premier Georgia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	060	0		29	10	S5670_060_0	3	05/31/2009	2010.02	05/31/2009 01:11:30 PM Eastern Daylight Time		07/22/2009 08:48:30 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	060	0	2010	AdvantraRx Premier Plus Georgia		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	063	0		29	10	S5670_063_0	3	05/31/2009	2010.02	05/31/2009 01:11:56 PM Eastern Daylight Time		07/22/2009 08:34:43 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	063	0	2010	AdvantraRx Value Alabama, Tennessee		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	064	0		29	10	S5670_064_0	3	05/31/2009	2010.02	05/31/2009 01:12:22 PM Eastern Daylight Time		07/22/2009 08:31:20 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	064	0	2010	AdvantraRx Premier Alabama, Tennessee		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	066	0		29	10	S5670_066_0	3	05/31/2009	2010.02	05/31/2009 01:12:45 PM Eastern Daylight Time		07/22/2009 08:52:21 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	066	0	2010	AdvantraRx Premier Plus Alabama, Tennessee		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	069	0		29	10	S5670_069_0	3	05/31/2009	2010.02	05/31/2009 01:13:09 PM Eastern Daylight Time		07/22/2009 08:36:13 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	069	0	2010	AdvantraRx Value Michigan		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	070	0		29	10	S5670_070_0	3	05/31/2009	2010.02	05/31/2009 01:13:29 PM Eastern Daylight Time		07/22/2009 08:41:09 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	070	0	2010	AdvantraRx Premier Michigan		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	072	0		29	10	S5670_072_0	3	05/31/2009	2010.02	05/31/2009 01:21:45 PM Eastern Daylight Time		07/22/2009 08:53:59 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	072	0	2010	AdvantraRx Premier Plus Michigan		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	075	0		29	10	S5670_075_0	3	05/31/2009	2010.02	05/31/2009 01:22:08 PM Eastern Daylight Time		07/22/2009 08:37:57 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	075	0	2010	AdvantraRx Value Ohio		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	076	0		29	10	S5670_076_0	3	05/31/2009	2010.02	05/31/2009 01:22:29 PM Eastern Daylight Time		07/22/2009 08:54:47 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	076	0	2010	AdvantraRx Premier Ohio		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	078	0		29	10	S5670_078_0	3	05/31/2009	2010.02	05/31/2009 01:22:52 PM Eastern Daylight Time		07/22/2009 08:55:36 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	078	0	2010	AdvantraRx Premier Plus Ohio		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	081	0		29	10	S5670_081_0	3	05/31/2009	2010.02	05/31/2009 01:23:10 PM Eastern Daylight Time		07/22/2009 08:54:04 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	081	0	2010	AdvantraRx Value Wisconsin		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	082	0		29	10	S5670_082_0	3	05/31/2009	2010.02	05/31/2009 01:23:34 PM Eastern Daylight Time		07/22/2009 08:58:25 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	082	0	2010	AdvantraRx Premier Wisconsin		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	084	0		29	10	S5670_084_0	3	05/31/2009	2010.02	05/31/2009 01:24:12 PM Eastern Daylight Time		07/22/2009 08:59:02 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	084	0	2010	AdvantraRx Premier Plus Wisconsin		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	087	0		29	10	S5670_087_0	3	05/31/2009	2010.02	05/31/2009 01:24:42 PM Eastern Daylight Time		07/22/2009 08:55:25 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	087	0	2010	AdvantraRx Value Illinois		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	088	0		29	10	S5670_088_0	3	05/31/2009	2010.02	05/31/2009 01:25:03 PM Eastern Daylight Time		07/22/2009 08:59:45 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	088	0	2010	AdvantraRx Premier Illinois		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	090	0		29	10	S5670_090_0	3	05/31/2009	2010.02	05/31/2009 01:25:35 PM Eastern Daylight Time		07/22/2009 09:01:06 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	090	0	2010	AdvantraRx Premier Plus Illinois		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	093	0		29	10	S5670_093_0	3	05/31/2009	2010.02	05/31/2009 01:25:59 PM Eastern Daylight Time		07/22/2009 08:56:49 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	093	0	2010	AdvantraRx Value Missouri		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	094	0		29	10	S5670_094_0	3	05/31/2009	2010.02	05/31/2009 01:26:22 PM Eastern Daylight Time		07/22/2009 09:01:41 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	094	0	2010	AdvantraRx Premier Missouri		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	096	0		29	10	S5670_096_0	3	05/31/2009	2010.02	05/31/2009 01:26:46 PM Eastern Daylight Time		07/22/2009 09:03:03 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	096	0	2010	AdvantraRx Premier Plus Missouri		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	099	0		29	10	S5670_099_0	3	05/31/2009	2010.02	05/31/2009 01:27:12 PM Eastern Daylight Time		07/22/2009 08:58:09 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	099	0	2010	AdvantraRx Value Arkansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	100	0		29	10	S5670_100_0	3	05/31/2009	2010.02	05/31/2009 01:27:40 PM Eastern Daylight Time		07/22/2009 09:05:09 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	100	0	2010	AdvantraRx Premier Arkansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	102	0		29	10	S5670_102_0	3	05/31/2009	2010.02	05/31/2009 01:28:07 PM Eastern Daylight Time		07/22/2009 09:05:28 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	102	0	2010	AdvantraRx Premier Plus Arkansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	105	0		29	10	S5670_105_0	3	05/31/2009	2010.02	05/31/2009 01:28:30 PM Eastern Daylight Time		07/22/2009 08:59:29 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	105	0	2010	AdvantraRx Value Mississippi		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	106	0		29	10	S5670_106_0	3	05/31/2009	2010.02	05/31/2009 01:28:56 PM Eastern Daylight Time		07/22/2009 09:06:37 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	106	0	2010	AdvantraRx Premier Mississippi		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	108	0		29	10	S5670_108_0	3	05/31/2009	2010.02	05/31/2009 01:29:19 PM Eastern Daylight Time		07/23/2009 10:04:41 AM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	108	0	2010	AdvantraRx Premier Plus Mississippi		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	111	0		29	10	S5670_111_0	3	05/31/2009	2010.02	05/31/2009 01:29:43 PM Eastern Daylight Time		07/22/2009 09:01:15 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	111	0	2010	AdvantraRx Value Louisiana		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	112	0		29	10	S5670_112_0	3	05/31/2009	2010.02	05/31/2009 01:30:05 PM Eastern Daylight Time		07/22/2009 09:08:22 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	112	0	2010	AdvantraRx Premier Louisiana		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	114	0		29	10	S5670_114_0	3	05/31/2009	2010.02	05/31/2009 01:32:53 PM Eastern Daylight Time		07/22/2009 09:08:04 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	114	0	2010	AdvantraRx Premier Plus Louisiana		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	117	0		29	10	S5670_117_0	3	05/31/2009	2010.02	05/31/2009 01:33:21 PM Eastern Daylight Time		07/22/2009 09:03:04 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	117	0	2010	AdvantraRx Value Texas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	118	0		29	10	S5670_118_0	3	05/31/2009	2010.02	05/31/2009 01:33:45 PM Eastern Daylight Time		07/22/2009 09:10:00 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	118	0	2010	AdvantraRx Premier Texas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	120	0		29	10	S5670_120_0	3	05/31/2009	2010.02	05/31/2009 01:34:09 PM Eastern Daylight Time		07/23/2009 10:06:42 AM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	120	0	2010	AdvantraRx Premier Plus Texas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	123	0		29	10	S5670_123_0	3	05/31/2009	2010.02	05/31/2009 01:34:30 PM Eastern Daylight Time		07/22/2009 09:04:54 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	123	0	2010	AdvantraRx Value Oklahoma		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	124	0		29	10	S5670_124_0	3	05/31/2009	2010.02	05/31/2009 01:34:53 PM Eastern Daylight Time		07/22/2009 09:11:17 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	124	0	2010	AdvantraRx Premier Oklahoma		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	126	0		29	10	S5670_126_0	3	05/31/2009	2010.02	05/31/2009 01:35:17 PM Eastern Daylight Time		07/22/2009 09:11:26 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	126	0	2010	AdvantraRx Premier Plus Oklahoma		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	129	0		29	10	S5670_129_0	3	05/31/2009	2010.02	05/31/2009 01:35:41 PM Eastern Daylight Time		07/22/2009 09:06:35 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	129	0	2010	AdvantraRx Value Kansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	130	0		29	10	S5670_130_0	3	05/31/2009	2010.02	05/31/2009 01:36:08 PM Eastern Daylight Time		07/22/2009 09:12:57 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	130	0	2010	AdvantraRx Premier Kansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	132	0		29	10	S5670_132_0	3	05/31/2009	2010.02	05/31/2009 01:36:38 PM Eastern Daylight Time		07/22/2009 09:13:00 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	132	0	2010	AdvantraRx Premier Plus Kansas		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	135	0		29	10	S5670_135_0	3	05/31/2009	2010.02	05/31/2009 01:37:04 PM Eastern Daylight Time		07/22/2009 09:11:57 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	135	0	2010	AdvantraRx Value Colorado		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	136	0		29	10	S5670_136_0	3	05/31/2009	2010.02	05/31/2009 01:37:28 PM Eastern Daylight Time		07/22/2009 09:17:17 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	136	0	2010	AdvantraRx Premier Colorado		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	138	0		29	10	S5670_138_0	3	05/31/2009	2010.02	05/31/2009 01:37:54 PM Eastern Daylight Time		07/23/2009 08:30:16 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	138	0	2010	AdvantraRx Premier Plus Colorado		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	141	0		29	10	S5670_141_0	3	05/31/2009	2010.02	05/31/2009 01:38:19 PM Eastern Daylight Time		07/22/2009 09:13:16 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	141	0	2010	AdvantraRx Value Arizona		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	142	0		29	10	S5670_142_0	3	05/31/2009	2010.02	05/31/2009 01:38:45 PM Eastern Daylight Time		07/22/2009 09:18:26 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	142	0	2010	AdvantraRx Premier Arizona		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	144	0		29	10	S5670_144_0	3	05/31/2009	2010.02	05/31/2009 01:39:09 PM Eastern Daylight Time		07/22/2009 09:20:29 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	144	0	2010	AdvantraRx Premier Plus Arizona		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	147	0		29	10	S5670_147_0	3	05/31/2009	2010.02	05/31/2009 01:39:31 PM Eastern Daylight Time		07/22/2009 09:14:33 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5670	147	0	2010	AdvantraRx Value Nevada		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	148	0		29	10	S5670_148_0	3	05/31/2009	2010.02	05/31/2009 01:39:53 PM Eastern Daylight Time		07/22/2009 09:19:48 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5670	148	0	2010	AdvantraRx Premier Nevada		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	150	0		29	10	S5670_150_0	3	05/31/2009	2010.02	05/31/2009 01:40:18 PM Eastern Daylight Time		07/22/2009 09:22:32 PM Eastern Daylight Time		07/24/2009 03:24:34 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5670	150	0	2010	AdvantraRx Premier Plus Nevada		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	801	0		29	10	S5670_801_0	3	06/02/2009	2010.02	06/02/2009 03:37:37 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group 10450-CY (PDP)	10	29					S5670	801	0	2010	AdvantraRx Employer Group 10450-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	802	0		29	10	S5670_802_0	3	06/02/2009	2010.02	06/02/2009 03:37:40 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10450-NCY (PDP)	10	29					S5670	802	0	2010	AdvantraRx Employer Group-10450-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	803	0		29	10	S5670_803_0	3	06/02/2009	2010.02	06/02/2009 03:37:44 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-CY (PDP)	10	29					S5670	803	0	2010	AdvantraRx Employer Group-10446-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	804	0		29	10	S5670_804_0	3	06/02/2009	2010.02	06/02/2009 03:37:47 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-NCY (PDP)	10	29					S5670	804	0	2010	AdvantraRx Employer Group-10446-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	805	0		29	10	S5670_805_0	3	06/02/2009	2010.02	06/02/2009 03:37:51 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-CY (PDP)	10	29					S5670	805	0	2010	AdvantraRx Employer Group-10448-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	806	0		29	10	S5670_806_0	3	06/02/2009	2010.02	06/02/2009 03:37:55 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-NCY (PDP)	10	29					S5670	806	0	2010	AdvantraRx Employer Group-10448-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	809	0		29	10	S5670_809_0	3	06/02/2009	2010.02	06/02/2009 03:37:58 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group - 10451-CY (PDP)	10	29					S5670	809	0	2010	AdvantraRx Employer Group - 10451-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	810	0		29	10	S5670_810_0	3	06/02/2009	2010.02	06/02/2009 03:38:02 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10451-NCY (PDP)	10	29					S5670	810	0	2010	AdvantraRx Employer Group-10451-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	811	0		29	10	S5670_811_0	3	06/02/2009	2010.02	06/02/2009 03:38:06 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-CY (PDP)	10	29					S5670	811	0	2010	AdvantraRx Employer Group-10460-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5670	812	0		29	10	S5670_812_0	3	06/02/2009	2010.02	06/02/2009 03:38:10 PM Eastern Daylight Time				06/02/2009 03:49:14 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-NCY (PDP)	10	29					S5670	812	0	2010	AdvantraRx Employer Group-10460-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(800)-508-9548		(800)-508-9548		1		
S5674	002	0		29	10	S5674_002_0	2	05/31/2009	2010.02	05/31/2009 02:09:15 PM Eastern Daylight Time		07/22/2009 08:07:24 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	002	0	2010	AdvantraRx Value Northern New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	003	0		29	10	S5674_003_0	2	05/31/2009	2010.02	05/31/2009 02:09:40 PM Eastern Daylight Time		07/22/2009 08:14:04 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	003	0	2010	AdvantraRx Premier Northern New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	005	0		29	10	S5674_005_0	2	05/31/2009	2010.02	05/31/2009 02:10:23 PM Eastern Daylight Time		07/22/2009 08:13:24 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	005	0	2010	AdvantraRx Premier Plus Northern New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	008	0		29	10	S5674_008_0	2	05/31/2009	2010.02	05/31/2009 02:11:05 PM Eastern Daylight Time		07/22/2009 08:09:28 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	008	0	2010	AdvantraRx Value Central New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	009	0		29	10	S5674_009_0	2	05/31/2009	2010.02	05/31/2009 02:11:36 PM Eastern Daylight Time		07/22/2009 08:15:58 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	009	0	2010	AdvantraRx Premier Central New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	011	0		29	10	S5674_011_0	2	05/31/2009	2010.02	05/31/2009 02:12:12 PM Eastern Daylight Time		07/22/2009 08:19:00 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	011	0	2010	AdvantraRx Premier Plus Central New England		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	014	0		29	10	S5674_014_0	2	05/31/2009	2010.02	05/31/2009 02:12:42 PM Eastern Daylight Time		07/22/2009 08:13:13 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	014	0	2010	AdvantraRx Value New Jersey		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	015	0		29	10	S5674_015_0	2	05/31/2009	2010.02	05/31/2009 02:13:11 PM Eastern Daylight Time		07/22/2009 08:18:33 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	015	0	2010	AdvantraRx Premier New Jersey		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	017	0		29	10	S5674_017_0	2	05/31/2009	2010.02	05/31/2009 02:13:43 PM Eastern Daylight Time		07/22/2009 08:23:04 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	017	0	2010	AdvantraRx Premier Plus New Jersey		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	020	0		29	10	S5674_020_0	2	05/31/2009	2010.02	05/31/2009 02:14:15 PM Eastern Daylight Time		07/22/2009 08:32:53 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	020	0	2010	AdvantraRx Value Florida		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	021	0		29	10	S5674_021_0	2	05/31/2009	2010.02	05/31/2009 02:14:52 PM Eastern Daylight Time		07/22/2009 08:27:50 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	021	0	2010	AdvantraRx Premier Florida		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	023	0		29	10	S5674_023_0	2	05/31/2009	2010.02	05/31/2009 02:15:25 PM Eastern Daylight Time		07/23/2009 09:10:15 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	023	0	2010	AdvantraRx Premier Plus Florida		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	026	0		29	10	S5674_026_0	2	05/31/2009	2010.02	05/31/2009 02:16:01 PM Eastern Daylight Time		07/22/2009 08:51:35 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	026	0	2010	AdvantraRx Value Indiana, Kentucky		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	027	0		29	10	S5674_027_0	2	05/31/2009	2010.02	05/31/2009 02:16:30 PM Eastern Daylight Time		07/22/2009 08:56:42 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	027	0	2010	AdvantraRx Premier Indiana, Kentucky		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	029	0		29	10	S5674_029_0	2	05/31/2009	2010.02	05/31/2009 02:17:05 PM Eastern Daylight Time		07/23/2009 09:17:33 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	029	0	2010	AdvantraRx Premier Plus Indiana, Kentucky		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	032	0		29	10	S5674_032_0	2	05/31/2009	2010.02	05/31/2009 02:17:33 PM Eastern Daylight Time		07/22/2009 09:08:03 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	032	0	2010	AdvantraRx Value Upper Midwest and Northern Plains		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	033	0		29	10	S5674_033_0	2	05/31/2009	2010.02	05/31/2009 02:18:07 PM Eastern Daylight Time		07/22/2009 09:14:21 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	033	0	2010	AdvantraRx Premier Upper Midwest and No Plains		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	035	0		29	10	S5674_035_0	2	05/31/2009	2010.02	05/31/2009 02:18:40 PM Eastern Daylight Time		07/22/2009 09:14:52 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	035	0	2010	AdvantraRx Premier Plus Upper Midwest, No Plains		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	038	0		29	10	S5674_038_0	2	05/31/2009	2010.02	05/31/2009 02:19:11 PM Eastern Daylight Time		07/22/2009 09:10:09 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	038	0	2010	AdvantraRx Value New Mexico		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	039	0		29	10	S5674_039_0	2	05/31/2009	2010.02	05/31/2009 02:19:45 PM Eastern Daylight Time		07/22/2009 09:16:01 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	039	0	2010	AdvantraRx Premier New Mexico		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	041	0		29	10	S5674_041_0	2	05/31/2009	2010.02	05/31/2009 02:20:17 PM Eastern Daylight Time		07/22/2009 09:17:22 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	041	0	2010	AdvantraRx Premier Plus New Mexico		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	044	0		29	10	S5674_044_0	2	05/31/2009	2010.02	05/31/2009 02:20:47 PM Eastern Daylight Time		07/22/2009 09:15:52 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	044	0	2010	AdvantraRx Value Oregon, Washington		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	045	0		29	10	S5674_045_0	2	05/31/2009	2010.02	05/31/2009 02:21:24 PM Eastern Daylight Time		07/22/2009 09:21:30 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	045	0	2010	AdvantraRx Premier Oregon, Washington		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	047	0		29	10	S5674_047_0	2	05/31/2009	2010.02	05/31/2009 02:22:04 PM Eastern Daylight Time		07/22/2009 09:24:29 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	047	0	2010	AdvantraRx Premier Plus Oregon, Washington		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	050	0		29	10	S5674_050_0	2	05/31/2009	2010.02	05/31/2009 02:22:34 PM Eastern Daylight Time		07/22/2009 09:17:06 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	050	0	2010	AdvantraRx Value Idaho, Utah		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	051	0		29	10	S5674_051_0	2	05/31/2009	2010.02	05/31/2009 02:23:05 PM Eastern Daylight Time		07/22/2009 09:22:45 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	051	0	2010	AdvantraRx Premier Idaho, Utah		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	053	0		29	10	S5674_053_0	2	05/31/2009	2010.02	05/31/2009 02:23:37 PM Eastern Daylight Time		07/22/2009 09:26:38 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	053	0	2010	AdvantraRx Premier Plus Idaho, Utah		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	056	0		29	10	S5674_056_0	2	05/31/2009	2010.02	05/31/2009 02:24:08 PM Eastern Daylight Time		07/22/2009 09:37:48 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	056	0	2010	AdvantraRx Value California		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	057	0		29	10	S5674_057_0	2	05/31/2009	2010.02	05/31/2009 02:24:36 PM Eastern Daylight Time		07/22/2009 09:24:06 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	057	0	2010	AdvantraRx Premier California		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	059	0		29	10	S5674_059_0	2	05/31/2009	2010.02	05/31/2009 02:25:09 PM Eastern Daylight Time		07/22/2009 09:27:57 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	059	0	2010	AdvantraRx Premier Plus California		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	062	0		29	10	S5674_062_0	2	05/31/2009	2010.02	05/31/2009 02:25:43 PM Eastern Daylight Time		07/22/2009 09:20:57 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	062	0	2010	AdvantraRx Value Hawaii		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	063	0		29	10	S5674_063_0	2	07/24/2009	2010.02	07/24/2009 03:16:40 PM Eastern Daylight Time		07/22/2009 08:52:18 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	063	0	2010	AdvantraRx Premier Hawaii		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	065	0		29	10	S5674_065_0	2	05/31/2009	2010.02	05/31/2009 02:26:48 PM Eastern Daylight Time		07/22/2009 09:29:33 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	065	0	2010	AdvantraRx Premier Plus Hawaii		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	068	0		29	10	S5674_068_0	2	05/31/2009	2010.02	05/31/2009 02:27:25 PM Eastern Daylight Time		07/22/2009 09:22:28 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Value (PDP)	10	29					S5674	068	0	2010	AdvantraRx Value Alaska		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	069	0		29	10	S5674_069_0	2	05/31/2009	2010.02	05/31/2009 02:27:58 PM Eastern Daylight Time		07/22/2009 09:26:43 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier (PDP)	10	29					S5674	069	0	2010	AdvantraRx Premier Alaska		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	071	0		29	10	S5674_071_0	2	05/31/2009	2010.02	05/31/2009 02:28:31 PM Eastern Daylight Time		07/22/2009 08:42:10 PM Eastern Daylight Time		07/24/2009 04:22:02 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Premier Plus (PDP)	10	29					S5674	071	0	2010	AdvantraRx Premier Plus Alaska		2						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	801	0		29	10	S5674_801_0	2	06/02/2009	2010.02	06/02/2009 03:38:23 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10450-CY (PDP)	10	29					S5674	801	0	2010	AdvantraRx Employer Group-10450-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	802	0		29	10	S5674_802_0	2	06/02/2009	2010.02	06/02/2009 03:38:27 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10450-NCY (PDP)	10	29					S5674	802	0	2010	AdvantraRx Employer Group-10450-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	803	0		29	10	S5674_803_0	2	06/02/2009	2010.02	06/02/2009 03:38:31 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-CY (PDP)	10	29					S5674	803	0	2010	AdvantraRx Employer Group-10446-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	804	0		29	10	S5674_804_0	2	06/02/2009	2010.02	06/02/2009 03:38:34 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10446-NCY (PDP)	10	29					S5674	804	0	2010	AdvantraRx Employer Group-10446-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	805	0		29	10	S5674_805_0	2	06/02/2009	2010.02	06/02/2009 03:38:38 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-CY (PDP)	10	29					S5674	805	0	2010	AdvantraRx Employer Group-10448-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	806	0		29	10	S5674_806_0	2	06/02/2009	2010.02	06/02/2009 03:38:41 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10448-NCY (PDP)	10	29					S5674	806	0	2010	AdvantraRx Employer Group-10448-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	809	0		29	10	S5674_809_0	2	06/02/2009	2010.02	06/02/2009 03:38:45 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	Advantra RX Employer Group-10451-CY (PDP)	10	29					S5674	809	0	2010	Advantra RX Employer Group-10451-CY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	810	0		29	10	S5674_810_0	2	06/02/2009	2010.02	06/02/2009 03:38:49 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10451-NCY (PDP)	10	29					S5674	810	0	2010	Advantra Rx Employer Group-10451-NCY		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	811	0		29	10	S5674_811_0	2	06/02/2009	2010.02	06/02/2009 03:38:52 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-CY (PDP) (PDP)	10	29					S5674	811	0	2010	AdvantraRx Employer Group-10460-CY (PDP)		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5674	812	0		29	10	S5674_812_0	2	06/02/2009	2010.02	06/02/2009 03:38:56 PM Eastern Daylight Time				06/03/2009 07:33:51 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	Coventry AdvantraRx	www.AdvantraRx.com	AdvantraRx Employer Group-10460-NCY (PDP) (PDP)	10	29					S5674	812	0	2010	AdvantraRx Employer Group-10460-NCY (PDP)		1						2							http://www.advantrarx.com/framesetdef.asp?Community=Member									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5678	001	0		29	10	S5678_001_0	1	05/21/2009	2010.02	05/21/2009 11:02:20 AM Pacific Daylight Time		05/27/2009 02:21:20 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	001	0	2010	Arizona		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	002	0		29	10	S5678_002_0	2	05/20/2009	2010.02	05/20/2009 03:59:44 PM Pacific Daylight Time		05/31/2009 04:58:00 PM Pacific Daylight Time		06/01/2009 10:00:00 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	002	0	2010	California		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	003	0		29	10	S5678_003_0	1	05/20/2009	2010.02	05/20/2009 04:00:09 PM Pacific Daylight Time		05/27/2009 02:21:26 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	003	0	2010	New York		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	004	0		29	10	S5678_004_0	1	05/19/2009	2010.02	05/19/2009 07:18:54 AM Pacific Daylight Time		05/27/2009 02:21:30 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	004	0	2010	Central New England		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	005	0		29	10	S5678_005_0	1	05/19/2009	2010.02	05/19/2009 07:05:04 AM Pacific Daylight Time		05/27/2009 02:21:34 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	005	0	2010	New Jersey		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	006	0		29	10	S5678_006_0	1	05/19/2009	2010.02	05/19/2009 07:08:56 AM Pacific Daylight Time		05/27/2009 02:21:36 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	006	0	2010	Oregon, Washington		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	007	0		29	10	S5678_007_0	1	05/19/2009	2010.02	05/19/2009 08:05:17 AM Pacific Daylight Time		05/27/2009 02:21:40 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	007	0	2010	Arizona		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	008	0		29	10	S5678_008_0	1	05/19/2009	2010.02	05/19/2009 08:06:56 AM Pacific Daylight Time		05/27/2009 02:21:42 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	008	0	2010	California		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	009	0		29	10	S5678_009_0	1	05/19/2009	2010.02	05/19/2009 08:06:56 AM Pacific Daylight Time		05/27/2009 02:21:44 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	009	0	2010	New York		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	010	0		29	10	S5678_010_0	1	05/19/2009	2010.02	05/19/2009 08:06:57 AM Pacific Daylight Time		05/27/2009 02:21:48 PM Pacific Daylight Time		05/28/2009 01:47:55 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	010	0	2010	Central New England		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	011	0		29	10	S5678_011_0	1	05/19/2009	2010.02	05/19/2009 08:06:57 AM Pacific Daylight Time		05/27/2009 02:21:50 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	011	0	2010	New Jersey		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	012	0		29	10	S5678_012_0	1	05/19/2009	2010.02	05/19/2009 08:06:58 AM Pacific Daylight Time		05/27/2009 02:21:54 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	012	0	2010	Oregon, Washington		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	013	0		29	10	S5678_013_0	1	05/20/2009	2010.02	05/20/2009 05:53:12 AM Pacific Daylight Time		05/27/2009 02:21:56 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	013	0	2010	Northern New England (NH and ME)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	014	0		29	10	S5678_014_0	1	05/19/2009	2010.02	05/19/2009 07:16:07 AM Pacific Daylight Time		05/27/2009 02:22:00 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	014	0	2010	Northern New England (NH and ME)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	015	0		29	10	S5678_015_0	1	05/19/2009	2010.02	05/19/2009 08:24:31 AM Pacific Daylight Time		05/27/2009 02:22:02 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	015	0	2010	Mid-Atlantic (DE, DC and MD)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	016	0		29	10	S5678_016_0	1	05/19/2009	2010.02	05/19/2009 07:16:43 AM Pacific Daylight Time		05/27/2009 02:22:06 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	016	0	2010	Mid-Atlantic (DE, DC and MD)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	017	0		29	10	S5678_017_0	1	05/19/2009	2010.02	05/19/2009 08:24:31 AM Pacific Daylight Time		05/27/2009 02:22:10 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	017	0	2010	Pennsylvania (WV)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	018	0		29	10	S5678_018_0	1	05/19/2009	2010.02	05/19/2009 07:10:23 AM Pacific Daylight Time		05/27/2009 02:22:12 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	018	0	2010	Pennsylvania (WV)		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	019	0		29	10	S5678_019_0	1	05/19/2009	2010.02	05/19/2009 08:24:31 AM Pacific Daylight Time		05/27/2009 02:22:16 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	019	0	2010	Virginia		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	020	0		29	10	S5678_020_0	1	05/19/2009	2010.02	05/19/2009 07:00:13 AM Pacific Daylight Time		05/27/2009 02:22:18 PM Pacific Daylight Time		05/28/2009 02:11:28 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	020	0	2010	Virginia		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	021	0		29	10	S5678_021_0	1	05/19/2009	2010.02	05/19/2009 08:06:58 AM Pacific Daylight Time		05/27/2009 02:22:22 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	021	0	2010	North Carolina		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	022	0		29	10	S5678_022_0	1	05/19/2009	2010.02	05/19/2009 07:06:15 AM Pacific Daylight Time		05/27/2009 02:22:24 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	022	0	2010	North Carolina		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	023	0		29	10	S5678_023_0	1	05/19/2009	2010.02	05/19/2009 08:24:32 AM Pacific Daylight Time		05/27/2009 02:22:28 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	023	0	2010	South Carolina		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	024	0		29	10	S5678_024_0	1	05/19/2009	2010.02	05/19/2009 07:06:15 AM Pacific Daylight Time		05/27/2009 02:22:30 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	024	0	2010	South Carolina		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	025	0		29	10	S5678_025_0	1	05/19/2009	2010.02	05/19/2009 08:24:32 AM Pacific Daylight Time		05/27/2009 02:22:34 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	025	0	2010	Georgia		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	026	0		29	10	S5678_026_0	1	05/19/2009	2010.02	05/19/2009 07:01:21 AM Pacific Daylight Time		05/27/2009 02:22:36 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	026	0	2010	Georgia		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	027	0		29	10	S5678_027_0	1	05/19/2009	2010.02	05/19/2009 08:06:58 AM Pacific Daylight Time		05/27/2009 02:22:40 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	027	0	2010	Florida		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	028	0		29	10	S5678_028_0	1	05/19/2009	2010.02	05/19/2009 07:01:21 AM Pacific Daylight Time		05/27/2009 02:22:42 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	028	0	2010	Florida		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	029	0		29	10	S5678_029_0	1	05/19/2009	2010.02	05/19/2009 08:24:33 AM Pacific Daylight Time		05/27/2009 02:22:46 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	029	0	2010	Alabama, Tenessee		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	030	0		29	10	S5678_030_0	1	05/19/2009	2010.02	05/19/2009 07:06:16 AM Pacific Daylight Time		05/27/2009 02:22:48 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	030	0	2010	Alabama, Tennessee		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	031	0		29	10	S5678_031_0	1	05/19/2009	2010.02	05/19/2009 08:24:33 AM Pacific Daylight Time		05/27/2009 02:22:52 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	031	0	2010	Michigan		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	032	0		29	10	S5678_032_0	1	05/19/2009	2010.02	05/19/2009 07:12:53 AM Pacific Daylight Time		05/27/2009 02:22:54 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	032	0	2010	Michigan		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	033	0		29	10	S5678_033_0	1	05/19/2009	2010.02	05/19/2009 08:24:34 AM Pacific Daylight Time		05/27/2009 02:22:58 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	033	0	2010	Ohio		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	034	0		29	10	S5678_034_0	1	05/19/2009	2010.02	05/19/2009 07:10:23 AM Pacific Daylight Time		05/27/2009 02:23:00 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	034	0	2010	Ohio		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	035	0		29	10	S5678_035_0	1	05/19/2009	2010.02	05/19/2009 08:06:59 AM Pacific Daylight Time		05/27/2009 02:23:04 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	035	0	2010	Indiana, Kentucky		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	036	0		29	10	S5678_036_0	1	05/19/2009	2010.02	05/19/2009 07:06:16 AM Pacific Daylight Time		05/27/2009 02:23:06 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	036	0	2010	Indiana, Kentucky		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	037	0		29	10	S5678_037_0	1	05/19/2009	2010.02	05/19/2009 08:24:34 AM Pacific Daylight Time		05/27/2009 02:23:10 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	037	0	2010	Wisconsin		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	038	0		29	10	S5678_038_0	1	05/19/2009	2010.02	05/19/2009 07:16:44 AM Pacific Daylight Time		05/27/2009 02:23:14 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	038	0	2010	Wisconsin		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	039	0		29	10	S5678_039_0	1	05/19/2009	2010.02	05/19/2009 08:06:59 AM Pacific Daylight Time		05/27/2009 02:23:16 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	039	0	2010	Illinois		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	040	0		29	10	S5678_040_0	1	05/19/2009	2010.02	05/19/2009 07:06:17 AM Pacific Daylight Time		05/27/2009 02:23:20 PM Pacific Daylight Time		05/28/2009 04:08:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	040	0	2010	Illinois		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	041	0		29	10	S5678_041_0	1	05/19/2009	2010.02	05/19/2009 08:07:00 AM Pacific Daylight Time		05/27/2009 02:23:24 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	041	0	2010	Missouri		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	042	0		29	10	S5678_042_0	1	05/19/2009	2010.02	05/19/2009 07:01:21 AM Pacific Daylight Time		05/27/2009 02:23:26 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	042	0	2010	Missouri		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	043	0		29	10	S5678_043_0	1	05/19/2009	2010.02	05/19/2009 08:24:34 AM Pacific Daylight Time		05/27/2009 02:23:30 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	043	0	2010	Arkansas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	044	0		29	10	S5678_044_0	1	05/19/2009	2010.02	05/19/2009 07:06:17 AM Pacific Daylight Time		05/27/2009 02:23:32 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	044	0	2010	Arkansas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	045	0		29	10	S5678_045_0	1	05/19/2009	2010.02	05/19/2009 08:24:35 AM Pacific Daylight Time		05/27/2009 02:23:36 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	045	0	2010	Mississippi		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	046	0		29	10	S5678_046_0	1	05/19/2009	2010.02	05/19/2009 07:01:22 AM Pacific Daylight Time		05/27/2009 02:23:38 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	046	0	2010	Mississippi		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	047	0		29	10	S5678_047_0	1	05/19/2009	2010.02	05/19/2009 08:24:35 AM Pacific Daylight Time		05/27/2009 02:23:42 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	047	0	2010	Louisiana		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	048	0		29	10	S5678_048_0	1	05/21/2009	2010.02	05/21/2009 11:25:28 AM Pacific Daylight Time		05/27/2009 02:23:44 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	048	0	2010	Louisiana		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	049	0		29	10	S5678_049_0	1	05/19/2009	2010.02	05/19/2009 08:07:00 AM Pacific Daylight Time		05/27/2009 02:23:48 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	049	0	2010	Texas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	050	0		29	10	S5678_050_0	1	05/21/2009	2010.02	05/21/2009 11:25:14 AM Pacific Daylight Time		05/27/2009 02:23:50 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	050	0	2010	Texas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	051	0		29	10	S5678_051_0	1	05/19/2009	2010.02	05/19/2009 08:24:35 AM Pacific Daylight Time		05/27/2009 02:23:54 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	051	0	2010	Oklahoma		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	052	0		29	10	S5678_052_0	1	05/19/2009	2010.02	05/19/2009 07:10:24 AM Pacific Daylight Time		05/27/2009 02:23:58 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	052	0	2010	Oklahoma		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	053	0		29	10	S5678_053_0	1	05/19/2009	2010.02	05/19/2009 08:24:36 AM Pacific Daylight Time		05/27/2009 02:24:02 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	053	0	2010	Kansas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	054	0		29	10	S5678_054_0	1	05/19/2009	2010.02	05/19/2009 07:10:24 AM Pacific Daylight Time		05/27/2009 02:24:06 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	054	0	2010	Kansas		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	055	0		29	10	S5678_055_0	1	05/19/2009	2010.02	05/19/2009 08:24:36 AM Pacific Daylight Time		05/27/2009 02:24:10 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	055	0	2010	IA, MN, MT, NE, ND, SD, WY		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	056	0		29	10	S5678_056_0	1	05/19/2009	2010.02	05/19/2009 07:13:53 AM Pacific Daylight Time		05/27/2009 02:24:12 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	056	0	2010	IA, MN, MT, NE, ND, SD, WY		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	057	0		29	10	S5678_057_0	1	05/19/2009	2010.02	05/19/2009 08:07:00 AM Pacific Daylight Time		05/27/2009 02:24:16 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	057	0	2010	New Mexico		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	058	0		29	10	S5678_058_0	1	05/21/2009	2010.02	05/21/2009 11:25:14 AM Pacific Daylight Time		05/27/2009 02:24:18 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	058	0	2010	New Mexico		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	059	0		29	10	S5678_059_0	1	05/19/2009	2010.02	05/19/2009 08:07:01 AM Pacific Daylight Time		05/27/2009 02:24:22 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	059	0	2010	Colorado		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	060	0		29	10	S5678_060_0	1	05/19/2009	2010.02	05/19/2009 07:10:24 AM Pacific Daylight Time		05/27/2009 02:24:24 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	060	0	2010	Colorado		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	061	0		29	10	S5678_061_0	1	05/19/2009	2010.02	05/19/2009 08:07:01 AM Pacific Daylight Time		05/27/2009 02:24:28 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	061	0	2010	Nevada		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	062	0		29	10	S5678_062_0	1	05/21/2009	2010.02	05/21/2009 11:25:14 AM Pacific Daylight Time		05/27/2009 02:24:30 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	062	0	2010	Nevada		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	063	0		29	10	S5678_063_0	1	05/19/2009	2010.02	05/19/2009 08:24:37 AM Pacific Daylight Time		05/27/2009 02:24:32 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	063	0	2010	Idaho, Utah		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	064	0		29	10	S5678_064_0	1	05/19/2009	2010.02	05/19/2009 07:19:30 AM Pacific Daylight Time		05/27/2009 02:31:32 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	064	0	2010	Idaho, Utah		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	065	0		29	10	S5678_065_0	1	05/19/2009	2010.02	05/19/2009 08:07:02 AM Pacific Daylight Time		05/27/2009 02:32:02 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	065	0	2010	Hawaii		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	066	0		29	10	S5678_066_0	1	05/19/2009	2010.02	05/19/2009 07:19:30 AM Pacific Daylight Time		05/27/2009 02:32:16 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	066	0	2010	Hawaii		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	067	0		29	10	S5678_067_0	1	05/19/2009	2010.02	05/19/2009 08:24:37 AM Pacific Daylight Time		05/27/2009 02:32:26 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	067	0	2010	Alaska		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	068	0		29	10	S5678_068_0	1	05/19/2009	2010.02	05/19/2009 07:06:17 AM Pacific Daylight Time		05/27/2009 02:32:36 PM Pacific Daylight Time		05/29/2009 10:23:55 AM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	068	0	2010	Alaska		2						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	801	0		29	10	S5678_801_0	1	06/01/2009	2010.02	06/01/2009 09:01:48 PM Pacific Daylight Time				06/01/2009 09:02:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange (PDP)	10	29					S5678	801	0	2010	50 United States and District of Columbia		1						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5678	803	0		29	10	S5678_803_0	1	06/01/2009	2010.02	06/01/2009 09:01:53 PM Pacific Daylight Time				06/01/2009 09:02:23 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange (PDP)	10	29					S5678	803	0	2010	50 United States and District of Columbia		1						2							https://www.healthnet.com/formulary.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1		
S5715	001	0		29	10	S5715_001_0	5	08/06/2009	2010.02	08/06/2009 01:28:48 PM Central Daylight Time		08/06/2009 02:14:42 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Value (PDP)	10	29					S5715	001	0	2010	State of Illinois		2						2							https://qa.myrxassistant.com									(888)-285-2249		(888)-285-2249		(888)-285-2249		(888)-285-2249										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1		
S5715	002	0		29	10	S5715_002_0	3	05/22/2009	2010.02	05/22/2009 02:36:47 PM Central Daylight Time		08/06/2009 02:24:08 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Plus (PDP)	10	29					S5715	002	0	2010	State of Illinois		2						2							https://qa.myrxassistant.com									(888)-285-2249		(888)-285-2249		(888)-285-2249		(888)-285-2249										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1		
S5715	003	0		29	10	S5715_003_0	5	08/06/2009	2010.02	08/06/2009 01:30:17 PM Central Daylight Time		08/06/2009 02:22:56 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Value (PDP)	10	29					S5715	003	0	2010	State of New Mexico		2						2							https://qa.myrxassistant.com									(888)-285-2254		(888)-285-2254		(888)-285-2254		(888)-285-2254										(888)-844-3757		(888)-844-3757		(888)-844-3757		(888)-844-3757		1		
S5715	004	0		29	10	S5715_004_0	3	05/22/2009	2010.02	05/22/2009 02:41:42 PM Central Daylight Time		08/06/2009 02:20:36 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Plus (PDP)	10	29					S5715	004	0	2010	State of New Mexico		2						2							https://qa.myrxassistant.com									(888)-285-2254		(888)-285-2254		(888)-285-2254		(888)-285-2254										(888)-844-3757		(888)-844-3757		(888)-844-3757		(888)-844-3757		1		
S5715	005	0		29	10	S5715_005_0	5	08/06/2009	2010.02	08/06/2009 01:31:52 PM Central Daylight Time		08/06/2009 02:20:12 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Value (PDP)	10	29					S5715	005	0	2010	State of Texas		2						2							https://qa.myrxassistant.com									(888)-579-9373		(888)-579-9373		(888)-579-9373		(888)-579-9373										(888)-579-9375		(888)-579-9375		(888)-579-9375		(888)-579-9375		1		
S5715	006	0		29	10	S5715_006_0	3	05/22/2009	2010.02	05/22/2009 02:47:06 PM Central Daylight Time		08/06/2009 02:19:00 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Plus (PDP)	10	29					S5715	006	0	2010	State of Texas		2						2							https://qa.myrxassistant.com									(888)-579-9373		(888)-579-9373		(888)-579-9373		(888)-579-9373										(888)-579-9375		(888)-579-9375		(888)-579-9375		(888)-579-9375		1		
S5715	007	0		29	10	S5715_007_0	4	08/06/2009	2010.02	08/06/2009 01:43:26 PM Central Daylight Time		08/06/2009 02:23:26 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Standard (PDP)	10	29					S5715	007	0	2010	State of Illinois		2						2							https://qa.myrxassistant.com									(888)-285-2249		(888)-285-2249		(888)-285-2249		(888)-285-2249										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1		
S5715	008	0		29	10	S5715_008_0	4	06/10/2009	2010.02	06/10/2009 02:12:55 PM Central Daylight Time		08/06/2009 02:21:02 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Standard (PDP)	10	29					S5715	008	0	2010	State of New Mexico		2						2							https://qa.myrxassistant.com									(888)-285-2254		(888)-285-2254		(888)-285-2254		(888)-285-2254										(888)-844-3757		(888)-844-3757		(888)-844-3757		(888)-844-3757		1		
S5715	009	0		29	10	S5715_009_0	4	08/06/2009	2010.02	08/06/2009 01:52:16 PM Central Daylight Time		08/06/2009 02:19:20 PM Central Daylight Time		08/06/2009 04:14:24 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx - Standard (PDP)	10	29					S5715	009	0	2010	State of Texas		2						2							https://qa.myrxassistant.com									(888)-579-9373		(888)-579-9373		(888)-579-9373		(888)-579-9373										(888)-579-9375		(888)-579-9375		(888)-579-9375		(888)-579-9375		1		
S5715	801	0		29	10	S5715_801_0	1	05/08/2009	2010.02	05/08/2009 06:32:56 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	801	0	2010	State of Illinois		1						2							https://qa.myrxassistant.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5715	802	0		29	10	S5715_802_0	1	05/08/2009	2010.02	05/08/2009 06:33:03 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	802	0	2010	State of New Mexico		1						2							https://qa.myrxassistant.com									(877)-838-3875		(877)-838-3875		(877)-838-3875		(877)-838-3875										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5715	803	0		29	10	S5715_803_0	1	05/08/2009	2010.02	05/08/2009 06:33:08 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	803	0	2010	State of Texas		1						2							https://qa.myrxassistant.com									(877)-838-3871		(877)-838-3871		(877)-838-3871		(877)-838-3871										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5715	804	0		29	10	S5715_804_0	1	05/08/2009	2010.02	05/08/2009 06:33:13 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	804	0	2010	State of Illinois		1						2							https://qa.myrxassistant.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5715	805	0		29	10	S5715_805_0	1	05/08/2009	2010.02	05/08/2009 06:33:18 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	805	0	2010	State of New Mexico		1						2							https://qa.myrxassistant.com									(877)-838-3875		(877)-838-3875		(877)-838-3875		(877)-838-3875										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5715	806	0		29	10	S5715_806_0	1	05/08/2009	2010.02	05/08/2009 06:33:22 PM Central Daylight Time				05/18/2009 06:15:10 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, TX, and NM	www.hisc.net	Blue MedicareRx (PDP)	10	29					S5715	806	0	2010	State of Texas		1						2							https://qa.myrxassistant.com									(877)-838-3871		(877)-838-3871		(877)-838-3871		(877)-838-3871										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1		
S5726	013	0		29	10	S5726_013_0	2	06/01/2009	2010.02	06/01/2009 09:46:53 PM Pacific Daylight Time		06/01/2009 09:21:07 PM Pacific Daylight Time		06/01/2009 10:12:49 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Value (PDP)	10	29					S5726	013	0	2010	Kansas		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1		
S5726	014	0		29	10	S5726_014_0	1	05/22/2009	2010.02	05/22/2009 03:10:44 PM Pacific Daylight Time		05/30/2009 04:04:18 PM Pacific Daylight Time		05/31/2009 02:52:56 AM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Plus (PDP)	10	29					S5726	014	0	2010	Kansas		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1		
S5726	015	0		29	10	S5726_015_0	3	05/22/2009	2010.02	05/22/2009 03:16:21 PM Pacific Daylight Time		05/28/2009 05:29:53 PM Pacific Daylight Time		05/28/2009 05:43:25 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Premier (PDP)	10	29					S5726	015	0	2010	Kansas		2						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1		
S5726	805	0		29	10	S5726_805_0	1	05/21/2009	2010.02	05/21/2009 07:47:41 PM Pacific Daylight Time				05/28/2009 01:24:07 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx Group (PDP)	10	29					S5726	805	0	2010	Kansas		1						2							www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1		
S5741	001	0		29	10	S5741_001_0	3	08/18/2009	2010.02	08/18/2009 05:25:17 PM Eastern Daylight Time		08/18/2009 04:12:28 PM Eastern Daylight Time		08/19/2009 09:03:48 AM Eastern Daylight Time	HIP HEALTH PLAN OF NEW YORK	HIP Medicare PDP	www.hipusa.com	HIP Part D New York (PDP)	10	29					S5741	001	0	2010	New York Metropolitain Area		2						2							www.HIPusa.com									(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
S5741	003	0		29	10	S5741_003_0	3	06/16/2009	2010.02	06/16/2009 04:24:13 PM Eastern Daylight Time		08/18/2009 04:13:06 PM Eastern Daylight Time		08/18/2009 04:16:40 PM Eastern Daylight Time	HIP HEALTH PLAN OF NEW YORK	HIP Medicare PDP	www.hipusa.com	HIP Enhanced Part D New York (PDP)	10	29					S5741	003	0	2010	New York State		2						2							www.HIPusa.com									(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
S5741	801	0		29	10	S5741_801_0	1	05/14/2009	2010.02	05/14/2009 04:20:07 PM Eastern Daylight Time				05/28/2009 12:09:15 PM Eastern Daylight Time	HIP HEALTH PLAN OF NEW YORK	HIP Medicare PDP	www.hipusa.com	HIP Part D New York (PDP)	10	29					S5741	801	0	2010	Greater New York Metropolitain Area		1						2							www.HIPusa.com									(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1		
S5743	001	0		29	10	S5743_001_0	1	05/27/2009	2010.02	05/27/2009 04:32:01 PM Central Daylight Time		05/28/2009 09:08:40 AM Central Daylight Time		05/28/2009 03:51:55 PM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue Rx	www.YourMedicareSolutions.com	MedicareBlue Rx Standard (PDP)	10	29					S5743	001	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							www.YourMedicareSolutions.com									(888)-832-0075		(888)-832-0075		(866)-434-2037		(866)-434-2037										(800)-693-3819		(800)-693-3819		(866)-456-1550		(866)-456-1550		1		
S5743	003	0		29	10	S5743_003_0	2	07/06/2009	2010.02	07/06/2009 01:27:03 PM Central Daylight Time		07/07/2009 01:10:26 PM Central Daylight Time		07/29/2009 10:41:12 AM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue Rx	www.YourMedicareSolutions.com	MedicareBlue Rx Enhanced (PDP)	10	29					S5743	003	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							www.YourMedicareSolutions.com									(888)-832-0075		(888)-832-0075		(866)-434-2037		(866)-434-2037										(800)-693-3819		(800)-693-3819		(866)-456-1550		(866)-456-1550		1		
S5743	004	0		29	10	S5743_004_0	2	05/28/2009	2010.02	05/28/2009 04:36:46 PM Central Daylight Time		05/28/2009 05:42:00 PM Central Daylight Time		05/29/2009 08:19:35 AM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue Rx	www.YourMedicareSolutions.com	MedicareBlue Rx Premier (PDP)	10	29					S5743	004	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							www.YourMedicareSolutions.com									(888)-832-0075		(888)-832-0075		(866)-434-2037		(866)-434-2037										(800)-693-3819		(800)-693-3819		(866)-456-1550		(866)-456-1550		1		
S5743	802	0		29	10	S5743_802_0	1	05/05/2009	2010.02	05/05/2009 12:47:46 PM Central Daylight Time				05/29/2009 10:45:36 AM Central Daylight Time	BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE	MedicareBlue Rx	www.YourMedicareSolutions.com	Group MedicareBlue Rx (PDP)	10	29					S5743	802	0	2010	Nationwide		1						2							www.YourMedicareSolutions.com									(877)-838-3827		(877)-838-3827		(866)-434-2037		(866)-434-2037										(866)-213-9262		(866)-213-9262		(866)-456-1550		(866)-456-1550		1		
S5753	006	0		29	10	S5753_006_0	1	05/29/2009	2010.02	05/29/2009 08:16:48 PM Central Daylight Time		05/29/2009 07:43:38 PM Central Daylight Time		05/29/2009 09:07:28 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS MedicareRx Enhanced Plan 1 (PDP)	10	29					S5753	006	0	2010	State of Wisconsin		2						2							www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1		
S5753	007	0		29	10	S5753_007_0	2	05/29/2009	2010.02	05/29/2009 08:17:09 PM Central Daylight Time		06/01/2009 05:25:53 PM Central Daylight Time		06/01/2009 05:36:05 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS MedicareRx Enhanced Plan 2 (PDP)	10	29					S5753	007	0	2010	State of Wisconsin		2						2							www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1		
S5753	012	0		29	10	S5753_012_0	2	05/29/2009	2010.02	05/29/2009 08:15:30 PM Central Daylight Time		06/01/2009 05:27:15 PM Central Daylight Time		06/01/2009 05:36:05 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS MedicareRx Standard Plan (PDP)	10	29					S5753	012	0	2010	Wisconsin		2						2							www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1		
S5753	801	0		29	10	S5753_801_0	1	04/24/2009	2010.02	04/24/2009 04:14:14 PM Central Daylight Time				05/29/2009 09:07:28 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS Employer Plan - Calendar Year (PDP)	10	29					S5753	801	0	2010	National		1						2							www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1		
S5753	803	0		29	10	S5753_803_0	1	04/24/2009	2010.02	04/24/2009 04:14:26 PM Central Daylight Time				05/29/2009 09:07:28 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS Employer Plan Non-Calendar Year (PDP)	10	29					S5753	803	0	2010	National		1						2							www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1		
S5755	005	0		29	10	S5755_005_0	4	05/29/2009	2010.02	05/29/2009 12:35:55 PM Central Daylight Time		05/30/2009 06:20:31 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	005	0	2010	States of Maine and New Hampshire		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	006	0		29	10	S5755_006_0	1	05/29/2009	2010.02	05/29/2009 01:59:13 PM Central Daylight Time		05/30/2009 06:21:49 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	006	0	2010	States of CT, MA, RI and VT		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	007	0		29	10	S5755_007_0	1	05/29/2009	2010.02	05/29/2009 02:10:26 PM Central Daylight Time		05/30/2009 06:17:49 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	007	0	2010	State of New Jersey		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	008	0		29	10	S5755_008_0	1	05/29/2009	2010.02	05/29/2009 02:29:29 PM Central Daylight Time		05/30/2009 06:26:19 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	008	0	2010	States of Delaware and Maryland plus DC		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	009	0		29	10	S5755_009_0	1	05/29/2009	2010.02	05/29/2009 02:41:58 PM Central Daylight Time		05/30/2009 06:25:45 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	009	0	2010	States of Pennsylvania and West Virginia		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	010	0		29	10	S5755_010_0	1	05/29/2009	2010.02	05/29/2009 02:31:56 PM Central Daylight Time		05/30/2009 06:25:11 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	010	0	2010	State of Virginia		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	011	0		29	10	S5755_011_0	1	05/29/2009	2010.02	05/29/2009 02:20:19 PM Central Daylight Time		05/30/2009 06:24:43 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	011	0	2010	State of North Carolina		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	012	0		29	10	S5755_012_0	1	05/29/2009	2010.02	05/29/2009 02:10:17 PM Central Daylight Time		05/30/2009 06:27:32 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	012	0	2010	State of South Carolina		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	013	0		29	10	S5755_013_0	1	05/29/2009	2010.02	05/29/2009 02:10:00 PM Central Daylight Time		05/30/2009 06:31:52 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	013	0	2010	State of Georgia		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	014	0		29	10	S5755_014_0	1	05/29/2009	2010.02	05/29/2009 02:44:22 PM Central Daylight Time		05/30/2009 06:31:19 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	014	0	2010	State of Florida		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	015	0		29	10	S5755_015_0	1	05/29/2009	2010.02	05/29/2009 02:11:10 PM Central Daylight Time		05/30/2009 06:30:44 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	015	0	2010	States of Alabama and Tennessee		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	016	0		29	10	S5755_016_0	1	05/29/2009	2010.02	05/29/2009 02:47:58 PM Central Daylight Time		05/30/2009 06:30:19 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	016	0	2010	State of Michigan		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	017	0		29	10	S5755_017_0	1	05/29/2009	2010.02	05/29/2009 02:32:24 PM Central Daylight Time		05/30/2009 06:32:27 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	017	0	2010	State of Ohio		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	018	0		29	10	S5755_018_0	1	05/29/2009	2010.02	05/29/2009 02:32:57 PM Central Daylight Time		05/30/2009 06:35:42 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	018	0	2010	States of Indiana and Kentucky		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	019	0		29	10	S5755_019_0	1	05/29/2009	2010.02	05/29/2009 02:23:36 PM Central Daylight Time		05/30/2009 06:35:09 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	019	0	2010	State of Wisconsin		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	020	0		29	10	S5755_020_0	1	05/29/2009	2010.02	05/29/2009 02:11:37 PM Central Daylight Time		05/30/2009 06:34:41 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	020	0	2010	State of Illinois		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	021	0		29	10	S5755_021_0	1	05/29/2009	2010.02	05/29/2009 02:33:05 PM Central Daylight Time		05/30/2009 06:33:36 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	021	0	2010	State of Missouri		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	022	0		29	10	S5755_022_0	1	05/29/2009	2010.02	05/29/2009 02:23:54 PM Central Daylight Time		05/30/2009 06:36:03 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	022	0	2010	State of Arkansas		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	023	0		29	10	S5755_023_0	1	05/29/2009	2010.02	05/29/2009 02:11:57 PM Central Daylight Time		05/30/2009 06:38:57 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	023	0	2010	State of Mississippi		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	024	0		29	10	S5755_024_0	1	05/29/2009	2010.02	05/29/2009 02:44:49 PM Central Daylight Time		05/30/2009 06:38:01 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	024	0	2010	State of Louisiana		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	025	0		29	10	S5755_025_0	1	05/29/2009	2010.02	05/29/2009 02:45:03 PM Central Daylight Time		05/30/2009 06:37:37 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	025	0	2010	State of Texas		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	026	0		29	10	S5755_026_0	1	05/29/2009	2010.02	05/29/2009 02:45:17 PM Central Daylight Time		05/30/2009 06:37:03 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	026	0	2010	State of Oklahoma		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	027	0		29	10	S5755_027_0	1	05/29/2009	2010.02	05/29/2009 02:12:26 PM Central Daylight Time		05/30/2009 06:36:41 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	027	0	2010	State of Kansas		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	028	0		29	10	S5755_028_0	1	05/29/2009	2010.02	05/29/2009 02:33:15 PM Central Daylight Time		05/30/2009 06:42:55 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	028	0	2010	States of IA, MN, MT, NE, ND, SD and WY		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	029	0		29	10	S5755_029_0	1	05/29/2009	2010.02	05/29/2009 02:12:35 PM Central Daylight Time		05/30/2009 06:42:17 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	029	0	2010	State of New Mexico		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	030	0		29	10	S5755_030_0	1	05/29/2009	2010.02	05/29/2009 02:45:29 PM Central Daylight Time		05/30/2009 06:41:19 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	030	0	2010	State of Colorado		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	031	0		29	10	S5755_031_0	1	05/29/2009	2010.02	05/29/2009 02:45:33 PM Central Daylight Time		05/30/2009 06:39:56 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	031	0	2010	State of Arizona		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	032	0		29	10	S5755_032_0	1	05/29/2009	2010.02	05/29/2009 02:45:37 PM Central Daylight Time		05/30/2009 06:43:18 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	032	0	2010	State of Nevada		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	033	0		29	10	S5755_033_0	1	05/29/2009	2010.02	05/29/2009 02:12:44 PM Central Daylight Time		05/30/2009 06:53:29 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	033	0	2010	States of Oregon and Washington		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	034	0		29	10	S5755_034_0	1	05/29/2009	2010.02	05/29/2009 02:45:48 PM Central Daylight Time		05/30/2009 06:52:15 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	034	0	2010	States of Idaho and Utah		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	035	0		29	10	S5755_035_0	1	05/29/2009	2010.02	05/29/2009 02:24:38 PM Central Daylight Time		05/30/2009 06:51:21 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	035	0	2010	State of California		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	038	0		29	10	S5755_038_0	2	05/29/2009	2010.02	05/29/2009 02:45:56 PM Central Daylight Time		07/21/2009 04:38:44 PM Central Daylight Time		07/26/2009 03:24:41 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	038	0	2010	State of Hawaii		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	039	0		29	10	S5755_039_0	3	05/29/2009	2010.02	05/29/2009 02:24:48 PM Central Daylight Time		07/21/2009 04:17:19 PM Central Daylight Time		07/26/2009 03:45:03 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	039	0	2010	State of Alaska		2						2							http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	040	0		29	10	S5755_040_0	1	05/29/2009	2010.02	05/29/2009 01:43:40 PM Central Daylight Time		05/30/2009 06:58:10 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	040	0	2010	States of New Hampshire and Maine		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	041	0		29	10	S5755_041_0	1	05/29/2009	2010.02	05/29/2009 01:51:52 PM Central Daylight Time		05/30/2009 06:57:22 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	041	0	2010	States of CT, MA, RI and VT		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	042	0		29	10	S5755_042_0	1	05/29/2009	2010.02	05/29/2009 01:52:49 PM Central Daylight Time		05/30/2009 06:56:56 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	042	0	2010	State of New Jersey		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	043	0		29	10	S5755_043_0	1	05/29/2009	2010.02	05/29/2009 02:49:48 PM Central Daylight Time		05/30/2009 06:56:31 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	043	0	2010	States of Delaware and Maryland plus DC		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	044	0		29	10	S5755_044_0	1	05/29/2009	2010.02	05/29/2009 02:50:08 PM Central Daylight Time		05/30/2009 06:58:35 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	044	0	2010	States of Pennsylvania and West Virginia		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	045	0		29	10	S5755_045_0	1	05/29/2009	2010.02	05/29/2009 02:50:28 PM Central Daylight Time		05/30/2009 07:03:42 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	045	0	2010	State of Virginia		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	046	0		29	10	S5755_046_0	1	05/29/2009	2010.02	05/29/2009 02:50:45 PM Central Daylight Time		05/30/2009 07:03:16 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	046	0	2010	State of North Carolina		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	047	0		29	10	S5755_047_0	1	05/29/2009	2010.02	05/29/2009 02:51:04 PM Central Daylight Time		05/30/2009 07:02:04 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	047	0	2010	State of South Carolina		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	048	0		29	10	S5755_048_0	1	05/29/2009	2010.02	05/29/2009 02:51:30 PM Central Daylight Time		05/30/2009 07:01:32 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	048	0	2010	State of Georgia		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	049	0		29	10	S5755_049_0	1	05/29/2009	2010.02	05/29/2009 02:51:59 PM Central Daylight Time		05/30/2009 07:01:02 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	049	0	2010	State of Florida		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	050	0		29	10	S5755_050_0	1	05/29/2009	2010.02	05/29/2009 02:52:25 PM Central Daylight Time		05/30/2009 07:00:32 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	050	0	2010	States of Alabama and Tennessee		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	051	0		29	10	S5755_051_0	1	05/29/2009	2010.02	05/29/2009 02:53:13 PM Central Daylight Time		05/30/2009 06:59:41 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	051	0	2010	State of Michigan		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	052	0		29	10	S5755_052_0	1	05/29/2009	2010.02	05/29/2009 02:53:36 PM Central Daylight Time		05/30/2009 07:04:06 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	052	0	2010	State of Ohio		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	053	0		29	10	S5755_053_0	1	05/29/2009	2010.02	05/29/2009 02:54:00 PM Central Daylight Time		05/30/2009 07:10:58 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	053	0	2010	States of Indiana and Kentucky		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	054	0		29	10	S5755_054_0	1	05/29/2009	2010.02	05/29/2009 02:54:27 PM Central Daylight Time		05/30/2009 07:10:27 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	054	0	2010	State of Wisconsin		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	055	0		29	10	S5755_055_0	1	05/29/2009	2010.02	05/29/2009 02:54:52 PM Central Daylight Time		05/30/2009 07:08:59 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	055	0	2010	State of Illinois		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	056	0		29	10	S5755_056_0	1	05/29/2009	2010.02	05/29/2009 02:55:50 PM Central Daylight Time		05/30/2009 07:08:37 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	056	0	2010	State of Missouri		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	057	0		29	10	S5755_057_0	1	05/29/2009	2010.02	05/29/2009 02:58:47 PM Central Daylight Time		05/30/2009 07:08:13 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	057	0	2010	State of Arkansas		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	058	0		29	10	S5755_058_0	1	05/29/2009	2010.02	05/29/2009 02:59:10 PM Central Daylight Time		05/30/2009 07:07:18 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	058	0	2010	State of Mississippi		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	059	0		29	10	S5755_059_0	1	05/29/2009	2010.02	05/29/2009 02:59:37 PM Central Daylight Time		05/30/2009 07:06:57 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	059	0	2010	State of Louisiana		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	060	0		29	10	S5755_060_0	1	05/29/2009	2010.02	05/29/2009 02:59:52 PM Central Daylight Time		05/30/2009 07:06:08 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	060	0	2010	State of Texas		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	061	0		29	10	S5755_061_0	1	05/29/2009	2010.02	05/29/2009 03:00:08 PM Central Daylight Time		05/30/2009 07:05:05 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	061	0	2010	State of Oklahoma		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	062	0		29	10	S5755_062_0	1	05/29/2009	2010.02	05/29/2009 03:00:58 PM Central Daylight Time		05/30/2009 07:11:21 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	062	0	2010	State of Kansas		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	063	0		29	10	S5755_063_0	1	05/29/2009	2010.02	05/29/2009 03:01:14 PM Central Daylight Time		05/30/2009 07:12:35 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	063	0	2010	States of IA, MN, MT, NE, ND, SD and WY		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	064	0		29	10	S5755_064_0	1	05/29/2009	2010.02	05/29/2009 03:01:44 PM Central Daylight Time		05/30/2009 07:12:59 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	064	0	2010	State of New Mexico		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	065	0		29	10	S5755_065_0	1	05/29/2009	2010.02	05/29/2009 03:02:44 PM Central Daylight Time		05/30/2009 07:13:25 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	065	0	2010	State of Colorado		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	066	0		29	10	S5755_066_0	1	05/29/2009	2010.02	05/29/2009 03:03:00 PM Central Daylight Time		05/30/2009 07:13:50 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	066	0	2010	State of Arizona		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	067	0		29	10	S5755_067_0	1	05/29/2009	2010.02	05/29/2009 03:03:21 PM Central Daylight Time		05/30/2009 07:14:22 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	067	0	2010	State of Nevada		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	068	0		29	10	S5755_068_0	1	05/29/2009	2010.02	05/29/2009 03:03:48 PM Central Daylight Time		05/30/2009 07:14:58 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	068	0	2010	States of Oregon and Washington		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	069	0		29	10	S5755_069_0	1	05/29/2009	2010.02	05/29/2009 03:04:16 PM Central Daylight Time		05/30/2009 07:19:49 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	069	0	2010	States of Idaho and Utah		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	070	0		29	10	S5755_070_0	1	05/29/2009	2010.02	05/29/2009 03:05:02 PM Central Daylight Time		05/30/2009 07:24:02 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	070	0	2010	State of California		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	071	0		29	10	S5755_071_0	1	05/29/2009	2010.02	05/29/2009 03:06:08 PM Central Daylight Time		05/30/2009 07:24:56 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	071	0	2010	State of Hawaii		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	072	0		29	10	S5755_072_0	1	05/29/2009	2010.02	05/29/2009 03:06:22 PM Central Daylight Time		05/30/2009 07:25:27 PM Central Daylight Time		06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Rx Covg - Silver Plan (PDP)	10	29					S5755	072	0	2010	State of Alaska		2						2							http://www.uamedicarepartd.com/									(866)-299-3406		(866)-299-3406		(866)-299-3406		(866)-299-3406										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	801	0		29	10	S5755_801_0	1	05/29/2009	2010.02	05/29/2009 04:02:50 PM Central Daylight Time				06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com/	United American Employer Calendar Plan (PDP)	10	29					S5755	801	0	2010	National		1						2							http://www.uamedicarepartd.com/									(866)-524-4199		(866)-524-4199		(866)-524-4199		(866)-524-4199										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5755	802	0		29	10	S5755_802_0	1	05/29/2009	2010.02	05/29/2009 04:02:56 PM Central Daylight Time				06/01/2009 09:39:20 AM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com/	United American Employer Non-Cal Drug Plan (PDP)	10	29					S5755	802	0	2010	National		1						2							http://www.uamedicarepartd.com/									(866)-524-4199		(866)-524-4199		(866)-524-4199		(866)-524-4199										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1		
S5766	002	0		29	10	S5766_002_0	4	05/20/2009	2010.02	05/20/2009 02:55:25 PM Eastern Daylight Time		06/01/2009 01:16:31 PM Eastern Daylight Time		06/01/2009 01:40:38 PM Eastern Daylight Time	FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	Blue Rx Standard (PDP)	10	29					S5766	002	0	2010	Delaware, District of Columbia and Maryland		2						2							http://www.medi-carefirst.com									(800)-693-1434		(800)-693-1434		(888)-784-0790		(888)-784-0790										(800)-693-0765		(800)-693-0765		(888)-784-0868		(888)-784-0868		1		
S5766	003	0		29	10	S5766_003_0	4	05/20/2009	2010.02	05/20/2009 03:01:49 PM Eastern Daylight Time		06/01/2009 01:16:22 PM Eastern Daylight Time		06/01/2009 01:40:38 PM Eastern Daylight Time	FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	Blue Rx Enhanced (PDP)	10	29					S5766	003	0	2010	Delaware, District of Columbia and Maryland		2						2							http://www.medi-carefirst.com									(800)-693-1434		(800)-693-1434		(888)-784-0790		(888)-784-0790										(800)-693-0765		(800)-693-0765		(888)-784-0868		(888)-784-0868		1		
S5768	005	0		29	10	S5768_005_0	2	05/31/2009	2010.02	05/31/2009 12:25:46 PM Eastern Daylight Time		07/23/2009 08:01:56 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	005	0	2010	First Health Part D-Premier-ME, NH		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	007	0		29	10	S5768_007_0	2	05/31/2009	2010.02	05/31/2009 11:55:47 AM Eastern Daylight Time		07/23/2009 08:07:28 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	007	0	2010	First Health Part-D-Premier-New Jersey		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	008	0		29	10	S5768_008_0	2	05/31/2009	2010.02	05/31/2009 11:56:25 AM Eastern Daylight Time		07/23/2009 08:08:47 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	008	0	2010	First Health Part D-Premier-Mid Atlantic		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	009	0		29	10	S5768_009_0	2	05/31/2009	2010.02	05/31/2009 11:56:59 AM Eastern Daylight Time		07/23/2009 08:10:25 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	009	0	2010	First Health Part D-Premier-PA, WV		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	010	0		29	10	S5768_010_0	2	05/31/2009	2010.02	05/31/2009 11:57:34 AM Eastern Daylight Time		07/23/2009 08:12:02 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	010	0	2010	First Health Part D-Premier-Virginia		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	012	0		29	10	S5768_012_0	2	05/31/2009	2010.02	05/31/2009 11:58:01 AM Eastern Daylight Time		07/23/2009 08:28:12 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	012	0	2010	First Health Part D-Premier-South Carolina		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	015	0		29	10	S5768_015_0	2	05/31/2009	2010.02	05/31/2009 11:58:32 AM Eastern Daylight Time		07/23/2009 08:53:48 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	015	0	2010	First Health Part D-Premier-AL, TN		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	016	0		29	10	S5768_016_0	2	05/31/2009	2010.02	05/31/2009 11:58:58 AM Eastern Daylight Time		07/23/2009 08:56:17 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	016	0	2010	First Health Part D-Premier-Michigan		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	017	0		29	10	S5768_017_0	2	05/31/2009	2010.02	05/31/2009 11:59:26 AM Eastern Daylight Time		07/23/2009 09:01:46 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	017	0	2010	First Health Part D-Premier-Ohio		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	018	0		29	10	S5768_018_0	2	05/31/2009	2010.02	05/31/2009 11:59:51 AM Eastern Daylight Time		07/23/2009 09:03:19 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	018	0	2010	First Health Part D-Premier-IN, KY		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	021	0		29	10	S5768_021_0	2	05/31/2009	2010.02	05/31/2009 12:00:19 PM Eastern Daylight Time		07/23/2009 09:08:44 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	021	0	2010	First Health Part D-Premier-Missouri		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	031	0		29	10	S5768_031_0	2	05/31/2009	2010.02	05/31/2009 12:00:47 PM Eastern Daylight Time		07/23/2009 09:36:18 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	031	0	2010	First Health Part D-Premier-Nevada		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	038	0		29	10	S5768_038_0	2	05/31/2009	2010.02	05/31/2009 12:01:18 PM Eastern Daylight Time		07/23/2009 08:04:04 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	038	0	2010	First Health Part D-Premier-Central New England		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	039	0		29	10	S5768_039_0	2	05/31/2009	2010.02	05/31/2009 12:01:48 PM Eastern Daylight Time		07/23/2009 08:13:23 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	039	0	2010	First Health Part D-Premier-North Carolina		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	040	0		29	10	S5768_040_0	2	05/31/2009	2010.02	05/31/2009 12:02:16 PM Eastern Daylight Time		07/23/2009 08:30:54 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	040	0	2010	First Health Part D-Premier-Georgia		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	041	0		29	10	S5768_041_0	2	05/31/2009	2010.02	05/31/2009 12:02:47 PM Eastern Daylight Time		07/23/2009 08:52:07 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	041	0	2010	First Health Part D-Premier-Florida		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	042	0		29	10	S5768_042_0	2	05/31/2009	2010.02	05/31/2009 12:03:12 PM Eastern Daylight Time		07/23/2009 09:06:55 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	042	0	2010	First Health Part D-Premier-Illinois		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	043	0		29	10	S5768_043_0	2	05/31/2009	2010.02	05/31/2009 12:03:47 PM Eastern Daylight Time		07/23/2009 09:10:26 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	043	0	2010	First Health Part D-Premier-Arkansas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	044	0		29	10	S5768_044_0	2	05/31/2009	2010.02	05/31/2009 12:04:20 PM Eastern Daylight Time		07/23/2009 09:13:27 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	044	0	2010	First Health Part D-Premier-Louisiana		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	045	0		29	10	S5768_045_0	2	05/31/2009	2010.02	05/31/2009 12:04:48 PM Eastern Daylight Time		07/23/2009 09:15:49 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	045	0	2010	First Heatlh Part D-Premier-Texas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	046	0		29	10	S5768_046_0	2	05/31/2009	2010.02	05/31/2009 12:05:16 PM Eastern Daylight Time		07/23/2009 09:17:24 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	046	0	2010	First Health Part D-Premier-Oklahoma		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	047	0		29	10	S5768_047_0	2	05/31/2009	2010.02	05/31/2009 12:05:49 PM Eastern Daylight Time		07/23/2009 09:19:45 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	047	0	2010	First Health Part D-Premier-Kansas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	048	0		29	10	S5768_048_0	2	05/31/2009	2010.02	05/31/2009 12:06:15 PM Eastern Daylight Time		07/23/2009 09:32:01 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	048	0	2010	First Health Part D-Premier-New Mexico		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	082	0		29	10	S5768_082_0	2	05/31/2009	2010.02	05/31/2009 12:06:47 PM Eastern Daylight Time		07/23/2009 09:39:58 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	082	0	2010	First Health Part D-Premier-CA		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	083	0		29	10	S5768_083_0	2	05/31/2009	2010.02	05/31/2009 12:07:16 PM Eastern Daylight Time		07/23/2009 09:04:49 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	083	0	2010	First Health Part D-Premier-Wisconsin		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	084	0		29	10	S5768_084_0	2	05/31/2009	2010.02	05/31/2009 12:07:44 PM Eastern Daylight Time		07/23/2009 11:38:46 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	084	0	2010	First Health Part D-Secure-No New England		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	085	0		29	10	S5768_085_0	2	05/31/2009	2010.02	05/31/2009 12:27:39 PM Eastern Daylight Time		07/23/2009 10:10:12 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	085	0	2010	First Health Part D-Secure-Cen New England		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	086	0		29	10	S5768_086_0	2	05/31/2009	2010.02	05/31/2009 12:08:38 PM Eastern Daylight Time		07/23/2009 09:54:05 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	086	0	2010	First Health Part D-Secure-New Jersey		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	087	0		29	10	S5768_087_0	2	05/31/2009	2010.02	05/31/2009 12:09:06 PM Eastern Daylight Time		07/24/2009 10:20:14 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	087	0	2010	First Health Part D-Secure-Mid Atlantic		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	088	0		29	10	S5768_088_0	2	05/31/2009	2010.02	05/31/2009 12:09:32 PM Eastern Daylight Time		07/23/2009 10:00:43 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	088	0	2010	First Health Part D-Secure-PA, WV		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	089	0		29	10	S5768_089_0	2	05/31/2009	2010.02	05/31/2009 01:18:29 PM Eastern Daylight Time		07/23/2009 10:04:28 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	089	0	2010	First Health Part D-Secure-Virginia		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	090	0		29	10	S5768_090_0	2	05/31/2009	2010.02	05/31/2009 12:10:25 PM Eastern Daylight Time		07/23/2009 10:14:28 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	090	0	2010	First Health Part D-Secure-North Carolina		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	091	0		29	10	S5768_091_0	2	05/31/2009	2010.02	05/31/2009 12:10:58 PM Eastern Daylight Time		07/24/2009 08:24:49 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	091	0	2010	First Health Part D-Secure-South Carolina		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	092	0		29	10	S5768_092_0	2	05/31/2009	2010.02	05/31/2009 12:11:26 PM Eastern Daylight Time		07/24/2009 10:03:53 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	092	0	2010	First Health Part D-Secure-Georgia		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	093	0		29	10	S5768_093_0	2	05/31/2009	2010.02	05/31/2009 12:11:57 PM Eastern Daylight Time		07/24/2009 10:05:16 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	093	0	2010	First Health Part D-Secure-Florida		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	094	0		29	10	S5768_094_0	2	05/31/2009	2010.02	05/31/2009 12:12:30 PM Eastern Daylight Time		07/23/2009 10:19:22 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	094	0	2010	First Health Part D-Secure-AL, TN		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	095	0		29	10	S5768_095_0	2	05/31/2009	2010.02	05/31/2009 12:12:59 PM Eastern Daylight Time		07/24/2009 10:06:32 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	095	0	2010	First Health Part D-Secure-Michigan		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	096	0		29	10	S5768_096_0	2	05/31/2009	2010.02	05/31/2009 12:13:36 PM Eastern Daylight Time		07/23/2009 10:26:12 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	096	0	2010	First Health Part D-Secure-Ohio		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	097	0		29	10	S5768_097_0	2	05/31/2009	2010.02	05/31/2009 12:14:05 PM Eastern Daylight Time		07/24/2009 10:07:44 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	097	0	2010	First Health Part D-Secure-IN, KY		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	098	0		29	10	S5768_098_0	2	05/31/2009	2010.02	05/31/2009 12:14:31 PM Eastern Daylight Time		07/23/2009 11:40:54 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	098	0	2010	First Health Part D-Secure-Wisconsin		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	099	0		29	10	S5768_099_0	2	05/31/2009	2010.02	05/31/2009 12:15:00 PM Eastern Daylight Time		07/24/2009 09:03:51 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	099	0	2010	First Health Part D-Secure-Illinois		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	100	0		29	10	S5768_100_0	2	05/31/2009	2010.02	05/31/2009 12:15:26 PM Eastern Daylight Time		07/23/2009 11:44:27 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	100	0	2010	First Health Part D-Secure-Missouri		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	101	0		29	10	S5768_101_0	2	05/31/2009	2010.02	05/31/2009 12:15:53 PM Eastern Daylight Time		07/23/2009 11:46:48 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	101	0	2010	First Health Part D-Secure-Arkansas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	102	0		29	10	S5768_102_0	2	05/31/2009	2010.02	05/31/2009 12:16:25 PM Eastern Daylight Time		07/23/2009 11:58:18 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	102	0	2010	First Health Part D-Secure-Mississippi		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	103	0		29	10	S5768_103_0	2	05/31/2009	2010.02	05/31/2009 12:17:02 PM Eastern Daylight Time		07/23/2009 12:10:43 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	103	0	2010	First health Part D-Secure-Louisiana		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	104	0		29	10	S5768_104_0	2	05/31/2009	2010.02	05/31/2009 12:17:31 PM Eastern Daylight Time		07/23/2009 12:12:14 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	104	0	2010	First Health Part D-Secure-Texas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	105	0		29	10	S5768_105_0	2	05/31/2009	2010.02	05/31/2009 12:18:03 PM Eastern Daylight Time		07/24/2009 10:18:33 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	105	0	2010	First Health Part D-Secure-Oklahoma		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	106	0		29	10	S5768_106_0	2	05/31/2009	2010.02	05/31/2009 12:18:34 PM Eastern Daylight Time		07/24/2009 08:13:57 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	106	0	2010	First Health Part D-Secure-Kansas		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	107	0		29	10	S5768_107_0	2	05/31/2009	2010.02	05/31/2009 12:19:02 PM Eastern Daylight Time		07/24/2009 08:18:12 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	107	0	2010	First Health Part D-Secure-Upper MW and No. Plains		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	108	0		29	10	S5768_108_0	2	05/31/2009	2010.02	05/31/2009 12:19:28 PM Eastern Daylight Time		07/24/2009 11:42:11 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	108	0	2010	First Health Part D-Secure-New Mexico		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	109	0		29	10	S5768_109_0	2	05/31/2009	2010.02	05/31/2009 12:19:58 PM Eastern Daylight Time		07/23/2009 05:06:29 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	109	0	2010	First Health Part D-Secure-Colorado		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	110	0		29	10	S5768_110_0	2	05/31/2009	2010.02	05/31/2009 12:20:28 PM Eastern Daylight Time		07/23/2009 12:13:37 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	110	0	2010	First Health Part D-Secure-Arizona		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	111	0		29	10	S5768_111_0	2	05/31/2009	2010.02	05/31/2009 12:20:55 PM Eastern Daylight Time		07/23/2009 12:15:06 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	111	0	2010	First Health Part D-Secure-Nevada		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	112	0		29	10	S5768_112_0	2	05/31/2009	2010.02	05/31/2009 12:21:24 PM Eastern Daylight Time		07/23/2009 05:07:54 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	112	0	2010	First Health Part D-Secure-Oregon, Washington		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	113	0		29	10	S5768_113_0	2	05/31/2009	2010.02	05/31/2009 12:21:52 PM Eastern Daylight Time		07/23/2009 12:16:50 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	113	0	2010	First Health Part D-Secure-Idaho, Utah		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	114	0		29	10	S5768_114_0	2	05/31/2009	2010.02	05/31/2009 12:22:26 PM Eastern Daylight Time		07/24/2009 08:38:50 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	114	0	2010	First Health Part D-Secure-California		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	115	0		29	10	S5768_115_0	2	05/31/2009	2010.02	05/31/2009 12:22:52 PM Eastern Daylight Time		07/24/2009 10:12:01 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	115	0	2010	First Health Part D-Secure-Hawaii		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	116	0		29	10	S5768_116_0	2	05/31/2009	2010.02	05/31/2009 12:23:19 PM Eastern Daylight Time		07/24/2009 10:16:28 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Secure (PDP)	10	29					S5768	116	0	2010	First Health Part D-Secure-Alaska		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	117	0		29	10	S5768_117_0	2	05/31/2009	2010.02	05/31/2009 12:24:00 PM Eastern Daylight Time		07/23/2009 09:43:09 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	117	0	2010	First Health Part D- Premier-Alaska		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	118	0		29	10	S5768_118_0	2	05/31/2009	2010.02	05/31/2009 12:28:12 PM Eastern Daylight Time		07/23/2009 02:06:46 PM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	118	0	2010	First Health Part D-Premier-Idaho and Utah		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	119	0		29	10	S5768_119_0	2	05/31/2009	2010.02	05/31/2009 12:28:41 PM Eastern Daylight Time		07/23/2009 09:33:34 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	119	0	2010	First Health Part D-Premier-Colorado		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	120	0		29	10	S5768_120_0	2	05/31/2009	2010.02	05/31/2009 12:29:10 PM Eastern Daylight Time		07/23/2009 09:11:55 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	120	0	2010	First Health Part D-Premier-Mississippi		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	121	0		29	10	S5768_121_0	2	05/31/2009	2010.02	05/31/2009 12:29:38 PM Eastern Daylight Time		07/23/2009 09:34:59 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	121	0	2010	First Health Part D-Premier-Arizona		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	122	0		29	10	S5768_122_0	2	05/31/2009	2010.02	05/31/2009 12:30:11 PM Eastern Daylight Time		07/23/2009 09:30:01 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	122	0	2010	First Health Part D-Premier-Upper MW and No Plains		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	123	0		29	10	S5768_123_0	2	05/31/2009	2010.02	05/31/2009 12:30:44 PM Eastern Daylight Time		07/23/2009 09:37:41 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	123	0	2010	First Health Part D-Premier-Oregon and Washington		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5768	124	0		29	10	S5768_124_0	2	05/31/2009	2010.02	05/31/2009 12:31:12 PM Eastern Daylight Time		07/23/2009 09:41:18 AM Eastern Daylight Time		07/24/2009 04:20:55 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	www.FirstHealthPartD.com	First Health Part D-Premier (PDP)	10	29					S5768	124	0	2010	First Health Part D-Premier-Hawaii		2						2							http://www.firsthealthpremier.com/framesetdef.asp?Community=Member									(866)-865-0662		(866)-865-0662		(800)-588-3322		(800)-588-3322										(866)-236-1068		(866)-236-1068		(888)-788-4010		(888)-788-4010		1		
S5775	001	0		29	10	S5775_001_0	1	06/01/2009	2010.02	06/01/2009 03:12:43 PM SA Western Standard Time		06/01/2009 05:28:14 PM SA Western Standard Time		06/01/2009 06:34:37 PM SA Western Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	PICA Primero (PDP)	10	29					S5775	001	0	2010	Commonwealth of Puerto Rico		2						2							www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1		
S5775	002	0		29	10	S5775_002_0	2	07/29/2009	2010.02	07/29/2009 04:50:48 PM SA Western Standard Time		06/01/2009 05:42:25 PM SA Western Standard Time		07/29/2009 05:00:27 PM SA Western Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	PICA Alante (PDP)	10	29					S5775	002	0	2010	Commonwealth of Puerto Rico		2						2							www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1		
S5775	003	0		29	10	S5775_003_0	2	07/24/2009	2010.02	07/24/2009 11:44:10 AM SA Western Standard Time		06/01/2009 05:44:44 PM SA Western Standard Time		07/24/2009 12:56:41 PM SA Western Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	PICA Ms (PDP)	10	29					S5775	003	0	2010	Commonwealth of Puerto Rico		2						2							www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1		
S5775	801	0		29	10	S5775_801_0	1	06/03/2009	2010.02	06/03/2009 05:02:30 PM SA Western Standard Time				06/03/2009 05:03:32 PM SA Western Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	Pharmacy Insurance Corporation of America - PICA	www.picapr.com	PICA- Employer (PDP)	10	29					S5775	801	0	2010	Commonwealth of Puerto Rico		1						2							www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1		
S5795	002	0		29	10	S5795_002_0	4	07/28/2009	2010.02	07/28/2009 08:34:14 AM Central Daylight Time		07/28/2009 02:37:27 PM Central Daylight Time		08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Rx Premier (PDP)	10	29					S5795	002	0	2010	State of Arkansas		2						2							http://www.arkansasbluecross.com/health_plans/Medi-PakRx.asp									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
S5795	003	0		29	10	S5795_003_0	3	05/28/2009	2010.02	05/28/2009 03:23:49 PM Central Daylight Time		07/28/2009 02:25:57 PM Central Daylight Time		08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Rx Basic (PDP)	10	29					S5795	003	0	2010	State of Arkansas		2						2							http://www.arkansasbluecross.com/health_plans/Medi-PakRx.asp									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
S5795	006	0		29	10	S5795_006_0	3	05/04/2009	2010.02	05/04/2009 03:35:36 PM Central Daylight Time		07/28/2009 02:20:45 PM Central Daylight Time		08/03/2009 04:51:06 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Rx Classic (PDP)	10	29					S5795	006	0	2010	State of Arkansas		2						2							http://www.arkansasbluecross.com/health_plans/Medi-PakRx.asp									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
S5795	804	0		29	10	S5795_804_0	1	05/28/2009	2010.02	05/28/2009 03:37:07 PM Central Daylight Time				05/28/2009 03:38:01 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	Arkansas BCBS Std Def Employer CY 4 (PDP)	10	29					S5795	804	0	2010	Employer Group Plan		1						2							http://www.arkansasbluecross.com/health_plans/Medi-PakRx.asp									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
S5795	809	0		29	10	S5795_809_0	1	05/28/2009	2010.02	05/28/2009 03:37:15 PM Central Daylight Time				05/28/2009 03:38:01 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INS CO	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	Arkansas BCBS Std Def Employer NCY 4 (PDP)	10	29					S5795	809	0	2010	Employer Group Plan		1						2							http://www.arkansasbluecross.com/health_plans/Medi-PakRx.asp									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1		
S5803	070	0		29	10	S5803_070_0	4	05/28/2009	2010.02	05/28/2009 08:29:18 AM Eastern Daylight Time		07/24/2009 09:49:08 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	070	0	2010	State of New Hampshire and State of Maine		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	071	0		29	10	S5803_071_0	3	05/28/2009	2010.02	05/28/2009 08:30:30 AM Eastern Daylight Time		07/24/2009 09:49:26 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	071	0	2010	States of CT, MA, RI, VT		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	072	0		29	10	S5803_072_0	3	05/28/2009	2010.02	05/28/2009 08:32:28 AM Eastern Daylight Time		07/23/2009 05:22:58 PM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	072	0	2010	State of New York		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	073	0		29	10	S5803_073_0	3	05/28/2009	2010.02	05/28/2009 08:51:48 AM Eastern Daylight Time		07/15/2009 10:34:11 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	073	0	2010	State of New Jersey		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	074	0		29	10	S5803_074_0	3	05/28/2009	2010.02	05/28/2009 08:33:07 AM Eastern Daylight Time		07/24/2009 09:50:21 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	074	0	2010	States of Delaware, District of Columbia, Maryland		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	075	0		29	10	S5803_075_0	3	05/28/2009	2010.02	05/28/2009 08:54:40 AM Eastern Daylight Time		07/24/2009 09:50:38 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	075	0	2010	States of Pennsylvania and State of West Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	076	0		29	10	S5803_076_0	3	05/28/2009	2010.02	05/28/2009 08:42:13 AM Eastern Daylight Time		07/24/2009 09:50:55 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	076	0	2010	State of Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	077	0		29	10	S5803_077_0	3	05/28/2009	2010.02	05/28/2009 08:53:34 AM Eastern Daylight Time		07/24/2009 09:51:13 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	077	0	2010	State of North Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	078	0		29	10	S5803_078_0	3	05/28/2009	2010.02	05/28/2009 08:52:38 AM Eastern Daylight Time		07/24/2009 09:51:31 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	078	0	2010	State of South Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	079	0		29	10	S5803_079_0	3	05/28/2009	2010.02	05/28/2009 08:53:34 AM Eastern Daylight Time		07/24/2009 09:51:49 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	079	0	2010	State of Georgia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	080	0		29	10	S5803_080_0	3	05/28/2009	2010.02	05/28/2009 08:51:10 AM Eastern Daylight Time		07/24/2009 09:52:06 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	080	0	2010	State of Florida		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	081	0		29	10	S5803_081_0	3	05/28/2009	2010.02	05/28/2009 08:57:30 AM Eastern Daylight Time		07/24/2009 09:52:25 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	081	0	2010	State of Alabama and State of Tennessee		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	082	0		29	10	S5803_082_0	3	05/28/2009	2010.02	05/28/2009 08:52:38 AM Eastern Daylight Time		07/24/2009 09:53:52 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	082	0	2010	State of Michigan		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	083	0		29	10	S5803_083_0	3	05/28/2009	2010.02	05/28/2009 08:52:39 AM Eastern Daylight Time		07/24/2009 09:54:12 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	083	0	2010	State of Ohio		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	084	0		29	10	S5803_084_0	3	05/28/2009	2010.02	05/28/2009 08:53:35 AM Eastern Daylight Time		07/24/2009 09:54:31 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	084	0	2010	State of Indiana and State of Kentucky		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	085	0		29	10	S5803_085_0	3	05/28/2009	2010.02	05/28/2009 08:53:35 AM Eastern Daylight Time		07/24/2009 09:55:07 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	085	0	2010	State of Wisconsin		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	086	0		29	10	S5803_086_0	3	05/28/2009	2010.02	05/28/2009 08:52:39 AM Eastern Daylight Time		07/24/2009 09:55:51 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	086	0	2010	State of Illinois		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	087	0		29	10	S5803_087_0	3	05/28/2009	2010.02	05/28/2009 08:52:39 AM Eastern Daylight Time		07/24/2009 09:56:50 AM Eastern Daylight Time		07/29/2009 04:06:50 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	087	0	2010	State of Missouri		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	088	0		29	10	S5803_088_0	3	05/28/2009	2010.02	05/28/2009 08:57:30 AM Eastern Daylight Time		07/24/2009 09:57:14 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	088	0	2010	State of Arkansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	089	0		29	10	S5803_089_0	3	05/28/2009	2010.02	05/28/2009 08:53:35 AM Eastern Daylight Time		07/24/2009 09:57:34 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	089	0	2010	State of Mississippi		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	090	0		29	10	S5803_090_0	3	05/28/2009	2010.02	05/28/2009 08:52:40 AM Eastern Daylight Time		07/24/2009 10:59:34 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	090	0	2010	State of Louisiana		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	091	0		29	10	S5803_091_0	3	05/28/2009	2010.02	05/28/2009 08:51:48 AM Eastern Daylight Time		07/24/2009 10:58:47 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	091	0	2010	State of Texas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	092	0		29	10	S5803_092_0	3	05/28/2009	2010.02	05/28/2009 08:53:36 AM Eastern Daylight Time		07/24/2009 09:58:34 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	092	0	2010	State of Oklahoma		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	093	0		29	10	S5803_093_0	3	05/28/2009	2010.02	05/28/2009 08:57:31 AM Eastern Daylight Time		07/24/2009 09:58:52 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	093	0	2010	State of Kansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	094	0		29	10	S5803_094_0	3	05/28/2009	2010.02	05/28/2009 08:55:38 AM Eastern Daylight Time		07/24/2009 09:59:10 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	094	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	095	0		29	10	S5803_095_0	3	05/28/2009	2010.02	05/28/2009 08:57:31 AM Eastern Daylight Time		07/24/2009 10:58:01 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	095	0	2010	State of New Mexico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	096	0		29	10	S5803_096_0	3	05/28/2009	2010.02	05/28/2009 08:52:40 AM Eastern Daylight Time		07/24/2009 09:59:47 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	096	0	2010	State of Colorado		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	097	0		29	10	S5803_097_0	3	05/28/2009	2010.02	05/28/2009 08:56:07 AM Eastern Daylight Time		07/24/2009 10:04:47 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	097	0	2010	State of Arizona		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	098	0		29	10	S5803_098_0	3	05/28/2009	2010.02	05/28/2009 08:56:27 AM Eastern Daylight Time		07/24/2009 10:25:03 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	098	0	2010	State of Nevada		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	099	0		29	10	S5803_099_0	3	05/28/2009	2010.02	05/28/2009 08:53:36 AM Eastern Daylight Time		07/15/2009 10:30:35 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	099	0	2010	State of Oregon and State of Washington		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	100	0		29	10	S5803_100_0	3	05/28/2009	2010.02	05/28/2009 08:52:41 AM Eastern Daylight Time		07/15/2009 11:16:45 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	100	0	2010	State of Idaho and State of Utah		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	101	0		29	10	S5803_101_0	3	05/28/2009	2010.02	05/28/2009 09:29:18 AM Eastern Daylight Time		07/15/2009 11:21:40 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	101	0	2010	State of California		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	102	0		29	10	S5803_102_0	3	05/28/2009	2010.02	05/28/2009 08:51:49 AM Eastern Daylight Time		07/15/2009 11:21:10 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	102	0	2010	State of Hawaii		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	103	0		29	10	S5803_103_0	3	05/28/2009	2010.02	05/28/2009 08:51:10 AM Eastern Daylight Time		07/15/2009 11:20:46 AM Eastern Daylight Time		07/30/2009 01:03:46 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	103	0	2010	State of Alaska		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	138	0		29	10	S5803_138_0	6	08/19/2009	2010.02	08/19/2009 05:10:14 PM Eastern Daylight Time		08/20/2009 11:54:11 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	138	0	2010	State of New Hampshire and State of Maine		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	139	0		29	10	S5803_139_0	6	08/19/2009	2010.02	08/19/2009 05:10:52 PM Eastern Daylight Time		08/20/2009 11:22:02 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	139	0	2010	States of CT, MA, RI, VT		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	140	0		29	10	S5803_140_0	5	08/19/2009	2010.02	08/19/2009 05:10:53 PM Eastern Daylight Time		08/20/2009 11:30:15 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	140	0	2010	State of New York		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	141	0		29	10	S5803_141_0	7	08/19/2009	2010.02	08/19/2009 05:10:53 PM Eastern Daylight Time		08/24/2009 01:10:38 PM Eastern Daylight Time		08/25/2009 09:42:05 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	141	0	2010	State of New Jersey		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	142	0		29	10	S5803_142_0	6	08/19/2009	2010.02	08/19/2009 05:10:54 PM Eastern Daylight Time		08/20/2009 11:28:29 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	142	0	2010	States of Delaware, District of Columbia, Maryland		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	143	0		29	10	S5803_143_0	5	08/19/2009	2010.02	08/19/2009 05:10:54 PM Eastern Daylight Time		08/20/2009 11:27:05 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	143	0	2010	State of Pennsylvania and State of West Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	144	0		29	10	S5803_144_0	5	08/19/2009	2010.02	08/19/2009 05:10:55 PM Eastern Daylight Time		08/20/2009 11:30:59 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	144	0	2010	State of Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	145	0		29	10	S5803_145_0	5	08/19/2009	2010.02	08/19/2009 05:10:55 PM Eastern Daylight Time		08/20/2009 11:33:43 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	145	0	2010	State of North Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	146	0		29	10	S5803_146_0	5	08/19/2009	2010.02	08/19/2009 05:10:56 PM Eastern Daylight Time		08/20/2009 11:33:15 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	146	0	2010	State of South Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	147	0		29	10	S5803_147_0	5	08/19/2009	2010.02	08/19/2009 05:10:56 PM Eastern Daylight Time		08/20/2009 11:32:48 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	147	0	2010	State of Georgia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	148	0		29	10	S5803_148_0	5	08/19/2009	2010.02	08/19/2009 05:10:57 PM Eastern Daylight Time		08/20/2009 11:32:20 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	148	0	2010	State of Florida		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	149	0		29	10	S5803_149_0	5	08/19/2009	2010.02	08/19/2009 05:10:57 PM Eastern Daylight Time		08/20/2009 11:34:11 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	149	0	2010	State of Alabama and State of Tennessee		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	150	0		29	10	S5803_150_0	5	08/19/2009	2010.02	08/19/2009 05:10:58 PM Eastern Daylight Time		08/20/2009 11:42:58 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	150	0	2010	State of Michigan		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	151	0		29	10	S5803_151_0	5	08/19/2009	2010.02	08/19/2009 05:10:58 PM Eastern Daylight Time		08/20/2009 11:42:11 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	151	0	2010	State of Ohio		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	152	0		29	10	S5803_152_0	5	08/19/2009	2010.02	08/19/2009 05:10:59 PM Eastern Daylight Time		08/20/2009 11:41:43 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	152	0	2010	State of Indiana and State of Kentucky		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	153	0		29	10	S5803_153_0	5	08/19/2009	2010.02	08/19/2009 05:10:59 PM Eastern Daylight Time		08/20/2009 11:41:13 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	153	0	2010	State of Wisconsin		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	154	0		29	10	S5803_154_0	5	08/19/2009	2010.02	08/19/2009 05:11:00 PM Eastern Daylight Time		08/20/2009 11:40:44 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	154	0	2010	State of Illinois		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	155	0		29	10	S5803_155_0	5	08/19/2009	2010.02	08/19/2009 05:11:00 PM Eastern Daylight Time		08/20/2009 11:40:10 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	155	0	2010	State of Missouri		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	156	0		29	10	S5803_156_0	5	08/19/2009	2010.02	08/19/2009 05:11:01 PM Eastern Daylight Time		08/20/2009 11:39:30 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	156	0	2010	State of Arkansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	157	0		29	10	S5803_157_0	5	08/19/2009	2010.02	08/19/2009 05:11:01 PM Eastern Daylight Time		08/20/2009 11:38:48 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	157	0	2010	State of Mississippi		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	158	0		29	10	S5803_158_0	5	08/19/2009	2010.02	08/19/2009 05:11:01 PM Eastern Daylight Time		08/20/2009 11:38:06 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	158	0	2010	State of Louisiana		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	159	0		29	10	S5803_159_0	5	08/19/2009	2010.02	08/19/2009 05:11:02 PM Eastern Daylight Time		08/20/2009 11:43:45 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	159	0	2010	State of Texas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	160	0		29	10	S5803_160_0	5	08/19/2009	2010.02	08/19/2009 05:11:02 PM Eastern Daylight Time		08/20/2009 11:52:49 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	160	0	2010	State of Oklahoma		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	161	0		29	10	S5803_161_0	5	08/19/2009	2010.02	08/19/2009 05:11:03 PM Eastern Daylight Time		08/20/2009 11:51:44 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	161	0	2010	State of Kansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	162	0		29	10	S5803_162_0	5	08/19/2009	2010.02	08/19/2009 05:11:04 PM Eastern Daylight Time		08/20/2009 11:51:14 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	162	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	163	0		29	10	S5803_163_0	5	08/19/2009	2010.02	08/19/2009 05:11:04 PM Eastern Daylight Time		08/20/2009 11:50:44 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	163	0	2010	State of New Mexico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	164	0		29	10	S5803_164_0	6	08/19/2009	2010.02	08/19/2009 05:11:05 PM Eastern Daylight Time		08/20/2009 11:50:16 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	164	0	2010	State of Colorado		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	165	0		29	10	S5803_165_0	7	08/19/2009	2010.02	08/19/2009 05:11:05 PM Eastern Daylight Time		08/24/2009 01:12:07 PM Eastern Daylight Time		08/25/2009 09:42:05 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	165	0	2010	State of Arizona		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	166	0		29	10	S5803_166_0	7	08/19/2009	2010.02	08/19/2009 05:11:06 PM Eastern Daylight Time		08/24/2009 01:13:06 PM Eastern Daylight Time		08/25/2009 09:42:05 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	166	0	2010	State of Nevada		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	167	0		29	10	S5803_167_0	5	08/19/2009	2010.02	08/19/2009 05:11:06 PM Eastern Daylight Time		08/20/2009 11:48:28 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	167	0	2010	State of Oregon and State of Washington		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	168	0		29	10	S5803_168_0	6	08/19/2009	2010.02	08/19/2009 05:11:07 PM Eastern Daylight Time		08/20/2009 11:47:44 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	168	0	2010	State of Idaho and State of Utah		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	169	0		29	10	S5803_169_0	5	08/19/2009	2010.02	08/19/2009 05:11:08 PM Eastern Daylight Time		08/20/2009 11:47:07 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	169	0	2010	State of California		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	170	0		29	10	S5803_170_0	5	08/19/2009	2010.02	08/19/2009 05:11:08 PM Eastern Daylight Time		08/20/2009 11:46:38 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	170	0	2010	State of Hawaii		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	171	0		29	10	S5803_171_0	6	08/19/2009	2010.02	08/19/2009 05:11:09 PM Eastern Daylight Time		08/24/2009 01:13:48 PM Eastern Daylight Time		08/25/2009 09:42:05 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	171	0	2010	State of Alaska		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	210	0		29	10	S5803_210_0	4	05/28/2009	2010.02	05/28/2009 08:53:37 AM Eastern Daylight Time		08/03/2009 01:12:46 PM Eastern Daylight Time		08/04/2009 10:30:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	210	0	2010	Puerto Rico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	211	0		29	10	S5803_211_0	6	08/17/2009	2010.02	08/17/2009 02:41:17 PM Eastern Daylight Time		08/17/2009 02:44:16 PM Eastern Daylight Time		08/17/2009 03:17:49 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	211	0	2010	U.S. Virgin Islands		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	214	0		29	10	S5803_214_0	6	08/19/2009	2010.02	08/19/2009 05:11:09 PM Eastern Daylight Time		08/20/2009 11:45:34 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	214	0	2010	Puerto Rico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	215	0		29	10	S5803_215_0	6	08/19/2009	2010.02	08/19/2009 05:11:10 PM Eastern Daylight Time		08/20/2009 11:53:19 AM Eastern Daylight Time		08/20/2009 01:17:31 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	215	0	2010	U.S. Virgin Islands		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	218	0		29	10	S5803_218_0	3	05/28/2009	2010.02	05/28/2009 09:32:03 AM Eastern Daylight Time		07/22/2009 09:11:01 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	218	0	2010	State of New Hampshire and State of Maine		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	219	0		29	10	S5803_219_0	3	05/28/2009	2010.02	05/29/2009 12:06:12 PM Eastern Daylight Time		07/22/2009 09:11:09 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	219	0	2010	States of CT, MA, RI, VT		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	221	0		29	10	S5803_221_0	3	05/28/2009	2010.02	05/29/2009 12:06:13 PM Eastern Daylight Time		07/22/2009 09:11:23 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	221	0	2010	State of New Jersey		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	222	0		29	10	S5803_222_0	3	05/28/2009	2010.02	05/29/2009 12:23:37 PM Eastern Daylight Time		07/24/2009 10:47:19 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	222	0	2010	States of Delaware, District of Columbia, Maryland		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	223	0		29	10	S5803_223_0	3	05/28/2009	2010.02	05/29/2009 12:06:14 PM Eastern Daylight Time		07/22/2009 09:11:38 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	223	0	2010	State of Pennsylvania and State of West Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	224	0		29	10	S5803_224_0	3	05/28/2009	2010.02	05/29/2009 12:06:15 PM Eastern Daylight Time		07/22/2009 09:11:45 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	224	0	2010	State of Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	225	0		29	10	S5803_225_0	3	05/28/2009	2010.02	05/29/2009 12:06:16 PM Eastern Daylight Time		07/22/2009 09:11:52 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	225	0	2010	State of North Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	226	0		29	10	S5803_226_0	3	05/28/2009	2010.02	05/29/2009 12:06:17 PM Eastern Daylight Time		07/22/2009 09:12:00 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	226	0	2010	State of South Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	227	0		29	10	S5803_227_0	3	05/28/2009	2010.02	05/29/2009 12:06:17 PM Eastern Daylight Time		07/22/2009 09:12:09 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	227	0	2010	State of Georgia		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	228	0		29	10	S5803_228_0	3	05/28/2009	2010.02	05/29/2009 12:06:18 PM Eastern Daylight Time		07/22/2009 09:12:19 AM Eastern Daylight Time		07/24/2009 01:17:52 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	228	0	2010	State of Florida		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	229	0		29	10	S5803_229_0	4	05/28/2009	2010.02	05/29/2009 12:06:19 PM Eastern Daylight Time		07/27/2009 01:00:16 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	229	0	2010	State of Alabama and State of Tennessee		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	230	0		29	10	S5803_230_0	4	05/28/2009	2010.02	05/29/2009 12:06:19 PM Eastern Daylight Time		07/27/2009 01:01:50 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	230	0	2010	State of Michigan		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	231	0		29	10	S5803_231_0	4	05/28/2009	2010.02	05/29/2009 12:06:20 PM Eastern Daylight Time		07/27/2009 01:04:10 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	231	0	2010	State of Ohio		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	232	0		29	10	S5803_232_0	4	05/28/2009	2010.02	05/29/2009 12:06:21 PM Eastern Daylight Time		07/27/2009 01:03:21 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	232	0	2010	State of Indiana and State of Kentucky		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	233	0		29	10	S5803_233_0	4	05/28/2009	2010.02	05/29/2009 12:06:21 PM Eastern Daylight Time		07/27/2009 01:02:44 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	233	0	2010	State of Wisconsin		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	234	0		29	10	S5803_234_0	4	05/28/2009	2010.02	05/29/2009 12:06:22 PM Eastern Daylight Time		07/27/2009 01:01:14 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	234	0	2010	State of Illinois		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	235	0		29	10	S5803_235_0	4	05/28/2009	2010.02	05/29/2009 12:06:23 PM Eastern Daylight Time		07/27/2009 01:04:43 PM Eastern Daylight Time		07/27/2009 02:30:12 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	235	0	2010	State of Missouri		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	236	0		29	10	S5803_236_0	3	05/28/2009	2010.02	05/29/2009 12:06:23 PM Eastern Daylight Time		07/22/2009 09:13:38 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	236	0	2010	State of Arkansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	237	0		29	10	S5803_237_0	3	05/28/2009	2010.02	05/29/2009 12:06:24 PM Eastern Daylight Time		07/22/2009 09:13:49 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	237	0	2010	State of Mississippi		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	238	0		29	10	S5803_238_0	3	05/28/2009	2010.02	05/29/2009 12:06:25 PM Eastern Daylight Time		07/22/2009 09:14:01 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	238	0	2010	State of Louisiana		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	239	0		29	10	S5803_239_0	3	05/28/2009	2010.02	05/29/2009 12:06:25 PM Eastern Daylight Time		07/22/2009 09:14:09 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	239	0	2010	State of Texas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	240	0		29	10	S5803_240_0	3	05/28/2009	2010.02	05/29/2009 12:06:26 PM Eastern Daylight Time		07/22/2009 09:14:18 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	240	0	2010	State of Oklahoma		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	241	0		29	10	S5803_241_0	3	05/28/2009	2010.02	05/29/2009 12:06:27 PM Eastern Daylight Time		07/22/2009 09:14:28 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	241	0	2010	State of Kansas		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	242	0		29	10	S5803_242_0	3	05/28/2009	2010.02	05/29/2009 12:06:27 PM Eastern Daylight Time		07/22/2009 09:14:39 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	242	0	2010	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	243	0		29	10	S5803_243_0	3	05/28/2009	2010.02	05/29/2009 12:06:28 PM Eastern Daylight Time		07/22/2009 09:14:48 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	243	0	2010	State of New Mexico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	244	0		29	10	S5803_244_0	3	05/28/2009	2010.02	05/29/2009 12:06:29 PM Eastern Daylight Time		07/22/2009 09:14:58 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	244	0	2010	State of Colorado		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	245	0		29	10	S5803_245_0	3	05/28/2009	2010.02	05/29/2009 12:06:29 PM Eastern Daylight Time		07/22/2009 09:15:07 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	245	0	2010	State of Arizona		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	246	0		29	10	S5803_246_0	3	05/28/2009	2010.02	05/29/2009 12:06:30 PM Eastern Daylight Time		07/22/2009 09:15:17 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	246	0	2010	State of Nevada		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	247	0		29	10	S5803_247_0	3	05/28/2009	2010.02	05/29/2009 12:06:30 PM Eastern Daylight Time		07/22/2009 09:15:26 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	247	0	2010	State of Oregon and State of Washington		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	248	0		29	10	S5803_248_0	3	05/28/2009	2010.02	05/29/2009 12:06:31 PM Eastern Daylight Time		07/22/2009 09:15:35 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	248	0	2010	State of Idaho and State of Utah		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	249	0		29	10	S5803_249_0	3	05/28/2009	2010.02	05/29/2009 12:06:32 PM Eastern Daylight Time		07/07/2009 03:22:46 PM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	249	0	2010	State of California		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	250	0		29	10	S5803_250_0	3	05/28/2009	2010.02	05/29/2009 12:06:32 PM Eastern Daylight Time		07/22/2009 09:15:56 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	250	0	2010	State of Hawaii		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	251	0		29	10	S5803_251_0	3	05/28/2009	2010.02	05/29/2009 12:06:33 PM Eastern Daylight Time		07/22/2009 09:16:05 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	251	0	2010	State of Alaska		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	252	0		29	10	S5803_252_0	4	05/28/2009	2010.02	05/29/2009 12:06:34 PM Eastern Daylight Time		07/31/2009 09:59:40 AM Eastern Daylight Time		08/04/2009 10:30:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	252	0	2010	Puerto Rico		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	253	0		29	10	S5803_253_0	3	05/28/2009	2010.02	05/29/2009 12:06:34 PM Eastern Daylight Time		07/22/2009 09:16:24 AM Eastern Daylight Time		07/24/2009 01:22:16 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Gold (PDP)	10	29					S5803	253	0	2010	U.S. Virgin Islands		2						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	801	0		29	10	S5803_801_0	1	06/01/2009	2010.02	06/01/2009 08:31:19 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	801	0	2010	National		1						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5803	802	0		29	10	S5803_802_0	1	06/01/2009	2010.02	06/01/2009 08:31:23 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	802	0	2010	National		1						2							http://communityccrx.universalamerican.com/main/formulary									(866)-684-5353		(866)-684-5353		(866)-423-5040		(866)-423-5040										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5805	001	0		29	10	S5805_001_0	3	05/29/2009	2010.02	05/29/2009 04:03:25 PM Central Daylight Time		06/17/2009 12:53:41 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5805	001	0	2010	New York		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5805	801	0		29	10	S5805_801_0	1	05/19/2009	2010.02	05/19/2009 01:06:03 PM Central Daylight Time				05/30/2009 01:15:59 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx for Groups (PDP)	10	29					S5805	801	0	2010	National		1						2							www.aarpmedicarerx.com									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5805	802	0		29	10	S5805_802_0	1	05/19/2009	2010.02	05/19/2009 01:06:08 PM Central Daylight Time				05/30/2009 01:15:59 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx for Groups (PDP)	10	29					S5805	802	0	2010	National		1						2							www.aarpmedicarerx.com									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5805	803	0		29	10	S5805_803_0	1	05/19/2009	2010.02	05/19/2009 01:06:25 PM Central Daylight Time				05/30/2009 01:15:59 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5805	803	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5805	804	0		29	10	S5805_804_0	1	05/19/2009	2010.02	05/19/2009 01:06:31 PM Central Daylight Time				05/30/2009 01:15:59 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5805	804	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5810	035	0		29	10	S5810_035_0	2	05/30/2009	2010.02	05/30/2009 11:03:24 AM Eastern Daylight Time		07/18/2009 07:14:31 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	035	0	2010	Northern New England (NH, ME)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	036	0		29	10	S5810_036_0	2	05/29/2009	2010.02	05/29/2009 09:32:16 AM Eastern Daylight Time		07/18/2009 06:36:39 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	036	0	2010	Central New England  (CT,RI, MA,VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	037	0		29	10	S5810_037_0	2	05/18/2009	2010.02	05/18/2009 10:02:00 AM Eastern Daylight Time		07/18/2009 06:37:07 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	037	0	2010	New  York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	038	0		29	10	S5810_038_0	2	05/29/2009	2010.02	05/29/2009 09:34:28 AM Eastern Daylight Time		07/18/2009 06:37:32 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	038	0	2010	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	039	0		29	10	S5810_039_0	2	05/29/2009	2010.02	05/29/2009 09:36:30 AM Eastern Daylight Time		07/18/2009 06:37:54 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	039	0	2010	Mid-Atlantic (DE,DC,MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	040	0		29	10	S5810_040_0	2	05/29/2009	2010.02	05/29/2009 09:37:52 AM Eastern Daylight Time		07/18/2009 05:53:20 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	040	0	2010	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	041	0		29	10	S5810_041_0	2	05/29/2009	2010.02	05/29/2009 09:39:00 AM Eastern Daylight Time		07/18/2009 06:25:34 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	041	0	2010	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	042	0		29	10	S5810_042_0	2	05/29/2009	2010.02	05/29/2009 09:39:32 AM Eastern Daylight Time		07/18/2009 06:26:12 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	042	0	2010	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	043	0		29	10	S5810_043_0	2	05/29/2009	2010.02	05/29/2009 09:52:54 AM Eastern Daylight Time		07/18/2009 06:26:43 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	043	0	2010	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	044	0		29	10	S5810_044_0	2	05/18/2009	2010.02	05/18/2009 10:17:38 AM Eastern Daylight Time		07/18/2009 06:27:22 PM Eastern Daylight Time		07/20/2009 03:16:12 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	044	0	2010	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	045	0		29	10	S5810_045_0	2	05/29/2009	2010.02	05/29/2009 09:55:06 AM Eastern Daylight Time		07/18/2009 06:27:52 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	045	0	2010	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	046	0		29	10	S5810_046_0	2	05/18/2009	2010.02	05/18/2009 10:18:21 AM Eastern Daylight Time		07/18/2009 06:28:20 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	046	0	2010	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	047	0		29	10	S5810_047_0	2	05/18/2009	2010.02	05/18/2009 10:18:41 AM Eastern Daylight Time		07/18/2009 06:31:25 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	047	0	2010	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	048	0		29	10	S5810_048_0	2	05/29/2009	2010.02	05/29/2009 09:57:18 AM Eastern Daylight Time		07/18/2009 06:30:13 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	048	0	2010	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	049	0		29	10	S5810_049_0	2	05/18/2009	2010.02	05/18/2009 10:19:20 AM Eastern Daylight Time		07/18/2009 05:49:58 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	049	0	2010	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	050	0		29	10	S5810_050_0	2	05/18/2009	2010.02	05/18/2009 10:19:40 AM Eastern Daylight Time		07/18/2009 05:50:16 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	050	0	2010	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	051	0		29	10	S5810_051_0	2	05/18/2009	2010.02	05/18/2009 10:20:00 AM Eastern Daylight Time		07/18/2009 05:50:36 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	051	0	2010	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	052	0		29	10	S5810_052_0	2	05/18/2009	2010.02	05/18/2009 10:20:23 AM Eastern Daylight Time		07/18/2009 05:50:49 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	052	0	2010	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	053	0		29	10	S5810_053_0	2	05/18/2009	2010.02	05/18/2009 10:20:44 AM Eastern Daylight Time		07/18/2009 05:51:05 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	053	0	2010	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	054	0		29	10	S5810_054_0	2	05/18/2009	2010.02	05/18/2009 10:21:09 AM Eastern Daylight Time		07/18/2009 05:51:18 PM Eastern Daylight Time		07/20/2009 04:23:07 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	054	0	2010	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	055	0		29	10	S5810_055_0	2	05/18/2009	2010.02	05/18/2009 10:21:29 AM Eastern Daylight Time		07/18/2009 05:51:32 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	055	0	2010	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	056	0		29	10	S5810_056_0	2	05/29/2009	2010.02	05/29/2009 02:58:53 PM Eastern Daylight Time		07/18/2009 05:51:51 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	056	0	2010	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	057	0		29	10	S5810_057_0	2	05/29/2009	2010.02	05/29/2009 02:55:40 PM Eastern Daylight Time		07/18/2009 05:52:06 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	057	0	2010	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	058	0		29	10	S5810_058_0	2	05/18/2009	2010.02	05/18/2009 10:22:26 AM Eastern Daylight Time		07/18/2009 05:48:37 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	058	0	2010	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	059	0		29	10	S5810_059_0	2	05/29/2009	2010.02	05/29/2009 10:02:08 AM Eastern Daylight Time		07/17/2009 07:14:18 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	059	0	2010	Upper MW and N Plains (IA,MN,NE,SD,ND,WY,MT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	060	0		29	10	S5810_060_0	2	05/18/2009	2010.02	05/18/2009 10:23:10 AM Eastern Daylight Time		07/17/2009 07:14:35 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	060	0	2010	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	061	0		29	10	S5810_061_0	2	05/29/2009	2010.02	05/29/2009 02:59:55 PM Eastern Daylight Time		07/17/2009 07:14:50 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	061	0	2010	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	062	0		29	10	S5810_062_0	2	05/18/2009	2010.02	05/18/2009 10:23:53 AM Eastern Daylight Time		07/17/2009 07:15:06 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	062	0	2010	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	063	0		29	10	S5810_063_0	2	05/18/2009	2010.02	05/18/2009 10:24:25 AM Eastern Daylight Time		07/17/2009 07:15:21 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	063	0	2010	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	064	0		29	10	S5810_064_0	2	05/18/2009	2010.02	05/18/2009 10:24:46 AM Eastern Daylight Time		07/17/2009 07:15:35 PM Eastern Daylight Time		07/20/2009 04:45:10 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	064	0	2010	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	065	0		29	10	S5810_065_0	2	05/18/2009	2010.02	05/18/2009 10:25:06 AM Eastern Daylight Time		07/17/2009 07:15:47 PM Eastern Daylight Time		07/20/2009 04:57:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	065	0	2010	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	066	0		29	10	S5810_066_0	2	05/29/2009	2010.02	05/29/2009 10:07:47 AM Eastern Daylight Time		07/17/2009 07:16:06 PM Eastern Daylight Time		07/20/2009 04:57:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	066	0	2010	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	067	0		29	10	S5810_067_0	2	05/18/2009	2010.02	05/18/2009 10:25:44 AM Eastern Daylight Time		07/17/2009 07:16:20 PM Eastern Daylight Time		07/20/2009 04:57:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	067	0	2010	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	068	0		29	10	S5810_068_0	2	05/18/2009	2010.02	05/18/2009 10:26:04 AM Eastern Daylight Time		07/18/2009 06:36:13 PM Eastern Daylight Time		07/20/2009 04:57:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	068	0	2010	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	171	0		29	10	S5810_171_0	4	06/17/2009	2010.02	06/17/2009 07:26:51 PM Eastern Daylight Time		07/18/2009 07:04:44 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	171	0	2010	Northern New England (NH, ME)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	172	0		29	10	S5810_172_0	4	06/17/2009	2010.02	06/17/2009 07:27:01 PM Eastern Daylight Time		07/18/2009 07:05:05 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	172	0	2010	Central New England  (CT,RI, MA,VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	173	0		29	10	S5810_173_0	4	06/17/2009	2010.02	06/17/2009 07:27:11 PM Eastern Daylight Time		07/18/2009 07:05:29 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	173	0	2010	New  York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	174	0		29	10	S5810_174_0	4	06/17/2009	2010.02	06/17/2009 07:27:19 PM Eastern Daylight Time		07/18/2009 07:04:25 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	174	0	2010	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	175	0		29	10	S5810_175_0	4	06/17/2009	2010.02	06/17/2009 07:27:44 PM Eastern Daylight Time		07/18/2009 07:06:05 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	175	0	2010	Mid-Atlantic (DE,DC,MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	176	0		29	10	S5810_176_0	4	06/17/2009	2010.02	06/17/2009 07:27:56 PM Eastern Daylight Time		07/18/2009 07:06:24 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	176	0	2010	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	177	0		29	10	S5810_177_0	4	06/17/2009	2010.02	06/17/2009 07:28:04 PM Eastern Daylight Time		07/18/2009 06:59:11 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	177	0	2010	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	178	0		29	10	S5810_178_0	4	06/17/2009	2010.02	06/17/2009 07:28:13 PM Eastern Daylight Time		07/18/2009 06:59:31 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	178	0	2010	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	179	0		29	10	S5810_179_0	4	06/17/2009	2010.02	06/17/2009 07:28:20 PM Eastern Daylight Time		07/18/2009 06:59:51 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	179	0	2010	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	180	0		29	10	S5810_180_0	4	06/17/2009	2010.02	06/17/2009 07:28:29 PM Eastern Daylight Time		07/18/2009 07:00:15 PM Eastern Daylight Time		07/20/2009 05:20:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	180	0	2010	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	181	0		29	10	S5810_181_0	4	06/17/2009	2010.02	06/17/2009 07:28:37 PM Eastern Daylight Time		07/18/2009 07:00:30 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	181	0	2010	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	182	0		29	10	S5810_182_0	4	06/17/2009	2010.02	06/17/2009 07:28:47 PM Eastern Daylight Time		07/18/2009 07:00:56 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	182	0	2010	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	183	0		29	10	S5810_183_0	4	06/17/2009	2010.02	06/17/2009 07:28:55 PM Eastern Daylight Time		07/18/2009 07:01:20 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	183	0	2010	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	184	0		29	10	S5810_184_0	4	06/17/2009	2010.02	06/17/2009 07:29:18 PM Eastern Daylight Time		07/18/2009 07:01:53 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	184	0	2010	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	185	0		29	10	S5810_185_0	4	06/17/2009	2010.02	06/17/2009 07:29:26 PM Eastern Daylight Time		07/18/2009 07:02:13 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	185	0	2010	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	186	0		29	10	S5810_186_0	4	06/17/2009	2010.02	06/17/2009 07:29:39 PM Eastern Daylight Time		07/18/2009 06:54:37 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	186	0	2010	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	187	0		29	10	S5810_187_0	4	06/17/2009	2010.02	06/17/2009 07:29:46 PM Eastern Daylight Time		07/18/2009 06:54:54 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	187	0	2010	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	188	0		29	10	S5810_188_0	4	06/17/2009	2010.02	06/17/2009 07:29:55 PM Eastern Daylight Time		07/18/2009 06:55:15 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	188	0	2010	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	189	0		29	10	S5810_189_0	4	06/17/2009	2010.02	06/17/2009 07:30:03 PM Eastern Daylight Time		07/18/2009 06:55:37 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	189	0	2010	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	190	0		29	10	S5810_190_0	4	06/17/2009	2010.02	06/17/2009 07:30:13 PM Eastern Daylight Time		07/18/2009 06:55:57 PM Eastern Daylight Time		07/20/2009 05:49:06 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	190	0	2010	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	191	0		29	10	S5810_191_0	4	06/17/2009	2010.02	06/17/2009 07:30:21 PM Eastern Daylight Time		07/18/2009 06:56:17 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	191	0	2010	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	192	0		29	10	S5810_192_0	4	06/17/2009	2010.02	06/17/2009 07:30:32 PM Eastern Daylight Time		07/18/2009 06:56:36 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	192	0	2010	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	193	0		29	10	S5810_193_0	4	06/17/2009	2010.02	06/17/2009 07:30:41 PM Eastern Daylight Time		07/18/2009 06:56:57 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	193	0	2010	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	194	0		29	10	S5810_194_0	4	06/17/2009	2010.02	06/17/2009 07:30:52 PM Eastern Daylight Time		07/18/2009 06:57:16 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	194	0	2010	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	195	0		29	10	S5810_195_0	4	06/17/2009	2010.02	06/17/2009 07:31:09 PM Eastern Daylight Time		07/18/2009 06:49:47 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	195	0	2010	Upper MW and N Plains (IA,MN,NE,SD,ND,WY,MT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	196	0		29	10	S5810_196_0	4	06/17/2009	2010.02	06/17/2009 07:31:20 PM Eastern Daylight Time		07/18/2009 06:50:05 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	196	0	2010	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	197	0		29	10	S5810_197_0	4	06/17/2009	2010.02	06/17/2009 07:31:27 PM Eastern Daylight Time		07/18/2009 06:50:25 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	197	0	2010	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	198	0		29	10	S5810_198_0	4	06/17/2009	2010.02	06/17/2009 07:31:35 PM Eastern Daylight Time		07/18/2009 06:50:41 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	198	0	2010	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	199	0		29	10	S5810_199_0	4	06/17/2009	2010.02	06/17/2009 07:31:45 PM Eastern Daylight Time		07/18/2009 06:50:59 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	199	0	2010	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	200	0		29	10	S5810_200_0	4	06/17/2009	2010.02	06/17/2009 07:31:58 PM Eastern Daylight Time		07/18/2009 06:51:23 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	200	0	2010	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	201	0		29	10	S5810_201_0	4	06/17/2009	2010.02	06/17/2009 07:32:10 PM Eastern Daylight Time		07/18/2009 07:05:49 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	201	0	2010	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	202	0		29	10	S5810_202_0	4	06/17/2009	2010.02	06/17/2009 07:32:22 PM Eastern Daylight Time		07/18/2009 06:52:01 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	202	0	2010	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	203	0		29	10	S5810_203_0	4	06/17/2009	2010.02	06/17/2009 07:32:33 PM Eastern Daylight Time		07/18/2009 06:52:25 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	203	0	2010	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	204	0		29	10	S5810_204_0	4	06/17/2009	2010.02	06/17/2009 07:32:43 PM Eastern Daylight Time		07/18/2009 06:51:41 PM Eastern Daylight Time		07/20/2009 06:51:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	204	0	2010	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	205	0		29	10	S5810_205_0	2	05/28/2009	2010.02	05/28/2009 09:56:10 AM Eastern Daylight Time		05/30/2009 06:07:28 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	205	0	2010	Northern New England (New Hampshire and Maine)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	206	0		29	10	S5810_206_0	2	05/28/2009	2010.02	05/28/2009 09:56:30 AM Eastern Daylight Time		05/30/2009 06:07:31 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	206	0	2010	Central New England (CT, MA, RI, VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	207	0		29	10	S5810_207_0	2	05/28/2009	2010.02	05/28/2009 09:56:56 AM Eastern Daylight Time		05/30/2009 06:07:36 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	207	0	2010	New York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	208	0		29	10	S5810_208_0	2	05/28/2009	2010.02	05/28/2009 09:57:59 AM Eastern Daylight Time		05/30/2009 06:07:42 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	208	0	2010	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	209	0		29	10	S5810_209_0	2	05/28/2009	2010.02	05/28/2009 09:58:14 AM Eastern Daylight Time		05/30/2009 06:07:47 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	209	0	2010	Mid-Atlantic (DC, DE, MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	210	0		29	10	S5810_210_0	2	05/28/2009	2010.02	05/28/2009 09:58:31 AM Eastern Daylight Time		05/30/2009 06:07:53 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	210	0	2010	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	211	0		29	10	S5810_211_0	2	05/28/2009	2010.02	05/28/2009 09:58:48 AM Eastern Daylight Time		05/30/2009 06:07:58 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	211	0	2010	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	212	0		29	10	S5810_212_0	2	05/28/2009	2010.02	05/28/2009 09:59:03 AM Eastern Daylight Time		05/30/2009 06:08:03 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	212	0	2010	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	213	0		29	10	S5810_213_0	3	05/28/2009	2010.02	05/28/2009 09:59:31 AM Eastern Daylight Time		05/30/2009 06:08:08 PM Eastern Daylight Time		07/20/2009 09:56:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	213	0	2010	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	214	0		29	10	S5810_214_0	2	05/28/2009	2010.02	05/28/2009 09:59:48 AM Eastern Daylight Time		05/30/2009 06:08:11 PM Eastern Daylight Time		07/20/2009 09:33:11 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	214	0	2010	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	215	0		29	10	S5810_215_0	3	05/28/2009	2010.02	05/28/2009 10:00:27 AM Eastern Daylight Time		05/30/2009 06:08:15 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	215	0	2010	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	216	0		29	10	S5810_216_0	3	05/28/2009	2010.02	05/28/2009 10:52:14 AM Eastern Daylight Time		05/30/2009 06:08:18 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	216	0	2010	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	217	0		29	10	S5810_217_0	3	05/30/2009	2010.02	05/30/2009 06:53:31 PM Eastern Daylight Time		05/30/2009 06:08:22 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	217	0	2010	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	218	0		29	10	S5810_218_0	3	05/30/2009	2010.02	05/30/2009 06:50:22 PM Eastern Daylight Time		05/30/2009 06:08:26 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	218	0	2010	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	219	0		29	10	S5810_219_0	3	05/28/2009	2010.02	05/28/2009 10:53:06 AM Eastern Daylight Time		05/30/2009 06:08:32 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	219	0	2010	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	220	0		29	10	S5810_220_0	3	05/28/2009	2010.02	05/28/2009 10:53:24 AM Eastern Daylight Time		05/30/2009 06:08:37 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	220	0	2010	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	221	0		29	10	S5810_221_0	3	05/28/2009	2010.02	05/28/2009 10:53:41 AM Eastern Daylight Time		05/30/2009 06:08:43 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	221	0	2010	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	222	0		29	10	S5810_222_0	3	05/29/2009	2010.02	05/29/2009 03:40:41 PM Eastern Daylight Time		05/30/2009 06:08:46 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	222	0	2010	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	223	0		29	10	S5810_223_0	3	05/29/2009	2010.02	05/29/2009 03:40:54 PM Eastern Daylight Time		05/30/2009 06:08:49 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	223	0	2010	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	224	0		29	10	S5810_224_0	3	05/29/2009	2010.02	05/29/2009 03:18:27 PM Eastern Daylight Time		05/30/2009 06:08:55 PM Eastern Daylight Time		07/20/2009 10:14:41 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	224	0	2010	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	225	0		29	10	S5810_225_0	2	05/28/2009	2010.02	05/28/2009 10:54:39 AM Eastern Daylight Time		05/30/2009 06:08:59 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	225	0	2010	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	226	0		29	10	S5810_226_0	2	05/28/2009	2010.02	05/28/2009 10:55:12 AM Eastern Daylight Time		05/30/2009 06:09:03 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	226	0	2010	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	227	0		29	10	S5810_227_0	2	05/29/2009	2010.02	05/29/2009 03:18:28 PM Eastern Daylight Time		05/30/2009 06:09:08 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	227	0	2010	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	228	0		29	10	S5810_228_0	2	05/29/2009	2010.02	05/29/2009 03:18:28 PM Eastern Daylight Time		05/30/2009 06:09:13 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	228	0	2010	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	229	0		29	10	S5810_229_0	2	05/29/2009	2010.02	05/29/2009 03:18:28 PM Eastern Daylight Time		05/30/2009 06:09:16 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	229	0	2010	Upper MW and N Plains (IA,MN,MT,ND,NE,SD,WY)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	230	0		29	10	S5810_230_0	2	05/28/2009	2010.02	05/28/2009 10:56:13 AM Eastern Daylight Time		05/30/2009 06:09:22 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	230	0	2010	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	231	0		29	10	S5810_231_0	2	05/28/2009	2010.02	05/28/2009 10:56:31 AM Eastern Daylight Time		05/30/2009 06:09:26 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	231	0	2010	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	232	0		29	10	S5810_232_0	2	05/28/2009	2010.02	05/28/2009 10:56:47 AM Eastern Daylight Time		05/30/2009 06:09:30 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	232	0	2010	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	233	0		29	10	S5810_233_0	2	05/28/2009	2010.02	05/28/2009 10:57:05 AM Eastern Daylight Time		05/30/2009 06:09:34 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	233	0	2010	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	234	0		29	10	S5810_234_0	2	05/28/2009	2010.02	05/28/2009 10:57:23 AM Eastern Daylight Time		05/30/2009 06:09:38 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	234	0	2010	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	235	0		29	10	S5810_235_0	2	05/28/2009	2010.02	05/28/2009 10:57:39 AM Eastern Daylight Time		05/30/2009 06:09:43 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	235	0	2010	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	236	0		29	10	S5810_236_0	2	05/28/2009	2010.02	05/28/2009 10:57:58 AM Eastern Daylight Time		05/30/2009 06:09:47 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	236	0	2010	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	237	0		29	10	S5810_237_0	2	05/29/2009	2010.02	05/29/2009 03:24:24 PM Eastern Daylight Time		05/30/2009 06:09:50 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	237	0	2010	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	238	0		29	10	S5810_238_0	2	05/29/2009	2010.02	05/29/2009 04:44:24 PM Eastern Daylight Time		05/30/2009 06:09:54 PM Eastern Daylight Time		07/20/2009 11:50:19 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	238	0	2010	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	801	0		29	10	S5810_801_0	1	05/14/2009	2010.02	05/14/2009 12:00:21 PM Eastern Daylight Time				05/29/2009 12:21:59 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna ER Medicare Prescription Part D Plan (PDP)	10	29					S5810	801	0	2010	Employer National		1						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	802	0		29	10	S5810_802_0	1	05/14/2009	2010.02	05/14/2009 12:00:42 PM Eastern Daylight Time				05/29/2009 12:21:59 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna ER Medicare Prescription Part D Plan (PDP)	10	29					S5810	802	0	2010	Employer National		1						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5810	803	0		29	10	S5810_803_0	1	05/14/2009	2010.02	05/14/2009 11:46:00 AM Eastern Daylight Time				05/29/2009 12:21:59 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna ER Medicare Prescription Part D Plan (PDP)	10	29					S5810	803	0	2010	Employer National		1						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1		
S5820	001	0		29	10	S5820_001_0	5	07/22/2009	2010.02	07/22/2009 05:40:50 PM Central Daylight Time		07/08/2009 01:14:21 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	001	0	2010	Northern New England (NH, ME)		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	002	0		29	10	S5820_002_0	4	07/22/2009	2010.02	07/22/2009 05:43:38 PM Central Daylight Time		07/08/2009 01:14:26 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	002	0	2010	Central New England (CT, MA, RI, VT)		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	003	0		29	10	S5820_003_0	3	05/29/2009	2010.02	05/29/2009 04:12:41 PM Central Daylight Time		06/17/2009 12:53:57 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	003	0	2010	New Jersey		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	004	0		29	10	S5820_004_0	3	05/29/2009	2010.02	05/29/2009 04:13:42 PM Central Daylight Time		06/17/2009 12:54:03 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	004	0	2010	Mid-Atlantic (DE, DC, MD)		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	005	0		29	10	S5820_005_0	3	05/29/2009	2010.02	05/29/2009 04:21:40 PM Central Daylight Time		06/17/2009 12:54:08 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	005	0	2010	Pennsylvania, West Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	006	0		29	10	S5820_006_0	3	05/29/2009	2010.02	05/29/2009 04:23:43 PM Central Daylight Time		06/17/2009 12:54:13 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	006	0	2010	Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	007	0		29	10	S5820_007_0	3	05/29/2009	2010.02	05/29/2009 04:25:05 PM Central Daylight Time		06/17/2009 12:54:18 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	007	0	2010	North Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	008	0		29	10	S5820_008_0	3	05/29/2009	2010.02	05/29/2009 04:35:48 PM Central Daylight Time		06/17/2009 12:54:23 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	008	0	2010	South Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	009	0		29	10	S5820_009_0	3	05/29/2009	2010.02	05/29/2009 04:37:07 PM Central Daylight Time		06/17/2009 12:54:28 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	009	0	2010	Georgia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	010	0		29	10	S5820_010_0	3	05/29/2009	2010.02	05/29/2009 04:39:19 PM Central Daylight Time		06/17/2009 12:54:33 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	010	0	2010	Florida		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	011	0		29	10	S5820_011_0	3	05/29/2009	2010.02	05/29/2009 04:41:05 PM Central Daylight Time		06/17/2009 12:54:38 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	011	0	2010	Alabama, Tennessee		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	012	0		29	10	S5820_012_0	4	07/22/2009	2010.02	07/22/2009 05:45:08 PM Central Daylight Time		07/08/2009 01:14:31 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	012	0	2010	Michigan		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	013	0		29	10	S5820_013_0	3	05/29/2009	2010.02	05/29/2009 04:47:43 PM Central Daylight Time		06/17/2009 12:54:48 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	013	0	2010	Ohio		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	014	0		29	10	S5820_014_0	3	05/29/2009	2010.02	05/29/2009 04:48:30 PM Central Daylight Time		06/17/2009 12:54:53 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	014	0	2010	Indiana, Kentucky		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	015	0		29	10	S5820_015_0	4	07/22/2009	2010.02	07/22/2009 05:46:03 PM Central Daylight Time		07/08/2009 01:14:35 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	015	0	2010	Wisconsin		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	016	0		29	10	S5820_016_0	3	05/29/2009	2010.02	05/29/2009 04:51:49 PM Central Daylight Time		06/17/2009 12:55:03 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	016	0	2010	Illinois		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	017	0		29	10	S5820_017_0	3	05/29/2009	2010.02	05/29/2009 05:01:05 PM Central Daylight Time		06/17/2009 12:55:08 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	017	0	2010	Missouri		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	018	0		29	10	S5820_018_0	3	05/29/2009	2010.02	05/29/2009 05:02:39 PM Central Daylight Time		06/17/2009 12:55:13 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	018	0	2010	Arkansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	019	0		29	10	S5820_019_0	3	05/29/2009	2010.02	05/29/2009 05:03:46 PM Central Daylight Time		06/17/2009 12:55:18 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	019	0	2010	Mississippi		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	020	0		29	10	S5820_020_0	2	05/29/2009	2010.02	05/29/2009 05:04:33 PM Central Daylight Time		06/17/2009 12:55:22 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	020	0	2010	Louisiana		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	021	0		29	10	S5820_021_0	2	05/29/2009	2010.02	05/29/2009 05:05:39 PM Central Daylight Time		06/17/2009 12:55:27 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	021	0	2010	Texas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	022	0		29	10	S5820_022_0	2	05/29/2009	2010.02	05/29/2009 05:07:26 PM Central Daylight Time		06/17/2009 12:55:32 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	022	0	2010	Oklahoma		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	023	0		29	10	S5820_023_0	2	05/29/2009	2010.02	05/29/2009 05:09:19 PM Central Daylight Time		06/17/2009 12:55:37 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	023	0	2010	Kansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	024	0		29	10	S5820_024_0	2	05/29/2009	2010.02	05/29/2009 05:10:20 PM Central Daylight Time		06/17/2009 12:55:42 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	024	0	2010	Upper Midwest and Northern Plains		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	025	0		29	10	S5820_025_0	2	05/29/2009	2010.02	05/29/2009 04:17:35 PM Central Daylight Time		06/17/2009 12:55:47 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	025	0	2010	New Mexico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	026	0		29	10	S5820_026_0	2	05/29/2009	2010.02	05/29/2009 05:11:15 PM Central Daylight Time		06/17/2009 12:55:52 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	026	0	2010	Colorado		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	027	0		29	10	S5820_027_0	2	05/29/2009	2010.02	05/29/2009 05:11:57 PM Central Daylight Time		06/17/2009 12:55:57 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	027	0	2010	Arizona		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	028	0		29	10	S5820_028_0	2	05/29/2009	2010.02	05/29/2009 05:12:48 PM Central Daylight Time		06/17/2009 12:56:02 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	028	0	2010	Nevada		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	029	0		29	10	S5820_029_0	3	05/29/2009	2010.02	05/29/2009 05:13:42 PM Central Daylight Time		06/17/2009 12:56:06 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	029	0	2010	Oregon, Washington		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	030	0		29	10	S5820_030_0	2	05/29/2009	2010.02	05/29/2009 05:14:16 PM Central Daylight Time		06/17/2009 12:56:11 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	030	0	2010	Idaho, Utah		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	031	0		29	10	S5820_031_0	3	05/29/2009	2010.02	05/29/2009 05:15:11 PM Central Daylight Time		06/17/2009 12:56:15 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	031	0	2010	California		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	032	0		29	10	S5820_032_0	3	07/24/2009	2010.02	07/24/2009 10:01:50 AM Central Daylight Time		07/19/2009 07:59:00 PM Central Daylight Time		07/24/2009 10:06:18 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	032	0	2010	Hawaii		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	033	0		29	10	S5820_033_0	3	07/22/2009	2010.02	07/22/2009 05:47:30 PM Central Daylight Time		07/08/2009 01:14:45 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	033	0	2010	Alaska		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	034	0		29	10	S5820_034_0	4	07/22/2009	2010.02	07/22/2009 05:49:31 PM Central Daylight Time		07/08/2009 01:14:49 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	034	0	2010	American Samoa		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	035	0		29	10	S5820_035_0	4	07/22/2009	2010.02	07/22/2009 05:50:57 PM Central Daylight Time		07/08/2009 01:40:59 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	035	0	2010	Guam		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	036	0		29	10	S5820_036_0	2	05/30/2009	2010.02	05/30/2009 04:22:14 PM Central Daylight Time		06/17/2009 12:56:39 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	036	0	2010	Northern Mariana Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	037	0		29	10	S5820_037_0	2	05/29/2009	2010.02	05/29/2009 05:18:39 PM Central Daylight Time		06/17/2009 12:56:44 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	037	0	2010	Puerto Rico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	038	0		29	10	S5820_038_0	3	06/15/2009	2010.02	06/15/2009 02:19:20 PM Central Daylight Time		06/17/2009 12:56:48 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	038	0	2010	US Virgin Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	142	0		29	10	S5820_142_0	2	05/28/2009	2010.02	05/28/2009 03:48:58 PM Central Daylight Time		05/31/2009 11:24:59 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	142	0	2010	American Samoa		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	143	0		29	10	S5820_143_0	2	05/28/2009	2010.02	05/28/2009 03:48:59 PM Central Daylight Time		05/31/2009 11:25:02 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	143	0	2010	Guam		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	144	0		29	10	S5820_144_0	2	05/28/2009	2010.02	05/28/2009 03:49:01 PM Central Daylight Time		05/31/2009 11:25:06 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	144	0	2010	Northern Mariana Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	145	0		29	10	S5820_145_0	2	05/28/2009	2010.02	05/28/2009 03:49:03 PM Central Daylight Time		05/31/2009 11:25:10 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	145	0	2010	Puerto Rico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	146	0		29	10	S5820_146_0	2	05/28/2009	2010.02	05/28/2009 03:49:04 PM Central Daylight Time		05/31/2009 11:25:14 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	146	0	2010	U.S. Virgin Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	147	0		29	10	S5820_147_0	2	05/28/2009	2010.02	05/28/2009 08:38:00 PM Central Daylight Time		06/17/2009 12:56:53 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5820	147	0	2010	American Samoa		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	148	0		29	10	S5820_148_0	2	05/28/2009	2010.02	05/28/2009 08:44:21 PM Central Daylight Time		06/17/2009 12:56:58 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5820	148	0	2010	Guam		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	149	0		29	10	S5820_149_0	3	07/22/2009	2010.02	07/22/2009 05:52:38 PM Central Daylight Time		07/08/2009 01:14:54 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5820	149	0	2010	Northern Mariana Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	150	0		29	10	S5820_150_0	2	05/28/2009	2010.02	05/28/2009 08:46:19 PM Central Daylight Time		06/17/2009 12:57:08 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5820	150	0	2010	Puerto Rico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	151	0		29	10	S5820_151_0	2	05/28/2009	2010.02	05/28/2009 08:47:13 PM Central Daylight Time		06/17/2009 12:57:13 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5820	151	0	2010	U.S. Virgin Islands		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	801	0		29	10	S5820_801_0	1	05/19/2009	2010.02	05/19/2009 01:05:44 PM Central Daylight Time				05/30/2009 01:24:56 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx for Groups (PDP)	10	29					S5820	801	0	2010	National		1						2							www.aarpmedicarerx.com									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	802	0		29	10	S5820_802_0	1	05/19/2009	2010.02	05/19/2009 01:05:38 PM Central Daylight Time				05/30/2009 01:24:56 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx for Groups (PDP)	10	29					S5820	802	0	2010	National		1						2							www.aarpmedicarerx.com									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5820	803	0		29	10	S5820_803_0	1	05/19/2009	2010.02	05/19/2009 01:05:30 PM Central Daylight Time				05/30/2009 01:24:56 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5820	803	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5820	804	0		29	10	S5820_804_0	1	05/19/2009	2010.02	05/19/2009 01:05:25 PM Central Daylight Time				05/30/2009 01:24:56 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5820	804	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5825	017	0		29	10	S5825_017_0	2	07/28/2009	2010.02	07/28/2009 01:21:05 PM Eastern Daylight Time		07/24/2009 12:07:19 PM Eastern Daylight Time		07/29/2009 09:33:32 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Gold (PDP)	10	29					S5825	017	0	2010	State of New York		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5825	045	0		29	10	S5825_045_0	1	05/24/2009	2010.02	05/24/2009 11:20:24 AM Eastern Daylight Time		05/30/2009 10:13:54 PM Eastern Daylight Time		05/30/2009 10:49:14 PM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Bronze (PDP)	10	29					S5825	045	0	2010	State of New York		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5825	085	0		29	10	S5825_085_0	3	05/29/2009	2010.02	05/29/2009 12:01:40 PM Eastern Daylight Time		07/15/2009 10:26:41 AM Eastern Daylight Time		07/29/2009 09:33:32 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Gold (PDP)	10	29					S5825	085	0	2010	State of New York		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1		
S5825	802	0		29	10	S5825_802_0	1	06/01/2009	2010.02	06/01/2009 08:31:34 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def CY2 (PDP)	10	29					S5825	802	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5825	804	0		29	10	S5825_804_0	1	06/01/2009	2010.02	06/01/2009 08:31:37 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def CY4 (PDP)	10	29					S5825	804	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5825	807	0		29	10	S5825_807_0	1	06/01/2009	2010.02	06/01/2009 08:31:40 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def NCY2 (PDP)	10	29					S5825	807	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5825	809	0		29	10	S5825_809_0	1	06/01/2009	2010.02	06/01/2009 08:31:44 AM Eastern Daylight Time				06/01/2009 08:49:41 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	PrescribaRx Employer Std Def NCY4 (PDP)	10	29					S5825	809	0	2010	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx									(800)-818-0007		(850)-436-2336		(800)-807-9990		(850)-436-2336										(800)-777-9083		(800)-777-9083		(800)-777-9083		(800)-777-9083		1		
S5840	001	0		29	10	S5840_001_0	3	06/01/2009	2010.02	06/01/2009 01:07:57 PM SA Western Standard Time		06/01/2009 03:08:12 PM SA Western Standard Time		06/01/2009 03:11:39 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	PharmaPlus (PDP)	10	29					S5840	001	0	2010	Entire Island Puerto Rico		2						2							http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
S5840	002	0		29	10	S5840_002_0	3	06/01/2009	2010.02	06/01/2009 01:08:47 PM SA Western Standard Time		06/01/2009 03:08:21 PM SA Western Standard Time		06/01/2009 03:11:39 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	PharmaPremium (PDP)	10	29					S5840	002	0	2010	Entire Island Puerto Rico		2						2							http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
S5840	801	0		29	10	S5840_801_0	4	05/15/2009	2010.02	05/15/2009 03:58:29 PM SA Western Standard Time				06/01/2009 03:11:39 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Prescription Drug Plan 1 (PDP)	10	29					S5840	801	0	2010	Entire Island Puerto Rico		1						2							http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
S5840	802	0		29	10	S5840_802_0	4	05/15/2009	2010.02	05/15/2009 03:58:57 PM SA Western Standard Time				06/01/2009 03:11:39 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Prescription Drug Plan 2 (PDP)	10	29					S5840	802	0	2010	Entire Island Puerto Rico		1						2							http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1		
S5857	001	0		29	10	S5857_001_0	4	07/07/2009	2010.02	07/07/2009 03:00:10 PM Eastern Daylight Time		05/31/2009 04:03:16 PM Eastern Daylight Time		07/13/2009 03:31:21 PM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	PriorityMedicare Rx	www.priorityhealth.com/medicare	PriorityMedicare Rx (PDP)	10	29					S5857	001	0	2010	State of Michigan		2						2							http://www.priorityhealth.com/medicare09/druglist									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
S5857	802	0		29	10	S5857_802_0	3	05/28/2009	2010.02	05/28/2009 10:40:54 AM Eastern Daylight Time				06/01/2009 11:47:14 AM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	PriorityMedicare Rx	www.priorityhealth.com/medicare	PriorityMedicare Rx EG Non-Calendar Year (PDP)	10	29					S5857	802	0	2010	United States		1						2							http://www.priorityhealth.com/medicare09/druglist									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
S5857	803	0		29	10	S5857_803_0	3	05/28/2009	2010.02	05/28/2009 10:41:02 AM Eastern Daylight Time				06/01/2009 11:47:14 AM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	PriorityMedicare Rx	www.priorityhealth.com/medicare	PriorityMedicare Rx EG Calendar Year (PDP)	10	29					S5857	803	0	2010	United States		1						2							http://www.priorityhealth.com/medicare09/druglist									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1		
S5860	003	0		29	10	S5860_003_0	5	07/27/2009	2010.02	07/27/2009 03:16:40 PM Mountain Daylight Time		07/27/2009 10:51:16 AM Mountain Daylight Time		07/28/2009 10:45:12 AM Mountain Daylight Time	ROCKY MOUNTAIN  HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Essential Rx Plan (PDP)	10	29					S5860	003	0	2010	State of Colorado		2						2							http://www.rmhp.org									(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6340		(970)-248-5019		(800)-704-6340		(970)-248-5019		1		
S5860	801	0		29	10	S5860_801_0	8	04/14/2009	2010.02	04/16/2009 10:11:47 AM Eastern Daylight Time				05/28/2009 03:09:13 PM Mountain Daylight Time	ROCKY MOUNTAIN  HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Group Plus Plan (PDP)	10	29					S5860	801	0	2010	Nation wide		1						2							http://www.rmhp.org									(800)-346-4643		(970)-243-7050		(800)-346-4643		(970)-243-7050										(800)-704-6340		(970)-248-5019		(800)-704-6340		(970)-248-5019		1		
S5877	004	0		29	10	S5877_004_0	2	05/28/2009	2010.02	05/28/2009 06:08:44 PM Mountain Daylight Time		07/30/2009 12:15:28 PM Mountain Daylight Time		07/30/2009 05:51:59 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Rx Basic (PDP)	10	29					S5877	004	0	2010	State of Utah and State of Idaho		2						2							http://www.educatorsmutual.com/medicare/emia_plans.aspx									(800)-572-8734		(801)-262-7475		(888)-236-4823		(801)-262-7475										(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1		
S5877	007	0		29	10	S5877_007_0	2	05/28/2009	2010.02	05/28/2009 06:08:53 PM Mountain Daylight Time		07/25/2009 01:04:25 PM Mountain Daylight Time		07/25/2009 01:06:39 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Rx Advantage (PDP)	10	29					S5877	007	0	2010	State of Utah and State of Idaho		2						2							http://www.educatorsmutual.com/medicare/emia_plans.aspx									(800)-572-8734		(801)-262-7475		(888)-236-4823		(801)-262-7475										(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1		
S5884	001	0		29	10	S5884_001_0	1	05/27/2009	2010.02	05/27/2009 12:06:19 PM Eastern Daylight Time		05/28/2009 01:37:06 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-001 (PDP)	10	29					S5884	001	0	2010	States of Alabama and Tennessee		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	002	0		29	10	S5884_002_0	1	05/27/2009	2010.02	05/27/2009 11:49:40 AM Eastern Daylight Time		05/28/2009 01:37:09 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-002 (PDP)	10	29					S5884	002	0	2010	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	003	0		29	10	S5884_003_0	1	05/28/2009	2010.02	05/28/2009 12:59:48 PM Eastern Daylight Time		05/28/2009 01:37:12 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-003 (PDP)	10	29					S5884	003	0	2010	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	004	0		29	10	S5884_004_0	1	05/27/2009	2010.02	05/27/2009 12:07:38 PM Eastern Daylight Time		05/28/2009 01:37:15 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-004 (PDP)	10	29					S5884	004	0	2010	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	005	0		29	10	S5884_005_0	1	05/27/2009	2010.02	05/27/2009 01:27:06 PM Eastern Daylight Time		05/28/2009 01:37:19 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-005 (PDP)	10	29					S5884	005	0	2010	States of Pennsylvania and West Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	006	0		29	10	S5884_006_0	1	05/27/2009	2010.02	05/27/2009 03:28:06 PM Eastern Daylight Time		05/28/2009 01:37:22 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-006 (PDP)	10	29					S5884	006	0	2010	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	007	0		29	10	S5884_007_0	1	05/27/2009	2010.02	05/27/2009 03:32:03 PM Eastern Daylight Time		05/28/2009 01:37:26 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-007 (PDP)	10	29					S5884	007	0	2010	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	008	0		29	10	S5884_008_0	1	05/27/2009	2010.02	05/27/2009 12:53:32 PM Eastern Daylight Time		05/28/2009 01:37:30 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-008 (PDP)	10	29					S5884	008	0	2010	State of South Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	009	0		29	10	S5884_009_0	1	05/27/2009	2010.02	05/27/2009 12:52:48 PM Eastern Daylight Time		05/28/2009 01:37:34 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-009 (PDP)	10	29					S5884	009	0	2010	State of Georgia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	010	0		29	10	S5884_010_0	1	05/27/2009	2010.02	05/27/2009 11:56:49 AM Eastern Daylight Time		05/28/2009 01:37:38 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-010 (PDP)	10	29					S5884	010	0	2010	State of Florida		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	011	0		29	10	S5884_011_0	1	05/27/2009	2010.02	05/27/2009 03:32:42 PM Eastern Daylight Time		05/28/2009 01:37:41 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-011 (PDP)	10	29					S5884	011	0	2010	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	012	0		29	10	S5884_012_0	1	05/28/2009	2010.02	05/28/2009 12:35:55 PM Eastern Daylight Time		05/28/2009 01:37:45 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-012 (PDP)	10	29					S5884	012	0	2010	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	013	0		29	10	S5884_013_0	1	05/27/2009	2010.02	05/27/2009 03:33:39 PM Eastern Daylight Time		05/28/2009 01:37:48 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-013 (PDP)	10	29					S5884	013	0	2010	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	014	0		29	10	S5884_014_0	1	05/27/2009	2010.02	05/27/2009 03:34:15 PM Eastern Daylight Time		05/28/2009 01:37:51 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-014 (PDP)	10	29					S5884	014	0	2010	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	015	0		29	10	S5884_015_0	1	05/27/2009	2010.02	05/27/2009 12:14:02 PM Eastern Daylight Time		05/28/2009 01:37:53 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-015 (PDP)	10	29					S5884	015	0	2010	State of Illinois		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	016	0		29	10	S5884_016_0	1	05/27/2009	2010.02	05/27/2009 03:35:16 PM Eastern Daylight Time		05/28/2009 01:37:57 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-016 (PDP)	10	29					S5884	016	0	2010	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	017	0		29	10	S5884_017_0	1	05/27/2009	2010.02	05/27/2009 03:35:51 PM Eastern Daylight Time		05/28/2009 01:38:00 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-017 (PDP)	10	29					S5884	017	0	2010	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	018	0		29	10	S5884_018_0	1	05/27/2009	2010.02	05/27/2009 03:37:13 PM Eastern Daylight Time		05/28/2009 01:38:03 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-018 (PDP)	10	29					S5884	018	0	2010	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	019	0		29	10	S5884_019_0	1	05/27/2009	2010.02	05/27/2009 12:13:20 PM Eastern Daylight Time		05/28/2009 01:38:06 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-019 (PDP)	10	29					S5884	019	0	2010	State of Louisiana		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	020	0		29	10	S5884_020_0	1	05/27/2009	2010.02	05/27/2009 12:57:47 PM Eastern Daylight Time		05/28/2009 01:38:09 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-020 (PDP)	10	29					S5884	020	0	2010	State of Texas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	021	0		29	10	S5884_021_0	1	05/27/2009	2010.02	05/27/2009 12:59:30 PM Eastern Daylight Time		05/28/2009 01:38:12 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-021 (PDP)	10	29					S5884	021	0	2010	State of Oklahoma		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	022	0		29	10	S5884_022_0	1	05/27/2009	2010.02	05/27/2009 12:19:57 PM Eastern Daylight Time		05/28/2009 01:38:16 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-022 (PDP)	10	29					S5884	022	0	2010	State of Kansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	023	0		29	10	S5884_023_0	1	05/27/2009	2010.02	05/27/2009 03:38:15 PM Eastern Daylight Time		05/28/2009 01:38:20 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-023 (PDP)	10	29					S5884	023	0	2010	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	024	0		29	10	S5884_024_0	1	05/27/2009	2010.02	05/27/2009 01:11:23 PM Eastern Daylight Time		05/28/2009 01:38:23 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-024 (PDP)	10	29					S5884	024	0	2010	State of New Mexico		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	025	0		29	10	S5884_025_0	1	05/27/2009	2010.02	05/27/2009 01:31:24 PM Eastern Daylight Time		05/28/2009 01:38:27 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-025 (PDP)	10	29					S5884	025	0	2010	State of Colorado		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	026	0		29	10	S5884_026_0	1	05/27/2009	2010.02	05/27/2009 03:24:26 PM Eastern Daylight Time		05/28/2009 01:38:30 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-026 (PDP)	10	29					S5884	026	0	2010	State of Arizona		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	027	0		29	10	S5884_027_0	1	05/27/2009	2010.02	05/27/2009 01:25:27 PM Eastern Daylight Time		05/28/2009 01:38:34 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-027 (PDP)	10	29					S5884	027	0	2010	State of Nevada		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	028	0		29	10	S5884_028_0	2	07/22/2009	2010.02	07/22/2009 07:44:56 AM Eastern Daylight Time		07/09/2009 10:24:58 AM Eastern Daylight Time		07/27/2009 11:16:40 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-028 (PDP)	10	29					S5884	028	0	2010	States of Oregon and Washington		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	029	0		29	10	S5884_029_0	1	05/27/2009	2010.02	05/27/2009 03:39:12 PM Eastern Daylight Time		05/28/2009 01:38:41 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-029 (PDP)	10	29					S5884	029	0	2010	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	030	0		29	10	S5884_030_0	1	05/27/2009	2010.02	05/27/2009 12:27:59 PM Eastern Daylight Time		05/28/2009 01:38:44 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-030 (PDP)	10	29					S5884	030	0	2010	State of California		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	031	0		29	10	S5884_031_0	2	05/26/2009	2010.02	05/26/2009 08:51:14 AM Eastern Daylight Time		05/28/2009 01:38:48 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-031 (PDP)	10	29					S5884	031	0	2010	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	032	0		29	10	S5884_032_0	2	05/26/2009	2010.02	05/26/2009 07:49:44 AM Eastern Daylight Time		05/28/2009 01:38:51 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-032 (PDP)	10	29					S5884	032	0	2010	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	033	0		29	10	S5884_033_0	2	05/26/2009	2010.02	05/26/2009 08:53:26 AM Eastern Daylight Time		05/28/2009 01:38:55 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-033 (PDP)	10	29					S5884	033	0	2010	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	034	0		29	10	S5884_034_0	2	05/26/2009	2010.02	05/26/2009 09:04:24 AM Eastern Daylight Time		05/28/2009 01:38:58 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-034 (PDP)	10	29					S5884	034	0	2010	States of Pennsylvania and West Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	035	0		29	10	S5884_035_0	2	05/26/2009	2010.02	05/26/2009 07:29:36 AM Eastern Daylight Time		05/28/2009 01:39:00 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-035 (PDP)	10	29					S5884	035	0	2010	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	036	0		29	10	S5884_036_0	2	05/26/2009	2010.02	05/26/2009 07:31:39 AM Eastern Daylight Time		05/28/2009 01:39:02 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-036 (PDP)	10	29					S5884	036	0	2010	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	037	0		29	10	S5884_037_0	2	05/26/2009	2010.02	05/26/2009 08:06:20 AM Eastern Daylight Time		05/28/2009 01:39:05 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-037 (PDP)	10	29					S5884	037	0	2010	State of South Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	038	0		29	10	S5884_038_0	2	05/26/2009	2010.02	05/26/2009 08:10:34 AM Eastern Daylight Time		05/28/2009 01:39:08 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-038 (PDP)	10	29					S5884	038	0	2010	State of Georgia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	039	0		29	10	S5884_039_0	2	05/26/2009	2010.02	05/26/2009 09:06:34 AM Eastern Daylight Time		05/28/2009 01:39:11 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-039 (PDP)	10	29					S5884	039	0	2010	State of Florida		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	040	0		29	10	S5884_040_0	2	05/26/2009	2010.02	05/26/2009 09:11:27 AM Eastern Daylight Time		05/28/2009 01:39:14 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-040 (PDP)	10	29					S5884	040	0	2010	States of Alabama and Tennessee		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	041	0		29	10	S5884_041_0	2	05/26/2009	2010.02	05/26/2009 07:33:06 AM Eastern Daylight Time		05/28/2009 01:39:17 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-041 (PDP)	10	29					S5884	041	0	2010	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	042	0		29	10	S5884_042_0	2	05/26/2009	2010.02	05/26/2009 08:15:13 AM Eastern Daylight Time		05/28/2009 01:39:20 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-042 (PDP)	10	29					S5884	042	0	2010	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	043	0		29	10	S5884_043_0	2	05/26/2009	2010.02	05/26/2009 07:39:15 AM Eastern Daylight Time		05/28/2009 01:39:23 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-043 (PDP)	10	29					S5884	043	0	2010	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	044	0		29	10	S5884_044_0	2	05/26/2009	2010.02	05/26/2009 07:39:41 AM Eastern Daylight Time		05/28/2009 01:39:26 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-044 (PDP)	10	29					S5884	044	0	2010	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	045	0		29	10	S5884_045_0	2	05/26/2009	2010.02	05/26/2009 09:14:39 AM Eastern Daylight Time		05/28/2009 01:39:29 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-045 (PDP)	10	29					S5884	045	0	2010	State of Illinois		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	046	0		29	10	S5884_046_0	2	05/26/2009	2010.02	05/26/2009 07:40:57 AM Eastern Daylight Time		05/28/2009 01:39:32 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-046 (PDP)	10	29					S5884	046	0	2010	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	047	0		29	10	S5884_047_0	2	05/26/2009	2010.02	05/26/2009 07:42:16 AM Eastern Daylight Time		05/28/2009 01:39:35 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-047 (PDP)	10	29					S5884	047	0	2010	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	048	0		29	10	S5884_048_0	2	05/26/2009	2010.02	05/26/2009 07:43:57 AM Eastern Daylight Time		05/28/2009 01:39:38 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-048 (PDP)	10	29					S5884	048	0	2010	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	049	0		29	10	S5884_049_0	2	05/26/2009	2010.02	05/26/2009 09:40:54 AM Eastern Daylight Time		05/28/2009 01:39:42 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-049 (PDP)	10	29					S5884	049	0	2010	State of Louisiana		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	050	0		29	10	S5884_050_0	2	05/26/2009	2010.02	05/26/2009 09:46:37 AM Eastern Daylight Time		05/28/2009 01:39:45 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-050 (PDP)	10	29					S5884	050	0	2010	State of Texas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	051	0		29	10	S5884_051_0	2	05/26/2009	2010.02	05/26/2009 08:20:12 AM Eastern Daylight Time		05/28/2009 01:39:48 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-051 (PDP)	10	29					S5884	051	0	2010	State of Oklahoma		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	052	0		29	10	S5884_052_0	2	05/26/2009	2010.02	05/26/2009 09:43:53 AM Eastern Daylight Time		05/28/2009 01:39:51 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-052 (PDP)	10	29					S5884	052	0	2010	State of Kansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	053	0		29	10	S5884_053_0	2	05/26/2009	2010.02	05/26/2009 07:46:00 AM Eastern Daylight Time		05/28/2009 01:39:55 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-053 (PDP)	10	29					S5884	053	0	2010	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	058	0		29	10	S5884_058_0	2	05/26/2009	2010.02	05/26/2009 09:20:43 AM Eastern Daylight Time		05/28/2009 01:39:58 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-058 (PDP)	10	29					S5884	058	0	2010	States of Oregon and Washington		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	059	0		29	10	S5884_059_0	2	05/26/2009	2010.02	05/26/2009 07:54:16 AM Eastern Daylight Time		05/28/2009 01:40:01 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-059 (PDP)	10	29					S5884	059	0	2010	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	060	0		29	10	S5884_060_0	2	05/26/2009	2010.02	05/26/2009 09:22:09 AM Eastern Daylight Time		05/28/2009 01:40:05 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-060 (PDP)	10	29					S5884	060	0	2010	State of California		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	062	0		29	10	S5884_062_0	2	05/29/2009	2010.02	05/29/2009 10:54:44 AM Eastern Daylight Time		05/28/2009 01:40:08 PM Eastern Daylight Time		06/01/2009 01:58:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-062 (PDP)	10	29					S5884	062	0	2010	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	065	0		29	10	S5884_065_0	1	05/27/2009	2010.02	05/27/2009 04:47:27 PM Eastern Daylight Time		05/28/2009 01:40:12 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-065 (PDP)	10	29					S5884	065	0	2010	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	066	0		29	10	S5884_066_0	1	05/27/2009	2010.02	05/27/2009 04:50:08 PM Eastern Daylight Time		05/28/2009 01:40:16 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-066 (PDP)	10	29					S5884	066	0	2010	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	071	0		29	10	S5884_071_0	1	05/27/2009	2010.02	05/27/2009 04:51:24 PM Eastern Daylight Time		05/28/2009 01:40:19 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-071 (PDP)	10	29					S5884	071	0	2010	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	072	0		29	10	S5884_072_0	2	05/29/2009	2010.02	05/29/2009 10:56:29 AM Eastern Daylight Time		05/28/2009 01:40:23 PM Eastern Daylight Time		06/01/2009 01:58:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-072 (PDP)	10	29					S5884	072	0	2010	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	073	0		29	10	S5884_073_0	1	05/27/2009	2010.02	05/27/2009 04:54:13 PM Eastern Daylight Time		05/28/2009 01:40:27 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-073 (PDP)	10	29					S5884	073	0	2010	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	074	0		29	10	S5884_074_0	1	05/27/2009	2010.02	05/27/2009 04:55:40 PM Eastern Daylight Time		05/28/2009 01:40:36 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-074 (PDP)	10	29					S5884	074	0	2010	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	076	0		29	10	S5884_076_0	1	05/27/2009	2010.02	05/27/2009 05:08:43 PM Eastern Daylight Time		05/28/2009 01:40:39 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-076 (PDP)	10	29					S5884	076	0	2010	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	077	0		29	10	S5884_077_0	1	05/27/2009	2010.02	05/27/2009 05:10:53 PM Eastern Daylight Time		05/28/2009 01:40:43 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-077 (PDP)	10	29					S5884	077	0	2010	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	078	0		29	10	S5884_078_0	1	05/27/2009	2010.02	05/27/2009 05:11:24 PM Eastern Daylight Time		05/28/2009 01:40:46 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-078 (PDP)	10	29					S5884	078	0	2010	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	083	0		29	10	S5884_083_0	1	05/27/2009	2010.02	05/27/2009 05:12:41 PM Eastern Daylight Time		05/28/2009 01:40:50 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-083 (PDP)	10	29					S5884	083	0	2010	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	085	0		29	10	S5884_085_0	1	05/27/2009	2010.02	05/27/2009 07:28:10 PM Eastern Daylight Time		05/28/2009 01:40:59 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-085 (PDP)	10	29					S5884	085	0	2010	State of Colorado		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	086	0		29	10	S5884_086_0	1	05/28/2009	2010.02	05/28/2009 07:26:00 AM Eastern Daylight Time		05/28/2009 01:41:09 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-086 (PDP)	10	29					S5884	086	0	2010	State of Arizona		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	087	0		29	10	S5884_087_0	1	05/27/2009	2010.02	05/27/2009 07:29:30 PM Eastern Daylight Time		05/28/2009 01:41:18 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-087 (PDP)	10	29					S5884	087	0	2010	State of Nevada		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	089	0		29	10	S5884_089_0	1	05/27/2009	2010.02	05/27/2009 05:13:31 PM Eastern Daylight Time		05/28/2009 01:41:23 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-089 (PDP)	10	29					S5884	089	0	2010	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	092	0		29	10	S5884_092_0	2	05/27/2009	2010.02	05/27/2009 07:25:40 PM Eastern Daylight Time		05/28/2009 01:41:26 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-092 (PDP)	10	29					S5884	092	0	2010	States of Maine and New Hampshire		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	093	0		29	10	S5884_093_0	1	05/28/2009	2010.02	05/28/2009 07:25:18 AM Eastern Daylight Time		05/28/2009 01:41:31 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-093 (PDP)	10	29					S5884	093	0	2010	State of Hawaii		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	094	0		29	10	S5884_094_0	1	05/27/2009	2010.02	05/27/2009 07:34:02 PM Eastern Daylight Time		05/28/2009 01:41:35 PM Eastern Daylight Time		05/29/2009 12:49:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard S5884-094 (PDP)	10	29					S5884	094	0	2010	State of Alaska		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	095	0		29	10	S5884_095_0	1	05/27/2009	2010.02	05/27/2009 01:30:27 PM Eastern Daylight Time		05/28/2009 01:41:39 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-095 (PDP)	10	29					S5884	095	0	2010	States of Maine and New Hampshire		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	097	0		29	10	S5884_097_0	1	05/27/2009	2010.02	05/27/2009 01:25:30 PM Eastern Daylight Time		05/28/2009 01:41:43 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced S5884-097 (PDP)	10	29					S5884	097	0	2010	State of Alaska		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	099	0		29	10	S5884_099_0	2	05/26/2009	2010.02	05/26/2009 09:25:36 AM Eastern Daylight Time		05/28/2009 01:41:46 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete S5884-099 (PDP)	10	29					S5884	099	0	2010	State of Hawaii		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	101	0		29	10	S5884_101_0	1	05/25/2009	2010.02	05/25/2009 01:12:34 PM Eastern Daylight Time		05/28/2009 01:41:50 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-101 (PDP)	10	29					S5884	101	0	2010	States of NH, ME		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	102	0		29	10	S5884_102_0	1	05/27/2009	2010.02	05/27/2009 08:23:48 AM Eastern Daylight Time		05/28/2009 01:41:53 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-102 (PDP)	10	29					S5884	102	0	2010	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	103	0		29	10	S5884_103_0	1	05/27/2009	2010.02	05/27/2009 08:26:39 AM Eastern Daylight Time		05/28/2009 01:41:57 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-103 (PDP)	10	29					S5884	103	0	2010	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	104	0		29	10	S5884_104_0	1	05/27/2009	2010.02	05/27/2009 08:27:57 AM Eastern Daylight Time		05/28/2009 01:42:01 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-104 (PDP)	10	29					S5884	104	0	2010	States of PA, WV		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	105	0		29	10	S5884_105_0	1	05/27/2009	2010.02	05/27/2009 08:29:18 AM Eastern Daylight Time		05/28/2009 01:42:04 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-105 (PDP)	10	29					S5884	105	0	2010	State of FL		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	106	0		29	10	S5884_106_0	1	05/27/2009	2010.02	05/27/2009 08:31:26 AM Eastern Daylight Time		05/28/2009 01:42:08 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-106 (PDP)	10	29					S5884	106	0	2010	States of AL, TN		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	107	0		29	10	S5884_107_0	1	05/27/2009	2010.02	05/27/2009 08:33:11 AM Eastern Daylight Time		05/28/2009 01:42:11 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-107 (PDP)	10	29					S5884	107	0	2010	State of IL		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	108	0		29	10	S5884_108_0	1	05/27/2009	2010.02	05/27/2009 08:34:16 AM Eastern Daylight Time		05/28/2009 01:42:15 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-108 (PDP)	10	29					S5884	108	0	2010	State of LA		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	109	0		29	10	S5884_109_0	1	05/27/2009	2010.02	05/27/2009 08:35:34 AM Eastern Daylight Time		05/28/2009 01:42:18 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-109 (PDP)	10	29					S5884	109	0	2010	State of KS		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	110	0		29	10	S5884_110_0	1	05/27/2009	2010.02	05/27/2009 08:40:12 AM Eastern Daylight Time		05/28/2009 01:42:22 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-110 (PDP)	10	29					S5884	110	0	2010	State of NM		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	111	0		29	10	S5884_111_0	1	05/27/2009	2010.02	05/27/2009 09:21:20 AM Eastern Daylight Time		05/28/2009 01:42:26 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-111 (PDP)	10	29					S5884	111	0	2010	State of CO		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	112	0		29	10	S5884_112_0	1	05/27/2009	2010.02	05/27/2009 08:20:48 AM Eastern Daylight Time		05/28/2009 01:42:30 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-112 (PDP)	10	29					S5884	112	0	2010	State of NV		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	113	0		29	10	S5884_113_0	1	05/27/2009	2010.02	05/27/2009 08:37:01 AM Eastern Daylight Time		05/28/2009 01:42:33 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-113 (PDP)	10	29					S5884	113	0	2010	States of OR, WA		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	114	0		29	10	S5884_114_0	1	05/27/2009	2010.02	05/27/2009 08:37:59 AM Eastern Daylight Time		05/28/2009 01:42:37 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-114 (PDP)	10	29					S5884	114	0	2010	State of CA		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	115	0		29	10	S5884_115_0	1	05/27/2009	2010.02	05/27/2009 08:42:25 AM Eastern Daylight Time		05/28/2009 01:42:40 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-115 (PDP)	10	29					S5884	115	0	2010	State of HI		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	116	0		29	10	S5884_116_0	1	05/27/2009	2010.02	05/27/2009 08:22:08 AM Eastern Daylight Time		05/28/2009 01:42:44 PM Eastern Daylight Time		05/29/2009 06:43:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Value S5884-116 (PDP)	10	29					S5884	116	0	2010	State of AK		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	118	0		29	10	S5884_118_0	1	05/25/2009	2010.02	05/27/2009 07:04:46 AM Eastern Daylight Time		05/28/2009 01:42:47 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-118 (PDP)	10	29					S5884	118	0	2010	State of SC		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	119	0		29	10	S5884_119_0	1	05/25/2009	2010.02	05/27/2009 07:04:49 AM Eastern Daylight Time		05/28/2009 01:42:50 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-119 (PDP)	10	29					S5884	119	0	2010	State of GA		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	121	0		29	10	S5884_121_0	1	05/25/2009	2010.02	05/27/2009 07:04:55 AM Eastern Daylight Time		05/28/2009 01:42:53 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-121 (PDP)	10	29					S5884	121	0	2010	State of TX		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	122	0		29	10	S5884_122_0	1	05/25/2009	2010.02	05/27/2009 07:04:58 AM Eastern Daylight Time		05/28/2009 01:42:57 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-122 (PDP)	10	29					S5884	122	0	2010	State of OK		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	123	0		29	10	S5884_123_0	1	05/25/2009	2010.02	05/27/2009 07:05:02 AM Eastern Daylight Time		05/28/2009 01:43:00 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-123 (PDP)	10	29					S5884	123	0	2010	State of NM		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	124	0		29	10	S5884_124_0	1	05/25/2009	2010.02	05/27/2009 07:05:05 AM Eastern Daylight Time		05/28/2009 01:43:04 PM Eastern Daylight Time		05/28/2009 06:54:53 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Basic S5884-124 (PDP)	10	29					S5884	124	0	2010	State of AZ		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	834	0		29	10	S5884_834_0	4	05/26/2009	2010.02	05/26/2009 09:15:11 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S5884	834	0	2010	All Regions		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5884	835	0		29	10	S5884_835_0	4	05/26/2009	2010.02	05/26/2009 09:15:27 AM Eastern Daylight Time				05/27/2009 08:03:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S5884	835	0	2010	All Regions		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(877)-833-4486				1		
S5904	001	0		29	10	S5904_001_0	4	07/21/2009	2010.02	07/21/2009 02:05:56 PM Eastern Daylight Time		07/21/2009 02:49:40 PM Eastern Daylight Time		07/22/2009 03:49:16 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Rx-Option 1 (PDP)	10	29					S5904	001	0	2010	State of Florida		2						2							www.myrxassistant.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000										(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
S5904	002	0		29	10	S5904_002_0	2	07/20/2009	2010.02	07/20/2009 09:45:30 AM Eastern Daylight Time		07/21/2009 02:49:48 PM Eastern Daylight Time		07/22/2009 03:49:16 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Rx-Option 2 (PDP)	10	29					S5904	002	0	2010	State of Florida		2						2							www.myrxassistant.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000										(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
S5904	003	0		29	10	S5904_003_0	2	07/20/2009	2010.02	07/20/2009 09:46:33 AM Eastern Daylight Time		07/21/2009 02:49:31 PM Eastern Daylight Time		07/22/2009 03:49:16 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Rx-Option 3 (PDP)	10	29					S5904	003	0	2010	State of Florida		2						2							www.myrxassistant.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000										(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
S5904	801	0		29	10	S5904_801_0	4	05/29/2009	2010.02	05/29/2009 10:53:01 AM Eastern Daylight Time				06/01/2009 09:13:49 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Group Rx (PDP)	10	29					S5904	801	0	2010	State of Florida with National Coverage		1						2							www.myrxassistant.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000										(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
S5904	802	0		29	10	S5904_802_0	4	05/29/2009	2010.02	05/29/2009 10:53:08 AM Eastern Daylight Time				06/01/2009 09:13:49 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.bcbsfl.com/	BlueMedicare Group Rx (PDP)	10	29					S5904	802	0	2010	State of Florida with National Coverage		1						2							www.myrxassistant.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(904)-905-0000										(800)-955-1339		(800)-955-1339		(800)-955-1339		(800)-955-1339		1		
S5907	001	0		29	10	S5907_001_0	2	06/01/2009	2010.02	06/01/2009 07:35:09 AM Atlantic Standard Time		05/31/2009 05:14:18 PM Atlantic Standard Time		06/01/2009 11:32:47 AM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed (PDP)	10	29					S5907	001	0	2010	Island of Puerto Rico		2						2							www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
S5907	002	0		29	10	S5907_002_0	1	05/29/2009	2010.02	05/29/2009 07:10:18 PM Atlantic Standard Time		05/31/2009 05:14:50 PM Atlantic Standard Time		05/31/2009 05:17:01 PM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed Plus (PDP)	10	29					S5907	002	0	2010	Island of Puerto Rico		2						2							www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
S5907	801	0		29	10	S5907_801_0	2	06/01/2009	2010.02	06/01/2009 10:00:01 AM Atlantic Standard Time				06/01/2009 10:03:38 AM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed A (PDP)	10	29					S5907	801	0	2010	Island of Puerto Rico		1						2							www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
S5907	802	0		29	10	S5907_802_0	2	06/01/2009	2010.02	06/01/2009 10:00:15 AM Atlantic Standard Time				06/01/2009 10:03:38 AM Atlantic Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed B (PDP)	10	29					S5907	802	0	2010	Island of Puerto Rico		1						2							www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1		
S5915	002	0		29	10	S5915_002_0	5	07/23/2009	2010.02	07/23/2009 10:28:28 AM Central Daylight Time		06/01/2009 04:59:34 PM Central Daylight Time		07/23/2009 11:04:38 AM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health PlanTexas Rx Plan	www.swhp.org	Scott and White Health PlanTexas Rx Enhanced (PDP)	10	29					S5915	002	0	2010	Texas		2						2							www.swhp.org									(866)-334-3141		(254)-298-3141		(888)-333-3980		(254)-298-3366										(800)-735-2989		(254)-724-2832		(800)-735-2989		(254)-724-2832		1		
S5915	003	0		29	10	S5915_003_0	5	07/23/2009	2010.02	07/23/2009 10:28:43 AM Central Daylight Time		06/01/2009 05:00:12 PM Central Daylight Time		07/23/2009 11:04:38 AM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health PlanTexas Rx Plan	www.swhp.org	Scott and White Health Plan Texas Rx Value (PDP)	10	29					S5915	003	0	2010	Texas		2						2							www.swhp.org									(866)-334-3141		(254)-298-3141		(888)-333-3980		(254)-298-3366										(800)-735-2989		(254)-724-2832		(800)-735-2989		(254)-724-2832		1		
S5915	004	0		29	10	S5915_004_0	5	07/23/2009	2010.02	07/23/2009 10:28:54 AM Central Daylight Time		06/01/2009 04:47:44 PM Central Daylight Time		07/23/2009 11:04:38 AM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health PlanTexas Rx Plan	www.swhp.org	Scott and White Health Plan Texas Rx Basic (PDP)	10	29					S5915	004	0	2010	Texas		2						2							www.swhp.org									(866)-334-3141		(254)-298-3141		(888)-333-3980		(254)-298-3366										(800)-735-2989		(254)-724-2832		(800)-735-2989		(254)-724-2832		1		
S5916	001	0		29	10	S5916_001_0	4	07/28/2009	2010.02	07/28/2009 01:28:10 PM Pacific Daylight Time		07/29/2009 01:01:07 PM Pacific Daylight Time		07/29/2009 03:05:27 PM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicareScript	Regence Medicare Script (PDP)	10	29					S5916	001	0	2010	Region of Idaho and Utah		2						2							www.regence.com/medicareScript									(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5916	002	0		29	10	S5916_002_0	3	07/28/2009	2010.02	07/28/2009 01:29:48 PM Pacific Daylight Time		07/29/2009 01:04:58 PM Pacific Daylight Time		07/29/2009 03:08:28 PM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicareScript	Regence Medicare Script Enhanced (PDP)	10	29					S5916	002	0	2010	Region of Idaho and Utah		2						2							www.regence.com/medicareScript									(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5916	802	0		29	10	S5916_802_0	1	04/24/2009	2010.02	04/24/2009 03:47:28 PM Pacific Daylight Time				06/03/2009 02:09:36 PM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicareScript	Regence Medicare Script (PDP)	10	29					S5916	802	0	2010	Region of Idaho and Utah		1						2							www.regence.com/medicareScript									(800)-541-8981		(800)-541-8981		(888)-734-3623		(888)-734-3623										(800)-382-1003		(800)-382-1003		(800)-382-1003		(800)-382-1003		1		
S5917	001	0		29	10	S5917_001_0	2	05/29/2009	2010.02	05/29/2009 01:24:10 PM Central Daylight Time		06/17/2009 12:57:18 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	001	0	2010	Texas		2						2							www.uhcmedicarerx.com									(866)-819-3450		(866)-819-3450		(866)-819-3449		(866)-819-3449										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5917	002	0		29	10	S5917_002_0	2	05/29/2009	2010.02	05/29/2009 01:47:55 PM Central Daylight Time		06/17/2009 12:57:22 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	002	0	2010	New Mexico		2						2							www.uhcmedicarerx.com									(866)-729-6928		(866)-729-6928		(866)-847-4338		(866)-847-4338										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5917	003	0		29	10	S5917_003_0	2	05/29/2009	2010.02	05/29/2009 01:26:48 PM Central Daylight Time		06/17/2009 12:57:27 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	003	0	2010	Colorado		2						2							www.uhcmedicarerx.com									(866)-819-3450		(866)-819-3450		(866)-819-3449		(866)-819-3449										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5917	005	0		29	10	S5917_005_0	2	05/29/2009	2010.02	05/29/2009 01:50:33 PM Central Daylight Time		06/17/2009 12:57:32 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	005	0	2010	Nevada		2						2							www.uhcmedicarerx.com									(866)-729-6928		(866)-729-6928		(866)-847-4338		(866)-847-4338										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5917	007	0		29	10	S5917_007_0	2	05/29/2009	2010.02	05/29/2009 01:27:52 PM Central Daylight Time		06/17/2009 12:57:39 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	007	0	2010	Idaho and Utah		2						2							www.uhcmedicarerx.com									(866)-819-3450		(866)-819-3450		(866)-819-3449		(866)-819-3449										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5917	029	0		29	10	S5917_029_0	2	05/29/2009	2010.02	05/29/2009 01:33:49 PM Central Daylight Time		06/17/2009 12:57:45 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE  INSURANCE COMPANY	UNITED HEALTHCARE INSURANCE COMPANY	www.uhcmedicarerx.com	UnitedHealthcare MedicareRx (PDP)	10	29					S5917	029	0	2010	Arizona		2						2							www.uhcmedicarerx.com									(866)-819-3450		(866)-819-3450		(866)-819-3449		(866)-819-3449										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5921	001	0		29	10	S5921_001_0	2	05/28/2009	2010.02	05/28/2009 08:06:17 PM Central Daylight Time		06/17/2009 12:57:51 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	001	0	2010	California		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	003	0		29	10	S5921_003_0	2	05/28/2009	2010.02	05/28/2009 03:49:11 PM Central Daylight Time		05/31/2009 11:25:17 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	003	0	2010	California		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	011	0		29	10	S5921_011_0	2	05/28/2009	2010.02	05/28/2009 08:43:18 PM Central Daylight Time		06/17/2009 12:57:55 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	011	0	2010	Alaska		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	013	0		29	10	S5921_013_0	2	05/28/2009	2010.02	05/28/2009 03:49:13 PM Central Daylight Time		05/31/2009 11:25:21 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	013	0	2010	Alaska		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	021	0		29	10	S5921_021_0	2	05/28/2009	2010.02	05/28/2009 08:42:23 PM Central Daylight Time		06/17/2009 12:58:00 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	021	0	2010	Oregon and Washington		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	023	0		29	10	S5921_023_0	2	05/28/2009	2010.02	05/28/2009 03:49:15 PM Central Daylight Time		05/31/2009 11:25:24 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	023	0	2010	Oregon and Washington		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	031	0		29	10	S5921_031_0	2	05/28/2009	2010.02	05/28/2009 08:15:10 PM Central Daylight Time		06/17/2009 12:58:05 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	031	0	2010	Idaho and Utah		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	033	0		29	10	S5921_033_0	2	05/28/2009	2010.02	05/28/2009 03:49:21 PM Central Daylight Time		05/31/2009 11:25:28 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	033	0	2010	Idaho and Utah		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	041	0		29	10	S5921_041_0	2	05/28/2009	2010.02	05/28/2009 08:38:02 PM Central Daylight Time		06/17/2009 12:58:10 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	041	0	2010	Hawaii		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	043	0		29	10	S5921_043_0	2	05/28/2009	2010.02	05/28/2009 03:49:23 PM Central Daylight Time		05/31/2009 11:25:32 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	043	0	2010	Hawaii		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	051	0		29	10	S5921_051_0	2	05/28/2009	2010.02	05/28/2009 08:20:43 PM Central Daylight Time		06/17/2009 12:58:15 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	051	0	2010	Ohio		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	053	0		29	10	S5921_053_0	2	05/28/2009	2010.02	05/28/2009 03:49:25 PM Central Daylight Time		05/31/2009 11:25:36 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	053	0	2010	Ohio		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	061	0		29	10	S5921_061_0	2	05/28/2009	2010.02	05/28/2009 08:22:57 PM Central Daylight Time		06/17/2009 12:58:19 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	061	0	2010	Indiana and Kentucky		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	063	0		29	10	S5921_063_0	2	05/28/2009	2010.02	05/28/2009 03:49:26 PM Central Daylight Time		05/31/2009 11:25:39 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	063	0	2010	Indiana and Kentucky		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	071	0		29	10	S5921_071_0	2	05/28/2009	2010.02	05/28/2009 08:24:28 PM Central Daylight Time		06/17/2009 12:58:24 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	071	0	2010	Wisconsin		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	073	0		29	10	S5921_073_0	2	05/28/2009	2010.02	05/28/2009 03:49:28 PM Central Daylight Time		05/31/2009 11:25:43 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	073	0	2010	Wisconsin		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	081	0		29	10	S5921_081_0	2	05/28/2009	2010.02	05/28/2009 08:26:04 PM Central Daylight Time		06/17/2009 12:58:29 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	081	0	2010	Illinois		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	083	0		29	10	S5921_083_0	2	05/28/2009	2010.02	05/28/2009 03:49:29 PM Central Daylight Time		05/31/2009 11:25:46 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	083	0	2010	Illinois		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	091	0		29	10	S5921_091_0	2	05/28/2009	2010.02	05/28/2009 08:10:14 PM Central Daylight Time		06/17/2009 12:58:34 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	091	0	2010	Pennsylvania and West Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	093	0		29	10	S5921_093_0	2	05/28/2009	2010.02	05/28/2009 03:49:31 PM Central Daylight Time		05/31/2009 11:25:50 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	093	0	2010	Pennsylvania and West Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	101	0		29	10	S5921_101_0	2	05/28/2009	2010.02	05/28/2009 08:12:38 PM Central Daylight Time		06/17/2009 12:58:39 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	101	0	2010	Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	103	0		29	10	S5921_103_0	2	05/28/2009	2010.02	05/28/2009 03:49:37 PM Central Daylight Time		05/31/2009 11:25:54 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	103	0	2010	Virginia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	111	0		29	10	S5921_111_0	2	05/28/2009	2010.02	05/28/2009 08:15:11 PM Central Daylight Time		06/17/2009 12:58:43 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	111	0	2010	North Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	113	0		29	10	S5921_113_0	2	05/28/2009	2010.02	05/28/2009 03:49:39 PM Central Daylight Time		05/31/2009 11:25:58 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	113	0	2010	North Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	121	0		29	10	S5921_121_0	2	05/28/2009	2010.02	05/28/2009 08:16:20 PM Central Daylight Time		06/17/2009 12:58:48 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	121	0	2010	South Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	123	0		29	10	S5921_123_0	2	05/28/2009	2010.02	05/28/2009 03:49:41 PM Central Daylight Time		05/31/2009 11:26:02 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	123	0	2010	South Carolina		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	131	0		29	10	S5921_131_0	2	05/28/2009	2010.02	05/28/2009 08:17:01 PM Central Daylight Time		06/17/2009 12:58:53 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	131	0	2010	Georgia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	133	0		29	10	S5921_133_0	2	05/28/2009	2010.02	05/28/2009 03:49:42 PM Central Daylight Time		05/31/2009 11:26:05 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	133	0	2010	Georgia		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	141	0		29	10	S5921_141_0	2	05/28/2009	2010.02	05/28/2009 08:10:15 PM Central Daylight Time		06/17/2009 12:58:58 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	141	0	2010	Florida		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	143	0		29	10	S5921_143_0	2	05/28/2009	2010.02	05/28/2009 03:49:49 PM Central Daylight Time		05/31/2009 11:26:09 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	143	0	2010	Florida		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	151	0		29	10	S5921_151_0	2	05/28/2009	2010.02	05/28/2009 08:18:03 PM Central Daylight Time		06/17/2009 12:59:03 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	151	0	2010	Alabama and Tennessee		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	153	0		29	10	S5921_153_0	2	05/28/2009	2010.02	05/28/2009 03:49:51 PM Central Daylight Time		05/31/2009 11:26:13 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	153	0	2010	Alabama and Tennessee		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	161	0		29	10	S5921_161_0	3	07/22/2009	2010.02	07/22/2009 05:53:28 PM Central Daylight Time		07/08/2009 01:14:59 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	161	0	2010	Michigan		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	163	0		29	10	S5921_163_0	2	05/28/2009	2010.02	05/28/2009 03:49:53 PM Central Daylight Time		05/31/2009 11:26:16 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	163	0	2010	Michigan		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	171	0		29	10	S5921_171_0	2	05/28/2009	2010.02	05/28/2009 06:14:21 PM Central Daylight Time		06/17/2009 12:59:13 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	171	0	2010	New Hampshire and Maine		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	173	0		29	10	S5921_173_0	2	05/28/2009	2010.02	05/28/2009 03:02:38 PM Central Daylight Time		05/31/2009 11:26:20 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	173	0	2010	New Hampshire and Maine		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	181	0		29	10	S5921_181_0	2	05/28/2009	2010.02	05/28/2009 07:57:29 PM Central Daylight Time		06/17/2009 12:59:17 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	181	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	183	0		29	10	S5921_183_0	2	05/28/2009	2010.02	05/28/2009 03:43:31 PM Central Daylight Time		05/31/2009 11:26:24 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	183	0	2010	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	191	0		29	10	S5921_191_0	2	05/28/2009	2010.02	05/28/2009 06:49:24 PM Central Daylight Time		06/17/2009 12:59:22 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	191	0	2010	Texas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	193	0		29	10	S5921_193_0	2	05/28/2009	2010.02	05/28/2009 03:49:54 PM Central Daylight Time		05/31/2009 11:26:27 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	193	0	2010	Texas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	201	0		29	10	S5921_201_0	2	05/28/2009	2010.02	05/28/2009 08:31:54 PM Central Daylight Time		06/17/2009 12:59:27 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	201	0	2010	Oklahoma		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	203	0		29	10	S5921_203_0	2	05/28/2009	2010.02	05/28/2009 08:07:27 PM Central Daylight Time		06/17/2009 12:59:32 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	203	0	2010	New York		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	213	0		29	10	S5921_213_0	2	05/28/2009	2010.02	05/28/2009 03:50:01 PM Central Daylight Time		05/31/2009 11:26:31 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	213	0	2010	New York		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	221	0		29	10	S5921_221_0	2	05/28/2009	2010.02	05/28/2009 08:36:21 PM Central Daylight Time		06/17/2009 12:59:37 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	221	0	2010	Colorado		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	223	0		29	10	S5921_223_0	2	05/28/2009	2010.02	05/28/2009 03:50:03 PM Central Daylight Time		05/31/2009 11:26:34 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	223	0	2010	Colorado		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	231	0		29	10	S5921_231_0	2	05/28/2009	2010.02	05/28/2009 08:39:31 PM Central Daylight Time		06/17/2009 12:59:42 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	231	0	2010	Arizona		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	233	0		29	10	S5921_233_0	2	05/28/2009	2010.02	05/28/2009 03:50:04 PM Central Daylight Time		05/31/2009 11:26:38 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	233	0	2010	Arizona		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	235	0		29	10	S5921_235_0	2	05/28/2009	2010.02	05/28/2009 03:50:06 PM Central Daylight Time		05/31/2009 11:26:42 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	235	0	2010	Oklahoma		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	237	0		29	10	S5921_237_0	2	05/28/2009	2010.02	05/28/2009 08:11:25 PM Central Daylight Time		06/17/2009 12:59:47 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	237	0	2010	Delaware, Maryland and Washington D.C.		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	239	0		29	10	S5921_239_0	2	05/28/2009	2010.02	05/28/2009 03:50:12 PM Central Daylight Time		05/31/2009 11:26:46 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	239	0	2010	Delaware, Maryland and Washington D.C.		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	247	0		29	10	S5921_247_0	3	07/22/2009	2010.02	07/22/2009 05:54:06 PM Central Daylight Time		07/08/2009 01:15:04 PM Central Daylight Time		07/22/2009 06:17:26 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	247	0	2010	IA, MN, MT, ND, ND, SD, WY		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	249	0		29	10	S5921_249_0	2	05/28/2009	2010.02	05/28/2009 03:50:14 PM Central Daylight Time		05/31/2009 11:26:50 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	249	0	2010	IA, MN, MT, ND, ND, SD,WY		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	261	0		29	10	S5921_261_0	2	05/28/2009	2010.02	05/28/2009 08:35:02 PM Central Daylight Time		06/17/2009 12:59:56 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	261	0	2010	New Mexico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	263	0		29	10	S5921_263_0	2	05/28/2009	2010.02	05/28/2009 03:50:16 PM Central Daylight Time		05/31/2009 11:26:54 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	263	0	2010	New Mexico		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	265	0		29	10	S5921_265_0	2	05/28/2009	2010.02	05/28/2009 08:41:00 PM Central Daylight Time		06/17/2009 01:00:01 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	265	0	2010	Nevada		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	273	0		29	10	S5921_273_0	2	05/28/2009	2010.02	05/28/2009 03:50:17 PM Central Daylight Time		05/31/2009 11:26:57 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	273	0	2010	Nevada		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	281	0		29	10	S5921_281_0	2	05/28/2009	2010.02	05/28/2009 08:21:55 PM Central Daylight Time		06/17/2009 01:00:06 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	281	0	2010	Kansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	283	0		29	10	S5921_283_0	2	05/28/2009	2010.02	05/28/2009 03:50:24 PM Central Daylight Time		05/31/2009 11:27:01 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	283	0	2010	Kansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	286	0		29	10	S5921_286_0	2	05/28/2009	2010.02	05/28/2009 08:09:01 PM Central Daylight Time		06/17/2009 01:00:11 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	286	0	2010	New Jersey		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	293	0		29	10	S5921_293_0	2	05/28/2009	2010.02	05/28/2009 03:50:26 PM Central Daylight Time		05/31/2009 11:27:04 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	293	0	2010	New Jersey		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	301	0		29	10	S5921_301_0	2	05/28/2009	2010.02	05/28/2009 08:27:11 PM Central Daylight Time		06/17/2009 01:00:16 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	301	0	2010	Missouri		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	303	0		29	10	S5921_303_0	2	05/28/2009	2010.02	05/28/2009 03:50:27 PM Central Daylight Time		05/31/2009 11:27:08 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	303	0	2010	Missouri		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	311	0		29	10	S5921_311_0	2	05/28/2009	2010.02	05/28/2009 08:28:14 PM Central Daylight Time		06/17/2009 01:00:21 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	311	0	2010	Arkansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	313	0		29	10	S5921_313_0	2	05/28/2009	2010.02	05/28/2009 03:50:29 PM Central Daylight Time		05/31/2009 11:27:12 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	313	0	2010	Arkansas		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	321	0		29	10	S5921_321_0	2	05/28/2009	2010.02	05/28/2009 08:29:24 PM Central Daylight Time		06/17/2009 01:00:26 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	321	0	2010	Mississippi		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	323	0		29	10	S5921_323_0	2	05/28/2009	2010.02	05/28/2009 03:50:30 PM Central Daylight Time		05/31/2009 11:27:15 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	323	0	2010	Mississippi		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	331	0		29	10	S5921_331_0	2	05/28/2009	2010.02	05/28/2009 08:30:47 PM Central Daylight Time		06/17/2009 01:00:30 PM Central Daylight Time		06/19/2009 12:30:45 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Saver (PDP)	10	29					S5921	331	0	2010	Louisiana		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(800)-745-0922		(800)-745-0922										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	333	0		29	10	S5921_333_0	2	05/28/2009	2010.02	05/28/2009 03:50:32 PM Central Daylight Time		05/31/2009 11:27:19 AM Central Daylight Time		05/31/2009 03:54:11 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	333	0	2010	Louisiana		2						2							www.aarpmedicarerx.com									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(877)-730-4192		(877)-730-4192		(877)-730-4192		(877)-730-4192		1		
S5921	802	0		29	10	S5921_802_0	2	05/01/2009	2010.02	05/01/2009 02:24:47 PM Central Daylight Time				06/09/2009 08:59:56 AM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5921	802	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5921	837	0		29	10	S5921_837_0	2	05/01/2009	2010.02	05/01/2009 02:24:33 PM Central Daylight Time				06/09/2009 08:59:56 AM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.aarpmedicarerx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5921	837	0	2010	National		1						2							www.aarpmedicarerx.com									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(877)-730-4203		(877)-730-4203		(877)-730-4203		(877)-730-4203		1		
S5932	001	0		29	10	S5932_001_0	2	05/29/2009	2010.02	05/29/2009 09:50:30 AM Central Daylight Time		07/24/2009 03:09:56 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg12 (PDP)	10	29					S5932	001	0	2010	Alabama, Tennessee		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	002	0		29	10	S5932_002_0	2	05/28/2009	2010.02	05/28/2009 02:39:20 PM Central Daylight Time		07/24/2009 03:09:59 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 1 (PDP)	10	29					S5932	002	0	2010	Northern New England		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	003	0		29	10	S5932_003_0	2	05/28/2009	2010.02	05/28/2009 02:39:29 PM Central Daylight Time		07/24/2009 03:10:02 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 2 (PDP)	10	29					S5932	003	0	2010	Central New England		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	004	0		29	10	S5932_004_0	2	05/28/2009	2010.02	05/28/2009 02:39:38 PM Central Daylight Time		07/24/2009 03:10:05 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 3 (PDP)	10	29					S5932	004	0	2010	New York		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	005	0		29	10	S5932_005_0	2	05/28/2009	2010.02	05/28/2009 02:39:44 PM Central Daylight Time		07/24/2009 03:10:08 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 4 (PDP)	10	29					S5932	005	0	2010	New Jersey		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	006	0		29	10	S5932_006_0	2	05/28/2009	2010.02	05/28/2009 02:39:55 PM Central Daylight Time		07/24/2009 03:10:11 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 6 (PDP)	10	29					S5932	006	0	2010	Pennsylvania, West Virginia		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	007	0		29	10	S5932_007_0	2	05/28/2009	2010.02	05/28/2009 02:40:05 PM Central Daylight Time		07/24/2009 03:10:14 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 7 (PDP)	10	29					S5932	007	0	2010	Virginia		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	008	0		29	10	S5932_008_0	2	05/28/2009	2010.02	05/28/2009 02:40:16 PM Central Daylight Time		07/24/2009 03:10:16 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 8 (PDP)	10	29					S5932	008	0	2010	North Carolina		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	009	0		29	10	S5932_009_0	2	05/28/2009	2010.02	05/28/2009 02:40:24 PM Central Daylight Time		07/24/2009 03:10:19 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 9 (PDP)	10	29					S5932	009	0	2010	South Carolina		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	010	0		29	10	S5932_010_0	2	05/28/2009	2010.02	05/28/2009 02:40:32 PM Central Daylight Time		07/24/2009 03:10:22 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 10 (PDP)	10	29					S5932	010	0	2010	Georgia		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	011	0		29	10	S5932_011_0	2	05/28/2009	2010.02	05/28/2009 02:40:51 PM Central Daylight Time		07/24/2009 03:10:25 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 11 (PDP)	10	29					S5932	011	0	2010	Florida		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	012	0		29	10	S5932_012_0	2	05/28/2009	2010.02	05/28/2009 02:40:59 PM Central Daylight Time		07/24/2009 03:10:28 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 13 (PDP)	10	29					S5932	012	0	2010	Michigan		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	013	0		29	10	S5932_013_0	2	05/28/2009	2010.02	05/28/2009 02:41:07 PM Central Daylight Time		07/24/2009 03:10:31 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 14 (PDP)	10	29					S5932	013	0	2010	Ohio		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	014	0		29	10	S5932_014_0	2	05/28/2009	2010.02	05/28/2009 02:41:16 PM Central Daylight Time		07/24/2009 03:10:33 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 15 (PDP)	10	29					S5932	014	0	2010	Indiana, Kentucky		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	015	0		29	10	S5932_015_0	2	05/28/2009	2010.02	05/28/2009 02:41:28 PM Central Daylight Time		07/24/2009 03:10:36 PM Central Daylight Time		07/27/2009 04:31:08 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 16 (PDP)	10	29					S5932	015	0	2010	Wisconsin		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	016	0		29	10	S5932_016_0	2	05/19/2009	2010.02	05/19/2009 10:10:43 AM Central Daylight Time		07/24/2009 03:10:39 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 17 (PDP)	10	29					S5932	016	0	2010	Illinois		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	017	0		29	10	S5932_017_0	2	05/19/2009	2010.02	05/19/2009 10:16:29 AM Central Daylight Time		07/24/2009 03:10:42 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 18 (PDP)	10	29					S5932	017	0	2010	Missouri		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	018	0		29	10	S5932_018_0	2	05/19/2009	2010.02	05/19/2009 10:14:27 AM Central Daylight Time		07/24/2009 03:10:45 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 19 (PDP)	10	29					S5932	018	0	2010	Arkansas		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	019	0		29	10	S5932_019_0	2	05/19/2009	2010.02	05/19/2009 10:15:23 AM Central Daylight Time		07/24/2009 03:10:48 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 20 (PDP)	10	29					S5932	019	0	2010	Mississippi		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	020	0		29	10	S5932_020_0	2	05/19/2009	2010.02	05/19/2009 10:17:32 AM Central Daylight Time		07/24/2009 03:10:51 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 21 (PDP)	10	29					S5932	020	0	2010	Louisiana		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	021	0		29	10	S5932_021_0	2	05/19/2009	2010.02	05/19/2009 10:18:39 AM Central Daylight Time		07/24/2009 03:10:53 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 22 (PDP)	10	29					S5932	021	0	2010	Texas		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	022	0		29	10	S5932_022_0	2	05/19/2009	2010.02	05/19/2009 10:19:31 AM Central Daylight Time		07/24/2009 03:10:56 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 23 (PDP)	10	29					S5932	022	0	2010	Oklahoma		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	023	0		29	10	S5932_023_0	2	05/19/2009	2010.02	05/19/2009 10:20:20 AM Central Daylight Time		07/24/2009 03:10:59 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 24 (PDP)	10	29					S5932	023	0	2010	Kansas		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	024	0		29	10	S5932_024_0	2	05/19/2009	2010.02	05/19/2009 10:21:08 AM Central Daylight Time		07/24/2009 03:11:01 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 25 (PDP)	10	29					S5932	024	0	2010	Upper Midwest and Northern Plains		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	025	0		29	10	S5932_025_0	2	05/19/2009	2010.02	05/19/2009 10:22:07 AM Central Daylight Time		07/24/2009 03:11:05 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 26 (PDP)	10	29					S5932	025	0	2010	New Mexico		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	026	0		29	10	S5932_026_0	2	05/19/2009	2010.02	05/19/2009 10:23:00 AM Central Daylight Time		07/24/2009 03:11:08 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 27 (PDP)	10	29					S5932	026	0	2010	Colorado		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	027	0		29	10	S5932_027_0	2	05/19/2009	2010.02	05/19/2009 10:30:19 AM Central Daylight Time		07/24/2009 03:11:10 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 28 (PDP)	10	29					S5932	027	0	2010	Arizona		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	028	0		29	10	S5932_028_0	2	05/19/2009	2010.02	05/19/2009 10:32:01 AM Central Daylight Time		07/24/2009 03:11:17 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 29 (PDP)	10	29					S5932	028	0	2010	Nevada		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	029	0		29	10	S5932_029_0	2	05/19/2009	2010.02	05/19/2009 10:32:48 AM Central Daylight Time		07/24/2009 03:11:19 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 30 (PDP)	10	29					S5932	029	0	2010	Oregon, Washington		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	030	0		29	10	S5932_030_0	2	05/19/2009	2010.02	05/19/2009 10:33:41 AM Central Daylight Time		07/24/2009 03:11:22 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 31 (PDP)	10	29					S5932	030	0	2010	Idaho, Utah		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	031	0		29	10	S5932_031_0	2	05/19/2009	2010.02	05/19/2009 10:34:31 AM Central Daylight Time		07/24/2009 03:11:25 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 32 (PDP)	10	29					S5932	031	0	2010	California		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	032	0		29	10	S5932_032_0	2	05/19/2009	2010.02	05/19/2009 10:35:21 AM Central Daylight Time		07/24/2009 03:11:28 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 33 (PDP)	10	29					S5932	032	0	2010	Hawaii		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	033	0		29	10	S5932_033_0	2	05/19/2009	2010.02	05/19/2009 10:36:13 AM Central Daylight Time		07/24/2009 03:11:31 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 34 (PDP)	10	29					S5932	033	0	2010	Alaska		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	034	0		29	10	S5932_034_0	2	05/19/2009	2010.02	05/19/2009 10:36:57 AM Central Daylight Time		07/24/2009 03:09:54 PM Central Daylight Time		07/27/2009 05:04:21 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 5 (PDP)	10	29					S5932	034	0	2010	Mid-Atlantic		2						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	802	0		29	10	S5932_802_0	2	06/03/2009	2010.02	06/03/2009 04:54:01 PM Central Daylight Time				06/03/2009 04:58:26 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Retiree Prescription Plan (PDP)	10	29					S5932	802	0	2010	National		1						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5932	803	0		29	10	S5932_803_0	2	06/03/2009	2010.02	06/03/2009 04:54:12 PM Central Daylight Time				06/03/2009 04:58:26 PM Central Daylight Time	HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Retiree Drug Plan (PDP)	10	29					S5932	803	0	2010	National		1						2							www.healthspring.com									(800)-331-6293		(800)-331-6293		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1		
S5937	001	0		29	10	S5937_001_0	5	08/14/2009	2010.02	08/14/2009 02:10:26 PM Central Daylight Time		08/17/2009 09:38:34 AM Central Daylight Time		08/17/2009 11:26:30 AM Central Daylight Time	LOUISIANA HEALTH SERVICE AND INDEMNITY COMPANY	Blue Cross and Blue Shield of Louisiana	www.bcbsla.com	RxBLUE (PDP)	10	29					S5937	001	0	2010	Louisiana		2						2							http://www.bcbsla.com/RxBLUEFormulary									(888)-223-2583		(225)-298-7788		(800)-593-9735		(800)-593-9735										(800)-947-5277				(800)-947-5277				1		
S5953	001	0		29	10	S5953_001_0	2	05/26/2009	2010.02	05/26/2009 10:24:25 AM Eastern Daylight Time		05/27/2009 01:52:50 AM Eastern Daylight Time		05/28/2009 09:53:30 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/rx10	MedBlue Rx (PDP)	10	29					S5953	001	0	2010	South Carolina		2						2							www.SouthCarolinaBlues.com/Rx09									(888)-645-6025		(888)-645-6025		(800)-930-2836		(803)-264-9482										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1		
S5953	002	0		29	10	S5953_002_0	2	05/26/2009	2010.02	05/26/2009 10:57:08 AM Eastern Daylight Time		05/27/2009 01:53:06 AM Eastern Daylight Time		05/28/2009 09:53:30 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/rxplus10	MedBlue Rx Plus (PDP)	10	29					S5953	002	0	2010	South Carolina		2						2							www.SouthCarolinaBlues.com/Rx09									(888)-645-6025		(888)-645-6025		(800)-930-2836		(803)-264-9482										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1		
S5953	801	0		29	10	S5953_801_0	1	05/21/2009	2010.02	05/21/2009 02:53:36 PM Eastern Daylight Time				05/28/2009 09:53:30 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/marx09	Group Blue Rx Plus (PDP)	10	29					S5953	801	0	2010	South Carolina		1						2							www.SouthCarolinaBlues.com/Rx09									(800)-605-3256		(800)-605-3256		(800)-930-2836		(803)-264-9482										(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		1		
S5953	802	0		29	10	S5953_802_0	1	05/21/2009	2010.02	05/21/2009 02:54:05 PM Eastern Daylight Time				05/28/2009 09:53:30 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/marx09	Group Blue Rx Plus (PDP)	10	29					S5953	802	0	2010	South Carolina		1						2							www.SouthCarolinaBlues.com/Rx09									(800)-605-3256		(800)-605-3256		(800)-930-2836		(803)-264-9482										(888)-300-7215		(888)-300-7215		(800)-681-3846		(800)-681-3846		1		
S5954	004	0		29	10	S5954_004_0	1	05/29/2009	2010.02	05/29/2009 05:03:53 PM Central Daylight Time		05/29/2009 01:43:00 PM Central Daylight Time		05/29/2009 05:46:35 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Classic (PDP)	10	29					S5954	004	0	2010	DeanCare Rx		2						2							http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456				(877)-733-6456				1		
S5954	005	0		29	10	S5954_005_0	1	05/28/2009	2010.02	05/29/2009 05:03:53 PM Central Daylight Time		05/29/2009 01:44:00 PM Central Daylight Time		05/29/2009 05:46:35 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Enhanced (PDP)	10	29					S5954	005	0	2010	DeanCare Rx		2						2							http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456				(877)-733-6456				1		
S5954	007	0		29	10	S5954_007_0	1	05/29/2009	2010.02	05/29/2009 05:03:54 PM Central Daylight Time		05/29/2009 01:46:00 PM Central Daylight Time		05/29/2009 05:46:35 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Value (PDP)	10	29					S5954	007	0	2010	DeanCare Rx		2						2							http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456				(877)-733-6456				1		
S5954	801	0		29	10	S5954_801_0	1	05/26/2009	2010.02	05/26/2009 10:20:51 AM Central Daylight Time				05/29/2009 05:46:35 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Employer (PDP)	10	29					S5954	801	0	2010	DeanCare Rx		1						2							http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456				(877)-733-6456				1		
S5954	803	0		29	10	S5954_803_0	1	05/26/2009	2010.02	05/26/2009 10:21:07 AM Central Daylight Time				05/29/2009 05:46:35 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Employer II (PDP)	10	29					S5954	803	0	2010	DeanCare Rx		1						2							http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456				(877)-733-6456				1		
S5960	108	0		29	10	S5960_108_0	5	05/31/2009	2010.02	05/31/2009 04:08:51 PM Pacific Daylight Time		07/23/2009 05:30:52 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	108	0	2010	Central New England (CT, MA, RI, VT)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	109	0		29	10	S5960_109_0	3	05/31/2009	2010.02	05/31/2009 04:09:02 PM Pacific Daylight Time		07/23/2009 05:30:52 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	109	0	2010	New York (NY)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	110	0		29	10	S5960_110_0	3	05/31/2009	2010.02	05/31/2009 04:09:15 PM Pacific Daylight Time		07/23/2009 05:30:52 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	110	0	2010	New Jersey (NJ)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	111	0		29	10	S5960_111_0	3	05/31/2009	2010.02	05/31/2009 01:23:28 AM Pacific Daylight Time		07/23/2009 05:30:53 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	111	0	2010	Mid-Atlantic (DE, DC, MD)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	112	0		29	10	S5960_112_0	3	05/31/2009	2010.02	05/31/2009 01:16:36 AM Pacific Daylight Time		07/23/2009 05:30:53 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	112	0	2010	Pennsylvania, West Virginia (PA, WV)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	114	0		29	10	S5960_114_0	3	05/31/2009	2010.02	05/31/2009 01:19:20 AM Pacific Daylight Time		07/23/2009 05:30:53 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	114	0	2010	North Carolina (NC)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	115	0		29	10	S5960_115_0	3	05/31/2009	2010.02	05/31/2009 01:12:06 AM Pacific Daylight Time		07/23/2009 05:30:53 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	115	0	2010	South Carolina (SC)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	117	0		29	10	S5960_117_0	3	05/31/2009	2010.02	05/31/2009 01:19:41 AM Pacific Daylight Time		07/23/2009 05:30:54 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	117	0	2010	Florida (FL)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	118	0		29	10	S5960_118_0	3	05/31/2009	2010.02	05/31/2009 01:13:31 AM Pacific Daylight Time		07/23/2009 05:30:54 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	118	0	2010	Alabama, Tennessee (AL, TN)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	119	0		29	10	S5960_119_0	3	05/31/2009	2010.02	05/31/2009 01:19:56 AM Pacific Daylight Time		07/23/2009 05:30:54 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	119	0	2010	Michigan (MI)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	123	0		29	10	S5960_123_0	3	05/31/2009	2010.02	05/31/2009 01:23:44 AM Pacific Daylight Time		07/23/2009 05:33:59 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	123	0	2010	Illinois (IL)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	125	0		29	10	S5960_125_0	3	05/31/2009	2010.02	05/31/2009 01:09:46 AM Pacific Daylight Time		07/23/2009 05:33:59 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	125	0	2010	Arkansas (AR)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	126	0		29	10	S5960_126_0	3	05/31/2009	2010.02	05/31/2009 01:13:48 AM Pacific Daylight Time		07/23/2009 05:33:59 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	126	0	2010	Mississippi (MS)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	127	0		29	10	S5960_127_0	3	05/31/2009	2010.02	05/31/2009 01:14:05 AM Pacific Daylight Time		07/23/2009 05:34:00 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	127	0	2010	Louisiana (LA)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	128	0		29	10	S5960_128_0	3	05/31/2009	2010.02	05/31/2009 01:23:59 AM Pacific Daylight Time		07/23/2009 05:34:00 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	128	0	2010	Texas (TX)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	129	0		29	10	S5960_129_0	3	05/31/2009	2010.02	05/31/2009 01:14:25 AM Pacific Daylight Time		07/23/2009 05:34:00 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	129	0	2010	Oklahoma (OK)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	130	0		29	10	S5960_130_0	3	05/31/2009	2010.02	05/31/2009 01:14:37 AM Pacific Daylight Time		07/23/2009 05:34:00 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	130	0	2010	Kansas (KS)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	131	0		29	10	S5960_131_0	3	05/31/2009	2010.02	05/31/2009 01:20:30 AM Pacific Daylight Time		07/23/2009 05:34:01 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	131	0	2010	Upper Midwest and Northern Plains		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	132	0		29	10	S5960_132_0	3	05/31/2009	2010.02	05/31/2009 01:14:55 AM Pacific Daylight Time		07/23/2009 05:34:01 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	132	0	2010	New Mexico (NM)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	134	0		29	10	S5960_134_0	3	05/31/2009	2010.02	05/31/2009 01:24:20 AM Pacific Daylight Time		07/23/2009 05:34:01 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	134	0	2010	Arizona (AZ)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	136	0		29	10	S5960_136_0	3	05/31/2009	2010.02	05/31/2009 01:24:32 AM Pacific Daylight Time		07/23/2009 05:34:01 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	136	0	2010	Oregon, Washington (OR, WA)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	137	0		29	10	S5960_137_0	3	05/31/2009	2010.02	05/31/2009 01:20:46 AM Pacific Daylight Time		07/23/2009 05:34:02 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	137	0	2010	Idaho, Utah (ID, UT)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	139	0		29	10	S5960_139_0	3	05/31/2009	2010.02	05/31/2009 01:21:00 AM Pacific Daylight Time		07/23/2009 05:34:02 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	139	0	2010	Hawaii (HI)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	140	0		29	10	S5960_140_0	3	05/31/2009	2010.02	05/31/2009 01:15:11 AM Pacific Daylight Time		07/23/2009 05:34:02 PM Pacific Daylight Time		07/24/2009 11:21:01 AM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	140	0	2010	Alaska (AK)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	141	0		29	10	S5960_141_0	3	05/29/2009	2010.02	05/29/2009 07:19:09 PM Pacific Daylight Time		07/23/2009 05:46:40 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	141	0	2010	New York (NY)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	142	0		29	10	S5960_142_0	3	05/22/2009	2010.02	05/29/2009 07:18:39 PM Pacific Daylight Time		07/23/2009 05:46:41 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	142	0	2010	New Jersey (NJ)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	143	0		29	10	S5960_143_0	3	05/22/2009	2010.02	05/29/2009 07:18:39 PM Pacific Daylight Time		07/23/2009 05:46:41 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	143	0	2010	Mid-Atlantic (DC, DE, MD)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	144	0		29	10	S5960_144_0	3	05/22/2009	2010.02	05/29/2009 07:18:39 PM Pacific Daylight Time		07/23/2009 05:46:41 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	144	0	2010	Pennsylvania, West Virginia (PA, WV)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	145	0		29	10	S5960_145_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:42 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	145	0	2010	North Carolina (NC)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	146	0		29	10	S5960_146_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:42 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	146	0	2010	South Carolina (SC)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	147	0		29	10	S5960_147_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:42 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	147	0	2010	Florida (FL)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	148	0		29	10	S5960_148_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:42 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	148	0	2010	Alabama, Tennessee (AL, TN)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	149	0		29	10	S5960_149_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:43 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	149	0	2010	Michigan (MI)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	150	0		29	10	S5960_150_0	3	05/22/2009	2010.02	05/29/2009 07:18:40 PM Pacific Daylight Time		07/23/2009 05:46:43 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	150	0	2010	Illinois (IL)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	151	0		29	10	S5960_151_0	3	05/22/2009	2010.02	05/29/2009 07:18:41 PM Pacific Daylight Time		07/23/2009 05:46:43 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	151	0	2010	Arkansas (AR)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	152	0		29	10	S5960_152_0	3	05/22/2009	2010.02	05/29/2009 07:18:41 PM Pacific Daylight Time		07/23/2009 05:46:43 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	152	0	2010	Mississippi (MS)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	153	0		29	10	S5960_153_0	3	05/22/2009	2010.02	05/29/2009 07:18:41 PM Pacific Daylight Time		07/23/2009 05:46:44 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	153	0	2010	Louisiana (LA)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	154	0		29	10	S5960_154_0	3	05/22/2009	2010.02	05/29/2009 07:18:41 PM Pacific Daylight Time		07/23/2009 05:46:44 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	154	0	2010	Texas (TX)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	155	0		29	10	S5960_155_0	3	05/22/2009	2010.02	05/29/2009 07:18:41 PM Pacific Daylight Time		07/23/2009 05:46:44 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	155	0	2010	Oklahoma (OK)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	156	0		29	10	S5960_156_0	3	05/22/2009	2010.02	05/29/2009 07:18:42 PM Pacific Daylight Time		07/23/2009 05:46:45 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	156	0	2010	Upper Midwest and Northern Plains		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	157	0		29	10	S5960_157_0	3	05/22/2009	2010.02	05/29/2009 07:18:42 PM Pacific Daylight Time		07/23/2009 05:46:45 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	157	0	2010	New Mexico (NM)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	158	0		29	10	S5960_158_0	3	05/22/2009	2010.02	05/29/2009 07:18:42 PM Pacific Daylight Time		07/23/2009 05:46:45 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	158	0	2010	Arizona (AZ)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	159	0		29	10	S5960_159_0	3	05/22/2009	2010.02	05/29/2009 07:18:42 PM Pacific Daylight Time		07/23/2009 05:46:45 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	159	0	2010	Oregon, Washington (OR, WA)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	160	0		29	10	S5960_160_0	3	05/22/2009	2010.02	05/29/2009 07:18:42 PM Pacific Daylight Time		07/23/2009 05:46:46 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	160	0	2010	Idaho, Utah (ID, UT)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	161	0		29	10	S5960_161_0	3	05/22/2009	2010.02	05/29/2009 07:18:43 PM Pacific Daylight Time		07/23/2009 05:46:46 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	161	0	2010	Hawaii (HI)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	162	0		29	10	S5960_162_0	3	05/22/2009	2010.02	05/29/2009 07:18:43 PM Pacific Daylight Time		07/23/2009 05:46:47 PM Pacific Daylight Time		07/24/2009 01:46:28 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	162	0	2010	Alaska (AK)		2						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	801	0		29	10	S5960_801_0	1	05/28/2009	2010.02	05/28/2009 02:11:52 PM Pacific Daylight Time				05/28/2009 02:39:06 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Group Plan I (PDP)	10	29					S5960	801	0	2010	All States (Nationwide)		1						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5960	803	0		29	10	S5960_803_0	1	05/28/2009	2010.02	05/28/2009 02:11:56 PM Pacific Daylight Time				05/28/2009 02:39:06 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.medicarerxrewards.com	MedicareRx Rewards Group Plan II (PDP)	10	29					S5960	803	0	2010	All States (Nationwide)		1						2							www.medicarerxrewards.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657				(800)-241-6894		(800)-241-6894		1		
S5966	001	0		29	10	S5966_001_0	3	08/18/2009	2010.02	08/18/2009 05:29:02 PM Eastern Daylight Time		08/18/2009 04:13:49 PM Eastern Daylight Time		08/19/2009 09:03:48 AM Eastern Daylight Time	GHI (GROUP HEALTH INCORPORATED)	GHI Medicare PDP	www.ghi.com	GHI Medicare Prescription Drug Plan (PDP)	10	29					S5966	001	0	2010	New York State		2						2							http://www.ghi.com/Default.aspx?Page=459									(877)-444-7241		(877)-444-7241		(800)-325-9792		(800)-325-9792										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1		
S5966	803	0		29	10	S5966_803_0	1	05/14/2009	2010.02	05/14/2009 04:20:22 PM Eastern Daylight Time				05/27/2009 01:12:04 PM Eastern Daylight Time	GHI (GROUP HEALTH INCORPORATED)	GHI Medicare PDP	www.ghi.com	GHI National Drug Plan (PDP)	10	29					S5966	803	0	2010	United States		1						2							http://www.ghi.com/Default.aspx?Page=459									(800)-585-5786		(800)-585-5786		(800)-325-9792		(800)-325-9792										(800)-899-2114		(800)-899-2114		(800)-842-9710		(800)-842-9710		1		
S5967	035	0		29	10	S5967_035_0	2	05/29/2009	2010.02	05/29/2009 07:07:20 PM Eastern Daylight Time		07/23/2009 12:06:57 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	035	0	2010	Northern New England		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	036	0		29	10	S5967_036_0	2	05/26/2009	2010.02	05/26/2009 04:06:44 PM Eastern Daylight Time		07/23/2009 12:07:17 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	036	0	2010	Central New England		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	037	0		29	10	S5967_037_0	2	05/15/2009	2010.02	05/15/2009 02:07:08 PM Eastern Daylight Time		07/23/2009 12:07:33 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	037	0	2010	New York		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	038	0		29	10	S5967_038_0	2	05/15/2009	2010.02	05/15/2009 02:07:14 PM Eastern Daylight Time		07/23/2009 12:07:47 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	038	0	2010	New Jersey		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(877)-431-8779		(877)-431-8779										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	039	0		29	10	S5967_039_0	2	05/26/2009	2010.02	05/26/2009 04:07:38 PM Eastern Daylight Time		07/23/2009 12:08:03 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	039	0	2010	Mid-Atlantic		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	040	0		29	10	S5967_040_0	2	05/15/2009	2010.02	05/15/2009 02:07:25 PM Eastern Daylight Time		07/23/2009 12:08:18 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	040	0	2010	Pennsylvania, West Virginia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	041	0		29	10	S5967_041_0	2	05/15/2009	2010.02	05/15/2009 02:07:30 PM Eastern Daylight Time		07/23/2009 12:08:38 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	041	0	2010	Virginia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	042	0		29	10	S5967_042_0	2	05/15/2009	2010.02	05/15/2009 02:07:37 PM Eastern Daylight Time		07/23/2009 12:08:54 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	042	0	2010	North Carolina		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	043	0		29	10	S5967_043_0	2	05/15/2009	2010.02	05/15/2009 02:07:42 PM Eastern Daylight Time		07/23/2009 12:09:09 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	043	0	2010	South Carolina		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	044	0		29	10	S5967_044_0	2	05/15/2009	2010.02	05/15/2009 02:07:47 PM Eastern Daylight Time		07/23/2009 12:09:26 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	044	0	2010	Georgia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	045	0		29	10	S5967_045_0	2	05/15/2009	2010.02	05/15/2009 02:07:53 PM Eastern Daylight Time		07/23/2009 12:09:42 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	045	0	2010	Florida		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	046	0		29	10	S5967_046_0	2	05/15/2009	2010.02	05/15/2009 02:07:58 PM Eastern Daylight Time		07/23/2009 12:09:58 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	046	0	2010	Alabama, Tennessee		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	047	0		29	10	S5967_047_0	2	05/26/2009	2010.02	05/26/2009 04:07:39 PM Eastern Daylight Time		07/23/2009 12:10:14 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	047	0	2010	Michigan		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	048	0		29	10	S5967_048_0	2	05/15/2009	2010.02	05/15/2009 02:08:08 PM Eastern Daylight Time		07/23/2009 12:10:30 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	048	0	2010	Ohio		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	049	0		29	10	S5967_049_0	2	05/15/2009	2010.02	05/15/2009 02:08:12 PM Eastern Daylight Time		07/23/2009 12:10:48 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	049	0	2010	Indiana, Kentucky		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	051	0		29	10	S5967_051_0	2	05/15/2009	2010.02	05/15/2009 02:08:21 PM Eastern Daylight Time		07/23/2009 12:11:04 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	051	0	2010	Illinois		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	052	0		29	10	S5967_052_0	2	05/15/2009	2010.02	05/15/2009 02:08:26 PM Eastern Daylight Time		07/23/2009 12:11:19 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	052	0	2010	Missouri		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	053	0		29	10	S5967_053_0	2	05/15/2009	2010.02	05/15/2009 02:08:32 PM Eastern Daylight Time		07/23/2009 12:11:36 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	053	0	2010	Arkansas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	054	0		29	10	S5967_054_0	2	05/15/2009	2010.02	05/15/2009 02:08:37 PM Eastern Daylight Time		07/23/2009 12:11:51 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	054	0	2010	Mississippi		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	055	0		29	10	S5967_055_0	2	05/15/2009	2010.02	05/15/2009 02:08:48 PM Eastern Daylight Time		07/23/2009 12:12:08 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	055	0	2010	Louisiana		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	056	0		29	10	S5967_056_0	2	05/15/2009	2010.02	05/15/2009 02:08:54 PM Eastern Daylight Time		07/23/2009 12:12:23 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	056	0	2010	Texas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	057	0		29	10	S5967_057_0	2	05/15/2009	2010.02	05/15/2009 02:08:59 PM Eastern Daylight Time		07/23/2009 12:12:40 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	057	0	2010	Oklahoma		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	058	0		29	10	S5967_058_0	2	05/15/2009	2010.02	05/15/2009 02:09:04 PM Eastern Daylight Time		07/23/2009 12:12:55 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	058	0	2010	Kansas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	059	0		29	10	S5967_059_0	2	05/15/2009	2010.02	05/15/2009 02:09:10 PM Eastern Daylight Time		07/23/2009 12:13:22 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	059	0	2010	Upper Midwest and Northern Plains		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	060	0		29	10	S5967_060_0	2	05/15/2009	2010.02	05/15/2009 02:09:16 PM Eastern Daylight Time		07/23/2009 12:13:37 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	060	0	2010	New Mexico		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	061	0		29	10	S5967_061_0	2	05/15/2009	2010.02	05/15/2009 02:09:24 PM Eastern Daylight Time		07/23/2009 12:13:56 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	061	0	2010	Colorado		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	062	0		29	10	S5967_062_0	2	05/15/2009	2010.02	05/15/2009 02:09:30 PM Eastern Daylight Time		07/23/2009 12:14:12 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	062	0	2010	Arizona		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	063	0		29	10	S5967_063_0	2	05/15/2009	2010.02	05/15/2009 02:09:38 PM Eastern Daylight Time		07/23/2009 12:14:28 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	063	0	2010	Nevada		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	064	0		29	10	S5967_064_0	2	05/15/2009	2010.02	05/15/2009 02:09:44 PM Eastern Daylight Time		07/23/2009 12:14:42 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	064	0	2010	Oregon, Washington		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	065	0		29	10	S5967_065_0	2	05/15/2009	2010.02	05/15/2009 02:09:49 PM Eastern Daylight Time		07/23/2009 12:14:59 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	065	0	2010	Idaho, Utah		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	066	0		29	10	S5967_066_0	2	05/15/2009	2010.02	05/15/2009 02:09:53 PM Eastern Daylight Time		07/23/2009 12:15:14 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	066	0	2010	California		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	067	0		29	10	S5967_067_0	2	05/15/2009	2010.02	05/28/2009 11:59:07 AM Eastern Daylight Time		07/23/2009 12:15:38 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	067	0	2010	Hawaii		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	068	0		29	10	S5967_068_0	2	05/15/2009	2010.02	05/15/2009 02:10:04 PM Eastern Daylight Time		07/23/2009 12:15:53 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	068	0	2010	Alaska		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	138	0		29	10	S5967_138_0	2	05/26/2009	2010.02	05/26/2009 04:40:08 PM Eastern Daylight Time		07/23/2009 12:16:09 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	138	0	2010	Northern New England		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	139	0		29	10	S5967_139_0	2	05/27/2009	2010.02	05/27/2009 10:27:21 AM Eastern Daylight Time		07/23/2009 12:16:24 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	139	0	2010	Central New England		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	140	0		29	10	S5967_140_0	2	05/27/2009	2010.02	05/27/2009 10:28:34 AM Eastern Daylight Time		07/23/2009 12:16:43 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	140	0	2010	New York		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	141	0		29	10	S5967_141_0	2	05/29/2009	2010.02	05/29/2009 09:50:00 AM Eastern Daylight Time		07/23/2009 12:16:59 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	141	0	2010	New Jersey		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	142	0		29	10	S5967_142_0	2	05/27/2009	2010.02	05/27/2009 10:30:19 AM Eastern Daylight Time		07/23/2009 12:17:15 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	142	0	2010	Mid-Atlantic		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	143	0		29	10	S5967_143_0	2	05/27/2009	2010.02	05/27/2009 10:31:08 AM Eastern Daylight Time		07/23/2009 12:17:32 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	143	0	2010	Pennsylvania, West Virginia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	144	0		29	10	S5967_144_0	2	05/27/2009	2010.02	05/27/2009 10:32:09 AM Eastern Daylight Time		07/23/2009 12:17:47 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	144	0	2010	Virginia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	145	0		29	10	S5967_145_0	2	05/27/2009	2010.02	05/27/2009 10:33:01 AM Eastern Daylight Time		07/23/2009 12:18:13 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	145	0	2010	North Carolina		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	146	0		29	10	S5967_146_0	2	05/27/2009	2010.02	05/27/2009 10:36:40 AM Eastern Daylight Time		07/23/2009 12:18:32 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	146	0	2010	South Carolina		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	147	0		29	10	S5967_147_0	2	05/27/2009	2010.02	05/27/2009 10:38:09 AM Eastern Daylight Time		07/23/2009 12:18:57 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	147	0	2010	Georgia		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	148	0		29	10	S5967_148_0	2	05/29/2009	2010.02	05/29/2009 09:20:45 AM Eastern Daylight Time		07/23/2009 12:19:13 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	148	0	2010	Florida		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	149	0		29	10	S5967_149_0	2	05/27/2009	2010.02	05/27/2009 10:40:20 AM Eastern Daylight Time		07/23/2009 12:19:29 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	149	0	2010	Alabama, Tennessee		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	150	0		29	10	S5967_150_0	2	05/27/2009	2010.02	05/27/2009 10:41:20 AM Eastern Daylight Time		07/23/2009 12:19:45 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	150	0	2010	Michigan		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	151	0		29	10	S5967_151_0	2	05/27/2009	2010.02	05/27/2009 10:42:11 AM Eastern Daylight Time		07/23/2009 12:20:01 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	151	0	2010	Ohio		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	152	0		29	10	S5967_152_0	2	05/27/2009	2010.02	05/27/2009 10:43:40 AM Eastern Daylight Time		07/23/2009 12:20:16 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	152	0	2010	Indiana, Kentucky		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	154	0		29	10	S5967_154_0	2	05/27/2009	2010.02	05/27/2009 10:44:56 AM Eastern Daylight Time		07/23/2009 12:20:31 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	154	0	2010	Illinois		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	155	0		29	10	S5967_155_0	2	05/27/2009	2010.02	05/27/2009 10:45:56 AM Eastern Daylight Time		07/23/2009 12:20:47 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	155	0	2010	Missouri		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	156	0		29	10	S5967_156_0	2	05/27/2009	2010.02	05/27/2009 10:47:38 AM Eastern Daylight Time		07/23/2009 12:21:03 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	156	0	2010	Arkansas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	157	0		29	10	S5967_157_0	2	05/27/2009	2010.02	05/27/2009 10:52:30 AM Eastern Daylight Time		07/23/2009 12:21:17 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	157	0	2010	Mississippi		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	158	0		29	10	S5967_158_0	2	05/27/2009	2010.02	05/27/2009 10:53:46 AM Eastern Daylight Time		07/23/2009 12:21:34 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	158	0	2010	Louisiana		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	159	0		29	10	S5967_159_0	2	05/27/2009	2010.02	05/27/2009 10:54:33 AM Eastern Daylight Time		07/23/2009 12:21:48 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	159	0	2010	Texas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	160	0		29	10	S5967_160_0	2	05/27/2009	2010.02	05/27/2009 10:56:39 AM Eastern Daylight Time		07/23/2009 12:22:07 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	160	0	2010	Oklahoma		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	161	0		29	10	S5967_161_0	2	05/27/2009	2010.02	05/27/2009 11:19:25 AM Eastern Daylight Time		07/23/2009 12:22:23 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	161	0	2010	Kansas		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	162	0		29	10	S5967_162_0	2	05/27/2009	2010.02	05/27/2009 11:20:45 AM Eastern Daylight Time		07/23/2009 12:22:38 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	162	0	2010	Upper Midwest and Northern Plains		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	163	0		29	10	S5967_163_0	2	05/27/2009	2010.02	05/27/2009 11:22:02 AM Eastern Daylight Time		07/23/2009 12:22:54 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	163	0	2010	New Mexico		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	164	0		29	10	S5967_164_0	2	05/27/2009	2010.02	05/27/2009 11:23:14 AM Eastern Daylight Time		07/23/2009 12:23:08 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	164	0	2010	Colorado		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	165	0		29	10	S5967_165_0	2	05/27/2009	2010.02	05/27/2009 11:24:36 AM Eastern Daylight Time		07/23/2009 12:23:24 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	165	0	2010	Arizona		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	166	0		29	10	S5967_166_0	2	05/28/2009	2010.02	05/28/2009 05:35:04 PM Eastern Daylight Time		07/23/2009 12:23:39 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	166	0	2010	Nevada		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	167	0		29	10	S5967_167_0	2	05/27/2009	2010.02	05/27/2009 11:26:28 AM Eastern Daylight Time		07/23/2009 12:23:58 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	167	0	2010	Oregon, Washington		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	168	0		29	10	S5967_168_0	2	05/27/2009	2010.02	05/27/2009 11:28:04 AM Eastern Daylight Time		07/23/2009 12:24:13 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	168	0	2010	Idaho, Utah		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	169	0		29	10	S5967_169_0	2	05/28/2009	2010.02	05/28/2009 05:35:47 PM Eastern Daylight Time		07/23/2009 12:24:30 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	169	0	2010	California		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	170	0		29	10	S5967_170_0	2	05/28/2009	2010.02	05/28/2009 05:37:04 PM Eastern Daylight Time		07/23/2009 12:24:48 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	170	0	2010	Hawaii		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5967	171	0		29	10	S5967_171_0	2	05/27/2009	2010.02	05/27/2009 11:31:58 AM Eastern Daylight Time		07/23/2009 12:25:03 PM Eastern Daylight Time		07/24/2009 04:20:03 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	171	0	2010	Alaska		2						2							www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-423-5252		(888)-423-5252										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1		
S5975	801	0		29	10	S5975_801_0	1	05/19/2009	2010.02	05/19/2009 01:16:43 PM Pacific Daylight Time				05/22/2009 02:25:14 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage Rx Employer Option (PDP)	10	29					S5975	801	0	2010	National		1						2							www.odscompanies.com/odsadvantage									(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975										(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1		
S5983	001	0		29	10	S5983_001_0	2	05/30/2009	2010.02	05/30/2009 12:33:04 PM Eastern Daylight Time		06/01/2009 11:32:00 AM Eastern Daylight Time		06/01/2009 05:00:06 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5983	001	0	2010	State of New York		2						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5983	004	0		29	10	S5983_004_0	2	05/29/2009	2010.02	05/29/2009 01:57:23 PM Eastern Daylight Time		06/01/2009 12:05:00 PM Eastern Daylight Time		06/01/2009 05:13:24 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5983	004	0	2010	State of New York		2						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5983	005	0		29	10	S5983_005_0	3	05/29/2009	2010.02	05/29/2009 02:37:23 PM Eastern Daylight Time		06/01/2009 11:57:00 AM Eastern Daylight Time		06/01/2009 04:43:14 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Access (PDP)	10	29					S5983	005	0	2010	State of New York		2						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5983	801	0		29	10	S5983_801_0	1	05/28/2009	2010.02	05/28/2009 03:38:06 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	801	0	2010	National Plan - Employer, Calendar Year		1						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5983	802	0		29	10	S5983_802_0	1	05/28/2009	2010.02	05/28/2009 03:38:11 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	802	0	2010	National Plan - Employer, Non-Calendar Year		1						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5983	803	0		29	10	S5983_803_0	1	05/28/2009	2010.02	05/28/2009 03:38:17 PM Eastern Daylight Time				05/30/2009 01:28:15 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	803	0	2010	National Plan K - Calendar Year		1						2							www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231				(800)-716-3231				1		
S5993	001	0		29	10	S5993_001_0	5	05/28/2009	2010.02	05/28/2009 12:57:02 PM Eastern Daylight Time		07/23/2009 03:03:07 PM Eastern Daylight Time		07/23/2009 03:34:06 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Rx Standard (PDP)	10	29					S5993	001	0	2010	New Jersey		2						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069				(800)-852-7899		(800)-852-7899		1		
S5993	003	0		29	10	S5993_003_0	4	05/28/2009	2010.02	05/28/2009 12:58:54 PM Eastern Daylight Time		07/23/2009 03:03:26 PM Eastern Daylight Time		07/23/2009 03:34:06 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Rx Enhanced (PDP)	10	29					S5993	003	0	2010	New Jersey		2						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069				(800)-852-7899		(800)-852-7899		1		
S5993	801	0		29	10	S5993_801_0	2	05/28/2009	2010.02	05/28/2009 01:39:06 PM Eastern Daylight Time				06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Rx (PDP)	10	29					S5993	801	0	2010	New Jersey		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069				(800)-852-7899		(800)-852-7899		1		
S5993	802	0		29	10	S5993_802_0	2	05/28/2009	2010.02	05/28/2009 01:39:32 PM Eastern Daylight Time				06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Rx Non-CY (PDP)	10	29					S5993	802	0	2010	New Jersey		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069				(800)-852-7899		(800)-852-7899		1		
S5993	803	0		29	10	S5993_803_0	2	05/28/2009	2010.02	05/28/2009 11:34:47 AM Eastern Daylight Time				06/01/2009 03:10:47 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Plan 803 (PDP)	10	29					S5993	803	0	2010	National		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1		
S5998	001	0		29	10	S5998_001_0	2	06/15/2009	2010.02	06/15/2009 02:11:50 PM Eastern Daylight Time		05/27/2009 05:40:02 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	001	0	2010	New York BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	003	0		29	10	S5998_003_0	2	06/15/2009	2010.02	06/15/2009 02:12:43 PM Eastern Daylight Time		05/27/2009 03:08:09 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	003	0	2010	New Jersey BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	005	0		29	10	S5998_005_0	2	06/15/2009	2010.02	06/15/2009 02:12:29 PM Eastern Daylight Time		05/27/2009 03:08:09 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	005	0	2010	PA/WV BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	009	0		29	10	S5998_009_0	2	06/15/2009	2010.02	06/15/2009 02:12:29 PM Eastern Daylight Time		05/27/2009 03:08:09 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	009	0	2010	Michigan BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	011	0		29	10	S5998_011_0	2	06/15/2009	2010.02	06/15/2009 02:12:30 PM Eastern Daylight Time		05/27/2009 03:08:10 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	011	0	2010	Ohio BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	013	0		29	10	S5998_013_0	2	06/15/2009	2010.02	06/15/2009 02:12:30 PM Eastern Daylight Time		05/27/2009 03:08:12 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	013	0	2010	California BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	015	0		29	10	S5998_015_0	2	06/15/2009	2010.02	06/15/2009 02:12:30 PM Eastern Daylight Time		05/27/2009 03:08:12 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	015	0	2010	Central New England BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	016	0		29	10	S5998_016_0	2	06/15/2009	2010.02	06/15/2009 02:12:30 PM Eastern Daylight Time		05/27/2009 03:08:12 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	016	0	2010	Virginia BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	017	0		29	10	S5998_017_0	2	06/15/2009	2010.02	06/15/2009 02:12:30 PM Eastern Daylight Time		05/27/2009 03:08:13 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	017	0	2010	North Carolina BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	018	0		29	10	S5998_018_0	2	06/15/2009	2010.02	06/15/2009 02:12:31 PM Eastern Daylight Time		05/27/2009 03:08:13 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	018	0	2010	South Carolina BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	019	0		29	10	S5998_019_0	2	06/15/2009	2010.02	06/15/2009 02:12:31 PM Eastern Daylight Time		05/27/2009 03:08:13 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	019	0	2010	Georgia BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	020	0		29	10	S5998_020_0	2	06/15/2009	2010.02	06/15/2009 02:12:31 PM Eastern Daylight Time		05/27/2009 03:08:13 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	020	0	2010	Alabama and Tennessee BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	021	0		29	10	S5998_021_0	2	06/15/2009	2010.02	06/15/2009 02:12:31 PM Eastern Daylight Time		05/27/2009 03:08:14 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	021	0	2010	Indiana and Kentucky BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	022	0		29	10	S5998_022_0	2	06/15/2009	2010.02	06/15/2009 02:12:31 PM Eastern Daylight Time		05/27/2009 03:08:06 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	022	0	2010	Wisconsin BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	023	0		29	10	S5998_023_0	2	06/15/2009	2010.02	06/15/2009 02:12:32 PM Eastern Daylight Time		05/27/2009 03:08:06 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	023	0	2010	Missouri BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	024	0		29	10	S5998_024_0	2	06/15/2009	2010.02	06/15/2009 02:12:32 PM Eastern Daylight Time		05/27/2009 03:08:07 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	024	0	2010	Arkansas BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	025	0		29	10	S5998_025_0	2	06/15/2009	2010.02	06/15/2009 02:12:32 PM Eastern Daylight Time		05/27/2009 03:08:07 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	025	0	2010	Mississippi BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	026	0		29	10	S5998_026_0	2	06/15/2009	2010.02	06/15/2009 02:12:32 PM Eastern Daylight Time		05/27/2009 03:08:07 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	026	0	2010	Louisiana BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	027	0		29	10	S5998_027_0	2	06/15/2009	2010.02	06/15/2009 02:12:32 PM Eastern Daylight Time		05/27/2009 03:08:07 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	027	0	2010	Oklahoma BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	028	0		29	10	S5998_028_0	2	06/15/2009	2010.02	06/15/2009 02:12:33 PM Eastern Daylight Time		05/27/2009 03:08:08 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	028	0	2010	Kansas BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	029	0		29	10	S5998_029_0	2	06/15/2009	2010.02	06/15/2009 02:12:33 PM Eastern Daylight Time		05/27/2009 03:08:08 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	029	0	2010	Upper Midwest and Northern Plains BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	030	0		29	10	S5998_030_0	2	06/15/2009	2010.02	06/15/2009 02:12:33 PM Eastern Daylight Time		05/27/2009 03:08:08 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	030	0	2010	New Mexico BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	031	0		29	10	S5998_031_0	2	06/15/2009	2010.02	06/15/2009 02:12:33 PM Eastern Daylight Time		05/27/2009 03:08:10 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	031	0	2010	Colorado BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	032	0		29	10	S5998_032_0	2	06/15/2009	2010.02	06/15/2009 02:12:33 PM Eastern Daylight Time		05/27/2009 03:08:10 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	032	0	2010	Arizona BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	033	0		29	10	S5998_033_0	2	06/15/2009	2010.02	06/15/2009 02:12:34 PM Eastern Daylight Time		05/27/2009 03:08:10 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	033	0	2010	Nevada BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	034	0		29	10	S5998_034_0	2	06/15/2009	2010.02	06/15/2009 02:12:34 PM Eastern Daylight Time		05/27/2009 03:08:11 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	034	0	2010	Idaho and Utah BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	037	0		29	10	S5998_037_0	2	06/15/2009	2010.02	06/15/2009 02:12:34 PM Eastern Daylight Time		05/27/2009 03:08:11 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	037	0	2010	Mid-Atlantic Region (MD, DE and DC) BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	038	0		29	10	S5998_038_0	2	06/15/2009	2010.02	06/15/2009 02:12:34 PM Eastern Daylight Time		05/27/2009 03:08:11 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	038	0	2010	Illinois Bravo Rx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	039	0		29	10	S5998_039_0	2	06/15/2009	2010.02	06/15/2009 02:12:51 PM Eastern Daylight Time		05/27/2009 03:08:12 PM Eastern Daylight Time		06/16/2009 12:59:47 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	039	0	2010	Texas BravoRx		2						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	801	0		29	10	S5998_801_0	1	05/15/2009	2010.02	05/15/2009 07:59:13 AM Eastern Daylight Time				05/29/2009 11:04:57 AM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	Bravo Employer Group PDP CY (PDP)	10	29					S5998	801	0	2010	Nationwide		1						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S5998	802	0		29	10	S5998_802_0	1	05/15/2009	2010.02	05/15/2009 07:59:47 AM Eastern Daylight Time				05/29/2009 11:04:57 AM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health Insurance Company	www.mybravohealth.com	Bravo Employer Group PDP Non-CY (PDP)	10	29					S5998	802	0	2010	Nationwide		1						2							www.mybravohealth.com/Resources/formulary.aspx									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(800)-964-2561		(800)-964-2561		(800)-964-2561		(800)-964-2561		1		
S6875	801	0		29	10	S6875_801_0	1	05/27/2009	2010.02	05/27/2009 09:40:07 AM Eastern Daylight Time				06/01/2009 04:51:52 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	Select Option Rx Group Option I CY (PDP)	10	29					S6875	801	0	2010	Pennsylvania, West Virginia area		1						2							http://www.site65.com/pgs_section_1-6_pages/03_medicare_formulary.html									(888)-678-7009		(888)-678-7009		(877)-393-6733		(877)-393-6733										(888)-457-3002		(888)-457-3002		(866)-456-1683		(866)-456-1683		1		
S6875	802	0		29	10	S6875_802_0	1	05/27/2009	2010.02	05/27/2009 09:40:43 AM Eastern Daylight Time				06/01/2009 04:51:52 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	Select Option Rx Group Option I Non-CY (PDP)	10	29					S6875	802	0	2010	Pennsylvania, West Virginia Area		1						2							http://www.site65.com/pgs_section_1-6_pages/03_medicare_formulary.html									(888)-678-7009		(888)-678-7009		(877)-393-6733		(877)-393-6733										(888)-457-3002		(888)-457-3002		(877)-219-5457		(877)-219-5457		1		
S7694	001	0		29	10	S7694_001_0	2	07/23/2009	2010.02	07/23/2009 03:06:36 PM Eastern Daylight Time		05/27/2009 06:13:14 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	001	0	2010	Northern New England Region 1 Silver - ME, NH		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	002	0		29	10	S7694_002_0	2	07/23/2009	2010.02	07/23/2009 03:06:51 PM Eastern Daylight Time		05/27/2009 06:13:18 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	002	0	2010	Central New England EnvisionRxPlus Silver Region 2		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	003	0		29	10	S7694_003_0	2	07/23/2009	2010.02	07/23/2009 03:07:06 PM Eastern Daylight Time		05/27/2009 06:13:24 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	003	0	2010	New York EnvsionRxPlus Silver Region 03		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	004	0		29	10	S7694_004_0	2	07/23/2009	2010.02	07/23/2009 03:07:20 PM Eastern Daylight Time		05/27/2009 06:13:28 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	004	0	2010	New Jersey EnvisionRxPlus Silver Region 04		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	005	0		29	10	S7694_005_0	2	07/23/2009	2010.02	07/23/2009 03:07:33 PM Eastern Daylight Time		05/27/2009 06:13:34 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	005	0	2010	Mid-Atlantic EnvisionRxPlus Silver Region 05		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	006	0		29	10	S7694_006_0	2	07/23/2009	2010.02	07/23/2009 03:07:46 PM Eastern Daylight Time		05/27/2009 06:13:38 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	006	0	2010	Pennsylvania, WV,EnvisionRxPlus Silver Region 06		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	007	0		29	10	S7694_007_0	2	07/23/2009	2010.02	07/23/2009 03:08:11 PM Eastern Daylight Time		05/27/2009 06:13:42 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	007	0	2010	Virginia EnvisionRxPlus Silver Region 07		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	008	0		29	10	S7694_008_0	2	07/23/2009	2010.02	07/23/2009 03:08:26 PM Eastern Daylight Time		05/27/2009 06:13:46 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	008	0	2010	North Carolina EnvisionRxPlus Silver Region 08		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	009	0		29	10	S7694_009_0	2	07/23/2009	2010.02	07/23/2009 03:08:43 PM Eastern Daylight Time		05/27/2009 06:13:52 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	009	0	2010	South Carolina EnvsionRxPlus Silver Region 09		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	010	0		29	10	S7694_010_0	2	07/23/2009	2010.02	07/23/2009 03:08:54 PM Eastern Daylight Time		05/27/2009 06:13:56 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	010	0	2010	Georgia EnvisionRxPlus Silver Region 10		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	011	0		29	10	S7694_011_0	2	07/23/2009	2010.02	07/23/2009 03:09:07 PM Eastern Daylight Time		05/27/2009 06:14:02 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	011	0	2010	Florida EnvisionRxPlus Silver Region 11		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	012	0		29	10	S7694_012_0	2	07/23/2009	2010.02	07/23/2009 03:09:23 PM Eastern Daylight Time		05/27/2009 06:14:06 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	012	0	2010	Alabama,Tennessee EnvisionRxPlus Silver Region 12		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	014	0		29	10	S7694_014_0	2	07/23/2009	2010.02	07/23/2009 03:09:51 PM Eastern Daylight Time		05/27/2009 06:14:16 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	014	0	2010	Ohio EnvisionRxPlus Silver Region 14		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	015	0		29	10	S7694_015_0	2	07/23/2009	2010.02	07/23/2009 03:10:04 PM Eastern Daylight Time		05/27/2009 06:14:22 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	015	0	2010	Indiana, Kentucky EnvisionRxPlus Silver Region 15		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	016	0		29	10	S7694_016_0	2	07/23/2009	2010.02	07/23/2009 03:10:18 PM Eastern Daylight Time		05/27/2009 06:14:26 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	016	0	2010	Wisconsin EnvisionRxPlus Silver Region 16		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	017	0		29	10	S7694_017_0	2	07/23/2009	2010.02	07/23/2009 03:10:31 PM Eastern Daylight Time		05/27/2009 06:14:30 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	017	0	2010	Illinois EnvisionRxPlus Silver Region 17		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	018	0		29	10	S7694_018_0	2	07/23/2009	2010.02	07/23/2009 03:10:46 PM Eastern Daylight Time		05/27/2009 06:14:34 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	018	0	2010	Missouri EnvisionRxPlus Silver Region 18		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	019	0		29	10	S7694_019_0	2	07/23/2009	2010.02	07/23/2009 03:10:57 PM Eastern Daylight Time		05/27/2009 06:14:40 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	019	0	2010	Arkansas EnvisionRxPlus Silver Region 19		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	020	0		29	10	S7694_020_0	2	07/23/2009	2010.02	07/23/2009 03:11:12 PM Eastern Daylight Time		05/27/2009 06:14:44 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	020	0	2010	Mississippi EnvisionRxPlus Silver Region 20		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	021	0		29	10	S7694_021_0	2	07/23/2009	2010.02	07/23/2009 03:11:28 PM Eastern Daylight Time		05/27/2009 06:14:50 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	021	0	2010	Louisiana EnvisionRxPlus Silver Region 21		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	022	0		29	10	S7694_022_0	2	07/23/2009	2010.02	07/23/2009 03:11:40 PM Eastern Daylight Time		05/27/2009 06:14:54 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	022	0	2010	Texas EnvisionRxPlus Silver Region 22		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	023	0		29	10	S7694_023_0	2	07/23/2009	2010.02	07/23/2009 03:11:55 PM Eastern Daylight Time		05/27/2009 06:14:58 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	023	0	2010	Oklahoma EnvisionRxPlus Silver Region 23		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	024	0		29	10	S7694_024_0	2	07/23/2009	2010.02	07/23/2009 03:12:09 PM Eastern Daylight Time		05/27/2009 06:15:04 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	024	0	2010	Kansas EnvisionRxPlus Silver Region 24		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	025	0		29	10	S7694_025_0	2	07/23/2009	2010.02	07/23/2009 03:12:23 PM Eastern Daylight Time		05/27/2009 06:15:08 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	025	0	2010	Upper Midwest EnvisionRxPlus Silver Region 25		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	026	0		29	10	S7694_026_0	2	07/23/2009	2010.02	07/23/2009 03:12:37 PM Eastern Daylight Time		05/27/2009 06:15:12 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	026	0	2010	New Mexico EnvisionRxPlus Silver Region 26		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	027	0		29	10	S7694_027_0	2	07/23/2009	2010.02	07/23/2009 03:12:51 PM Eastern Daylight Time		05/27/2009 06:15:20 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	027	0	2010	Colorado EnvisionRxPlus Silver Region 27		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	028	0		29	10	S7694_028_0	2	07/23/2009	2010.02	07/23/2009 03:13:04 PM Eastern Daylight Time		05/27/2009 06:15:24 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	028	0	2010	Arizona EnvisionRxPlus Silver Region 28		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	029	0		29	10	S7694_029_0	2	07/23/2009	2010.02	07/23/2009 03:13:19 PM Eastern Daylight Time		05/27/2009 06:15:30 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	029	0	2010	Nevada EnvisionRxPlus Silver Region 29		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	030	0		29	10	S7694_030_0	2	07/23/2009	2010.02	07/23/2009 03:13:33 PM Eastern Daylight Time		05/27/2009 06:15:34 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	030	0	2010	Oregon, Washington EnvisionRxPlus Silver Region 30		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	031	0		29	10	S7694_031_0	2	07/23/2009	2010.02	07/23/2009 03:13:52 PM Eastern Daylight Time		05/27/2009 06:15:38 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	031	0	2010	Idaho, Utah EnvisionRxPlus Silver Region 31		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	032	0		29	10	S7694_032_0	2	07/23/2009	2010.02	07/23/2009 03:14:10 PM Eastern Daylight Time		05/27/2009 06:15:44 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	032	0	2010	California EnvisionRxPlus Silver Region 32		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	033	0		29	10	S7694_033_0	2	07/23/2009	2010.02	07/23/2009 03:14:23 PM Eastern Daylight Time		05/27/2009 06:15:50 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	033	0	2010	Hawaii EnvisionRxPlus Silver Region 33		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	034	0		29	10	S7694_034_0	2	07/23/2009	2010.02	07/23/2009 03:14:35 PM Eastern Daylight Time		05/27/2009 06:15:54 PM Eastern Daylight Time		07/23/2009 05:44:19 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	034	0	2010	Alaska EnvisionRxPlus Silver Region 34		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	035	0		29	10	S7694_035_0	1	05/26/2009	2010.02	05/26/2009 09:00:17 AM Eastern Daylight Time		05/27/2009 06:15:56 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	035	0	2010	Northern New England EnvisionRxPlus Gold Region 01		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	036	0		29	10	S7694_036_0	1	05/26/2009	2010.02	05/26/2009 09:01:14 AM Eastern Daylight Time		05/27/2009 06:16:00 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	036	0	2010	Central New England EnvisionRxPlus Gold Region 02		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	037	0		29	10	S7694_037_0	1	05/26/2009	2010.02	05/26/2009 09:01:14 AM Eastern Daylight Time		05/27/2009 06:16:04 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	037	0	2010	New York EnvisionRxPlus Gold Region 03		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	038	0		29	10	S7694_038_0	1	05/26/2009	2010.02	05/26/2009 09:01:14 AM Eastern Daylight Time		05/27/2009 06:16:08 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	038	0	2010	New Jersey EnvisionRxPlus Gold Region 04		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	039	0		29	10	S7694_039_0	1	05/26/2009	2010.02	05/26/2009 09:01:15 AM Eastern Daylight Time		05/27/2009 06:16:12 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	039	0	2010	Mid-Atlantic EnvisionRxPlus Gold Region 05		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	040	0		29	10	S7694_040_0	1	05/26/2009	2010.02	05/26/2009 09:01:15 AM Eastern Daylight Time		05/27/2009 06:16:14 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	040	0	2010	Pennsylvania, WV, EnvisionRxPlus Gold Region 06		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	041	0		29	10	S7694_041_0	1	05/26/2009	2010.02	05/26/2009 09:01:15 AM Eastern Daylight Time		05/27/2009 06:16:18 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	041	0	2010	Virginia EnvisionRxPlus Gold Region 07		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	042	0		29	10	S7694_042_0	1	05/26/2009	2010.02	05/26/2009 09:01:15 AM Eastern Daylight Time		05/27/2009 06:16:22 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	042	0	2010	North Carolina EnvisionRxPlus Gold Region 08		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	043	0		29	10	S7694_043_0	1	05/26/2009	2010.02	05/26/2009 09:01:15 AM Eastern Daylight Time		05/27/2009 06:16:26 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	043	0	2010	South Carolina EnvisionRxPlus Gold Region 09		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	044	0		29	10	S7694_044_0	1	05/26/2009	2010.02	05/26/2009 09:01:16 AM Eastern Daylight Time		05/27/2009 06:16:30 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	044	0	2010	Georgia EnvisionRxPlus Gold Region 10		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	045	0		29	10	S7694_045_0	1	05/26/2009	2010.02	05/26/2009 09:01:16 AM Eastern Daylight Time		05/27/2009 06:16:32 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	045	0	2010	Florida EnvisionRxPlus Gold Region 11		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	046	0		29	10	S7694_046_0	1	05/26/2009	2010.02	05/26/2009 09:01:16 AM Eastern Daylight Time		05/27/2009 06:16:36 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	046	0	2010	Alabama, Tennessee EnvisionRxPlus Gold Region 12		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	048	0		29	10	S7694_048_0	1	05/26/2009	2010.02	05/26/2009 09:01:17 AM Eastern Daylight Time		05/27/2009 06:16:42 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	048	0	2010	Ohio EnvisionRxPlus Gold Region 14		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	049	0		29	10	S7694_049_0	1	05/26/2009	2010.02	05/26/2009 09:01:17 AM Eastern Daylight Time		05/27/2009 06:16:46 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	049	0	2010	Indiana, Kentucky EnvisionRxPlus Gold Region 15		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	050	0		29	10	S7694_050_0	1	05/26/2009	2010.02	05/26/2009 09:01:17 AM Eastern Daylight Time		05/27/2009 06:16:48 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	050	0	2010	Wisconsin EnvisionRxPlus Gold Region 16		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	051	0		29	10	S7694_051_0	1	05/26/2009	2010.02	05/26/2009 09:01:17 AM Eastern Daylight Time		05/27/2009 06:16:52 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	051	0	2010	Illionis EnvisionRxPlus Gold Region 17		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	052	0		29	10	S7694_052_0	1	05/26/2009	2010.02	05/26/2009 09:01:18 AM Eastern Daylight Time		05/27/2009 06:16:56 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	052	0	2010	Missouri EnvisionRxPlus Gold Region 18		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	053	0		29	10	S7694_053_0	1	05/26/2009	2010.02	05/26/2009 09:01:18 AM Eastern Daylight Time		05/27/2009 06:17:00 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	053	0	2010	Arkansas EnvisionRxPlus Gold Region 19		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	054	0		29	10	S7694_054_0	1	05/26/2009	2010.02	05/26/2009 09:01:18 AM Eastern Daylight Time		05/27/2009 06:17:02 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	054	0	2010	Mississippi EnvisionRxPlus Gold Region 20		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	055	0		29	10	S7694_055_0	1	05/26/2009	2010.02	05/26/2009 09:01:18 AM Eastern Daylight Time		05/27/2009 06:17:06 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	055	0	2010	Louisiana EnvisionRxPlus Gold Region 21		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	056	0		29	10	S7694_056_0	1	05/26/2009	2010.02	05/26/2009 09:01:18 AM Eastern Daylight Time		05/27/2009 06:17:08 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	056	0	2010	Texas EnvisionRxPlus Gold Region 22		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	057	0		29	10	S7694_057_0	1	05/26/2009	2010.02	05/26/2009 09:01:19 AM Eastern Daylight Time		05/27/2009 06:17:12 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	057	0	2010	Oklahoma EnvisionRxPlus Gold Region 23		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	058	0		29	10	S7694_058_0	1	05/26/2009	2010.02	05/26/2009 09:01:19 AM Eastern Daylight Time		05/27/2009 06:17:16 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	058	0	2010	Kansas EnvisionRxPlus Gold Region 24		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	059	0		29	10	S7694_059_0	1	05/26/2009	2010.02	05/26/2009 09:01:19 AM Eastern Daylight Time		05/27/2009 06:17:18 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	059	0	2010	Upper Midwest EnvisionRxPlus Gold Region 25		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	060	0		29	10	S7694_060_0	1	05/26/2009	2010.02	05/26/2009 09:01:19 AM Eastern Daylight Time		05/27/2009 06:17:22 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	060	0	2010	New Mexico EnvisionRxPlus Gold Region 26		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	061	0		29	10	S7694_061_0	1	05/26/2009	2010.02	05/26/2009 09:01:20 AM Eastern Daylight Time		05/27/2009 06:17:26 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	061	0	2010	Colorado EnvisionRxPlus Gold Region 27		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	062	0		29	10	S7694_062_0	1	05/26/2009	2010.02	05/26/2009 09:01:20 AM Eastern Daylight Time		05/27/2009 06:17:28 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	062	0	2010	Arizona EnvisionRxPlus Gold Region 28		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	063	0		29	10	S7694_063_0	1	05/26/2009	2010.02	05/26/2009 09:01:20 AM Eastern Daylight Time		05/27/2009 06:17:32 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	063	0	2010	Nevada EnvisionRxPlus Gold Region 29		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	064	0		29	10	S7694_064_0	1	05/26/2009	2010.02	05/26/2009 09:01:20 AM Eastern Daylight Time		05/27/2009 06:17:34 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	064	0	2010	Oregon, Washington EnvisionRxPlus Gold Region 30		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	065	0		29	10	S7694_065_0	1	05/26/2009	2010.02	05/26/2009 09:01:20 AM Eastern Daylight Time		05/27/2009 06:17:38 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	065	0	2010	Idaho, Utah EnvisionRxPlus Gold Region 31		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	066	0		29	10	S7694_066_0	1	05/26/2009	2010.02	05/26/2009 09:01:21 AM Eastern Daylight Time		05/27/2009 06:17:42 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	066	0	2010	California EnvisionRxPlus Gold Region 32		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	067	0		29	10	S7694_067_0	1	05/26/2009	2010.02	05/26/2009 09:01:21 AM Eastern Daylight Time		05/27/2009 06:17:44 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	067	0	2010	Hawaii EnvisionRxPlus Gold Region 33		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	068	0		29	10	S7694_068_0	1	05/26/2009	2010.02	05/26/2009 09:01:21 AM Eastern Daylight Time		05/27/2009 06:17:48 PM Eastern Daylight Time		05/28/2009 02:26:54 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	068	0	2010	Alaska EnvisionRxPlus Gold Region 34		2						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630				(866)-763-9630				1		
S7694	801	0		29	10	S7694_801_0	2	05/22/2009	2010.02	05/22/2009 03:25:49 PM Eastern Daylight Time				08/28/2009 04:36:15 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	Employer Plan Calendar Year (PDP)	10	29					S7694	801	0	2010	National EGWP		1						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1		
S7694	802	0		29	10	S7694_802_0	2	05/22/2009	2010.02	05/22/2009 03:25:31 PM Eastern Daylight Time				08/28/2009 04:36:15 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	Employer Group Non-Calendar Year (PDP)	10	29					S7694	802	0	2010	National EGWP		1						2							www.envisionrxplus.com									(866)-250-2005		(330)-405-8080		(866)-250-2005		(330)-405-8080										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1		
S7950	801	0		29	10	S7950_801_0	1	05/30/2009	2010.02	05/30/2009 12:44:34 PM Central Standard Time				05/30/2009 01:11:27 PM Central Standard Time	EXPRESS SCRIPTS INSURANCE CO.	SAMAscript	www.samascript.com	SAMAscript (PDP)	10	29					S7950	801	0	2010	SAMAscript		1						2							www.express-scripts.com/samascript									(866)-273-5788		(866)-273-5788		(866)-273-5788		(866)-273-5788																		1		
S7950	802	0		29	10	S7950_802_0	1	05/30/2009	2010.02	05/30/2009 01:10:24 PM Central Standard Time				05/30/2009 01:11:27 PM Central Standard Time	EXPRESS SCRIPTS INSURANCE CO.	SAMAscript	www.samascript.com	SAMAscript (PDP)	10	29					S7950	802	0	2010	SAMAscript		1						2							www.express-scripts.com/samascript									(866)-273-5788		(866)-273-5788		(866)-273-5788		(866)-273-5788																		1		
S8067	001	0		29	10	S8067_001_0	6	06/26/2009	2010.02	06/26/2009 10:27:17 AM Eastern Daylight Time		07/27/2009 10:57:11 AM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerx.com	SecureRx - Option 3 (PDP)	10	29					S8067	001	0	2010	Region 6 - Pennsylvania, West Virginia		2						2							https://www.securerx.com/DrugFormularies/									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
S8067	003	0		29	10	S8067_003_0	6	06/26/2009	2010.02	06/26/2009 10:27:28 AM Eastern Daylight Time		07/24/2009 10:13:28 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerx.com	SecureRx - Option 1 (PDP)	10	29					S8067	003	0	2010	Region 06 - Pennsylvania and West Virginia		2						2							https://www.securerx.com/DrugFormularies/									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
S8067	004	0		29	10	S8067_004_0	5	05/05/2009	2010.02	05/05/2009 04:41:53 PM Eastern Daylight Time		07/24/2009 10:18:31 PM Eastern Daylight Time		07/28/2009 11:14:34 AM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerx.com	SecureRx - Option 4 (PDP)	10	29					S8067	004	0	2010	Pennsylvania and West Virginia		2						2							https://www.securerx.com/DrugFormularies/									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
S8067	801	0		29	10	S8067_801_0	4	05/11/2009	2010.02	05/11/2009 08:48:55 AM Eastern Daylight Time				06/02/2009 02:08:24 AM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerx.com	SecureRx - ER (PDP)	10	29					S8067	801	0	2010	National		1						2							https://www.securerx.com/DrugFormularies/									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
S8067	802	0		29	10	S8067_802_0	4	05/11/2009	2010.02	05/11/2009 08:49:02 AM Eastern Daylight Time				06/02/2009 02:08:24 AM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerx.com	SecureRx - ER - Non-Calendar PY (PDP)	10	29					S8067	802	0	2010	National		1						2							https://www.securerx.com/DrugFormularies/									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1		
S8201	001	0		29	10	S8201_001_0	4	06/03/2009	2010.02	07/24/2009 01:44:25 PM Eastern Daylight Time		07/24/2009 01:57:52 PM Eastern Daylight Time		07/24/2009 02:22:23 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life (PDP)	10	29					S8201	001	0	2010	State of Ohio		2						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S8201	802	0		29	10	S8201_802_0	2	05/26/2009	2010.02	05/26/2009 07:31:41 PM Eastern Daylight Time				06/01/2009 08:57:48 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S8201	802	0	2010	State of Ohio		1						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S8201	803	0		29	10	S8201_803_0	2	05/26/2009	2010.02	05/26/2009 07:31:51 PM Eastern Daylight Time				06/01/2009 08:57:48 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S8201	803	0	2010	State of Ohio		1						2							http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1		
S8475	001	0		29	10	S8475_001_0	2	05/29/2009	2010.02	05/29/2009 02:23:45 PM Eastern Daylight Time		05/29/2009 10:39:58 AM Eastern Daylight Time		05/29/2009 04:42:56 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC	QUALITY HEALTH PLANS	www.qualityrxplans.com	Quality Rx (PDP)	10	29					S8475	001	0	2010	State of Florida		2						2							www.qualityhealthplans.com									(866)-417-3074		(866)-417-3074		(866)-417-3074		(866)-417-3074										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1		
S8475	002	0		29	10	S8475_002_0	2	05/29/2009	2010.02	05/29/2009 02:23:37 PM Eastern Daylight Time		05/29/2009 10:40:14 AM Eastern Daylight Time		05/29/2009 04:42:56 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC	QUALITY HEALTH PLANS	www.qualityrxplans.com	Quality Rx Plus (PDP)	10	29					S8475	002	0	2010	State of Florida		2						2							www.qualityhealthplans.com									(866)-417-3074		(330)-405-8080		(866)-417-3074		(330)-405-8080										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1		
S8841	803	0		29	10	S8841_803_0	1	05/27/2009	2010.02	05/27/2009 02:02:58 PM Pacific Daylight Time				05/27/2009 02:04:03 PM Pacific Daylight Time	NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	EGWP Calendar (PDP)	10	29					S8841	803	0	2010	National		1						2							www.nmhc.com									(866)-443-1095		(866)-443-1095		(866)-443-1095		(866)-443-1095										(866)-443-1094		(866)-443-1094		(866)-443-1094		(866)-443-1094		1		
S8841	804	0		29	10	S8841_804_0	1	05/27/2009	2010.02	05/27/2009 02:03:10 PM Pacific Daylight Time				05/27/2009 02:04:03 PM Pacific Daylight Time	NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.nmhc.com	EGWP Non-Calendar (PDP)	10	29					S8841	804	0	2010	National		1						2							www.nmhc.com									(866)-443-1095		(866)-443-1095		(866)-443-1095		(866)-443-1095										(866)-443-1094		(866)-443-1094		(866)-443-1094		(866)-443-1094		1		
