Post on 11-May-2023
CONFIDENTIAL EXECUTION VERSION
[Note: The disclosure set forth in the Company Disclosure Schedule is responsive to the representations, warranties, covenants, and agreements contained in the Agreement, which may be subject to a contractual standard of materiality that is different from what may be viewed as material by stockholders or shareholders, as applicable, or other constituencies and from the materiality standard applicable to reports and documents filed with the SEC. The disclosure set forth in the Company Disclosure Schedule should be read in conjunction with the Agreement.]
COMPANY DISCLOSURE SCHEDULE
to the
AGREEMENT AND PLAN OF MERGER
dated as of
December 3, 2017
among
CVS HEALTH CORPORATION,
HUDSON MERGER SUB CORP.
AND
AETNA INC.
NYDOCS01/1714638.7
COMPANY DISCLOSURE SCHEDULE
This Company Disclosure Schedule is made pursuant to that certain Agreement and Plan of Merger dated as of December 3, 2017 (the “Agreement”), by and among CVS Health Corporation, a Delaware corporation (“Parent”), Hudson Merger Sub Corp., a Pennsylvania corporation and a wholly owned Subsidiary of Parent, and Aetna Inc., a Pennsylvania corporation (the “Company”).
The disclosures set forth in this Company Disclosure Schedule are exceptions to and qualify the representations, warranties and covenants of the Company set forth in Articles 4 and 6 of the Agreement. This Company Disclosure Schedule is arranged in sections and subsections corresponding to the sections and subsections of the Agreement. Each section or subsection of this Company Disclosure Schedule shall be deemed to qualify the corresponding section or subsection of the Agreement, irrespective of whether or not any particular section or subsection of the Agreement specifically refers to this Company Disclosure Schedule. In addition, disclosure of any item, matter or event in any particular section or subsection of this Company Disclosure Schedule shall be deemed disclosure with respect to any other section or subsection of this Company Disclosure Schedule to which the relevance of such disclosure would be reasonably apparent, notwithstanding the omission of a cross-reference to such other section or subsections (other than with respect to any items disclosed in Section 4.18(a) of this Company Disclosure Schedule, for which an explicit reference in any other section shall be required in order to apply to such other section). The information contained herein is disclosed solely for the purposes of the Agreement, and no information contained herein shall be deemed to be an admission by any party hereto to any third party of any matter whatsoever, including without limitation, any violation of Applicable Law or breach of any Contract. This Company Disclosure Schedule is qualified in its entirety by reference to specific provisions of the Agreement and is not intended to constitute, and shall not be construed as constituting, representations or warranties of the Company except as and to the extent provided in the Agreement. Disclosure of any item in this Company Disclosure Schedule shall not constitute an admission that such item is material or required to be disclosed.
Unless the context otherwise requires, all capitalized terms used herein shall have the meanings given to such terms in the Agreement. All headings and subheadings included herein are inserted for ease of reference only and shall not in any way expand or create a different standard for disclosure than the language set forth in the Agreement or be used in the construction or interpretation of the information contained in this Company Disclosure Schedule.
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Section 1.01
Knowledge Parties
1. Mark T. Bertolini
2. Thomas J. Sabatino, Jr.
3. Shawn M. Guertin
4. Thomas W. Weidenkopf
5. Karen S. Lynch
6. Thomas D. Jones, III
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Section 4.03
Company Required Governmental Authorizations
1. Form A (or equivalent) Filings with, and related Consents from, the following Governmental Authorities in the following jurisdictions with respect to the following Subsidiaries of the Company:
a. Arizona Department of Insurance (Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc.)
b. If a certificate of authority is issued to Sutter Health and Aetna Insurance Company prior to the Closing Date, California Department of Insurance
c. Connecticut Insurance Department (Aetna Health Inc. (CT), Aetna Insurance Company of Connecticut, Aetna Life Insurance Company, Aetna Better Health Inc. (CT), Aetna Health and Life Insurance Company, and Aetna Risk Assurance Company of Connecticut.
d. Florida Office of Insurance Regulation (MHNet of Florida, Inc., Aetna Florida, Inc., Aetna Health Inc. (FL), Coventry Health Care of Florida, Inc. and Coventry Health Plan of Florida, Inc.)
e. Georgia Office of Insurance and Safety Fire Commissioner (Aetna Better Health Inc. (GA) and Aetna Health, Inc. (GA))
f. Illinois Department of Insurance (Aetna Better Health Inc. (IL) and Coventry Health Care of Illinois, Inc.)
g. Iowa Insurance Division (Aetna Better Health of Iowa Inc. and Aetna Health of Iowa, Inc.)
h. Kansas Insurance Department (Aetna Better Health of Kansas Inc. and Coventry Health Care of Kansas, Inc.)
i. Kentucky Department of Insurance (Aetna Better Health of Kentucky Insurance Company)
j. Louisiana Department of Insurance (Aetna Better Health Inc. (LA) and Aetna Health Inc. (LA))
k. Maine Bureau of Insurance (Aetna Health Inc. (ME))
l. Maryland Insurance Administration (Group Dental Service of Maryland, Inc.)
m. Michigan Department of Insurance and Financial Services (Aetna Better Health of Michigan Inc. and Aetna Health Inc. (MI))
n. Minnesota Department of Commerce (Allina Health and Aetna Insurance Company)
o. Missouri Department of Insurance (Coventry Health and Life Insurance Company, Aetna Better Health of Missouri LLC, and Coventry Health Care of Missouri Inc.)
p. Nebraska Department of Insurance (Coventry Health Care of Nebraska, Inc.)
q. If a certificate of authority of Aetna Better Health of Nevada Inc. has not been surrendered prior to the Closing Date, the Department of Business and Industry, Nevada Division of Insurance.
r. New Jersey Department of Banking & Insurance (Aetna Better Health Inc. (NJ), Aetna Health Inc. (NJ))
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4
s. New York: New York Department of Financial Services (Aetna Health Insurance Company of New York) and New York Department of Health (Aetna Health Inc. (NY) and Aetna Better Health Inc. (NY))
t. If a certificate of authority is issued to Aetna Better Health of North Carolina prior to the Closing Date, North Carolina Department of Insurance
u. Ohio Department of Insurance (Aetna Better Health Inc. (OH))
v. Oklahoma Insurance Department (Aetna Better Health of Oklahoma Inc.)
w. Pennsylvania Insurance Department (Aetna Health Assurance of Pennsylvania, Inc., HealthAssurance Pennsylvania, Inc., Aetna Better Health Inc. (PA), Aetna Health Inc. (PA), and Aetna Health Insurance Company)
x. Tennessee Department of Commerce and Insurance (Aetna Better Health (TN), American Continental Insurance Company, and Continental Life Insurance Company of Brentwood, Tennessee)
y. Texas Department of Insurance (First Health Life & Health Insurance Company, MHNet Life and Health Insurance Company, Texas Health + Aetna Health Plan, Inc., Texas Health + Aetna Health Insurance Company, Aetna Better Health of Texas Inc., Aetna Dental Inc. (TX) and Aetna Health Inc. (TX))
z. Utah Insurance Department (Aetna Health of Utah Inc.)
aa. Vermont Department of Financial Regulation Insurance Division (Health Re Inc.)
bb. Virginia State Corporation Commission, Bureau of Insurance (Innovation Health Insurance Company, Innovation Health Plan, Inc. and Coventry Health Care of Virginia Inc.)
cc. Washington State Office of the Insurance Commissioner (Aetna Better Health of Washington Inc.)
dd. West Virginia Office of the Insurance Commissioner (Coventry Health Care of West Virginia Inc.)
2. One or more orders issued by the California Department of Managed Health Care approving a Notice of Material Modification (as may be amended) filed jointly or respectively by Health and Human Resource Center, Inc., Aetna Dental of California, Inc., Aetna Health of California, Inc., and Aetna Better Health of California, Inc. in respect to their change of control under The Knox-Keene Health Care Service Plan Act of 1975, as amended, resulting from the transactions contemplated by the Agreement.
3. Expiration or early termination of the waiting periods or Consents, as applicable, associated with the Form E Filings required under Applicable Law with respect to the transactions contemplated by the Agreement.
4. Filings with, and Consents of, the following GovernmentalAuthorities in the following jurisdictions with respect to the following Subsidiaries of the Company:
Entity Jurisdiction Relevant regulator(s) Canadian Insurance Company Limited Hong Kong Independent Insurance Authority
Aetna Health Insurance Company of Europe DAC
Republic of Ireland Central Bank of Ireland
Aetna Insurance (Singapore) Pte. Ltd. Singapore Monetary Authority of Singapore
Aetna Global Benefits Limited United Arab Emirates Dubai Financial Services Authority
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5
Entity Jurisdiction Relevant regulator(s) Aetna Insurance Company Limited United Kingdom Prudential Regulation Authority
Financial Conduct Authority Aetna Global Benefits (Europe) Limited United Kingdom Financial Conduct Authority
Aetna Global Benefits (UK) Limited United Kingdom Financial Conduct Authority
5. Filings with the following GovernmentalAuthorities in the following jurisdictions with respect to the following Subsidiaries of the Company:
Entity Jurisdiction Relevant regulator(s) Aetna Life & Casualty (Bermuda) Ltd. Bermuda Bermuda Monetary Authority Aetna (Shanghai) Enterprise Services Co. Ltd.
China Huangpu Branch of Shanghai Commission of Commerce
PT Asuransi Aetna Asia Indonesia Financial Services Authority
PT. Aetna Global Benefits Indonesia Indonesia Financial Services Authority Aetna Global Benefits (Middle East) LLC United Arab Emirates UAE Insurance Authority
6. If applicable, Filings with the Centers for Medicare and Medicaid Services (CMS), and any separate Filings with the CMS Medicare Drug Benefit Group and Central OfficeMedicare Advantage plan manager with respect to the transactions contemplated by the Agreement.
7. Filings with, or Consents of, all Governmental Authorities responsible for the administrationand regulation of Medicaid in states in which Company Subsidiaries engage in Medicaid business.
8. To the extent required by Applicable Law, Filings with, or Consents of, any applicable Governmental Authority with respect to the change in control of any Subsidiary of Company that is licensed or authorized to engage in a pharmacy, drug distribution, drug wholesale or other pharmaceutical-related business.
9. To the extent required by Applicable Law, Filings with, or Consents of, any applicable Governmental Authority with respect to the change in control of any Subsidiary of Company that is licensed or authorized as a third-party administrator or its equivalent.
10. To the extent required by Applicable Law, Filings with, or Consents of, all applicable Governmental Authorities with respect to the change in control of any Subsidiary of Company that is licensed or authorized as an insurance brokerage and/or agency.
11. Notice to the California Department of Insurance regarding the change of control of Sutter Health and Aetna Insurance Company, if the application for a certificate of authority submitted by Sutter Health and Aetna Insurance Company to the California Department of Insurance is still pending as of the Closing Date.
12. Notice to the California Department of Managed Health Care filed by Aetna Better Health of California, Inc. if the application for a certificate of authority submitted by Aetna Better Health of California, Inc. to the California Department of Managed Health Care is still pending as of the Closing Date, with respect to its change of control under The Knox-Keene Health Care Service Plan Act of 1975, as amended, resulting from the transactions contemplated by the Agreement.
13. Notice of modification to the New Jersey Department of Banking & Insurance regarding the change of control of Aetna Dental, Inc. (NJ).
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14. Notice to the North Carolina Department of Insurance regarding the change of control of Aetna Better Health of North Carolina, Inc., if the application for a certificate of authority submitted by Aetna Better Health of North Carolina, Inc. to the North Carolina Department of Insurance is still pending as of the Closing Date.
15. To the extent required by Applicable Law, Filings with, or Consents of, any applicable Governmental Authority with respect to the change in control of any Subsidiary of Company that is licensed or authorized as a health discount plan operator, non-risk assuming preferred provider organization, or any equivalent.
16. To the extent required by Applicable Law, Filings with, or Consents of, the Drug Enforcement Administration with respect to the change in control of any Subsidiary of Companythat maintains a DEA number or is licensed or authorized to dispense a controlled substance.
17. To the extent required by Applicable Law, Filings with, or Consents of, all applicable Governmental Authorities with respect to the change in control of any Subsidiary of Company that is licensed or authorized with respect to Utilization Review (UR) or any similar function.
18. To the extent required by Applicable Law, Filings with, or Consents of, all applicable Governmental Authorities with respect to the change in control of any Subsidiary of Company that is licensed or authorized as a heath care facility or health careprovider.
19. To the extent required by Applicable Law, Filings with, or Consents of, all applicable Governmental Authorities under the New Jersey Industrial Site Recovery Act or the Connecticut Property Transfer Law with respect to applicable transfers, if any, of real property or facilities of the Company or any of its Subsidiaries in New Jersey or Connecticut, respectively.
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7
Section 4.04
Non-Contravention
1. If applicable, the Centers for Medicare & Medicaid Services (CMS) regulatory process for changes of ownership, as it may relate to the Company’s Medicare and Medicaid contracts, including the items set forth in Section 4.18(a)(ii) of this Company Disclosure Schedule.
2. Master Relationship Agreement, dated June 19, 2012, by and between Aetna ACO Holdings Inc. and Inova Health System Foundation.
3. Master Relationship Agreement, dated January 6, 2017, by and between Aetna ACO Holdings Inc. and Allina Health System.
4. Amended and Restated Master Relationship Agreement, dated August 7, 2017, by and between Aetna ACO Holdings Inc. and Banner Health.
5. Master Relationship Agreement, dated June 8, 2017, by and between Aetna ACO Holdings Inc. and Sutter Health Plan Products Organization, LLC.
6. Master Relationship Agreement, dated May 23, 2016, by and between Aetna ACO Holdings Inc. and Texas Health Resources, as amended by the amendments thereto dated November 14, 2016, May 22, 2017 and June 15, 2017.
7. Joint Venture Agreement, dated August 14, 2017, by and between Aetna International Inc. and PT Asuransi Central Asia.
8. The 2001 Indenture, as supplemented by the Supplemental Indentures thereto dated May 20, 2011, May 4, 2012, November 7, 2012, March 7, 2014, November 10, 2014 and June 9, 2016.
a. Senior Notes due December 8, 2017
b. Senior Notes due June 7, 2018
c. Senior Notes due March 15, 2019
d. Senior Notes due June 1, 2021
e. Senior Notes due November 15, 2022
f. Senior Notes due June 15, 2023
g. Senior Notes due November 15, 2024
h. Senior Notes due June 15, 2036
i. Senior Notes due December 15, 2037
j. Senior Notes due May 15, 2042
k. Senior Notes due November 15, 2042
l. Senior Notes due March 15, 2044
m. Senior Notes due June 15, 2047
9. The 2007 Indenture, as amended by the Supplemental Indentures thereto dated August 27, 2007 and June 7, 2011.
a. Senior Notes due June 15, 2021
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8
10. The Five-Year Credit Agreement, dated as of March 27, 2012, among Aetna Inc., the lenders listed therein, JPMorgan Chase Bank, N.A., as administrative agent, Bank of America, N.A. and Citibank, N.A., as co-syndication agents, and Wells Fargo Bank, National Association and U.S. Bank, N.A., as documentation agents, as amended by the amendments thereto dated September 24, 2012, March 2, 2015, July 30, 2015 and March 17, 2017.
11. Apple/Aetna Alliance Agreement, dated September 7, 2016, by and between Apple Inc. and Aetna Life Insurance Company.
12. Manufacturer’s Medicare Discount Agreement, dated January 1, 2006, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Johnson & Johnson Health Care Systems Inc., as amended by the amendments thereto dated January 1, 2007, April 1, 2007, January 1, 2008, January 1, 2009, January 1, 2010, January 1, 2011, November 7, 2011, July 1, 2012, October 1, 2012, January 1, 2013, June 1, 2013, January 1, 2014, May 2, 2014, December 31, 2014, January 1, 2015, May 1, 2015, May 1, 2015, August 10, 2015, December 31, 2015, January 1, 2016, January 1, 2016, April 1, 2016, October 15, 2016, January 1, 2017 and July 1, 2017.
13. Manufacturer’s Medicare Discount Agreement, dated January 1, 2007, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and MSP Distribution Services, LLC, as amended by the amendments thereto dated April 15, 2007, January 1, 2009, January 1, 2010, January 1, 2011, January 1, 2012, November 1, 2012, January 1, 2014, January 1, 2015 and January 1, 2016.
14. Manufacturer’s Discount Agreement, dated May 1, 2005, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and MSP Distribution Services, LLC, as amended by the amendments thereto dated July 1, 2006, October 1, 2007, January 1, 2009, January 1, 2011, January 1, 2012, November 1, 2012, March 1, 2013, June 1, 2013, January 1, 2014, January 1, 2014, January 1, 2015 and January 1, 2016.
15. Managed Care Agreement, dated January 1, 2011, by and between Aetna Health Inc., on behalf of itself and its affiliates, and West Florida Division, Inc., as disclosed agent for listed facilities, as amended by the amendments thereto dated August 1, 2011, February 7, 2012, August 1, 2012, October 1, 2012, January 1, 2013, February 25, 2013, October 1, 2013, November 1, 2014 and October 1, 2015.
16. Managed Care Agreement, dated September 15, 2010, by and between Aetna Health Inc., on behalf of itself and its affiliates, and North Florida Division 1, Inc. as disclosed agent, as amended by the amendments thereto dated January 1, 2013, April 22, 2013, June 1, 2013 and September 15, 2013.
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Section 4.05
Capitalization
(a)
As of November 30, 2017, there were reserved for issuance 61,690,976 shares of Company Common Stock.
(b)
See attached Appendices 4.05(b)(i) and 4.05(b)(ii). [Attachments redacted]
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10
Section 4.06
Subsidiaries
(a)
Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
1. Aetna Health Holdings, LLC DE
2. Aetna Life Insurance Company
CT
AZ
AR AR
CT
CT
GA IN IN
IN IN IN
IA KS KS
KY KY LA
ME ME
MD MD MA
MA MN MS
MO MO MT
NE NE NE
NV NV NV
NH NH
NJ
NY
ND OK
OK RI
RI
RI
RI
RI
RI
Registration –
Utilization Review Utilization Review Third Party Administration
Registration – Third Party Administrator Utilization Review
Utilization Review Utilization Review Certification – PPO Dental
Certification – PPO Medical Certification – PPO Pharmacy Certification – PPO Vision
Utilization Review Utilization Review DMPO
Third Party Administrator Utilization Review Registration –
Utilization Review PPO Registration - Dental PPO Registration - Vision
Utilization Review Registration – DMPO Accreditation – PPO Medical - BOI
Accreditation - PPO Medical - OPP Utilization Review Utilization Review
Utilization Review DMPO Utilization Review
Third Party Administrator Utilization Review DMPO
Registration – PPO Network Third Party Administrator Utilization Review
Third Party Administrator Registration – Utilization Review
Registration – Mt. Laurel Business Registration –
Utilization Review Utilization Review DMPO
Utilization Review Certification – Blanket MM/Rx
Certification – Dental Gatekeeper DMO Certification –
Dental PPO Certification – Medical PPO with Pharmacy Certification – Vision
Utilization Review
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
SD Third Party Administrator
SD Utilization Review SD Registration –
PPO Network Access Plan
TN Utilization Review TX Registration – Third Party
Administrator
TX Utilization Review UT DMPO UT Third Party Administrator
VT Utilization Review (behavioral health) VT PBM VT Registration –
Third Party Administrator VA MCHIP WV DMPO
WV Third Party Administrator WI Certification –
Managed Care Plan
WI Certification – PPO Network
CT General Insurance
AL General Insurance AK General Insurance AZ General Insurance
AR General Insurance Canada - General Insurance CO General Insurance
DC General Insurance DE General Insurance FL General Insurance
GA General Insurance Guam General Insurance HI General Insurance
ID General Insurance IL General Insurance IN General Insurance
IA General Insurance KS General Insurance KY General Insurance
LA General Insurance ME General Insurance MD General Insurance
MA General Insurance MI General Insurance MN General Insurance
MS General Insurance MO General Insurance MT General Insurance NE General Insurance
NV General Insurance NH General Insurance NJ General Insurance
NM General Insurance NY General Insurance NC General Insurance
ND General Insurance Northern Mariana Islands – General Insurance OH General Insurance
OK General Insurance OR General Insurance PA General Insurance
PR General Insurance Quebec - General Insurance RI General Insurance
SC General Insurance SD General Insurance
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
TN General Insurance
TX General Insurance UT General Insurance VT General Insurance
Virgin Islands – General Insurance VA General Insurance WA General Insurance
WV General Insurance WI General Insurance WY General Insurance
3. Aetna Health and Life Insurance Company
CT
CT General Insurance AL General Insurance AK General Insurance
AZ General Insurance CA General Insurance CO General Insurance
DC General Insurance DE General Insurance FL General Insurance
GA General Insurance HI General Insurance ID General Insurance
IL General Insurance IN General Insurance IA General Insurance
KS General Insurance LA General Insurance ME General Insurance
MD General Insurance MA General Insurance MI General Insurance
MN General Insurance MS General Insurance MO General Insurance
NE General Insurance NV General Insurance NH General Insurance
NJ General Insurance NM General Insurance NY General Insurance
NC General Insurance ND General Insurance OH General Insurance
OK General Insurance OR General Insurance PA General Insurance
RI General Insurance SC General Insurance SD General Insurance
TN General Insurance TX General Insurance UT General Insurance
VT General Insurance VA General Insurance WA General Insurance
WV General Insurance WI General Insurance WY General Insurance
4. Aetna Health Insurance Company
PA
PA General Insurance AL General Insurance AK General Insurance
AZ General Insurance AR General Insurance CO General Insurance
DC General Insurance DE General Insurance
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
FL
GA HI ID
IL IN IA
KS KY LA
ME MD MA
MI MN MO
MT NE NV
NH NJ NM
NC ND OH
OK OR RI
SC SD TN
TX UT VT
VA WA WV
WI WY
General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance
5. Aetna Health Insurance Company of New York NY NY General Insurance
6. Health Re, Inc. VT VT Captive Insurance Company
7. Active Health Management, Inc.
DE
AL
AZ
AR
CT
GA
IL
IN KS
KY
LA
ME
MD
MN
MS
MO
Certificate –
Utilization Review Agent Registration – Utilization Review Agent
Certificate – Private Review Agent Utilization Review
Certificate – Private Review Agent Registration –
Utilization Review Organization Utilization Review Certificate –
Utilization Review Organization Registration – Utilization Review
Certificate – Utilization Review Organization Medical Utilization Review Service
Certificate – Private Review Agent Utilization Review Organization
Certificate – Private Review Agent Certificate –
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
NE NV NH
NY ND
OK PA
RI
SC
SD TN
TX
VA
Utilization Review Agent
Utilization Review Agent Utilization Review Medical Utilization Review Entity
Utilization Review Certificate – Utilization Review Agent
Utilization Review Certificate – Utilization Review Entity
Certificate – Utilization Review Utilization Review
Utilization Review Organization Certificate – Utilization Review Agent
Certificate – Utilization Review Agent Certificate –
Private Review Agent
8. Continental Life Insurance Company of Brentwood, Tennessee
TN
TN AL
AZ AR CA
CO DE FL
GA ID IL
IN IA KS
KY LA ME
MD MA MI
MN MS MO
MT NE NV
NH NJ NM
NC ND OH
OK OR PA
RI SC SD
TX UT VT
VA WA WV
WI WY
General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
9. American Continental Insurance Company
TN
TN General Insurance
AL General Insurance AZ General Insurance AR General Insurance
CO General Insurance FL General Insurance ID General Insurance
IL General Insurance IN General Insurance IA General Insurance
KS General Insurance KY General Insurance LA General Insurance
MD General Insurance MI General Insurance MN General Insurance
MS General Insurance MO General Insurance MT General Insurance
NE General Insurance NV General Insurance NH General Insurance
NJ General Insurance NM General Insurance NC General Insurance
ND General Insurance OH General Insurance OK General Insurance
PA General Insurance SC General Insurance SD General Insurance
TX General Insurance UT General Insurance VT General Insurance
VA General Insurance WV General Insurance WI General Insurance
WY General Insurance
10. Aetna Insurance (Singapore) Pte. Ltd. Singapore Singapore - General Insurance
11. Aetna Health Insurance Company of Europe Limited Ireland Ireland - General Insurance
12. Aetna Life & Casualty (Bermuda) Ltd.
Bermuda
Bermuda - General Insurance Cayman Islands - General Insurance
FL General Insurance Saipan - General Insurance
13. Aetna Health Inc. NY NY HMO
14. Aetna Health Inc. TX TX HMO
15. Aetna Health of California Inc. CA CA HMO
16. Aetna Health Inc. CT CT HMO
17. Aetna Health Inc. FL
FL HMO IA General Insurance
18. Aetna Health Inc. GA GA HMO
19. Aetna Health Inc. MI MI HMO
20. Aetna Health Inc. NJ NJ HMO
21. Aetna Health Inc. ME ME HMO
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
22. Aetna Student Health Agency Inc.
MA
AL
AK AZ AR
CA CO CT
DE D.C. GA
ID IL IN
KS KY LA
ME MD MA
MI MN MS
MO MT NE
NV NH NJ
NY NC ND
OH OK OR
PA SC SD
TN TX UT
VA WA WV
WY
Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Renewal/DRLP Filing Agency Filing
Agency Filing
23. Aetna Dental Inc. NJ NJ HMO
24. Aetna Dental of California Inc. CA CA HMO
25. Aetna Dental Inc.
TX
TX MD
MO NC
HMO General Insurance
General Insurance General Insurance
26. Aetna Better Health of California Inc. CA CA HMO (in process)
27. Aetna RX Home Delivery, LLC
DE
AL AL
AL AK AZ
AR CA CO
CT DE DE
D.C. D.C. FL
FL
Controlled Substance Mail Order
Pharmacy Pharmacy Pharmacy
Pharmacy Pharmacy Pharmacy
Pharmacy Controlled Substance Pharmacy
Controlled Substance Pharmacy City Occ.
County Occ.
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
FL
FL FL FL
GA HI HI
ID IL IL
IN IA KS
KY LA ME
MD MD MI
MI MN MS
MS MO MO
MO MO MO
MT NE NV
NH NJ NM
NM NY NC
ND OH OK
OK OR PA
RI SC SC
SD TN TX UT
UT VT VA
WA WV WV
WI WY
DEA
Pharmacy Pharmacy Restricted Drug Distributor
Pharmacy Controlled Substance Pharmacy
Pharmacy Controlled Substance Pharmacy
Pharmacy Pharmacy Pharmacy
Pharmacy Pharmacy Pharmacy
Controlled Substance Pharmacy Controlled Substance
Pharmacy Pharmacy Controlled Substance
Pharmacy BNDD (City of Kansas City, MO) Business License
DEA Merchant Pharmacy
Pharmacy Pharmacy Pharmacy
Pharmacy Pharmacy Controlled Substance
Pharmacy Pharmacy Pharmacy
Pharmacy Pharmacy Controlled Substance
Pharmacy Pharmacy Pharmacy
Pharmacy Controlled Substance Pharmacy
Pharmacy Pharmacy Pharmacy Controlled Substance
Pharmacy Pharmacy Pharmacy
Pharmacy Controlled Substance Pharmacy
Pharmacy Pharmacy
28. Aetna Specialty Pharmacy, LLC
DE
AL AL AL
AK AZ AR
CA CO CT
Controlled Substance Mail Order Pharmacy
Pharmacy Pharmacy Pharmacy
Pharmacy Pharmacy Pharmacy
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
DE Controlled Substance
DE Pharmacy D.C. Controlled Substance D.C. Pharmacy
FL Pharmacy FL Orange County Occ. FL Medicare Par Prov
FL DEA GA Pharmacy HI Controlled Substance
HI Pharmacy ID Pharmacy IL Controlled Substance
IL Pharmacy IN Pharmacy IA Pharmacy
KS Pharmacy KY Pharmacy LA Pharmacy
ME Pharmacy MD Pharmacy MD Controlled Substance
Medicare Medicare Par Prov MI Pharmacy MN Pharmacy
MS Pharmacy MO Pharmacy MT Pharmacy
NE Pharmacy NV Pharmacy NH Pharmacy
NJ Pharmacy NM Controlled Substance NM Pharmacy
NY Pharmacy NC Pharmacy ND Pharmacy
OH Pharmacy OK Pharmacy OK Controlled Substance
OR Pharmacy PA Pharmacy RI Pharmacy
SC Pharmacy SD Pharmacy TN Pharmacy
TX Pharmacy UT Controlled Substance UT Pharmacy VT Pharmacy
VA Pharmacy WA Pharmacy WV Pharmacy
WV Controlled Substance WI Pharmacy WY Pharmacy
29. Aetna Health Management, LLC
DE
AL Utilization Review AR Utilization Review
AR Third Party Administrator CA Third Party Administrator CT Registration –
Third Party Administrator CT Utilization Review DE Third Party Administrator
GA Utilization Review GA PBM HI PBM
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
ID
IL IL
IN IA IA
KS KS KY
KY LA
LA ME ME
ME ME
ME
MD MD MD
MI MN MN
MS MS MO
MO MT NE
NV NV
NM NM NY
NC ND ND
OH OK OK
OK OR OR PA
PA PA RI
SC SC
SD
SD
SD TN TN
TX
TX
UT UT
Third Party Administrator
Utilization Review Registration – PPPA
Utilization Review Third Party Administrator (PBM) Utilization Review
Third Party Administrator Utilization Review PBM
Utilization Review Registration – Utilization Review
Third Party Administrator PBM Third Party Administrator
Utilization Review Registration – PPO (Medical & Rx)
Registration – PPO (Medical & Rx) (on behalf of ALIC)
PBM Utilization Review Third Party Administrator
Third Party Administrator Third Party Administrator Utilization Review
PBM Third Party Administrator Third Party Administrator
Utilization Review Utilization Review Registration –
Third Party Administrator Third Party Administrator Utilization Review
Third Party Administrator PBM Utilization Review
Third Party Administrator Utilization Review Third Party Administrator
Third Party Administrator Utilization Review Third Party Administrator
PBM PBM Third Party Administrator PBM
Third Party Administrator Utilization Review Registration –
Third Party Administrator Third Party Administrator Utilization Review
Registration – Managed Care Coordinator Third Party Administrator
Utilization Review Third Party Administrator Utilization Review
Registration – Third Party Administrator Utilization Review
PBM Third Party Administrator
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
VT
VT
VA
WA WV WI
WY WY
PBM
Registration – Third Party Administrator Utilization Review
Registration – PBM Third Party Administrator Third Party Administrator
Third Party Administrator PBM
30. Aetna Better Health Inc.
NY
CT
GA IL NJ
NY OH PA
TN
HMO
HMO HMO HMO
HMO HMO HMO
HMO
31. Aetna Better Health, Inc. LA LA HMO
32. Aetna Better Health Inc. PA PA HMO
33. Aetna Better Health Inc. CT CT HMO
34. Aetna Better Health Inc. GA GA HMO
35. Aetna Better Health Inc. OH OH HMO
36. Aetna Better Health Inc. TN TN HMO
37. Aetna Better Health Inc. NJ NJ HMO
38. Aetna Better Health Inc. IL IL Business Entity Registration
39. Aetna Better Health of Texas Inc. TX TX HMO
40. Aetna Better Health of North Carolina NC NC HMO (in process)
41. Aetna Better Health of Washington, Inc. WA WA HMO
42. Aetna Better Health of Oklahoma Inc. OK OK HMO
43. Aetna Florida Inc. FL FL HMO
44. Aetna Medicaid Administrators LLC
AZ
AZ CA FL
IL IL
IA KY KY
LA MI MO
MO NE
NV NY OH
OK OK PA
PA TX
TX VA WV
Third Party Administrator Third Party Administrator Registration –
Third Party Administrator Utilization Review Third Party Administrator
Third Party Administrator Utilization Review Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Utilization Review Registration – Third Party Administrator
Third Party Administrator Utilization Review Third Party Administrator
Third Party Administrator Utilization Review Third Party Administrator
Utilization Review Registration – Third Party Administrator
Utilization Review Utilization Review Third Party Administrator
45. Aetna Better Health of Iowa Inc. IA IA HMO
46. Aetna Risk Assurance Company of Connecticut, Inc. CT CT Captive Insurance Company
47. Aetna Health Inc. LA LA HMO
48. Aetna Health of Iowa Inc. IA
SD
IA
Utilization Review
HMO
49. Coventry Health Care of Nebraska Inc. NE
NE NE
Utilization Review HMO
NYDOCS01/1714638.7
21
Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
IA General Insurance
50. Coventry HealthCare Management Corporation DE
OH PA
Agency Agency
51. HealthAssurance Pennsylvania, Inc. PA
PA PA
Third Party Administrator HMO
52. Coventry Prescription Management Services Inc. NV MI Third Party Administrator
53. Coventry Health Care National Network, Inc.
DE
ME SD
TN VT
OR
Registration – PPO Registration –
Managed Care Contractor PPO Registration – Rental Network
Registration – Provider Network
54. Aetna Better Health of Nevada Inc. NV NV HMO
55. Aetna Better Health of Kansas Inc.
KS
KS MO OK
KS
Utilization Review Utilization Review Utilization Review
HMO
56. Coventry Health Care of Missouri, Inc.
MO
IL MO
MO MO AR
IL KS OK
Utilization Review Utilization Review
Third Party Administrator HMO General Insurance
General Insurance General Insurance General Insurance
57. Aetna Better Health of Missouri LLC MO
MO KS
HMO General Insurance
58. Coventry Health Care of Illinois, Inc.
IL
IL IL IL
IL
Utilization Review Third Party Administrator TPPP
HMO
59. Coventry Health Care of West Virginia, Inc. WV
WV
OH
HMO
General Insurance
60. Coventry Health Care of Virginia, Inc. VA
VA VA
MCHIP HMO
61. Coventry Health and Life Insurance Company
MO
MO AL
AZ AR CA
CO CT DE
DC FL GA
HI ID IL IN
IA KS KY
LA ME MD
MA MI MN
MS MT NE
NV NH NJ
General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
NYDOCS01/1714638.7
22
Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
NM
NY NC ND
OH OK OR
PA RI SC
SD TN TX
UT VA WV
WA WV WI
WY
General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance
62. Coventry Health Care of Kansas, Inc.
KS
KS MO
OK KS AR
MS OK
Utilization Review Utilization Review
Utilization Review HMO General Insurance
General Insurance General Insurance
63. Coventry Health Care National Accounts, Inc.
DE
AR IL MO
SD
Utilization Review Utilization Review Utilization Review
Utilization Review
64. Aetna HealthAssurance Pennsylvania, Inc. PA PA General Insurance
65. Aetna Better Health of Michigan Inc. MI MI HMO
66. Aetna Health of Utah Inc.
UT
MT UT
ID NV WY
Third Party Administrator HMO
General Insurance General Insurance General Insurance
67. Aetna Better Health of Kentucky Insurance Company KY KY General Insurance
68. MHNet Specialty Services, LLC
MD
AL
AZ AR GA
IL IL IA
KS LA MD
MS MO MT
NV OK PA
SC SD TN
TX VA
Utilization Review
Utilization Review Utilization Review Utilization Review
PPPA Utilization Review Utilization Review
Utilization Review Utilization Review Contracting Provider
Utilization Review Utilization Review Third Party Administrator
Utilization Review Utilization Review Utilization Review
Utilization Review Utilization Review Utilization Review
Utilization Review Utilization Review
69. Group Dental Service, Inc.
MD
AZ
AZ AR CA
CT DE
Third Party Administrator
Utilization Review Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
GA
FL ID IL
IN IA KS
KY LA LA
ME MD MD
MI MN MS
MO MT NE
NV NH NJ
NM NY NC
ND OH OK
OR PA RI
SC SD TX
UT VT WV
WI
Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Utilization Review
Third Party Administrator Third Party Administrator Utilization Review
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Adjuster Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator
70. First Health Group Corp.
DE
GA IL
IN ME NJ
OR SD
VT TN
Registration – Rental Network Registration – PPPA
Certification – PPO Registration – PPO Registration – ODS
Registration – Provider Network Registration – Managed Care Contractor
Registration – Rental Network PPO
71. Coventry Health Care Workers Compensation, Inc.
DE
AL AR AR CA
CA CA GA
IL IL IL
KY KY KY
KY KY LA
MA MI
Utilization Review Managed Care Organization Utilization Review Telephone Medical Advice
HCO/Primary HCO/Select Managed Care Organization
PPP Third Party Administrator Utilization Review
MCO 40A MCO 40B MCO 40C
MCO 40E Utilization Review & MBR Third Party Administrator
Utilization Review Bill Review
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
MS
NE NV NH
NJ
NY
NY NC OK
OK OR SC
SC SD SD
TN TX TX
WV
Utilization Review
Managed Care Organization Utilization Review Managed Care Organization
Registration – Managed Care Organization Registration – IME
Utilization Review Utilization Review CWMP
Utilization Review PBM Bill Review
Utilization Review CMP Utilization Review
Utilization Review Third Party Administrator Utilization Review
MHCP
72. MHNet Life and Health Insurance Company TX TX General Insurance
73. Group Dental Service of Maryland, Inc.
MD
CT DE FL
IL IN KS
LA MD MO
MO NE NV
NH OK OR
RI SC SD
TN TX UT
VA WV MD
DMPO DMPO DMPO
PPPA DMPO DMPO
DMPO DMPO DMPO
Utilization Review DMPO DMPO
DMPO DMPO DMPO
DMPO DMPO DMPO
Prescription Drug Discount Provider DMPO DMPO
MCHIP DMPO DPO
74. First Health Life & Health Insurance Company
TX
TX AL AK
AZ AR CA
CO CT DE
DC FL GA
HI ID IL
IN IA KS
KY LA ME
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
MD
MA MI MN
MS MO MT
NE NV NH
NJ NM NY
NC ND OH
OK OR PA
RI SC SD
TN UT VT
VA WV WA
WV WI WY
General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
75. MHNet of Florida, Inc. FL FL HMO
76. bswift LLC
DE
AL
AK AZ AR
AR CA CA
CO CT CT
DE DE D.C.
GA HI ID
IL IL IN IA
IA KS KS
KY KY LA
LA ME ME
MD MD MA
MA
Agency Filing
Agency Filing Agency Filing Agency Filing
Third Party Administrator Agency Filing Third Party Administrator
Agency Filing Agency Filing Third Party Administrator
Agency Filing Third Party Administrator Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Third Party Administrator Agency Filing Agency Filing
Third Party Administrator Agency Filing Third Party Administrator
Agency Filing Third Party Administrator Agency Filing
Third Party Administrator Agency Filing Third Party Administrator
Agency Filing Third Party Administrator Agency Filing
Registration – Third Party Administrator
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
MN
MS MO MO
NE NE
NH NH
NJ NM NM
NY NV NV
NC ND OH
OK OK OR
OR PA PA
SC SC TN
TN TX UT
UT VT VT
WA WV
WV WI
Agency Filing
Agency Filing Agency Filing Registration – Third Party
Administrator Agency Filing Registration – Third Party
Administrator Agency Filing Third Party Administrator
Agency Filing Agency Filing Third Party Administrator
Agency Filing Agency Filing Third Party Administrator
Agency Filing Third Party Administrator Agency Filing
Agency Filing Third Party Administrator Agency Filing
Third Party Administrator Agency Filing Third Party Administrator
Agency Filing Third Party Administrator Agency Filing
Third Party Administrator Agency Filing Agency Filing
Third Party Administrator Agency Filing Registration –
Third Party Administrator Renewal/DRLP Filing Agency Filing
Third Party Administrator Third Party Administrator
77. Coventry Health Care of Florida, Inc.
FL
FL
FL NC
Third Party Administrator
HMO General Insurance
78. Carefree Insurance Services, Inc.
FL
AL AK AZ
AR CA CO
CT DE D.C. FL
GA HI ID
IL IN IA
KS KY LA
ME MD MA
MI MN
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
MS
MO MT NE
NV NH NJ
NM NY NC
ND OH OK
OR PA RI
SC SD TN
TX UT VT
VA WA WV
WI WY
Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Agency Filing Agency Filing
Agency Filing Renewal/DRLP Filing Agency Filing
Agency Filing Agency Filing
79. Coventry Health Plan of Florida, Inc. FL FL HMO
80. Aetna Health Inc.
PA
MA NE
PA VA AL
AZ CO DC
DE IL IN
KS KY MD
MA MO NE
NV NC OH
OK SC TN VA
WA WV
Managed Care Accreditation Utilization Review
HMO MCHIP General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance
General Insurance General Insurance General Insurance General Insurance
General Insurance General Insurance
81. Texas Health + Aetna Health Insurance Company TX TX General Insurance
82. Innovation Health Insurance Company VA
VA DC
MD
General Insurance General Insurance
General Insurance
83. Banner Health and Aetna Health Insurance Company AZ AZ General Insurance
84. Allina Health and Aetna Insurance Company MN MN General Insurance
85. Sutter Health and Aetna Administrative Services LLC CA CA Third Party Administrator
86. Sutter Health and Aetna Insurance Company CA CA General Insurance (in process)
87. Texas Health + Aetna Health Plan Inc. TX TX HMO
88. Innovation Health Plan, Inc. VA
VA VA
MCHIP HMO
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
89. Banner Health and Aetna Health Plan Inc. AZ AZ HMO
90. Aetna Behavioral Health, LLC DE CA Third Party Administrator
91. PayFlex Holdings, Inc.
DE
AL
AZ
AR
CA ID IL
IA KS KY
LA ME MD
MA MI MN
NE NJ NM
NC ND OH
PA RI SC
SD TN TX
UT VT WV
WI
TPA Exemption
Registration – Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator Third Party Administrator Third Party Administrator
Third Party Administrator
92. Health and Human Resource Center, Inc. CA CA HMO
93. Performax, Inc.
DE
AL AZ CO
CT DC FL
HI ID IL
IN IA KS
LA ME MD MI
MN MO NE
NH NJ NM
NC ND OH
OK PA SC
SD TN TX
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Trade Name Registration Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
UT
VA WA WY
Agency/Producer License
Agency/Producer License Agency/Producer License Agency/Producer License
94. Scrip World, LLC
UT
CT GA KS
KY MD MS
ND OH RI
SD UT WA
WY
PBM License PBM License PBM License
PBM License PBM License PBM License
TPA/Administrator License PBM License PBM License
TPA/Administrator License TPA/Administrator License PBM License
PBM License
95. Meritain Health, Inc.
NY
AL
AK AK AZ
AZ AR AR
CA CO CO
CT CT DE
DE DC DC
FL GA HI
ID ID IL
IL IN IN
IA IA KS
KY LA ME
ME MA MA MI
MI MN MN
MS MS MO
MO MO
MT MT NE
NE NH
Agency/Producer License
Agency/Producer License TPA/Administrator License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
Agency/Producer License Agency/Producer License TPA/Administrator License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License The City of Town & Country Business License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
NH
NJ NJ NM
NY NY NC
NC ND OH
OH OK OK
OR OR PA
PA RI SC
SC SD SD
TN TN TX
TX UT UT
VT VT VA
VA WA WA
WV WV WI
WI WY WY
TPA/Administrator License
Agency/Producer License TPA/Administrator License TPA Business Entity
Agency/Producer License TPA (Adjuster License) Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
Agency/Producer License TPA/Administrator License Agency/Producer License
TPA/Administrator License Agency/Producer License TPA/Administrator License
96. American Health Holding, Inc.
OH
AL AR AZ
CT GA IL
IN KS KY
LA MD ME
MN MO MS
MT ND NE
NH NV NY
OK RI SC
SD TN TX
Utilization Review Agent Private Review Agent Utilization Review Agent
Utilization Review Agent Private Review Agent Utilization Review Organization
Utilization Review Agent Utilization Review Organization Utilization Review Agent
Utilization Review Organization Private Review Agent Medical Utilization Review Entity
Utilization Review Agent Utilization Review Agent Private Review Agent
Utilization Review (Plan on File) Utilization Review Agent Utilization Review Agent
Medical Utilization Review Entity Utilization Review Agent Utilization Review Agent
Private Review Agent Utilization Review Agent Private Review Agent
Utilization Review Agent Utilization Review Agent Utilization Review Agent
NYDOCS01/1714638.7
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Entity Name Jurisdiction of Incorporation/ Organization
License(s) (if a Regulated Subsidiary)
VA Private Review Agent
97. Aetna Insurance Company of Connecticut
CT
CT General Insurance AL General Insurance AK General Insurance
AZ General Insurance CA General Insurance CO General Insurance
DC General Insurance DE General Insurance FL General Insurance
GA General Insurance HI General Insurance ID General Insurance
IL General Insurance IN General Insurance IA General Insurance
KS General Insurance KY General Insurance LA General Insurance
ME General Insurance MD General Insurance MA General Insurance
MI General Insurance MN General Insurance MS General Insurance
MO General Insurance MT General Insurance NE General Insurance
NV General Insurance NH General Insurance NJ General Insurance
NM General Insurance NY General Insurance NC General Insurance
ND General Insurance OH General Insurance OK General Insurance
OR General Insurance PA General Insurance RI General Insurance
SC General Insurance SD General Insurance TN General Insurance
TX General Insurance UT General Insurance VT General Insurance
VA General Insurance WV General Insurance WA General Insurance
WV General Insurance WI General Insurance WY General Insurance
98. Innovation Health Insurance Company VA VA MCHIP
99. Innovation Health Plan, Inc. VA
DC General Insurance
MD General Insurance
100. Aetna Capital Management, LLC DE Registered as an investment adviser with the SEC
101. Aetna Asset Advisors, LLC DE Registered as an investment adviser with the SEC
(b)
1. Item 8 set forth in Section 4.13(b) of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
2. The Company holds less than all of the ownership interests of each of the following entities:
NYDOCS01/1714638.7
32
a. Innovation Health Holdings, LLC [Ownership percentage redacted]
b. Innovation Health Insurance Company [Ownership percentage redacted]
c. Innovation Health Plan, Inc. [Ownership percentage redacted]
d. PHPSNE Parent Corporation [Ownership percentage redacted]
e. Aetna Global Benefits (Middle East) LLC [Ownership percentage redacted]
f. PT. Aetna Global Benefits Indonesia [Ownership percentage redacted]
g. Aetna Multi-Strategy 1099 Fund [Ownership percentage redacted]
h. PT Asuransi Aetna Asia [Ownership percentage redacted]
i. Bupa Holdings (Thailand) Limited [Ownership percentage redacted]
j. Texas Health + Aetna Health Insurance Holding Company LLC [Ownership percentage redacted]
k. Texas Health + Aetna Health Insurance Company LLC [Ownership percentage redacted]
l. Banner Health and Aetna Health Holding Company LLC [Ownership percentage redacted]
m. Banner Health and Aetna Health Insurance Holding Company LLC [Ownership percentage redacted]
n. Allina Health and Aetna Insurance Holding Company LLC [Ownership percentage redacted]
o. Allina Health and Aetna Insurance Company [Ownership percentage redacted]
p. Sutter Health and Aetna Insurance Holding Company LLC [Ownership percentage redacted]
q. Sutter Health and Aetna Insurance Company [Ownership percentage redacted]
r. The Company holds warrants for [redacted] capital units of AssureCare LLC.
3. The Company and its Subsidiaries hold the following securities which may exceed 5% of the outstanding securities of such entities. The total market value of the securities listed below, as of the date hereof, is approximately $25,000,000.
Asset Type CUSIP Description Shares
Common Stock 0954984E8 NEWTOPIA INC 355,231
125063149 CCDC OpCo Holding Corporation 50,000
171770993 CIDRA Holdings LLC Common Sha 26,708
313000903 Federal Home Loan Bank Boston 48,487
377100$04 GIORDANO ASSOCIATES INC 3,085
449369$50 I D E CORP 6,210
559040902 MAGNESITA REFRATARIOS SA 359,981
627487101 MUSE TECHNOLOGIES INC 3,494
834019$86 SOFTBRIDGE LTD 60,200
928890169 WC FOSS INVESTMENT II INC COMM 213
950125104 WellTok Inc 14,328
961988151 COP WP PARENT INC AKA WETZEL C 7,500
Total Common Stock Shares 935,437 Preferred Stock 125063172 CCDC OpCo Holding Corporation 83,664
NYDOCS01/1714638.7
33
171770902 CIDRA Holdings LLC Pfd Stock 12,553
220577928 CYBER GLOBAL RISK EXCHANGE IN 1,000,000
220577936 CYBER GLOBAL RISK EXCHANGE IN 586,820
Total Preferred Stock Shares 1,683,037 Warrants 0605173D9 Noom Inc Warrant 419,012
155406903 CENTRIFYHEALTH INC 106,655
302299151 Extreme Health Warrant 1,000
421877754 HEALTH EDGE SOFTWARE INC WARRA 3,096,740
Total Warrants Shares 3,623,407 Total Shares 6,241,881
NYDOCS01/1714638.7
34
Section 4.07
SEC Filings and the Sarbanes-Oxley Act
(a)
Two of the Company’s Subsidiaries, Aetna Capital Management, LLC and Aetna Asset Advisors, LLC, are registered as investment advisers with the SEC.
NYDOCS01/1714638.7
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Section 4.08
Financial Statements and Financial Matters
(b)
1. SEC Staff Comment Letter, dated May 19, 2017, re: Aetna Inc. Form 10-K for the Fiscal Year Ended December 31, 2016.
2. SEC Staff Comment Letter, dated July 9, 2015, re: Aetna Inc. Form 10-K for the Fiscal Year Ended December 31, 2014.
NYDOCS01/1714638.7
36
Section 4.10
Statutory Financial Statements
The Company intends to refile 2016 page 7 and page 14 supplements to the Health Blanks for the following entities:
1. Aetna Health Inc. (CT)
2. Aetna Health Inc. (FL)
3. Aetna Health Inc. (ME)
4. Aetna Health Inc. (NJ)
5. Aetna Health Inc. (PA)
6. Aetna Health Inc. (GA)
7. Aetna Health Inc. (TX)
The purpose of the refiling is to correct an error in cost allocations across products. The error was identified in an internal review; the refiling is not being made in response to any inquiry or comment letter from any Governmental Authority. The refiling is anticipated to occur in the first or second week of December, 2017. As a result of the refiling, the Company may be required to refile its 2016 SCHE and HHS forms, which the Company also expects to complete in December, 2017.
NYDOCS01/1714638.7
37
Section 4.12
Capital or Surplus Maintenance
Health Re, Inc. (“Health Re”) may only pay dividends when (a) Health Re’s total adjusted capital is no less than 150% of its company action level risk based capital and (b) the sum of cash and invested assets is at least $175,000,000 after giving effect to the dividend.
NYDOCS01/1714638.7
38
Section 4.13
Absence of Certain Changes
(a)(i)
1. The Company sold its domestic Group Life Insurance, Group Disability Insurance and Absence Management Business to Hartford Life and Accident Insurance Company, an indirect wholly owned subsidiary of The Hartford Financial Services Group, Inc. pursuant to the Master Transaction Agreement, dated October 22, 2017, by and between Aetna Inc. and Hartford Life and Accident Insurance Company.
2. Repurchases of Company Stock disclosed in the Company’s filings with the SEC, including stock repurchases pursuant to the Company’s share repurchase program, adopted in February 17, 2017, including through (i) plans designed to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, as amended, and (ii) the accelerated share repurchase agreements documented by the Master Confirmation, dated February 22, 2017, between JPMorgan Chase Bank, National Association, London Branch and Aetna Inc. and the Master Confirmation dated February 22, 2017 between Bank of America, N.A. and Aetna Inc.
3. The Company terminated its planned acquisition of Humana Inc. (the “Humana Transaction”) by a letter agreement, dated February 14, 2017, among Aetna Inc., Echo Merger Sub, Inc., Echo Merger Sub, LLC and Humana Inc. The Company terminated its agreement to sell certain of the Company’s Medicare Advantage assets to Molina Healthcare, Inc. (“Molina”) pursuant to the Termination Agreement, dated February 14, 2017, between Aetna Inc. and Molina Healthcare, Inc. On February 14, 2017, in connection with the termination of the Humana Transaction, the Company issued a notice of redemption for $10.2 billion aggregate principal amount of the Company’s senior notes issued on June 9, 2016. The Company completed that redemption on March 16, 2017. The Company also paid the applicable termination fees related to the termination of the Humana Transaction and the termination of its agreement with Molina.
4. Acquisition of the business of Bupa Thailand.
5. Consent, Facilitation and Coordination Agreements with Coventry Care Health Plan and Meridian Health Plan of Illinois in November 2017 and compliance by the Company and its Subsidiaries with the agreements entered into in connection with such sales.
6. Proposed sale of the Company’s Medicity subsidiary.
7. Transactions with employees under the Aetna 2016 Voluntary Early Retirement Plan and/or related to the Company’s 2017 “Spans and Layers” or “Agile Workforce” activities.
8. [Redacted]
9. Pending Form 3115 (Application for Change in Accounting Method), dated August 22, 2017. The Company has requested a change in the treatment of the Company’s return premium liabilities under certain contracts with CMS. The Company currently treats these liabilities as accrual liabilities under Section 461 of the Code, with economic performance occuring upon payment. The Company believes that the liabilities represent return premium and the Company’s proposal is to reduce premium income pursuant to Section 803(a)(1)(B) of the Code.
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(b)
1. The items set forth in Section 4.13(a)(i) of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
2. Borrowings under Agreement for Advances, Collateral Pledge, and Security Agreement, dated as of December 5, 2014, between Aetna Life Insurance Company and Federal Home Loan Bank of Boston.
3. Borrowings under the Company’s commercial paper program (see item 3 set forth in Section 4.18(a)(ix) of this Company Disclosure Schedule).
4. Securities repurchase transactions (“Repos”) in the Company’s investment portfolio in the ordinary course.
5. Grants of Company Equity Awards other than in connection with the Company’s annual equity award grant procedures, which grants are reflected in the information disclosed in Sections 4.05(a) and 4.05(b) of this Company Disclosure Schedule.
6. From January 1, 2017 through November 30, 2017, the Company made approximately $250,000,000 of commercial mortgage loans as part of the Company’s investment portfolio consistent with the Company’s investment policy in effect as of the date hereof.
7. Liens on the assets of the Company and/or its Subsidiaries in connection with obtaining advances from the Federal Home Loan Bank of Boston (the “FHLBB”). When the Company obtains such advances, it must post treasury securities (“Treasuries”), commercial mortgage-backed securities and/or mortgage-backed securities as collateral in an account at the FHLBB to secure its obligations to repay such advances. The FHLBB makes advances ranging from 40% to 90% of the value of the posted collateral.
8. Liens on the Treasuries of the Company and/or its Subsidiaries in connection with entering into one or more Repos in connection with their investment portfolios consistent with the Company’s investment policy in effect as of the date hereof. From January 1, 2017 through November 30, 3017, the Company and/or its Subsidiaries did not enter into any Repos. When the Company and/or its Subsidiaries enter into any Repos, they must post Treasuries as collateral into the account of a third party to secure their obligations under the Repo. The Company posts Treasuries with a cash value that generally ranges between 100% and 102% of the notional value of the applicable Repo.
9. All contracts and amendments set forth in Section 4.18 of this Company Disclosure Schedule entered into on or after January 1, 2017.
10. The amendment of the Company’s Amended Aetna Inc. 2010 Stock Incentive Plan approved at the Company’s 2017 Annual Meeting of Shareholders.
11. Changes in the compensation of the Company’s Named Executive Officers disclosed in the Company’s 2017 Proxy Statement.
12. Since December 31, 2016, base compensation for the following executive officers and members of the ELT has increased per the following table:
Name 2017
Salary 2016
Salary Guertin, Shawn $820,000 $800,000
Loveman, Gary $820,000 $800,000
Kelmar, Steven $575,000 $550,000
[Redacted] [Redacted] [Redacted]
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13. On December 1, 2017, with effect as of January 1, 2018, the annual retainer for members of the Board of Directors was increased from $95,000 to $100,000, and the grant date fair value of annual RSU grants for members of the Board of Directors was increased by $5,000.
14. Pending Form 3115 (Application for Change in Accounting Method), dated August 22, 2017. The Company has requested a change in the treatment of the Company’s return premium liabilities under certain contracts with CMS. The Company currently treats these liabilities as accrual liabilities under Section 461 of the Code, with economic performance occuring upon payment. The Company believes that the liabilities represent return premium and the Company’s proposal is to reduce premium income pursuant to Section 803(a)(1)(B) of the Code.
15. Repayment and redemption of the Company’s debt securities as disclosed in the Company’s SEC Documents.
16. On November 30, 2017, the Company filed a Registration Statement on Form S-3 with the SEC.
17. On August 10, 2017, the Company issued $1.0 billion of its Senior Notes. On August 2, 2017, the Company filed a Registration Statement on Form S-8 with the SEC.
18. On March 17, 2017, the Company and the other parties thereto entered into the Fourth Amendment to the Credit Agreement.
19. Items 11 and 12 set forth in Section 4.18(a)(iv) of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
20. The Company has made the following capital contributions to its non-wholly-owned subsidiaries:
Date Legal Entity Contribution ($) 02/06/2017 Allina Health and Aetna Insurance Holding Company LLC [Redacted]
02/17/2017 Banner Health and Aetna Health Insurance Holding Company LLC [Redacted]
02/28/2017 Banner Health and Aetna Health Insurance Company [Redacted]
02/28/2017 Banner Health and Aetna Health Plan Inc. [Redacted]
03/20/2017 Innovation Health Insurance Company [Redacted]
03/20/2017 Innovation Health Plan, Inc. [Redacted]
06/16/2017 Texas Health + Aetna Health Insurance Company [Redacted]
07/28/2017 Sutter Health and Aetna Insurance Holding Company LLC [Redacted]
08/09/2017 Banner Health and Aetna Health Insurance Holding Company LLC [Redacted]
08/09/2017 Allina Health and Aetna Insurance Company [Redacted]
08/10/2017 Allina Health and Aetna Insurance Company [Redacted]
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Section 4.14
No Undisclosed Material Liabilities
1. The items set forth in Section 4.15 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
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Section 4.15
Litigation
1. The items set forth in Section 4.17 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
2. The Company is involved in a number of lawsuits and state and federal investigations and audits involving the Company’s risk adjustment data submissions under Parts C and D of the Medicare program, including:
a. [Redacted]
b. Ongoing Medicare Risk Adjustment Data Validation (“RADV”) audits by the Centers for Medicare and Medicaid (“CMS”). Some of these audits involve CMS testing national RADV error rates, while some audits are specific to the Company.
c. [Redacted]
d. Item 2 set forth in Section 4.17 of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
3. The Company is involved in a number of lawsuits and state and federal investigations arising from the accidental exposure of HIV status-related information that was mailed in clear envelope windows. The envelopes contained letters with information about changes to pharmacy benefits and access to HIV medications and were sent to approximately 12,000 customers across multiple states:
a. Beckett, Andrew, individually and on behalf of all others similarly situated v. Aetna, Inc.;
Aetna Life Insurance Company; Aetna Specialty Pharmacy, LLC; and Doe Vendor. US. District Court for the Eastern District of Pennsylvania, No. 2:17-cv-03864-JS.
b. D.L. v. Aetna, Inc.; Aetna Health and Life Insurance Company; and Aetna Insurance
Company of Connecticut. U.S. District Court for the Central District of California, Western Division, No. 2:17-cv-08478.
c. Doe 1, Jane; Jane Doe 2; and John Doe, individually and on behalf of all other similarly
situated v. Aetna, Inc. U.S. District Court for the District of Connecticut, No. 3:17-cv-01751-MPS.
d. Doe, Jane, individually and on behalf of all others similarly situated v. Aetna, Inc.; and Aetna
Life Insurance Company. 16th Judicial Circuit Court, Jackson County, MO, No. 1716-CV23378.
e. Doe, John v. Aetna, Inc.; Aetna Healthcare, Inc; and Does 1-25, inclusive. Superior Court of California for the County of Contra Costa, No. C17-02082.
f. Doe, John, Individually and on behalf of All Others Similarly Situated v. Aetna Inc.; Aetna
Health and Life Insurance Company; Aetna Insurance Company of Connecticut, et al. U.S. District Court for the Northern District of California, No. 3:17-cv-05191-JCS.
g. Doe, John, Individually and on behalf of All Others Similarly Situated v. Aetna, Inc. U.S. District Court for the Southern District of California, No. 3:17-cv-01947-H-JLB.
h. R.H., individually and on behalf of others similarly situated v. Aetna Health, Inc; Aetna Life
Insurance Company; Aetna, Inc. U.S. District Court for the Eastern District of Pennsylvania, No. 2:17-cv-04566-MMB.
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i. S.A., on behalf of himself individually and on behalf of all those similarly situated v. Aetna,
Inc; Aetna Health of California Inc; and Does 1 – 10. Superior Court of California for the County of Los Angeles, No. BC674088.
j. Smith, John and Richard Becker v. Aetna, Inc; Aetna Health Inc; Aetna Specialty Pharmacy
LLC; ABC Corporation (1-10); Doe Vendor (No. ESX-L-7541-17). Superior Court of New Jersey, Essex County, No. ESX-L-7541-17.
k. [Redacted]
l. [Redacted]
4. Mayer, Jr., M.D., et al. v. Aetna, Inc.; and Aetna Life Insurance Company. U.S. District Court for the Central District of California, No. 2:14-cv-08266; Association of New Jersey Chiropractors,
et al. v. Aetna, Inc., Aetna Health Inc., et al. U.S. District Court for the District of New Jersey, No. 3:09-cv-03761-JAP-TJB. Association of New Jersey Chiropractors and related cases concerning the Company’s and its Subsidiaries’ fraud investigation and collection practices. These cases are putative class actions.
5. TRI3 Enterprises, LLC, individually, and on behalf of all others similarly situated v. Aetna, Inc, et
al. U.S. District Court for the Northern District of Illinois, No. 1:11-cv-03253. Class action litigation on behalf of providers related to overpayment collection practices.
6. In Re: Aetna UCR Litigation (Cooper) U.S. District Court for the District of New Jersey, MDL
No. 2020, Master File No. 07-3541 (FSH). U.S. District Court for the District of New Jersey, MDL No. 2020, Master File No. 07-3541 (FSH). Class action litigation related to the methodology for paying out of network benefits.
7. Cunningham Ron, Individually, and Ron Cunningham as Personal Representative of the Estate of
Orrana Cunningham v. Aetna Life Insurance Company, et al. District Court of Oklahoma County, OK, No. CJ-2015-2826. A bad-faith case related to the denial of medical benefits.
8. Washington, Gillen v. Aetna Inc; Aetna Life Insurance Company; and Does 1-100, inclusive.
Superior Court of California for the County of Orange, No. 30-2015-00811734-CU-IC-CJC. Member litigation against the Company and/or its Subsidiaries arising out of the member’s failure to obtain IV immunotherapy treatment.
9. Meidl, Christopher, on his own behalf and on behalf of all others similarly situated v. Aetna Inc,
et al. U.S. District Court for the District of Connecticut, No. 3:15-cv-01319-JCH. Mental health parity putative class action relating to denial of coverage of transcranial magnetic stimulation for major depressive disorder as experimental and investigational.
10. Torrey, Lisa; et al. v. Aetna Inc, et al. U.S. District Court for the Eastern District of Texas, Texarkana Division, No. 5:17-cv-00190. A multi-defendant case related to coverage of treatment for acute lyme disease.
11. Peters, Sandra M., on behalf of herself and all others similarly situated v. Aetna Inc, et al. U.S. District Court for the Western District of North Carolina, No. 1:15-cv-00109-MR. Putative class action regarding the Company’s and its Subsidiaries’ practice of including administrative fees payable to vendors as part of provider costs bulled to members and self-insured plans.
12. [Redacted]
13. [Redacted]
14. [Redacted]
15. [Redacted]
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16. [Redacted]
17. In re: Aetna UCR Litigation, MDL No. 2020.
18. [Redacted]
19. [Redacted]
20. [Redacted]
21. [Redacted]
22. [Redacted]
23. [Redacted]
24. [Redacted]
25. [Redacted]
26. [Redacted]
27. [Redacted]
28. [Redacted]
29. [Redacted]
30. [Redacted]
31. [Redacted]
32. [Redacted]
33. [Redacted]
34. Privacy breach inquiries or investigations by the Office for Civil Rights and other Governmental Authorities.
35. As a government contractor, the Company and its Subsidiaries may be subject to various qui tam litigations brought by third parties. Due to the fact that such litigations are filed under seal with Governmental Authorities, the Company and its Subsidiaries may be subject to such qui tam litigations as of the date hereof as to which the Company has no knowledge of their existence, or as to which the Company is barred by Court order from disclosing the matter’s existence; provided that except as set forth in Section 4.15 of this Company Disclosure Schedule, to the knowledge of the Company, no qui tam litigations are pending as of the date hereof.
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Section 4.16
Permits
The items set forth on Sections 4.15 and 4.17 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
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Section 4.17
Compliance with Applicable Laws
1. The items set forth in Section 4.15 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
2. [Redacted]
3. In the second quarter of 2015, ALIC and Aetna Health Insurance Company (“AHIC”) entered into a stipulation of settlement for violation of an order of the director of the Missouri Division of Insurance Market Regulation, which included a fine of $4,500,000 (payment of $1,500,000 of which is suspended) and the suspension of ALIC’s and AHIC’s Missouri insurance licenses (which suspensions were held in abeyance), with respect to certain claims payment issues.
4. In the second quarter of 2015, the CMS imposed a civil monetary penalty of $1,000,000 relating to inaccurate information concerning in-network pharmacies in certain of the Company’s Medicare Advantage and Medicare prescription drug plan contracts.
5. The following commercial fines:
Stat e
Description Time Period Final Fine
Amount From To
NY Market Conduct Exam 01/01/2006 12/31/2011 $578,490.00
NY Market Conduct Exam 01/01/2006 12/31/2011 $268,496.00
MD Target exam of claims and adverse decisions (MHnet) 02/01/2012 01/31/2013 $265,000.00
AZ UM, Member Appeals, Provider Timely Pay, Grievances 07/01/2004 06/30/2006 $199,250.00
CT Comprehensive CT Market Conduct Exam of ALIC. 01/01/2012 12/31/2014 $192,000.00
TX Routine Triennial 04/23/2012 12/31/2014 $150,000.00
SC Examination of IVL and SG products, form filings, complaints, appeals, claims payment and distribution of member materials for 2014 and 2015.
01/01/2014 08/31/2015 $135,000.00
MD Target Exam on claim and appeal processing 01/01/2012 02/28/2013 $111,900.00
TX Claims and Claim Complaints 01/01/2014 12/31/2014 $100,000.00
FL The FL OIR identified the use of unauthorized actuarial certifications that were submitted with filings in 2014.
01/01/2014 03/19/2015 $100,000.00
6. The following Medicaid fines and sanctions:
Plan Name Sanction Type 2015 Calendar Year Dollar
Amount
2016 Calendar Year Dollar
Amount
2017 Calendar YTD Dollar
Amount AZ - Mercy Care
Encounters $54,385.00 $60,511.18 $12,295.00
Delegation Oversight $400,000.00
AZ - Mercy Maricopa
Encounters $7,115.00 $129,860.00 $6,730.00
Regulatory Reporting – Data Integrity
$11,000.00 $2,000.00
Regulatory Reporting – $9,000.00
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Plan Name Sanction Type 2015 Calendar Year Dollar
Amount
2016 Calendar Year Dollar
Amount
2017 Calendar YTD Dollar
Amount Timeliness
Medical Management $3,000.00
Provider Notification Timeliness
$1,000.00
Delegation Oversight $100,000.00
Florida Encounters $2,000.00
Claims $50,000.00 $80,000.00
Quality Measures $216,400.00
Medical Management $2,000.00 $52,000.00 $35,500.00
Staffing Inadequacy $14,750.00
Regulatory Reporting -Timeliness
$1,500.00
Regulatory Reporting – Data Integrity
$140,000.00
Member Materials $500.00
Illinois Encounters $50,000.00
Medical Management $28,732.68
Kentucky Encounters $188,900.00 $1,892,859.72 $3,730,720.48
Claims $280,000.00 $75,000.00
Untimely Responses to Regulator
$1,000.00
3 Year same EQRO Findings
$25,000.00
Louisiana Encounters $570,000.00
Regulatory Reporting – Data Integrity
$226,000.00
Michigan Provider Contract Filing Failure
$1,000.00
Missouri* (plan ended 4/30/17)
Encounters $2,518,560.00
Credentialing $35,000.00 $80,000.00
Delegation Oversight $16,300.00
New Jersey Encounters $33,193.96 $21,204
New York Enrollment $1,595,511.00
Ohio Network Adequacy $14,000.00 $2,000.00
Medical Management $20,000.00 $5,000.00
Call Center – Member $25,000.00
Member Materials $5,000.00
Regulatory Reporting – Timeliness
$10,000.00
Pennsylvania
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Plan Name Sanction Type 2015 Calendar Year Dollar
Amount
2016 Calendar Year Dollar
Amount
2017 Calendar YTD Dollar
Amount Claims $3,333.00 $21,666.00 $16,667.00
Texas Encounters $500.00 $73,500.00 $43,000.00
Claims $7,000.00
G&A $1,050.00 $525.00
Network Adequacy $200.00
Regulatory Reporting -Timeliness
$5,500.00 $2,000.00
Regulatory Reporting – Data Integrity
$1,000.00
Delegation Oversight $500.00
Virginia Encounters $5,000.00
7. On October 3, 2017, Aetna Life Insurance Company, Inc. filed with CMS an amendment to its 2016 MLR form filing, dated July 31, 2017.
8. The item set forth in Section 4.10 of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
9. The Company has not yet filed its September 2017 filing with the U.S. Office of Personnel Management with respect to its Federal Employee Health Benefit plan contracts.
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Section 4.18
Material Contracts
(a)(i)(A)
1. Managed Care Agreement, dated January 1, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Adventist Health System Sunbelt, Inc., as amended by the amendments thereto dated January 1, 2004, January 1, 2006, September 15, 2006, January 1, 2009, October 15, 2009, June 1, 2010, September 17, 2011, April 1, 2013, August 1, 2013, February 1, 2014, June 1, 2014, November 15, 2014, October 1, 2015, November 1, 2015, January 1, 2016, September 15, 2016 and April 1, 2017.
2. Ascension Health is a system made up of multiple hospital agreements.
a. Hospital Services Agreement, dated January 1, 2008, by and between Aetna Health of Illinois Inc., on behalf of itself and its affiliates, and Alexian Brothers Medical Center, as amended by the amendments thereto dated January 1, 2011, January 1, 2012 and May 1, 2015.
b. Hospital Services Agreement, dated July 15, 2010, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Bay County Health System, LLC (as assignee of Bay Medical Center), as amended by the amendments thereto dated April 1, 2012 and March 15, 2016.
c. Physician Hospital Organization Agreement, dated January 1, 2014, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Borgess Health Partners, as amended by the amendments thereto dated January 1, 2014, March 1, 2014, June 1, 2015 and July 1, 2016.
d. Hospital Services Agreement, dated November 1, 2002, by and between Aetna Health Management, Inc., on behalf of itself and its affiliates, and Columbia Center, LLC.
e. Hospital Services Agreement, dated November 1, 2002, by and between Aetna Health Management, Inc., on behalf of itself and its affiliates, and Columbia St. Mary’s Inc. (representing Columbia Hospital, Sacred Heart Rehabilitation Institute, St. Mary’s Hospital of Milwaukee and St. Mary’s Hospital-Ozaukee), as amended by the amendment thereto dated April 1, 2010.
f. Hospital Services Agreement, dated April 1, 2013, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Genesys Regional Medical Center.
g. Hospital Services Agreement, dated November 1, 2002, by and between Aetna Health Management, Inc., on behalf of itself and its affiliates, and Orthopaedic Hospital of Wisconsin, LLC.
h. Hospital Services Agreement, dated January 1, 2011, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Our Lady of Lourdes Memorial Hospital Inc., as amended by the amendment thereto dated July 15, 2014.
i. Hospital-Based Physician Group Agreement, dated January 1, 2008, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Providence Health Services of Waco, Inc.
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j. Managed Care Agreement, dated August 6, 2001, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and Providence Hospital, as amended by the amendment thereto dated January 1, 2009.
k. Hospital Services Agreement, dated October 15, 2004, by and between Aetna Health Management, Inc., on behalf of itself and its affiliates, and Sacred Heart of Pensacola.
l. Hospital Services Agreement, dated October 15, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Sacred Heart Hospital on the Emerald Coast, Inc., as amended by the amendments thereto dated November 11, 2008, October 15, 2011 and January 1, 2015.
m. Hospital Services Agreement, dated July 15, 2008, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Seton Healthcare d/b/a Seton Smithville Regional Hospital (as assignee of Smithville Hospital Authority), as amended by the amendments thereto dated May 15, 2012 and February 1, 2013.
n. Hospital Services Agreement, dated October 15, 2006, by and between Aetna Health Inc., on behalf of itself and its applicable affiliates, and Daughters of Charity Health Services of Austin.
o. Hospital Services Agreement, dated February 1, 2001, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Seton Healthcare, as amended by the amendments thereto dated January 15, 2011, June 15, 2012, October 15, 2012, February 1, 2013, March 15, 2013, January 1, 2014, February 15, 2014, June 1, 2014, July 1, 2014, September 1, 2014, November 1, 2014 and May 1, 2015.
p. Hospital Services Agreement, dated January 1, 2008, by and between Aetna Health of Illinois Inc., on behalf of itself and its affiliates, and Alexian Brothers Medical Center, as amended by the amendments thereto dated January 1, 2011, January 1, 2012, July 1, 2013, May 1, 2015, December 15, 2015 and January 1, 2016.
q. Hospital Contract, dated December 1, 1997, by and between Healthcare Compare Corp., operating in its capacity as owner and operator of The Affordable Medical Networks, and Saint Elizabeth Hospital, as amended by the amendments thereto dated December 1, 1997, June 1, 2000, April 1, 2002 and November 1, 2006.
r. Physician Group Agreement, dated March 1, 2011, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. John Health System, Inc., as amended by the amendment thereto dated December 1, 2014.
s. Hospital Services Agreement, dated July 1, 2013, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. John Health d.b.a. St. John Hospital and Medical Center, Providence Hospital, St. John Detroit Riverview Hospital, St. John Macomb Hospital, St. John NorthEast Community Hospital, St. John North Shores Hospital, St. John Oakland Hospital, and St. John River District Hospital, as amended by the amendment thereto dated January 1, 2015.
t. Hospital Services Agreement, dated October 1, 2013, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and St. Joseph Health System – Tawas.
u. Letter of Agreement, dated June 1, 2006, by and between First Health Group Corp., acting in its capacity as owner and operator of The First Health Network, and Ministry Health Care.
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v. Letter of Agreement, dated February 13, 2014, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and St. Joseph Regional Medical Center, as amended by the amendment dated July 1, 2015.
w. Hospital Services Agreement, dated October 1, 2013, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and St. Mary’s of Michigan and St. Mary’s of Michigan Standish.
x. Hospital Services Agreement, dated May 1, 2007, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Mary’s Medical Center of Evansville, Inc. & Warrick Hospital Inc. d/b/a St Mary’s Warrick, as amended by the amendment thereto dated October 1, 2013.
y. Health Services Agreement, dated September 1, 2013, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Saint Thomas Health, as amended by the amendment thereto dated September 1, 2015.
z. Hospital Services Agreement, dated October 1, 2007, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Vincent Dunn Hospital, Inc. (as assignee of Dunn Memorial Hospital).
aa. Hospital Services Agreement, dated January 1, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Vincent Health, Inc., as amended by the amendments thereto dated January 1, 2012, October 1, 2013 and January 1, 2016.
bb. Agreement, dated January 1, 1987, by and between HealthNet of Alabama, Inc. d/b/a HealthChoice, and St. Vincent’s Hospital, as amended by the amendment thereto dated July 1, 1992.
cc. Hospital Services Agreement, dated December 1, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Vincent’s Medical Center, Inc., as amended by the amendment thereto dated October 15, 2015.
dd. Hospital Services Agreement, dated April 12, 2008, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Luke’s-St. Vincent’s Healthcare, Inc., as amended by the amendment thereto dated May 1, 2015.
ee. Hospital Services Agreement, dated November 15, 2013, by and between Aetna Health Inc., on behalf of itself and its affiliates, and St. Vincent’s Medical Center – Clay County, Inc., as amended by the amendment thereto dated October 15, 2015.
ff. Letter of Agreement, dated April 1, 2005, by and between Aetna Inc., on behalf of itself and its affiliates, and St. Mary’s Hospital, as amended by the amendment thereto dated February 1, 2012.
gg. Managed Care Agreement, dated January 1, 1998, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and St. Vincent’s Hospital, as amended by the amendment thereto dated July 10, 2016.
hh. Participating Hospital/Provider Agreement, dated October 2, 2009, by Via Christi Health, Inc., on behalf of its affiliate hospitals and providers, and Coventry Health Care of Kansas, Inc., on behalf of all affiliate companies of Coventry Health Care, Inc., as amended.
3. Managed Care Agreement, dated January 1, 2011, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Banner Health and Banner Surgery Centers, LLC, as amended by the amendments thereto dated January 1, 2011, January 1, 2012, April 1, 2012, October 1, 2012, January 1, 2013, June 1, 2013, January 1, 2014, May 1, 2014, July 1, 2014,
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August 1, 2014, January 1, 2015, March 1, 2015, January 1, 2016, August 1, 2016 and January 1, 2017.
4. Hospital Services Agreement, dated July 1, 2000, by and between Aetna U.S. Healthcare, Inc. its affiliates, and hospitals and related health care facilities of the Baylor Health Care System, as amended by the amendments thereto dated April 15, 2011, July 1, 2012, July 6, 2012, October 1, 2012, November 1, 2012, January 1, 2013, February 15, 2013, June 20, 2013, July 1, 2013, July 2, 2013, September 1, 2013, September 3, 2013, September 25, 2013, January 1, 2014, March 1, 2014, March 15, 2014, April 1, 2014, May 15, 2014, July 1, 2014, August 15, 2014, September 1, 2014, September 15, 2014, October 1, 2014, October 14, 2014, November 1, 2014, December 6, 2014, December 15, 2014, January 1, 2015, February 3, 2015, March 9, 2015, April 20, 2015, May 11, 2015, June 19, 2015, July 1, 2015, August 11, 2015, September 3, 2015, September 22, 2015, October 1, 2015, October 15, 2015, December 1, 2015, January 1, 2016, June 14, 2016, June 18, 2016, September 1, 2016, October 3, 2016, April 1, 2017, May 15, 2017, October 3, 2017, October 15, 2017 and November 15, 2017.
5. Hospital Services Agreement, dated July 1, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and BJC Health System d/b/a BJC HealthCare, as amended by the amendments thereto dated December 1, 2012, July 1, 2014, July 1, 2015 and January 1, 2016.
6. Physician Group Agreement, dated March 1, 1999, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and The Cleveland Clinic Health System, as amended by the amendments thereto dated April 1, 2008, January 1, 2009, April 1, 2012, June 1, 2014, July 15, 2014, February 1, 2015, May 1, 2015, June 1, 2016 and November 15, 2016.
7. Facility Services Agreement, dated July 1, 2010, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and DaVita Inc., on behalf of itself and its subsidiaries and affiliates.
8. Dignity Health is a system made up of multiple hospital agreements. They are as follows:
a. DIGNITY - Arizona Orthopedic: Hospital Services Agreement, dated September 1, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Orthopedic and Surgical Specialty Company, LLC d/b/a Arizona Orthopedic Surgical Hospital, St. Joseph’s Outpatient Surgery Center, LLC d/b/a St. Joseph’s Outpatient Surgery Center and d/b/a St. Joseph’s Recovery Care Center and Warner Park Surgery Center, LP d/b/a Warner Park Outpatient Surgery Center, as amended by the amendments thereto dated September 1, 2006, February 1, 2007, June 21, 2007, October 1, 2007, February 1, 2009, February 1, 2011, February 1, 2012, August 1, 2012, July 1, 2013, January 1, 2014, February 1, 2014, January 1, 2015, February 1, 2015, January 1, 2016, February 1, 2016, September 1, 2016 and September 15, 2017.
b. DIGNITY - Arizona Spine & Joint Hospital, LLC: Hospital Services Agreement, dated May 1, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Arizona Spine & Joint Hospital, LLC, as amended by the amendments thereto dated July 1, 2007, October 1, 2007, November 15, 2007, October 15, 2008, November 1, 2010, February 1, 2016 and February 1, 2017.
c. DIGNITY - St Joseph Hospital: Hospital Services Agreement, dated September 1, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Catholic Healthcare West d/b/a St. Joseph’s Hospital and Medical Center, Chandler Regional Hospital and Mercy Gilbert Medical Center, as amended by the amendments thereto dated September 1, 2006, October 1, 2006, February 1, 2007, April 6, 2007, June 15,
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2007, June 16, 2007, October 1, 2007, January 1, 2008, May 5, 2008, November 1, 2008, February 1, 2009, February 1, 2011, February 1, 2012, July 8, 2013, January 1, 2014, February 1, 2014, September 1, 2014, January 1, 2015, February 1, 2015, May 15, 2015, February 1, 2016 and February 1, 2017.
9. National Facility Services Agreement, dated June 1, 2008, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Fresenius Medical Care Holding, Inc., on behalf of itself and its Dialysis Clinics
10. HCA is a system made up of multiple hospital agreements. They are as follows:
a. Managed Care Agreement, dated September 15, 2010, by and between Aetna Health Inc., on behalf of itself and its affiliates, and North Florida Division 1, Inc., as disclosed agent, as amended by the amendments thereto dated January 1, 2013, April 22, 2013, June 1, 2013 and September 15, 2013
b. Managed Care Agreement, dated January 1, 2011, by and between Aetna Health Inc., on behalf of itself and its affiliates, and West Florida Division, Inc., as disclosed agent for listed facilities, as amended by the amendments thereto dated August 1, 2011, February 7, 2012, October 1, 2012, January 1, 2013, February 25, 2013, October 1, 2013, November 1, 2014 and October 1, 2015.
c. Hospital Services Agreement, dated November 1, 2014, by and between Aetna Health Inc., on behalf of itself and its affiliates, and South Atlantic Division, Inc., as disclosed agent, as amended by the amendment thereto dated October 1, 2017.
d. Managed Care Agreement, dated July 1, 2004, by and between Aetna U.S. Healthcare, Inc., on behalf of itself and its affiliates, and Galencare, Inc. d/b/a Brandon Regional Hospital, Galen of Florida, Inc. d/b/a St. Petersburg General Hospital, Galencare, Inc. d/b/a Northside Hospital, HCA Health Services of Florida, Inc. d/b/a Regional Medical Center Bayonet Point, HCA Health Services of Florida, Inc. d/b/a Oak Hill Hospital, Largo Medical Center, Inc. d/b/a Largo Medical Center, New Port Richey Hospital, Inc. d/b/a Community Hospital of New Port Richey, Sarasota Doctors Hospital, Inc. d/b/a Doctors Hospital of Sarasota, Edward White Hospital, Inc. d/b/a Edward White Hospital, Englewood Community Hospital, Inc. d/b/a Englewood Community Hospital, Doctors Osteopathic Medical Center, Inc. d/b/a Gulf Coast Hospital, Southwest Florida Regional Medical Center, Inc. d/b/a Southwest Florida Regional Medical Center, Sun City Hospital, Inc. d/b/a South Bay Hospital, Fawcett Memorial Hospital, Inc. d/b/a Fawcett Memorial Hospital, as amended by the amendments thereto dated May 1, 2010, September 30, 2010 and January 1, 2011.
11. Hospital Services Agreement, dated February 1, 2004, by and between Aetna Health Inc., on behalf of itself and its applicable affiliates, and Memorial Health System (f/k/a Memorial Hermann Hospital System), as amended by the amendments thereto dated April 1, 2012, July 1, 2012, March 1, 2013, July 1, 2013, September 1, 2013, December 1, 2013, February 1, 2014, July 1, 2014, October 1, 2014, January 1, 2015, May 1, 2015, May 15, 2015, June 15, 2015, July 15, 2015, October 1, 2015, November 1, 2015, January 1, 2016, January 11, 2016, March 1, 2016, March 15, 2016, July 1, 2016, August 15, 2016, September 1, 2016, March 31, 2017 and April 1, 2017.
12. Physician Hospital Organization Agreement, dated June 1, 2016, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Mercy Health, as amended by the amendment thereto dated January 1, 2017.
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13. Meridian Health System is a system made up of multiple hospital agreements. They are as follows:
a. Hospital Services Agreement, dated October 15, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Bayshore Community Hospital, as amended by the amendment thereto dated October 1, 2008.
b. Managed Care Agreement, dated September 1, 1998, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and Jersey Shore Medical Center, as amended by the amendments thereto dated September 1, 1998, December 15, 2000, April 1, 2001, September 1, 2002, February 1, 2003, June 1, 2003, April 1, 2004, May 1, 2004, May 15, 2004, September 1, 2005, June 1, 2006, August 1, 2009, May 1, 2010, September 1, 2010, August 1, 2011, June 4, 2012, June 27, 2012, September 25, 2012, October 15, 2012, November 1, 2012, July 1, 2015 and October 7, 2015.
c. Managed Care Agreement, dated May 28, 1999, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and Medical Center of Ocean County.
d. Managed Care Agreement, dated April 1, 2002, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and Raritan Bay Medical Center, as amended by the amendment thereto dated February 15, 2014.
e. Hospital Services Agreement dated February 15, 2009, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Southern Ocean County Hospital.
14. Hospital Services Agreement, dated July 15, 1996, by and between U.S. Healthcare Inc., on behalf of itself and its affiliates, and New York University Medical Center, as amended by the amendments thereto dated January 1, 1997, October 1, 1998, January 1, 2004, April 1, 2004, June 1, 2004, July 13, 2004, September 1, 2004, August 1, 2004, November 15, 2005, February 1, 2007, June 1, 2007, July 3, 2008, April 1, 2010, May 1, 2010, July 1, 2010, January 1, 2011, January 1, 2013, February 1, 2014 and July 1, 2014.
15. The New York-Presbyterian Healthcare System is a system made up of multiple hospital agreements. They are as follows:
a. Mental Health Substance Abuse Center Agreement, dated November 1, 1992, by and between U.S. Healthcare, Inc. and Gracie Square Hospital, as amended by the amendments thereto dated December 10, 2012, July 1, 2013, August 15, 2014, April 1, 2015 and April 1, 2017.
b. Hospital Service Agreement, dated September 1, 1996, by and between U.S. Healthcare, Inc. and New York-Presbyterian Hospital Queens (formerly known as New York Hospital Medical Center of Queens), as amended by the amendments thereto dated December 10, 2012, July 1, 2013, August 15, 2014, April 1, 2015 and April 1, 2017.
c. Hospital Service Agreement, dated May 1, 1995, by and between U.S. Healthcare, Inc. and New York-Presbyterian Brooklyn Methodist Hospital (formerly known as New York Methodist Hospital), as amended by the amendments thereto dated December 10, 2012, July 1, 2013, August 15, 2014, April 1, 2015 and April 1, 2017
d. Hospital Service Agreement, dated November 1, 1995, by and between U.S. Healthcare, Inc. and New York and Presbyterian Hospital d/b/a New York-Presbyterian Hospital (formerly known as The Presbyterian Hospital in the City of New York), as amended by the amendments thereto dated December 10, 2012, July 1, 2013, August 15, 2014, April 1, 2015 and April 1, 2017.
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e. Hospital Service Agreement, dated August 1, 1993, by and between U.S. Healthcare, Inc. and New York and Presbyterian Hospital d/b/a New York-Presbyterian Hospital (formerly known as The New York Hospital), as amended by the amendments thereto dated December 10, 2012, July 1, 2013, August 15, 2014, April 1, 2015 and April 1, 2017.
f. Hospital Service Agreement, dated July 15, 1996, between U.S. Healthcare Inc., on behalf of itself and its affiliates, and University Medical Center, as amended by the amendments thereto, and most recently dated July 1, 2017.
g. Hospital Services Agreement, dated February 15, 2013, between Aetna Health Inc., on behalf of itself and its affiliates, and Hudson Valley Hospital Center, as amended by the amendments thereto, dated February 15, 2015 and July 1, 2017.
h. Hospital Services Agreement, dated April 1, 2007, between Aetna Health Inc., on behalf of itself and its affiliates, and Healthstar Network, Inc. d/b/a the Stellaris Health Network, and each of its sponsored hospitals, Lawrence Hospital Center, Northern Westchester Hospital, Phelps Memorial Hospital Center, and White Plains Hospital Center, as amended by the amendments thereto dated and most recently dated December 1, 2013, August 15, 2014 and July 1, 2017.
16. Hospital Services Agreement, dated January 15, 2005, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Central Suffolk Hospital, Eastern Long Island Hospital and Southampton Hospital affiliates of Peconic Health Corporation, as amended by the amendments thereto dated February 24, 2010, April 1, 2011, July 1, 2013, January 1, 2015, April 1, 2015 and April 15, 2015.
17. National Ancillary Services Agreement, dated November 1, 2013, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Quest Diagnostics Incorporated.
18. SSM Health Care is a system made up of multiple hospital agreements. They are as follows:
a. Managed Care Agreement, by and between U.S. Healthcare, Inc., d/b/a Aetna U.S. Healthcare, dated April 1, 1999, on behalf of itself and its affiliates, and SSM Rehabilitation Institute, as amended by the amendments thereto dated September 1, 2000, February 1, 2003, January 1, 2004, November 1, 2005 and December 1, 2009.
b. Facility Participation Agreement, dated February 1, 1993, by and between SSM Health Care II, owner and operator of St. Mary’s Health Center, and Aetna Health Management, as amended by the amendments thereto dated November 16, 2014 and March 15, 2017.
c. Managed Care Agreement, dated November 15, 2001, by and between U.S. Healthcare, Inc., d/b/a Aetna U.S. Healthcare, on behalf of itself and its affiliates, and Audrain Medical Center, as amended by the amendments thereto dated December 1, 2002 and January 1, 2006.
d. Hospital Services Agreement, dated January 1, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Audrain Medical Center, as amended by the amendments thereto dated August 1, 2005, January 1, 2013 and April 1, 2013.
e. Hospital Services Agreement, dated March 15, 2017, by and between Aetna Health Inc., on behalf of itself and its affiliates, and SSM Managed Care Organization, LLC, on behalf of health care providers identified on the location form attached thereto.
19. Agreement, dated December 1, 2002, by and between Aetna Health Inc., f/k/a Aetna U.S. Healthcare, Inc., and Tenet Florida, Inc. (as assignee of Tenet HealthSystem Hospitals, Inc.),
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on behalf of its listed affiliates, as amended by the amendments thereto dated April 1, 2004, October 1, 2005, June 1, 2006 and June 8, 2006.
20. Hospital Services Agreement, dated September 15, 2005, by and between Aetna Health Inc., on behalf of itself and its applicable Affiliates, and Texas Health Resources (THR), as amended by the amendments thereto dated October 15, 2011, January 1, 2012, July 1, 2012, November 1, 2012, November 15, 2012, December 16, 2012, January 1, 2013, May 15, 2013, January 1, 2014, March 1, 2014, May 15, 2014, July 1, 2014, October 1, 2014, November 17, 2014, January 1, 2015, January 13, 2015, February 13, 2015, March 2, 2015, September 15, 2015, January 1, 2016, April 1, 2016, April 19, 2016, May 1, 2016, July 1, 2016, September 1, 2016, September 15, 2016, November 1, 2016, January 2, 2017, March 3, 2017, June 1, 2017 and July 1, 2017.
21. Managed Care Agreement, dated June 17, 1997, by and between Aetna Health Plans of Texas, Inc. d/b/a Aetna U.S. Healthcare, on behalf of itself and its affiliates, and San Jacinto Methodist Hospital, as amended by the amendments thereto dated March 3, 1998, December 15, 1999, July 1, 2000, June 1, 2001, June 1, 2002, September 18, 2002, June 20, 2009, December 17, 2010, June 22, 2011, January 1, 2012, February 1, 2014, October 1, 2014, October 1, 2015, February 15, 2017, June 26, 2017 and January 1, 2018.
22. Hospital Services Agreement, dated March 15, 2006, by and between Aetna Health Inc., on behalf of itself and its affiliates, and University of Pennsylvania Health System, including the Hospital of the University of Pennsylvania, Presbyterian Medical Center of the University of Pennsylvania Health System, Pennsylvania Hospital, Penn Care At Home, Penn Home Infusion Therapy, Penn Center for Rehabilitation Care, Wissahickon Hospice, Penn Therapy and Fitness, Penn Medicine at Radnor Endoscopy Facility and Community Radiology Associates, as amended by the amendments thereto dated July 15, 2010, January 1, 2013, June 1, 2013, July 1, 2013, January 1, 2015, October 1, 2015, January 1, 2016 and May 15, 2016.
23. Participating Provider Agreement, dated July 1, 2011, by and between Aetna Health Inc., contracting on behalf of itself and certain of its affiliates, and UPMC on behalf of UPMC Bedford, UPMC Horizon, UPMC McKeesport, UPMC Northwest, UPMC Passavant, UPMC Mercy, UPMC St. Margaret, Magee-Women’s Hospital of UPMC, UPMC Presbyterian Shadyside, Children's Hospital of Pittsburgh of UPMC, Western Psychiatric Hospital and Clinic, UPMC East and UPMC Monroeville Surgery Center (the “UPMC Hospitals”), University of Pittsburgh Physicians, University of Pittsburgh Cancer Institute Cancer Services, UPMC Community Medicine, Inc., Oncology-Hematology Association, Hematology Oncology Association, Renaissance Family Practice, Tri-State Neurosurgical Associates, UPMC Emergency Medicine, Inc. d/b/a Emergency Medicine Resources, Inc., Community Family Health Center, Inc., UPMC St. Margaret’s Clinic and UPMC Affiliate ancillary providers, including UPMC Senior Communities Inc., Cranberry Place, The Heritage Shadyside, Canterbury Place, Seneca Place, Seneca Hills, UPMC Community Provider Services, Centers for Rehabilitation Services, Jefferson Regional Home Health, Life Home Care, Washington Senior Care, UPMC Visiting Nurses, Venango Visiting Nurses Association, Chartwell of Pennsylvania and RX Partners, as amended by the amendments thereto dated December 1, 2012, January 1, 2013, June 1, 2013, January 1, 2014 and November 1, 2014.
24. University of Texas System is a system made up of multiple hospital agreements. They are as follows:
a. Hospital Services Agreement, dated October 1, 2005, by and between Aetna Health Inc., on behalf of itself and its applicable affiliates, and The University of Texas Health Center
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at Tyler, an agency of the State of Texas and component institution of The University of Texas System.
b. Hospital Services Agreement, dated January 1, 1995, by and between Aetna Health Inc. (as assignee of The Prudential Insurance Company of America), on behalf of itself and its affiliates, and The University of Texas M.D. Anderson Cancer Center, as amended by the amendments thereto dated January 1, 2004 and October 15, 2015.
c. The University Of Texas Medical Branch Of Galveston Agreement, dated January 2000, between Aetna U.S. Healthcare Inc., on behalf of itself and its Affiliates, and Family Health Centers.
d. Managed Care Agreement, dated July 13, 2000, by and between Aetna U.S. Healthcare Inc., on behalf of itself and its affiliates, and Family HealthCare Centers, d/b/a UTMB Healthcare Systems, delivering services provided by The University of Texas Medical Branch at Galveston.
e. Facility Services Agreement, dated May 15, 2006, by and between Aetna Health Inc., on behalf of itself and its applicable Affiliates, and The University of Texas Southwestern Medical Center at Dallas, on behalf of itself and its applicable facilities.
25. Hospital Services Agreement, dated June 22, 2009, by and between Aetna Health, Inc. and Yale-New Haven Hospital, as amended by the amendments thereto dated June 22, 2009, April 1, 2012, January 1, 2013, February 1, 2013, June 1, 2013, July 1, 2013, October 15, 2013, January 1, 2014, October 1, 2014, January 1, 2015, February 1, 2015, July 1, 2015, December 1, 2015, July 1, 2016, November 10, 2016, March 15, 2017 and July 1, 2017.
(a)(i)(B)
1. Contracts with Medco Health Solutions, Inc. – Items 1 through 7 set forth in Section 4.18(a)(v) of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
2. One Card Agreement, dated February 12, 2004, by and between Citibank USA, N.A., and Aetna Life Insurance Company, as amended by the amendments thereto dated February 16, 2005, February 12, 2007, July 23, 2007, February 3, 2010, December 16, 2010, May 15, 2014 and August 6, 2014.
3. Master Business Agreement, dated May 20, 2013, by and between Infosys Limited and Aetna Life Insurance Company, as amended by the amendments thereto dated January 29, 2015 and November 18, 2016.
4. Master Business Agreement, dated January 6, 2015, by and between Cognizant Worldwide Limited (as successor in interest of Cognizant Technology Solutions U.S. Corporation) and Aetna Life Insurance Company, as amended by the amendment thereto dated December 23, 2016.
5. International Business Machines Corporation (“IBM”).
a. International Program License Agreement, dated January 11, 1999, by and between Aetna Life Insurance Company and IBM, as amended by the amendments thereto dated January 11, 1999, November 26, 2002 and August 24, 2015.
b. International Passport Advantage Agreement (Passport), dated May 2, 2006, by and between Aetna Life Insurance Company and IBM, as amended by the amendments thereto dated February 2, 2012, May 21, 2012, October 12, 2012, August 24, 2015, as supplemented by Supplements thereto dated May 21, 2013, November 25, 2013, November 20, 2014, December 31, 2015, February 9, 2016, August 12, 2016 and December 16, 2016.
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c. Agreement for IBM Licensed Programs, dated October 4, 1983, by and between IBM and Aetna Life Insurance Company, as amended by the amendments thereto dated May 15, 1987, November 30, 1999, November 26, 2002 and June 10, 2004.
d. Enterprise Software and Services Option, dated November 30, 2005, by and between IBM and Aetna Life Insurance Company, as amended by the amendment thereto dated December 2, 2005.
e. Professional Services Agreement, dated December 4, 1992, by and between IBM and Aetna Life Insurance Company, as amended by the amendments thereto dated March 26, 1993, October 29, 2008, November 1, 2010, May 21, 2012, October 27, 2013, December 31, 2013, August 22, 2015 and August 24, 2015.
i. Master Services Attachment, dated May 5, 2006, as amended by the amendments thereto dated May 21, 2012, October 27, 2013 and August 24, 2015.
f. Computer Equipment Master Lease Agreement, dated June 15, 1989, between Aetna Life Insurance Company and IBM Credit Corporation, as amended by the amendments thereto dated May 29, 2015 and April 15, 2016.
6. Manufacturer’s Discount Agreement, dated January 1, 2017, by and between Aetna Health Management, LLC and Celgene Corporation, as amended by the amendment thereto dated January 1, 2017.
7. Master Business Agreement, dated January 1, 2014, by and between HGS (USA), LLC and Aetna Life Insurance Company, as amended by the amendment thereto dated January 1, 2017.
8. Master Service Agreement and License Agreement, dated April 13, 1999, by and between OptumInsight, Inc. (formerly Ingenix, Inc.) and Aetna Life Insurance Company, as amended by the amendments thereto dated December 1, 2002, April 4, 2005, March 8, 2007, January 1, 2009, August 1, 2009, September 28, 2010, November 1, 2010, March 1, 2012, March 22, 2012, August 16, 2012, September 22, 2013, March 13, 2014, August 12, 2014, October 1, 2016 and October 13, 2016.
9. Supplier Neutral Staffing Management Agreement, dated May 18, 2001, by and between Aetna Life Insurance Company and Volt Consulting Group, Ltd. (formerly Procurestaff, Ltd.), as amended by the amendment thereto dated May 18, 2001.
10. Master Services Agreement, dated November 1, 2010, by and between HealthPlan Services, Inc. and Aetna Life Insurance Company (formerly Coventry Management Services, Inc.), as amended by the amendment thereto dated January 1, 2016.
11. HBO & Company Software License Agreement, dated March 31, 1999, by and between McKesson Health Solutions, LLC (formerly HBO & Company of Georgia) and Aetna Life Insurance Company, as amended by the amendments thereto dated March 26, 2003, March 1, 2004, March 1, 2005, April 19, 2010, June 21, 2010, October 10, 2012, September 17, 2013, August 26, 2014 and September 13, 2017.
12. Master Business Agreement, dated August 31, 2013, by and between Accenture, LLP and Aetna Life Insurance Company, as amended by the amendments thereto dated August 31, 2013, November 12, 2013, April 15, 2014 and October 3, 2014.
13. Professional Services Agreement, dated June 12, 2012, by and between OgilvyOne LLC and Aetna Life Insurance Company, as amended by the amendment thereto dated May 21, 2015.
14. Xerox Commercial Solutions.
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a. Master Business Agreement, dated January 1, 2005, by and between Xerox Commercial Solutions (formerly ACS Commercial Solutions Inc.) and Aetna Life Insurance Company, as amended by the amendments thereto dated June 10, 2005, December 14, 2007, October 20, 2008, January 1, 2009, January 27, 2011, December 30, 2011, January 1, 2012, January 9, 2012, August 30, 2012, May 1, 2013, June 17, 2013, July 1, 2013, July 31, 2013, January 1, 2014, February 21, 2014, March 10, 2014 and April 3, 2014.
b. Master Business Agreement, dated July 1, 2009, by and between Xerox Corporation and Aetna Life Insurance Company, as amended by the amendment thereto dated February 1, 2012.
15. Master Business Agreement, dated June 4, 2010, by and between ExlService Holdings, Inc. and Aetna Life Insurance Company, as amended by the amendment thereto dated June 4, 2010.
16. Master Equipment Purchase Agreement, dated October 1, 1997, by and between Kelser Corporation and Aetna Life Insurance Company, as amended by the amendments thereto dated April 10, 2012, June 1, 2012 and March 18, 2013.
17. Master Business Agreement, dated August 1, 2015, by and between Aetna Life Insurance Company and Connexion Point, LLC, as amended by the amendments thereto dated August 1, 2015, November 10, 2015 and August 23, 2017.
18. Master Business Agreement, dated April 1, 2010, by and between Aetna Life Insurance Company and Verscend Technologies Inc., formerly Verisk Health, Inc. (successor in interest of Health Risk Partners), as amended by the amendments thereto dated December 14, 2011 and January 1, 2013.
19. Master Business Agreement, dated June 4, 2013, by and between MedSave USA d/b/a ArroHealth and Aetna Life Insurance Company, as amended by the amendments thereto dated September 22, 2013 and December 9, 2015.
20. Microsoft Business Agreement, dated April 1, 2003, by and between Aetna Life Insurance Company and Microsoft Corporation, as amended by the amendments thereto dated April 1, 2003, November 17, 2006, December 13, 2006, August 1, 2009 and September 22, 2013.
21. Master Business Agreement, dated September 23, 2005, by and between Aetna Life Insurance Company and PricewaterhouseCoopers, LLP, as amended by the amendments thereto dated October 7, 2005, March 17, 2009, June 3, 2011, June 30, 2013, March 21, 2016, March 31, 2017, June 1, 2017 and August 1, 2017.
22. Master Business Agreement, dated February 2, 2006, by and between Aetna Life Insurance Company and ARNA Marketing Group, Inc., as amended by the amendments thereto dated September 1, 2008, October 17, 2008, July 20, 2011, July 21, 2011 and November 1, 2011.
23. Professional Services Agreement, dated June 18, 2012, by and between Aetna Life Insurance Company and The Boston Consulting Group, Inc., as amended by the amendments thereto dated February 4, 2013, September 22, 2013 and October 1, 2015.
24. Master Business Agreement, dated May 23, 2013, by and between Episource and Aetna Life Insurance Company, as amended by the amendment thereto dated September 22, 2013.
25. Dentaquest, LLC.
a. Medicaid Contractor Agreement dated May 1, 2011, by and between Aetna Better Health Inc. on behalf of itself and its affiliates, and DentaQuest of Illinois, LLC, as amended by the amendments thereto dated June 6, 2012, May 1, 2013 and August 1, 2014.
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b. Medicaid Contractor Agreement, dated August 23, 2012, by and between Aetna Better Health Inc., on behalf of itself and its affiliates, and DentaQuest, LLC, as amended by the amendment thereto dated April 1, 2014.
c. Medicaid Contractor Agreement, dated February 1, 2015, by and between Aetna Better Health Inc. and DentaQuest USA Insurance Company, Inc.
(a)(i)(C)
Teacher Retirement System of Texas (TRS)
1. Administrative Services Contract, Contract No. ASC-866325, between Aetna Life Insurance Company and Teacher Retirement System of Texas, effective September 1, 2014; and Amendment 1 to ASC, effective January 1, 2017.
2. 2013 Medicare Advantage PPO Group Agreement between Teacher Retirement System of Texas and Aetna Life Insurance Company, Contract No. 605885, effective January 1 2013.
3. Second Amendment to the Medicare Advantage PPO Group Agreement AE 455697, AE 455699, AE 455701 and AE 455702 between Aetna Life Insurance Company and Teacher Retirement System of Texas, effective January 1, 2015.
4. Appendix 1 – Medicare Advantage Performance Guarantees between Aetna Life Insurance Company and Teacher Retirement System of Texas, guarantees run for two (2) twelve (12) month periods, January 1 2015 through December 31, 2015 and January 1, 2016 through December 31, 2016.
5. Appendix 2 – Plan Premium Rates 2015.
6. Attachment 1 – 2016 Experience Exhibit Final and Rate Change Development Final; and Attachment 2 – 2016 Experience Exhibit and Rate Change Development.
7. 2013 Medicare Advantage PPO Group Agreement between Aetna Life Insurance Company and Teacher Retirement System of Texas, Group No. 605885, effective January 1, 2013.
State Teachers Retirement System of OHIO (STRS)
1. 2017 Aetna Group Medicare Plan between State Teachers Retirement System of Ohio and Aetna Life Insurance Company, Group No. 251597, effective January 1, 2017.
2. 2016 Medicare Advantage PPO Group Agreement between State Teachers Retirement System of Ohio and Aetna Life Insurance Company, Contract No. AE 409016, effective January 1, 2010.
3. Business Associate Agreement between Aetna Life Insurance Company and State Teachers Retirement System of Ohio, effective November 12, 2013.
ADP TotalSource Services, Inc.
1. Aetna Life and Insurance Company and ADP TotalSource, Inc., effective June 1, 2010, Aetna Group Accident and Health Insurance Policy (Florida GP-700398).
2. Aetna Life and Insurance Company and ADP TotalSource, Inc., effective June 1, 2013, Aetna Group Accident and Health Insurance Policy (New York GP-700398).
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Pennsylvania Employees Benefit Trust Fund (PEBTF)
1. Administrative and Managed Care Service Contract between Pennsylvania Employees Benefit Trust Fund and Aetna U.S. Healthcare, Inc., 2005.
2. Administrative and Managed Care Service Contract for Pennsylvania Employees Benefit Trust Fund for Active and Non-Medicare PBETF between Aetna Life Insurance Company and PBETF, dated November 5, 2010.
3. Amendment 1 attached to and made a part of PBETF Administrative and Managed Care Contract, Contract No. 811254, effective January 1, 2011.
4. Medicare Advantage PPO Group Agreement between Aetna Life Insurance Company and School Employees Retirement System of Ohio, effective January 1, 2010.
5. Various Project Riders regarding Notices of Changes to Benefits, BAA and Confidentiality Agreements (2).
6. Aetna Life Insurance Company Administrative and Managed Care Services Contract for Pennsylvania Employees Benefit Trust Fund (PEBTF), effective November 5, 2008.
7. Model Medicare Organizational Agreement, HMO & PPO between Pennsylvania Employees Benefit Trust Fund, effective January 1, 2010 through December 31, 2010.
8. 2010 Advantage Medicare PPO Group Agreement between Pennsylvania Employees Benefit Trust Fund and Aetna Life Insurance Company, effective January 1, 2010.
9. PEBTF and HMO Contractor Administrative and Managed Care Services Contract Amendments between PEBTF and Aetna U.S. Healthcare Health Plan, effective January 1, 2002.
10. Confidentiality Agreement between Aetna, Inc. and Ingénue, Inc., effective July 17, 2000.
11. Confidentiality and Non-Disclosure Agreement between Aetna, Inc. and Kelly, Wardell & Kraig, LLP, effective January 1, 2001.
12. PEBTF Medical Plan, Plan Documents, changes effective on/after October 1, 2003; and as amended and restated effective January 1, 2017.
13. Summary Plan Document for PEBTF, effective January 1, 2015; and effective January 1, 2017.
14. Amendment 1 to HIPAA Business Associate Agreement between PEBTF and Aetna Life Insurance Company, effective February 10, 2010.
15. 2017 Aetna Group Medicare Plan between Pennsylvania Employees Benefit Trust Fund and Aetna Life Insurance Company, Group No. 200890, effective January 1, 2017.
State Employees Retirement System of OHIO (SERS)
1. Administrative Services Agreement, Agreement Number ASA-351632-A between Aetna Life Insurance Company on behalf of itself and its affiliated health maintenance organizations and School Employees Retirement System of Ohio, effective January 1, 2009, and amendments 1-4 effective January 1, 2014 through January 1, 2017.
2. Business Associate Agreement by and between Aetna Life Insurance Company and State Teachers Retirement System of Ohio Retiree Health Care Program, effective September 12, 2017.
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3. 2010 Medicare Advantage PPO Group Agreement between State Teachers Retirement System of Ohio and Aetna Life Insurance Company, Group No. AE 409016, effective January 1, 2010.
4. Evidence of Coverage letter to State Teachers Retirement System of Ohio from Aetna/Coventry Group Medicare Plans, Group No. 25197, for offer in 2017.
Navistar, Inc.
1. Administrative Services Agreement, Agreement Number ASA-000001, between Aetna Life Insurance Company and International Engine and Truck Corporation, effective January 1, 2004; this Services Agreement supersedes and replaces Administrative Services Contract ASA-392690 originally effective October 1, 1982 between Navistar International Transportation Corp. and Aetna Life Insurance Company.
2. Performance Guarantees, International Engine and Truck Corporation, Appendix II, Agreement Number ASA-000001, effective January 1, 2004.
3. Amendment 1, Attached to and made a part of the Administrative Services only Agreement No. ASA-000001, between Aetna Life Insurance Company and International Engine and Truck Corporation, effective January 1, 2006; Amendment 2, Attached to and made a part of the Administrative Services only Agreement No. ASA-000001, between Aetna Life Insurance Company and Navistar, Inc. formerly known as International Engine and Truck Corporation, as sponsor of and on behalf of the plan, Name Change, effective February 27, 2008; and Appendix I – Expanded Temporary Appendix in connection with Administrative Services only Agreement No. ASA-000001.
4. Amendment to Master Services Agreement, Dental Out of Network Savings Program, between Aetna Life Insurance Company and Navistar, Inc., effective March 1, 2015.
5. Appendix 1 Re ASA-00001 between Aetna Life Insurance Company and International Truck and Engine Company (Expanded Temporary Appendix).
State of New Jersey
1. Administrative Services Agreement, Agreement Number ASA-724463, between Aetna Life Insurance Company (hereinafter “Aetna U.S. Health Care”) and State of New Jersey Retiree Plan, effective January 1, 2000, and amendments for Dental, ERO, ERP, HSA, NAP, RDS and SBC; and BAA.
2. 2017 Aetna Medicare Group Plan between State of New Jersey and Aetna Life Insurance Company, Group No. 8373725, effective January 1, 2017.
3. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456918, effective January 1, 2016.
4. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456919, effective January 1, 2016.
5. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456920, effective January 1, 2016.
6. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456921, effective January 1, 2016.
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7. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456922, effective January 1, 2016.
8. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456923, effective January 1, 2016.
9. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 456924, effective January 1, 2016.
10. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 429079, effective January 1, 2016.
11. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 429081, effective January 1, 2016.
12. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 4290849, effective January 1, 2016.
13. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 429086, effective January 1, 2016.
14. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 0444837, effective January 1, 2016.
15. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 0444839, effective January 1, 2016.
16. 2016 Medicare Advantage PPO Group Agreement between the State of New Jersey and Aetna Life Insurance Company, Group No. 0444840, effective January 1, 2016.
Dow Chemical Company/Union Carbide
1. Administrative Services Agreement, ASA No. 783135, between Aetna Life Insurance Company and The Dow Chemical Company, effective January 1, 2002.
2. Amendments 1-4 to the Administrative Services Agreement between Aetna Life Insurance Company and The Dow Chemical Company, effective October 1, 2015 through January 1, 2016.
3. Group Agreements (HMO’s) between Aetna Health, Inc., contract number 783135-AZ, Aetna Dental of California, Inc., contract number 783135-CA; Aetna Dental, Inc. Texas, contract number 783135-TX; Aetna Life Insurance Company, contract number GP-783135-NJ; Aetna Dental, Inc., contract number GDP-783135-NC; Aetna Life and Insurance Company, DMO Base Agreement, contract number GP-783135; and The Dow Chemical Company, effective January 1, 2009.
4. Administrative Services Agreement, Agreement No. FLSA/ASA-476569, Appendix 1 – Limited Flexible Spending Account to Agreement No. 476569 between Aetna Life Insurance Company and The Dow Chemical Company, effective January 1, 2012.
5. Administrative Services Agreement between Aetna Life Insurance Company and The Dow Chemical Company, Agreement No. FSA/ACS-878259, effective January 1, 2003, and Appendix 1 and Amendment 1 to Administrative Services Agreement FSA/ACS-878259 between Aetna Life Insurance Company and The Dow Chemical Company, Re Additional Grace Period, effective December 31, 2005.
6. The Dow Chemical Company, Services Appendix III, Re Flexible Spending Account, dated January 1, 2003.
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7. This Agreement supersedes and replaces Administrative Services Contract ASC-607490, originally effective July 1, 1993, between Union Carbide Corporation and Aetna Life Insurance Company. Administrative Services Agreement, Agreement Number. ASA-607490, between Aetna Life Insurance Company and Union Carbide Corporation, a Subsidiary of The Dow Chemical Company, effective January 1, 2004.
8. 2017 Aetna Medicare Group Agreement between Dow Chemical and Aetna Life Insurance Company, Group No. 278097, effective January 1, 2017.
9. 2016 Aetna Medicare Advantage PPO Group Agreement between The Dow Chemical Company and Aetna Life Insurance Company, Group No. 461872, effective January 16, 2016.
10. 2016 Aetna Medicare Advantage PPO Group Agreement between Dow Chemical - Union Carbide and Aetna Life Insurance Company, Group No. 461908, effective January 16, 2016.
11. Overview of Dow Chemical ASA Agreement.
12. Overview of Union Carbide ASA Agreement.
City of New York
1. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and City of New York, Group No. GP-800112, effective January 1, 2015.
Oasis Outsourcing Holdings, Inc.
1. Group Accident and Health Insurance Policy, GP-701031-FL between Aetna Life Insurance Company and Oasis Outsourcing Holdings, Inc., effective October 1, 2011.
2. Group Accident and Health Insurance Policy, GP-701031-NY between Aetna Life Insurance Company and Oasis Outsourcing Holdings, Inc., effective October 1, 2014.
Kraft Foods Group, Inc./The Heinz Company
1. 2017 Aetna Medicare Group Agreement between The Kraft Heinz Company and Aetna Life Insurance Company, Group No. 153447, effective January 1, 2017.
2. 2016 Medicare Advantage PPO Group Agreement between The Kraft Heinz Company and Aetna Life Insurance Company, Group No. 466544, effective January 1, 2016.
3. 2016 Medicare Advantage PPO Group Agreement between The Kraft Heinz Company and Aetna Life Insurance Company, Group No. 466545, effective January 1, 2016.
4. 2016 Medicare Advantage PPO Group Agreement between The Kraft Heinz Company and Aetna Life Insurance Company, Group No. 466546, effective January 1, 2016.
5. 2016 Medicare Advantage PPO Group Agreement between The Kraft Heinz Company and Aetna Life Insurance Company, Group No. 466547, effective January 1, 2016.
Government of the District of Columbia
1. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and Government of the District of Columbia (GP-725016), effective January 1, 2017.
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2. Rider Attached to and Made a Part of Group Policy 725016, a contract between Aetna Life Insurance Company and Government of the District of Columbia, effective December 31, 2016.
3. Behavioral Health Notice Re Coverage of Applied Behavioral Analysis For the Treatment of Autism Spectrum Disorder, for all new and renewing policies or plans with an effective date on or after January 1, 2017.
4. Extraterritorial Certificate Rider Booklet (Medical & Vison) between Aetna Life Insurance Company and Government of the District of Columbia, (GN-725016), effective January 1, 2016; Extraterritorial Certificate Rider Booklet, Texas ET Medical, effective January 1, 2016; Extraterritorial Certificate Rider Booklet, Wisconsin ET Vision and Wisconsin ET Medical, effective December 1, 2016; and Extraterritorial Certificate Rider Booklet, Oklahoma ET Vision, effective January 1, 2017.
5. Notice of Changes, Important Information about the Affordable Care Act (ACA), Non-Discrimination Rule, between Aetna Life Insurance Company and Government of the District of Columbia.
6. Tagline Addendum Notice, undated.
7. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and Government of the District of Columbia (GP-725016), customer number 863743-LA, effective January 1, 2017; Rider Attached to and Made a Part of Group Policy 725016-LA, effective January 1, 2015; State Required Riders, effective January 1, 2014; Group Accident and Health Insurance Policy, GP-725016-LA, effective January 1, 2013.
8. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and Government of the District of Columbia (GP-863734), effective January 1, 2008.
United Auto Workers Retiree Medical Benefits Trust
1. Master Services Agreement, Agreement No. MSA-849815, between Aetna Life Insurance Company and UAW Retirees of Mack Trucks Health Benefit Fund, effective January 1, 2013.
2. 2016 Aetna Medicare Advantage PPO Group Agreement between UAW Retiree Medical Benefits Trust and Aetna Life Insurance Company, Contract No. 85672006, effective January 1, 2012.
3. Amendment to Group Health Plan Agreement between Aetna Life Insurance Company and UAW Retiree Medical Benefits Trust, effective January 1, 2012; and Amendment thereto, effective August 1, 2012; and Amendment thereto effective January 1, 2015.
4. Exhibit 1 Aetna Life Insurance Company 2015 Aetna Medicare (PPO Plan), Medical Benefits Chart between United Auto Workers Retiree Medical Benefits Trust, effective January 1, 2015.
5. Exhibit 1 Aetna Life Insurance Company 2015 Aetna Medicare (PPO Plan), Medical Benefits Chart between United Auto Workers Retiree Medical Benefits Trust, effective January 1, 2016.
Sears, Roebuck and Company
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1. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466238, effective January 1, 2016.
2. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 4662240, effective January 1, 2016.
3. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466241, effective January 1, 2016.
4. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466233, effective January 1, 2016.
5. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466242, effective January 1, 2016.
6. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466245, effective January 1, 2016.
7. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466246, effective January 1, 2016.
8. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466247, effective January 1, 2016.
9. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466250, effective January 1, 2016.
10. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466251, effective January 1, 2016.
11. 2016 Medicare Advantage PPO Plan Group between Sears Holdings Corporation and Aetna Life Insurance Company, Group No. 466252, effective January 1, 2016.
12. 2004 Group Agreement (DMO) between Sears, Roebuck and Co. and Aetna Health Inc. Group No. 800345-AZ, effective January 1, 2004.
13. 2004 Group Agreement (DMO) between Sears, Roebuck and Co. and Aetna Dental of California, Inc., Group No. 800345-CA, effective January 1, 2004.
14. 2004 Group Dental Agreement (Primary Care DMO) between Sears, Roebuck and Co. and Aetna Dental, Inc., Group No. A-800345-NJ, effective January 1, 2004.
15. 2004 Group Accident and Health Insurance Policy (Specialty Care DMO) between Aetna Life Insurance Company and Sears, Roebuck and Co., Group No. GP-800345-NJ, effective March 8, 2004.
16. 2004 Group Dental Care Coverage (DMO NC) between Aetna Dental Inc. and Sears, Roebuck and Co., Group No. GDP-800345-NC, effective March 30, 2004.
17. 2004 Group Agreement (TX DMO) between Sears, Roebuck and Co., Group No. 800345-TX, effective January 1, 2004.
TriNet Group, Inc.
1. Minimum Premium Agreement between TriNet Group, Inc. and Aetna Life Insurance Company, dated October 1, 2015.
2. Master Services Agreement No. AVP/MSA-811317 between Aetna Life Insurance Company and TriNet HR III, Inc., effective October 1, 2017.
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3. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and TriNet Group, Inc., Group No. GP-811317-SFFL, effective October 1, 2015.
4. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and TriNet Group, Inc., Group No. GP-811317-SFNY, effective October 1, 2015.
5. Group Accident and Health Insurance Policy between Aetna Life Insurance Company and TriNet Group, Inc., Group No. GP-811317-MPPTX, effective October 1, 2016.
6. Master Services Agreement, MSA-811317, between Aetna Life Insurance Company and TriNet HR III, Inc., effective October 1, 2017.
7. Premium Payment Agreement between Aetna Life Insurance Company and TriNet Group, Inc., effective October 1, 2013.
(a)(ii)
Medicare
1. Contract (H0523), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health of California Inc., as amended by the amendments thereto dated September 15, 2016.
2. Contract (H0523), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health of California Inc., as amended by the amendments thereto dated September 14, 2017.
3. Contract (H1109), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (GA), as amended by the amendments thereto dated September 15, 2016.
4. Contract (H1109), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (GA), as amended by the amendments thereto dated September 14, 2017.
5. Contract (H1608), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Coventry Health and Life Insurance Company, as amended by the amendments thereto dated September 15, 2016.
6. Contract (H1608), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Coventry Health and Life Insurance Company, as amended by the amendments thereto dated September 14, 2017.
7. Contract (H1609), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (FL), as amended by the amendments thereto dated September 15, 2016.
8. Contract (H1609), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (FL), as amended by the amendments thereto dated September 14, 2017.
9. Contract (H1692), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of West Virginia, Inc., as amended by the amendments thereto dated September 15, 2016.
10. Contract (H1692), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of West Virginia, Inc., as amended by the amendments thereto dated September 14, 2017.
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11. Contract (H2663), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of Missouri, Inc., as amended by the amendments thereto dated September 15, 2016.
12. Contract (H2663), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of Missouri, Inc., as amended by the amendments thereto dated September 14, 2017.
13. Contract (H3152), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (NJ), as amended by the amendments thereto dated September 15, 2016.
14. Contract (H3152), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (NJ), as amended by the amendments thereto dated September 14, 2017.
15. Contract (H3312), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (NY), as amended by the amendments thereto dated September 15, 2016.
16. Contract (H3312), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (NY), as amended by the amendments thereto dated September 14, 2017.
17. Contract (H3597), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (ME), as amended by the amendments thereto dated September 15, 2016.
18. Contract (H3597), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (ME), as amended by the amendments thereto dated September 14, 2017.
19. Contract (H3928), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (LA), as amended by the amendments thereto dated September 15, 2016.
20. Contract (H3928), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (LA), as amended by the amendments thereto dated September 14, 2017.
21. Contract (H3931), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated September 15, 2016.
22. Contract (H3931), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated September 14, 2017.
23. Contract (H3959), dated August 24, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated August 24, 2016.
24. Contract (H3959), dated September 18, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated September 18, 2017.
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25. Contract (H4523), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (TX), as amended by the amendments thereto dated September 15, 2016.
26. Contract (H4523), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (TX), as amended by the amendments thereto dated September 14, 2017.
27. Contract (H5302), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (GA), as amended by the amendments thereto dated September 15, 2016.
28. Contract (H5302), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (GA), as amended by the amendments thereto dated September 14, 2017.
29. Contract (H5521), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendments thereto dated September 15, 2016.
30. Contract (H5521), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendments thereto dated September 14, 2017.
31. Contract (H5522), dated August 24, 2016, by and between Centers for Medicare & Medicaid Services and HealthAssurance Pennsylvania, Inc., as amended by the amendments thereto dated August 24, 2016.
32. Contract (H5522), dated September 18, 2017, by and between Centers for Medicare & Medicaid Services and HealthAssurance Pennsylvania, Inc., as amended by the amendments thereto dated September 18, 2017.
33. Contract (H5793), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (CT), as amended by the amendments thereto dated September 15, 2016.
34. Contract (H5793), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (CT), as amended by the amendments thereto dated September 14, 2017.
35. Contract (H7149), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated September 15, 2016.
36. Contract (H7149), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health Inc. (PA), as amended by the amendments thereto dated September 14, 2017.
37. Contract (H7301), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of Illinois, Inc., as amended by the amendments thereto dated September 15, 2016.
38. Contract (H7301), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Coventry Health Care of Illinois, Inc., as amended by the amendments thereto dated September 14, 2017.
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39. Contract (H8649), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Health of Utah, Inc., as amended by the amendments thereto dated September 15, 2016.
40. Contract (H8649), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Health of Utah, Inc., as amended by the amendments thereto dated September 14, 2017.
41. Contract (R6694), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendments thereto dated September 15, 2016.
42. Contract (R6694), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendments thereto dated September 14, 2017.
Joint Venture – Innovation Health
1. Contract (H1100), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Innovation Health Insurance Company, as amended by the amendment thereto dated September 14, 2017.
2. Contract (H2829), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Innovation Health Plan, Inc., as amended by the amendment thereto dated September 14, 2017.
DSNP (Administered by Medicaid Business)
1. Contract (H1610), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Better Health, Inc. (VA), as amended by the amendment thereto dated September 14, 2017.
Medicare-Medicaid Plans (MMP) (Capitated Financial Alignment Demonstration Plans)
1. Contract (H2506), issued on August 10, 2016, by and between Centers for Medicare & Medicaid Services in partnership with the State of Illinois Department of Healthcare and Family Services, and Aetna Better Health, Inc.
2. Contract (H7172), issued on April 13, 2016, by and between Centers for Medicare & Medicaid Services in partnership with State of Ohio Department of Medicaid, and Aetna Better Health, Inc.
3. Contract (H8026), issued on September 25, 2014, by and between Centers for Medicare & Medicaid Services in partnership with the State of Michicgan, and Aetna Better Health of Michigan, Inc.
4. Contract (H8056), issued on July 3, 2014, by and between Centers for Medicare & Medicaid Services in partnership with the State of New York Department of Health, and Aetna Better Health of New York, Inc.
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Standalone Medicare Prescription Drug Plan (PDP)
1. Contract (S5768), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and First Health Life & Health Insurance Company.
2. Contract (S5768), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and First Health Life & Health Insurance Company.
3. Contract (S5810), dated September 15, 2016, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendment thereto dated September 15, 2016.
4. Contract (S5810), dated September 14, 2017, by and between Centers for Medicare & Medicaid Services and Aetna Life Insurance Company, as amended by the amendment thereto dated September 14, 2017.
Medicaid
Arizona
1. Amended and Restated Plan Management Services Agreement, between Aetna Medicaid Administrators LLC and Southwest Catholic Health Network Corporation (d/b/a Mercy Care Plan and Mercy Care Advantage), dated August 15, 2016.
2. Acute Care Contract, between Southwest Catholic Health Network Corporation d/b/a Mercy Care Plan and Arizona Health Care Cost Containment System, dated October 1, 2016.
3. Contract No. ADES14-006266, between Southwest Catholic Health Network Corporation d/b/a Mercy Care Plan and Arizona Health Care Cost Containment System, dated October 1, 2016.
4. Special Terms and Conditions, Acute Care, Arizona Department of Economic Security Division of Developmental Disabilities, dated December 27, 2010.
5. Medicare Advantage D SNP Health Plan Agreement, between Arizona Health Care Cost Containment System and Mercy Maricopa Integrated Care, dated January 1, 2014.
6. Plan Management Services Agreement, between Schaller Anderson, LLC and Mercy Maricopa Integrated Care (“Plan”), dated May 1, 2013.
California
1. Standard Agreement Amendment, Agreement No. 16-93495, between Aetna Better Health of California Inc. and the California Department of Managed Health Care Services, with Exhibits A through G, as amended by the Standard Agreement Amendment, Amendment No. A01 to Agreement No. 16-93495, dated June 16, 2017.
Florida
1. State of Florida Agency for Health Care Administration Standard Contract, Contract no. FP022, between Coventry Health Care of Florida, Inc. and Agency for Health Care Administration, dated January 1, 2014, as amended.
2. Medical Services Contract, between Coventry Health Care of Florida, Inc. and Florida Healthy Kids Corporation, dated October 1, 2015, as amended.
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Illinois
1. Contract, between Aetna Better Health Inc. and United States Department of Health and Human Services Centers for Medicare & Medicaid Services in partnership with State of Illinois Department of Healthcare and Family Services, dated September 14, 2016.
2. State of Illinois Contract for Furnishing Health Services by a Managed Care Organization, between Aetna Better Health Inc. and the Illinois Department of Healthcare and Family Services, dated August 1, 2014.
3. State of Illinois Contract for Furnishing Transition and Care Coordination Services, between Aetna Better Health Inc. and the Illinois Department on Aging, dated December 16, 2014.
4. State of Illinois Contract for Furnishing Health Services in an Integrated Care Program by a Managed Care Organization, between Aetna Better Health Inc. and the Department of Healthcare and Family Services, dated April 28, 2011.
5. State of Illinois Contract for Furnishing Managed Long Term Supports and Services by a Managed Care Organization, between Aetna Better Health Inc. and the Illinois Department of Healthcare and Family Services, dated July 1, 2016.
Kentucky
1. Medicaid Managed Care Contract, between Aetna Better Health of Kentucky Insurance Company and the Commonwealth of Kentucky, Finance and Administration Cabinet on Behalf of the Department for Medicaid Services, dated July 1, 2017.
Louisiana
1. Contract for Social Services, between Aetna Better Health Inc. and State of Louisiana Department of Health and Hospitals, dated February 1, 2015.
Maryland
1. Healthchoice Managed Care Organization Agreement, dated October 23, 2017, between Aetna Health Inc. d/b/a Aetna Better Health of Maryland, with Appendices A through E.
Michigan
1. Standard Contract No. 071B6600026, between Aetna Better Health of Michigan, Inc. and the State of Michigan, dated January 1, 2016.
2. Contract, between Aetna Better Health of Michigan, Inc. and United States Department of Health and Human Services Centers for Medicare & Medicaid Services in partnership with the State of Michigan, dated November 1, 2016.
New Jersey
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1. Contract to Provide Services, between Aetna Better Health Inc. and State of New Jersey Department of Human Services Division of Medical Assistance and Health Services, dated October 1, 2000, as amended by the amendment thereto dated February 7, 2017.
New York
1. Contract, between United States Department of Health and Human Services Centers for Medicare & Medicaid Services in Partnership with State of New York, Department of Health and Aetna Better Health Inc. (NY), dated September 6, 2014, amended and restated September 22, 2017.
Ohio
1. Contract, between United States Department of Health and Human Services Centers for Medicare & Medicaid Services in Partnership with State of Ohio Department of Medicaid and Aetna Better Health Inc. (OH), dated October 1, 2017.
Pennsylvania
1. Agreement No. 4000018080, between Aetna Health Inc. and the Pennsylvania Insurance Department, dated December 1, 2013.
2. HealthChoices Physical Health Agreement, between Aetna Health Inc. and Department of Human Services, dated January 1, 2017.
Texas
1. Medicaid and CHIP Managed Care Services RFP, Uniform Managed Care Contract Terms and Conditions, between Aetna Better Health of Texas Inc. and Texas Health and Human Services Commission, dated September 1, 2011, as most recently amended September 1, 2017.
2. STAR Kids Contract Terms and Conditions, between Aetna Better Health of Texas Inc. and Texas Health and Human Services Commission, dated October 1, 2015, as most recently amended September 1, 2017.
Virginia
1. Commonwealth Coordinated Care Plus MCO Contract for Managed Long Term Services and Supports, by and between Aetna Better Health of Virginia and the Virginia Department of Medical Assistance Services, dated August 1, 2017, as amended by the amendment thereto dated August 1, 2017.
2. Agreement, between Coventry Health Care of Virginia, Inc., d/b/a Aetna Better Health of Virginia and the Commonwealth of Virginia Department of Medical Assistance Services, dated January 1, 2018.
3. Medallion 3.0 Managed Care Contract, between Coventry Health Care of Virginia, Inc., d/b/a Aetna Better Health of Virginia and the Commonwealth of Virginia Department of Medical Assistance Services, dated July 1, 2017.
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4. Contract to Provide Managed Care Services for the Family Access to Medical Insurance Security (FAMIS) Program, between Coventry Health Care of Virginia, Inc., d/b/a Aetna Better Health of Virginia and the Commonwealth of Virginia Department of Medical Assistance Services, dated July 1, 2017.
West Virginia
1. State Fiscal Year 2018 Purchase of Service Provider Agreement, between Coventry Health Care of West Virginia, Inc. d/b/a Aetna Better Health of West Virginia and State of West Virginia Department of Health and Human Resources Bureau for Medical Services, dated July 1, 2017.
Federal Employee Health Benefit Plan (FEHBP) Contracts
1. American Foreign Service Protective Association, Inc., Agreement, Prime Subcontract No. L-35490 to OPM Contract CS 1062, amended between United States Office of Personnel Management and AFSPA, and First Amendment to Prime Subcontractor No. L-34590 to OPM Contract No. CS 1062, dated January 1, 2014, and Second Amendment to Prime Subcontract No. L-34590 to OPM Contract No. CS 1062, dated January 1, 2016.
2. Federal Employees Health Benefits Program Standard Contract For Community-Rated Health Maintenance Organization Carriers, 2015, between The United States Office of Personnel Management and Aetna Life Insurance Company, Contract No. CS 2938 (CDHP), effective January 1, 2015, and Amendment No. 2017A, effective January 1, 2017, and Amendment 2017C, effective January 1, 2017.
3. Federal Employees Health Benefits Program Standard Contract For Community-Rated Health Maintenance Organization Carriers, 2015, between The United States Office of Personnel Management and Aetna Life Insurance Company, Contract No. CS 2900 (HDHP), effective January 1, 2015, and Amendment No. 2017A, effective January 1, 2017, and Amendment 2017C, effective January 1, 2017.
4. Agreement Prime Subcontract No. L-35492 to OPM Contract No. CS 1073 known as the Rural Carrier Benefit Plan, established by federal government procurement Contract No. CS 1072, as amended between the United States Office of Personnel Management and NRLCA, and amendments 1-3 to Prime Sub-contract L-34592 to OPM Contracts No. CS 1073, dated January 14, 2014 through January 1, 2016.
5. Agreement to Prime Subcontract No. L-35489 to OPM Contract No. CS 1146 made and entered into by and among the National Postal Mail Handlers Union, AFL-CIO, a division of the Laborers International Union of North America; First Health Life and Health Insurance Company, and Claims Administration Corporation, and Amendments 1-3 to Prime Subcontract No. L-3589 to OPM Contract No. CS 1146, dated January 1, 2011 through March 1, 2016.
6. Agreement to Prime Subcontract No. L-35489 to OPM Contract No. CS 1146 made and entered into by and among the National Postal Mail Handlers Union, AFL-CIO, a division of the Laborers International Union of North America; First Health Life and Health Insurance Company, and Claims Administration Corporation, dated 2008, and Amendments 1-4 to Prime Subcontract No. L-3589 to OPM Contract No. CS 1146, dated January 1, 2011 through March 1, 2016.
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7. Provider Network Services Agreement between National Postal Mail Handlers Union, a Division of Laborers International Union of North America, AFL-CIO and Aetna Life Insurance Company, entered into as of January 1, 2014, and Amendments 1-2 to Agreement, dated January 1, 2015 and through December 31, 2022.
(a)(iii)
1. Agreement by and between Mercer Health & Benefits LLC and Mercer Health Benefits Administration LLC, and Aetna Health Management, LLC, effective January 27, 2016.
2. Agreement, between Aetna Health Management, LLC and Gallagher Benefit Services, Inc.
3. Extend Insurance Services, LLC. Marketing Agreement for Upline Agents and Agencies by and between Aetna Life Insurance Company and Extend Insurance Solutions LLC, effective January 1, 2015, as amended by the amendments thereto, most recently dated October 1, 2017. (supports Medicare Advantage) (unable to locate Med Sup agreement)
4. eHealth Insurance Solutions, Inc. Marketing Agreement for Upline Agents and Agencies by and between Aetna Life Insurance Company and eHealth Insurance Solutions, Inc., effective January 1, 2015, as amended by the amendments thereto, most recently dated October 1, 2017. (supports Medicare Advantage)
5. eHealth Insurance Solutions, Inc. Agency Marketing Agreement by and between Aetna Health Management, LLC, and eHealth Insurance Services, Inc., effective January 1, 2011, as amended by the amendment thereto, most recently dated July 1, 2016. (supports Med Sup)
6. Marsh & McLennan Agency, LLC. Standard Commercial Template Contract.
7. Lockton Companies, LLC. Standard Commercial Template Contract.
8. Wells Fargo Insurance Services USA Inc. Standard Commercial Template Contract.
9. USI Insurance Services, Inc. Standard Commercial Template Contract.
10. Alliant Insurance Services, Inc. Standard Commercial Template Contract.
11. A and W Partners Limited. Standard Commercial Template Contract.
12. Hewitt Insurance Brokerage. Standard Commercial Template Contract.
13. Aon Corporation. Standard Commercial Template Contract.
14. Centerstone Insurance & Financial Services. Standard Commercial Template Contract.
15. Digital Insurance. Standard Commercial Template Contract.
(a)(iv)
1. Reinsurance Agreement, dated as of January 1, 2010, between Aetna Life Insurance Company and Canada Life Assurance Company, acting through its U.S. branch, as amended by the amendment thereto dated November 7, 2014.
2. Reinsurance Agreement, dated as of January 1, 2011, between Aetna Life Insurance Company and Canada Life Assurance Company, acting through its U.S. branch.
3. Reinsurance Agreement, dated as of January 1, 2013, between Aetna Health Inc. and Canada Life Assurance Company, acting through its U.S. branch.
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4. Medicare Advantage Reinsurance Agreement, dated as of January 1, 2013, between Aetna Life Insurance Company and Hannover Life Reassurance Company of America.
5. Class A Excess of Loss Reinsurance Agreement, dated as of January 24, 2014, between Health Re, Inc. and Vitality Re V Limited.
6. Class B Excess of Loss Reinsurance Agreement, dated as of January 24, 2014, between Health Re, Inc. and Vitality Re V Limited.
7. Class A Excess of Loss Reinsurance Agreement, dated as of January 27, 2015, between Health Re, Inc. and Vitality Re VI Limited.
8. Class B Excess of Loss Reinsurance Agreement, dated as of January 27, 2015, between Health Re, Inc. and Vitality Re VI Limited.
9. Class A Excess of Loss Reinsurance Agreement, dated as of January 28, 2016, between Health Re, Inc. and Vitality Re VII Limited.
10. Class B Excess of Loss Reinsurance Agreement, dated as of January 28, 2016, between Health Re, Inc. and Vitality Re VII Limited.
11. Class A Excess of Loss Reinsurance Agreement, dated as of January 25, 2017, between Health Re, Inc. and Vitality Re VIII Limited.
12. Class B Excess of Loss Reinsurance Agreement, dated as of January 25, 2017, between Health Re, Inc. and Vitality Re VIII Limited.
13. Group Long Term Disability Reinsurance Treaty, dated as of September 5, 2002, by and among Aetna Life Insurance Company, General & Cologne Life Re of America, and John Hewitt & Associates, Inc., as amended most recently by Amendment No. 9, dated as of May 10, 2016.
14. Group Long Term Disability Automatic Reinsurance Agreement, dated as of July 30, 2014, by and between Aetna Life Insurance Company and Munich American Reassurance Company, as amended most recently by Amendment No. 2, dated as of March 31, 2017.
15. Yearly Renewable Term Reinsurance Agreement, dated as of December 16, 2016, between Aetna Life Insurance Company and Hannover Life Reassurance Company of America.
16. Yearly Renewable Term Reinsurance Agreement, dated as of December 16, 2016, between Aetna Life Insurance Company and Munich American Reassurance Company.
17. Agreement of Reinsurance, dated as of December 22, 2008, by and between Aetna Life Insurance Company and Agrinational Insurance Company, as amended by Amendment No. 1, dated as of January 28, 2016.
18. Agreement of Reinsurance, dated October 1, 2001, by and between Aetna Life Insurance Company and Montgomery Insurance LTD, as amended by the amendment thereto dated as of August 25, 2005.
19. Group Life and Accidental Death and Dismemberment Facultative Quota Share Reinsurance Agreement, dated January 24, 2017, by and between Aetna Life Insurance Company and RGA Reinsurance Company.
20. Agreement of Reinsurance, dated July 31, 2000, by and between Aetna Life Insurance Company and Reliastar Life Insurance Company.
21. Claim Reserve Assignment Agreement, dated December 18, 2000, by and between Aetna Life Insurance Company and Reliastar Life Insurance Company.
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22. Agreement of Reinsurance, dated July 31, 2000, by and between Aetna Life Insurance Company and Reliastar Life Insurance Company.
23. Assignment and Novation of Reinsurance Agreement, dated June 1, 2010, by and among Reliastar Life Insurance Company, RGA Reinsurance Company, and Aetna Life Insurance Company.
24. Agreement of Reinsurance, dated March 10, 1998, by and between Aetna Life Insurance Company and Swiss Re Life & Health America Company.
25. Novation Agreement, dated January 1, 2011, by and among Aetna Life Insurance Company, Swiss Re Life & Health America Inc., and RGA Reinsurance Company.
26. Group Long Term Disability Monthly Income Reinsurance Agreement, dated September 20, 2000, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
a. Amendment #1 to Reinsurance Agreement, dated September 20, 2000, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
b. Amendment #2 to Reinsurance Agreement, dated September 20, 2000, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
c. Amendment #3 to Reinsurance Agreement, dated June 28, 2001, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
d. Amendment #4 to Reinsurance Agreement, dated June 29, 2001, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
e. Amendment #5 to Reinsurance Agreement, dated May 30, 2002, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
f. Amendment #6 to Reinsurance Agreement, dated September 30, 2003, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
g. Amendment #7 to Reinsurance Agreement, dated January 19, 2004, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
h. Amendment #8 to Reinsurance Agreement, dated May 6, 2004, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
i. Amendment #9 to Reinsurance Agreement, dated March 19, 2004, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
j. Amendment #10 to Reinsurance Agreement, dated May 24, 2004, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
k. Amendment #11 to Reinsurance Agreement, dated September 22, 2010, by and between Aetna Life Insurance Company and Employers Reinsurance Corporation.
27. Coinsurance Agreement, dated December 17, 1999, by and between Aetna Life Insurance Company and Lehman Re Ltd.
a. Amendment #1 to Coinsurance Agreement.
28. Trust Agreement, dated December 17, 1999, by and among Aetna Life Insurance Company, Bank One Trust Company, National Association and Lehman Re Ltd.
29. Agreement of Reinsurance, dated December 28, 2008, by and between Aetna Life Insurance Company and Devonshire Underwriters Limited.
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30. Agreement of Reinsurance, dated August 7, 1961, by and between Aetna Life Insurance Company and Security Connecticut Life Insurance Co.
31. Agreement of Reinsurance, dated April 21, 1958, by and between Aetna Life Insurance Company and The Travelers Insurance Company.
a. First Amendment to Agreement of Reinsurance, dated June 4, 1997, by and among Aetna Life Insurance Company, The Travelers Insurance Company and Metropolitan Life Insurance Company.
32. Agreement of Reinsurance, dated January 17, 1964, by and between Aetna Life Insurance Company and The Travelers Insurance Company.
33. Agreement of Reinsurance, dated September 22, 1961, by and between Aetna Life Insurance Company and Equitable Life Assurance Society of the United States.
a. Amendment to Agreement of Reinsurance, dated June 5, 1964, by and between Aetna Life Insurance Company and Equitable Life Assurance Society of the United States.
b. Amendment to Agreement of Reinsurance, dated March 2, 1965, by and between Aetna Life Insurance Company and Equitable Life Assurance Society of the United States.
c. Amendment to Agreement of Reinsurance, dated March 22, 1968, by and between Aetna Life Insurance Company and Equitable Life Assurance Society of the United States.
d. Amendment to Agreement of Reinsurance, dated February 9, 1982, by and between Aetna Life Insurance Company and Equitable Life Assurance Society of the United States.
34. Agreement of Reinsurance, dated October 4, 1961, by and between Aetna Life Insurance Company and Metropolitan Life Insurance Company.
a. Amendment to Agreement of Reinsurance, dated June 5, 1964, by and between Aetna Life Insurance Company and Metropolitan Life Insurance Company.
b. Amendment to Agreement of Reinsurance, dated March 2, 1965, by and between Aetna Life Insurance Company and Metropolitan Life Insurance Company.
c. Amendment to Agreement of Reinsurance, dated May 17, 1968, by and between Aetna Life Insurance Company and Metropolitan Life Insurance Company.
35. Agreement of Reinsurance, dated December 28, 2010, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
36. Reinsurance Acceptance Document, dated December 28, 2010, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
a. Amendment to Agreement of Reinsurance, dated January 4, 2012, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
b. Amendment to Agreement of Reinsurance, dated January 8, 2014, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
c. Amendment to Agreement of Reinsurance, dated January 8, 2014, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
d. Amendment to Agreement of Reinsurance, dated June 19, 2014, by and between Aetna Life Insurance Company and Munich American Reassurance Company.
37. Reinsurance Agreement, dated November 1, 2017, between Aetna Life Insurance Company and Hartford Life and Accident Insurance Company.
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(a)(v)
1. Commercial and Medical Rebate and Formulary Administration Program Master Agreement between Medco Health Solutions, Inc. and Coventry Health Care and Coventry Prescription Management, effective January 1, 2012; and amendment 1, effective January 1, 2014, and amendment 2, effective January 1, 2015.
2. Integrated Prescription Drug Program Master Agreement between Medco Health Solutions, Inc., and Coventry Health Care, Inc., and Coventry Prescription Management Services, Inc., effective January 1, 2012; and amendments 1-18 thereto, effective from January 1, 2013 through January 1, 2018.
3. Integrated Prescription Drug Program Master Agreement between Medco Health Solutions, Inc. and Coventry Health Workers’ Compensation, Inc., effective January 1, 2012; and amendment thereto effective January 1, 2017, with Term Sheet, effective January 1, 2012.
4. Medicare Part D Prescription Drug Program Master Agreement between Medco Health Solutions, Inc., and Coventry Health Care, Inc., and Coventry Health Care Prescription Services, Inc., effective January 1, 2012; and amendments 1-11 thereto, effective from January 1, 2012 through January 1 2015.
5. Letter Agreement In Support of Coventry’s Custom Medicare and Standard Preferred Network Contracting In Response to Express Scripts, Inc. Proposed Letter Agreement dated January 23, 2015 from Aetna Life Insurance Company, dated March 31, 2015.
6. Renewal Term Sheet – Coventry Health Care Term Sheet – Medco 3 Year Medco Renewal, effective through December 31, 2015.
7. Medicare Part D Rebate and Formulary Administration Master Agreement between Medco Health Solutions, Inc., and Coventry Health Care, Inc., and Coventry Prescriptions Management Services, Inc., effective January 1, 2012; and amendments 1-4 thereto, effective through January 1, 2018.
8. American Foreign Service Protection Integrated Prescription Drug Program Master Agreement between Express Scripts, Inc. and American Foreign Service Protective Association, and Coventry Health Care, Inc., and First Health Life and Health Insurance Company, effective January 1, 2013.
9. Specialty Pharmacy Participation Agreement between Aetna Health Holdings, LLC, Accredo Health Group, Inc., effective September 1, 2005, and amendments effective September 26, 2009 through May 22, 2017.
10. Client Services Contract between Catamaran PBM of Illinois, Inc. and Script World, LLC, effective 2014; and amendments 1 (name change to OptumRx PBM of Illinois, Inc.), effective April 12, 2016, through 3 thereto, effective from April 12, 2016 through July 1, 2017.
11. Express Scripts Brand/Generic Algorithm Policy – Client Document (Client-Facing Final).
12. Specialty Pharmacy Services Letter of Agreement between briova Rx and Meritain Health, an Aetna Company, dated May 4, 2017.
13. Amendment to Express Scripts, Inc. Pharmacy Benefit Management Agreement between Express Scripts and Script World, LLC, no date.
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(a)(vi)
1. Manufacturer’s Medicare Discount Agreement, dated January 1, 2007, between Aetna Health Management LLC, and Novo Nordisk Inc., as amended by the amendments thereto dated January 1, 2009, January 1, 2010, January 1, 2011, July 1, 2011, January 1, 2013, July 1, 2013, January 1, 2014, April 1, 2014, January 1, 2015, April 1, 2015, July 1, 2015 and March 1, 2016.
2. Manufacturer’s Discount Agreement, dated January 1, 2008, between Aetna Health Management LLC, and Novo Nordisk Inc., as amended by the amendments thereto dated January 1, 2009, January 1, 2013, July 1, 2013, January 1, 2014, March 1, 2014, July 1, 2014, August 1, 2014, January 1, 2015, July 1, 2015 and September 1, 2016.
3. Manufacturer’s Medicare Discount Agreement, dated January 1, 2010, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Gilead Sciences, Inc., as amended by the amendments thereto dated January 1, 2011, September 1, 2011, January 1, 2013, January 1, 2014, August 1, 2014, November 1, 2014, January 1, 2015, February 6, 2015, March 1, 2015, January 1, 2016, May 1, 2016, and September 29, 2016.
4. Manufacturer’s Discount Agreement, dated January 1, 2010, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Gilead Sciences, Inc., as amended by the amendments thereto dated January 1, 2011, July 1, 2011, January 1, 2013, August 1, 2014, November 1, 2014, January 1, 2015, January 16, 2015, March 10, 2015, January 1, 2016, November 4, 2016, and October 1, 2017.
5. Manufacturer’s Medicare Discount Agreement, dated January 1, 2006, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Johnson & Johnson Health Care Systems Inc., as amended by the amendments thereto dated January 1, 2007, April 1, 2007, January 1, 2008, January 1, 2009, January 1, 2010, January 1, 2011, November 7, 2011, July 1, 2012, October 1, 2012, January 1, 2013, June 1, 2013, January 1, 2014, May 2, 2014, December 31, 2014, January 1, 2015, May 1, 2015, May 1, 2015, August 10, 2015, December 31, 2015, January 1, 2016, January 1, 2016, April 1, 2016, October 15, 2016, January 1, 2017, and July 1, 2017.
6. MCO Rebate Agreement, dated January 1, 2014, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Johnson & Johnson Health Care Systems Inc., as amended by the amendments thereto dated January 1, 2014, May 22, 2014, September 22, 2014, September 29, 2014, October 28, 2014, October 31, 2014, December 10, 2014, December 18, 2014, December 22, 2014, December 23, 2014, August 27, 2015, October 1, 2015, October 9, 2015, October 20, 2015, November 5, 2015, November 19, 2015, December 4, 2015, December 9, 2015, April 1, 2016, August 16, 2016, August 25, 2016, September 30, 2016, October 14, 2016, October 21, 2016, November 3, 2016, November 14, 2016, December 12, 2016, December 30, 2016, May 3, 2017, June 30, 2017, and November 10, 2017.
7. Manufacturer’s Medicare Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and GlaxoSmithKline dated January 1, 2016, as amended by the amendment thereto dated January 1, 2017.
8. Manufacturer’s Discount Agreement #509360 by and between Aetna Health Management, LLC, on behalf of itself and its Affiliates, and GlaxoSmithKline dated January 1, 2016, as amended by the amendments thereto dated January 1, 2016, January 1, 2017, and April 1, 2017.
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9. Manufacturer’s Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and AstraZeneca Pharmaceuticals LP and AstraZeneca LP dated January 1, 2005, as amended by the amendments thereto dated July 1, 2006, March 26, 2007, July 1, 2007, January 1, 2009, July 1, 2009, January 1, 2010, July 1, 2010, April 1, 2011, January 1, 2013, January 1, 2014, April 1, 2014, November 1, 2014, January 1, 2015, January 1, 2016, April 1, 2016, and January 1, 2017.
10. Manufacturer’s Medicare Part D Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and AstraZeneca Pharmaceuticals LP and AstraZeneca LP dated January 1, 2006, as amended by the amendments thereto dated January 1, 2007, July 1, 2007, January 1, 2009, January 1, 2010, January 1, 2011, January 1, 2013, April 1, 2013, January 1, 2014, January 1, 2015, January 1, 2016, and January 1, 2017.
11. Amended and Restated Manufacturer’s Medicare Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Abbott Laboratories Inc. dated July 1, 2010, as amended by the amendments thereto dated January 1, 2011, January 1, 2012, April 1, 2012, January 1, 2013, January 1, 2014, October 1, 2014, April 1, 2015, January 1, 2016, June 1, 2016, and January 1, 2017.
12. Amended and Restated Manufacturer’s Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Abbott Laboratories Inc. dated January 1, 2011, as amended by the amendments thereto dated October 1, 2011, December 17, 2012, October 1, 2013, July 1, 2014, October 1, 2014, April 1, 2014, April 1, 2015, January 1, 2016, January 1, 2017, September 1, 2017.
13. Amended and Restated Manufacturer’s Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and AbbVie Endocrinology, Inc. dated October 1, 2013.
14. Manufacturer’s Medicare Rebate Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Eli Lilly and Company dated July 1, 2015, as amended by the amendments thereto dated January 1, 2016, May 12, 2016, and December 1, 2016.
15. Manufacturer’s Rebate Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Eli Lilly and Company dated January 1, 2013, as amended by the amendments thereto dated January 1, 2014, April 1, 2014, August 1, 2014, January 1, 2015, May 1, 2015, August 1, 2015, January 1, 2016, April 15, 2016, January 1, 2017, July 1, 2017, September 1, 2017, October 1, 2017, and March 15, 2017.
16. Manufacturer’s Medicare Part D Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Boehringer Ingelheim Pharmaceuticals dated January 1, 2006, as amended by the amendments thereto dated January 1, 2007, January 1, 2008, January 1, 2010, January 1, 2011, August 1, 2011, October 1, 2011, January 1, 2012, June 1, 2012, September 1, 2012, May 1, 2013, January 1, 2014, January 1, 2015, August 1, 2015, January 1, 2016, April 1, 2016, May 1, 2016, September 1, 2016, January 1, 2017, and October 22, 2017.
17. Manufacturer’s Discount Agreement by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Boehringer Ingelheim Pharmaceuticals dated January 1, 2006, as amended by the amendments thereto dated January 1, 2007, January 1, 2008, January 1, 2010, July 1, 2010, July 1, 2011, October 1, 2011, December 15, 2011, January 1, 2012, March 1, 2012, September 1, 2012, July 1, 2013, October 1, 2013, July 1, 2014, May 1, 2015, July 1, 2015, July 1, 2016, January 1, 2017, and October 1, 2017.
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18. Manufacturer’s Medicare Discount Agreement, dated January 1, 2007, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and MSP Distribution Services, LLC, as amended by the amendments thereto dated April 15, 2007, January 1, 2009, January 1, 2010, January 1, 2011, January 1, 2012, November 1, 2012, January 1, 2014, January 1, 2015 and January 1, 2016.
19. Manufacturer’s Discount Agreement, dated May 1, 2005, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and MSP Distribution Services, LLC, as amended by the amendments thereto dated July 1, 2006, October 1, 2007, January 1, 2009, January 1, 2011, January 1, 2012, November 1, 2012, March 1, 2013, June 1, 2013, January 1, 2014, January 1, 2014, January 1, 2015 and January 1, 2016.
20. Manufacturer’s Medicare Discount Agreement, dated January 1, 2011, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Allergan USA, Inc. (as assignee of Forest Laboratories, Inc.), as amended by the amendments thereto dated January 1, 2012, January 1, 2014, October 1, 2014, January 1, 2015, July 1, 2015, January 1, 2016 and January 1, 2017.
21. Manufacturer’s Discount Agreement, dated January 1, 2011, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Allergan USA, Inc. (as assignee of Forest Laboratories Inc.), as amended by the amendments thereto dated January 1, 2012, March 9, 2012, August 1, 2012, May 1, 2013, January 1, 2014, October 1, 2014, May 1, 2015, July 1, 2015, January 1, 2016, September 1, 2016 and April 1, 2017.
22. Manufacturer’s Medicare Rebate Agreement, dated January 1, 2016, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Teva Neuroscience, Inc., as amended by the amendment thereto dated January 1, 2017.
23. Medicare Rebate Agreement, dated January 1, 2011, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Astellas Pharma US, Inc., as amended by the amendments thereto dated January 1, 2013, July 1, 2013, January 1, 2015, January 1, 2016 and January 7, 2017.
24. Rebate Agreement, dated January 1, 2011, by and between Aetna Health Management, LLC, and Astellas Pharma US, Inc., as amended by the amendments thereto dated January 1, 2013, July 1, 2014, January 1, 2015, August 1, 2015, January 1, 2016 and January 1, 2017.
25. Manufacturer’s Medicare Discount Agreement, dated January 1, 2016, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Sanofi-Aventis U.S. LLC, as amended by the amendments thereto dated January 1, 2017 and July 1, 2017.
26. Rebate Agreement, dated January 1, 2010, between Sanofi-Aventis U.S. LLC, and AETNA Health Management, LLC, as amended by the amendments thereto dated March 1, 2010, January 1, 2011, December 31, 2011, April 1, 2012, December 31, 2012, December 31, 2014, February 1, 2015, September 1, 2015, January 1, 2016, July 1, 2016 and January 1, 2017.
27. Medicare Part D Rebate Agreement, dated January 1, 2009, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Amgen USA Inc., as amended by the amendments thereto dated May 1, 2011, October 1, 2011, December 31, 2012, January 1, 2013, December 31, 2013 and July 1, 2014.
28. Rebate Agreement between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Amgen USA Inc., dated January 1, 2010, as amended by the amendments thereto dated October 1, 2011, January 1, 2013, January 1, 2014, March 31, 2014, December 31, 2014, March 31, 2015, December 31, 2015 and January 1, 2017.
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29. Rebate Agreement between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Amgen USA Inc., dated January 1, 2010, as amended by the amendments thereto dated October 1, 2011, January 1, 2013, January 1, 2014, March 31, 2014, December 31, 2014, March 31, 2015, December 31, 2015 and January 1, 2017.
30. Manufacturer’s Discount Agreement, dated January 1, 2014, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Sandoz Inc., on behalf of itself and Eon Labs, Inc., as amended by the amendments thereto dated January 1, 2015, January 1, 2016 and January 1, 2017.
31. Manufacturer’s Medicare Discount Agreement, dated January 1, 2012, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Valeant Pharmaceuticals International, Inc. (as assignee to Salix Pharmaceuticals, Inc.), as amended by the amendments thereto dated January 1, 2013, January 1, 2014, January 1, 2015, January 1, 2016, January 1, 2017 and August 1, 2017.
32. Manufacturer’s Discount Agreement, dated June 1, 2009, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Valeant Pharmaceuticals of North America (as assignee to BTA Pharmaceuticals, Inc.), as amended by the amendments thereto dated January 1, 2011, October 1, 2011, January 1, 2012, January 1, 2013, January 1, 2014, January 1, 2015, July 1, 2015, January 1, 2016, July 1, 2016, January 1, 2017 and October 1, 2017.
33. Manufacturer’s Discount Agreement, dated January 1, 2006, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Alcon Laboratories, Inc., as amended by the amendments thereto dated May 1, 2006, January 1, 2007, January 1, 2009, January 1, 2011, August 1, 2011, October 1, 2012, May 1, 2013, October 1, 2013, January 1, 2014, January 1, 2015 and January 1, 2016.
34. Manufacturer’s Discount Agreement, dated January 1, 2005, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Alcon Laboratories, Inc. and Falcon Pharmaceuticals, Ltd., as amended by the amendments thereto dated August 1, 2007, January 1, 2010, July 1, 2011, January 1, 2014, July 1, 2014, April 1, 2015 and January 1, 2016.
35. Manufacturer’s Medicare Discount Agreement, dated October 1, 2012, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Mylan Specialty L.P., as amended by the amendments thereto dated January 1, 2014, January 1, 2015, January 1, 2016 and January 1, 2017.
36. Manufacturer’s Discount Agreement, dated July 1, 2004, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and DEY, L.P., as amended by the amendments thereto dated July 15, 2005, January 1, 2007, August 1, 2008, January 1, 2011, January 1, 2012, January 1, 2013, January 1, 14, July 1, 2014 and January 1, 2017.
37. Manufacturer’s Medicare Discount Agreement, dated January 1, 2006, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Shire US Inc., as amended by the amendments thereto dated May 1, 2007, January 1, 2010, January 1, 2011, January 1, 2012, January 1, 2013, January 1, 2014, January 1, 2015, January 1, 2016 and January 1, 2017.
38. Manufacturer’s Discount Agreement, dated July 1, 2001, by and between Aetna Health Management, LLC, on behalf of itself and its affiliates, and Aetna Life Insurance Company, as administrator and on behalf of The Prudential Insurance Company of America, and Shire US, as amended by the amendments thereto dated July 1, 2002, January 1, 2004, October 1,
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2005, July 1, 2006, July 1, 2007, July 1, 2010, January 1, 2012, January 1, 2014, January 1, 2015, October 1, 2016 and March 27, 2017.
(a)(vii)
1. Master Relationship Agreement, dated June 19, 2012, by and between Aetna ACO Holdings Inc. and Inova Health System Foundation.
2. Master Relationship Agreement, dated January 6, 2017, by and between Aetna ACO Holdings Inc. and Allina Health System.
3. Amended and Restated Master Relationship Agreement, dated August 7, 2017, by and between Aetna ACO Holdings Inc. and Banner Health.
4. Master Relationship Agreement, dated June 8, 2017, by and between Aetna ACO Holdings Inc. and Sutter Health Plan Products Organization, LLC.
5. Master Relationship Agreement, dated May 23, 2016, by and between Aetna ACO Holdings Inc. and Texas Health Resources, as amended by the amendments thereto dated November 14, 2016, May 22, 2017 and June 15, 2017.
6. Joint Venture Agreement, dated August 14, 2017, by and between Aetna International Inc. and PT Asuransi Central Asia.
7. Master Transaction Agreement, dated October 22, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
a. Intellectual Property Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
b. Trademark License Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
c. Administrative Services Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
d. Transitions Services Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
e. Distribution Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
8. Hospital Services Agreement, dated June 22, 2009, by and between Aetna Health, Inc. and Yale-New Haven Hospital, as amended by the amendments thereto dated June 22, 2009, April 1, 2012, January 1, 2013, February 1, 2013, June 1, 2013, July 1, 2013, October 15, 2013, January 1, 2014, October 1, 2014, January 1, 2015, February 1, 2015, July 1, 2015, December 1, 2015, July 1, 2016, November 10, 2016, March 15, 2017 and July 1, 2017.
9. Apple/Aetna Alliance Agreement, dated September 7, 2016, by and between Apple Inc. and Aetna Life Insurance Company.
10. Contract, dated September 12, 2011, by and between Aetna Life Insurance Company and Florida Department of Management Services, as amended by the amendments thereto dated October 10, 2014 and January 1, 2016.
11. Contract for Self-Insured Health Plan Services (DMS 16/17-018A), dated January 1, 2018, between State of Florida Department of Management Services and Aetna Life Insurance Company.
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12. Administrative Services Contract, dated January 1, 2000, by and between Verizon Communications Inc. and Aetna Life Insurance Company, as amended by the amendments thereto dated January 1, 2002 and March 1, 2005.
a. Verizon RDS Agreement for Medicare Part D Administrative Services Contract BQ-14307-A, dated January 1, 2006, by and between Verizon Communications, Inc. and Aetna Life Insurance Company.
13. Administrative Services Only Agreement (ASA-1753-B), dated January 1, 2009, by and between Aetna Life Insurance Company on behalf of itself and its affiliated health maintenance organizations and United Parcel Service of America, Inc., as amended by the amendments thereto dated June 1, 2009 and May 6, 2016
a. Global Business Services Statement of Work, dated May 15, 2016, between United Parcel Service Oasis Supply Corporation and Aetna.
14. Agreement (ASA 875972-A), dated January 1, 2012, by and between United Air Lines, Inc. and Aetna Life Insurance Company, as amended by the amendments thereto dated January 1, 2012, January 1, 2013, March 1, 2013, January 1, 2014, April 1, 2014, January 1, 2015, October 1, 2015, January 1, 2016 and January 1, 2017.
15. Medicare Advantage PPO Group Agreement, dated January 1, 2010, by and between Aetna Life Insurance Company and School Employees Retirement System of Ohio, as amended by the amendment thereto dated January 1, 2015.
16. Medicare Advantage PPO Group Agreement, dated January 1, 2013, by and between Aetna Life Insurance Company and Teacher Retirement System of Texas, as amended by the amendment thereto dated January 1, 2015.
17. Administrative Services Contract, dated September 1, 2014, by and between Aetna Life Insurance Company and The Teacher Retirement System of Texas, acting on behalf of and in its capacity as the Trustee of the Texas School Employees Uniform Group Health Coverage Program.
18. Hospital Contract, dated December 1, 1997, by and between Healthcare Compare Corp., operating in its capacity as owner and operator of The Affordable Medical Networks, and Saint Elizabeth Hospital, as amended by the amendments thereto dated December 1, 1997, June 1, 2000, April 1, 2002 and November 1, 2006.
19. Managed Care Agreement, dated September 1, 1998, by and between Aetna U.S. Healthcare Inc. on behalf of itself and its affiliates and Jersey Shore Medical Center, as amended by the amendments thereto dated September 1, 1998, December 15, 2000, April 1, 2001, September 1, 2002, February 1, 2003, June 1, 2003, April 1, 2004, May 1, 2004, May 15, 2004, September 1, 2005, June 1, 2006, August 1, 2009, May 1, 2010, September 1, 2010, August 1, 2011, June 4, 2012, June 27, 2012, September 25, 2012, October 15, 2012, November 1, 2012, July 1, 2015 and October 7, 2015.
20. Hospital Services Agreement, dated November 1, 2014, by and between Aetna Health Inc., on behalf of itself and its affiliates, and South Atlantic Division, Inc. as disclosed agent, as amended by the amendment thereto dated October 1, 2017.
21. Hospital Services Agreement, dated September 15, 2005, by and between Aetna Health Inc., on behalf of itself and its applicable affiliates, and Texas Health Resources (THR), as amended by the amendments thereto dated October 15, 2011, January 1, 2012, July 1, 2012, November 1, 2012, November 15, 2012, December 16, 2012, January 1, 2013, May 15, 2013, January 1, 2014, March 1, 2014, May 15, 2014, July 1, 2014, October 1, 2014, November 17, 2014, January 1, 2015, January 13, 2015, February 13, 2015, March 2, 2015, September 15,
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2015, January 1, 2016, April 1, 2016, April 19, 2016, May 1, 2016, July 1, 2016, September 1, 2016, September 15, 2016, November 1, 2016, January 2, 2017, March 3, 2017, June 1, 2017 and July 1, 2017.
22. Facility Services Agreement, effective May 15, 2006, by and between Aetna Health Inc., on behalf of itself and its applicable affiliates and The University of Texas Southwestern Medical Center at Dallas, on behalf of itself and its applicable facilities.
23. Administrative and Managed Care Services Contract, dated January 1, 2011, by and between Pennsylvania Employees Benefit Trust Fund and Aetna Life Insurance Company, as amended by the amendment thereto dated September 30, 2011.
24. Contract for Services Relating to Medicare Private Fee for Services Plan, dated January 1, 2010, by and between The Pennsylvania Employees Benefit Trust Fund and Aetna Life Insurance Company.
25. Confidentiality Agreement, dated November 22, 2017, by and between JHH Acquisition Holdings, LLC and Aetna Inc.
26. Letter Agreement, dated November 8, 2017, by and between TriHealth Inc. and Aetna Inc.
27. Letter Agreement, dated October 31, 2017, by and between Star Health and Allied Insurance Company Limited and Aetna Inc.
28. Confidentiality Agreement, dated October 27, 2017, by and between Benecaid Health Benefit Solutions, Inc. and Aetna Inc.
29. Non-Disclosure Agreement, dated September 6, 2017, by and between MDSave Incorporated and Aetna Inc.
30. Letter Agreement, dated August 28, 2017, by and between Cook County Health & Hospitals System and Aetna Inc.
31. Letter Agreement, dated July 26, 2017, by and between Philips North America LLC and Aetna Inc.
32. Letter Agreement, dated July 20, 2017, by and between Trans Union LLC and Aetna Inc.
33. Letter Agreement, dated June 28, 2017, by and between Constellation Healthcare Technologies Inc. and Aetna Inc.
34. Mutual Confidentiality Agreement, dated October 18, 2017, by and between Wal-Mart Stores, Inc. and Aetna Life Insurance Company.
35. Letter Agreement, dated June 14, 2017, by and between Walgreens Boots Alliance, Inc. and Aetna Inc.
36. Master Business Agreement, dated May 20, 2013, by and between Infosys Limited and Aetna Life Insurance Company.
37. Master Business Agreement, dated January 6, 2015, by and between Cognizant Worldwide Limited (as successor in interest of Cognizant Technology Solutions U.S. Corporation) and Aetna Life Insurance Company.
38. Professional Services Agreement, dated December 4, 1992, by and between IBM and Aetna Life Insurance Company.
39. Master Business Agreement, dated January 1, 2014, by and between HGS (USA), LLC and Aetna Life Insurance Company, as amended by the amendment thereto dated January 1, 2017.
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40. Supplier Neutral Staffing Management Agreement, dated May 18, 2001, by and between Aetna Life Insurance Company and Volt Consulting Group, LTD. (formerly Procurestaff, LTD).
41. HBO & Company Software License Agreement, dated March 31, 1999, by and between McKesson Health Solutions LLC (formerly HBO & Company of Georgia) and Aetna Life Insurance Company.
42. Master Business Agreement, dated August 31, 2013, by and between Accenture, LLP and Aetna Life Insurance Company.
43. Master Business Agreement, dated January 1, 2005, by and between Xerox Commercial Solutions (formerly ACS Commercial Solutions Inc.) and Aetna Life Insurance Company
44. Master Business Agreement, dated July 1, 2009, by and between Xerox Corporation and Aetna Life Insurance Company.
45. Master Business Agreement, dated June 4, 2010, by and between ExlService Holdings, Inc. and Aetna Life Insurance Company.
46. Master Equipment Purchase Agreement, dated October 1, 1997, by and between Kelser Corporation and Aetna Life Insurance Company.
47. Master Business Agreement, dated August 1, 2015, by and between Aetna Life Insurance Company and Connexion Point, LLC.
48. Master Business Agreement, dated April 1, 2010, by and between Aetna Life Insurance Company and Verscend Technologies Inc., formerly Verisk Health, Inc. (successor in interest of Health Risk Partners).
49. Master Business Agreement, dated September 23, 2005, by and between Aetna Life Insurance Company and PricewaterhouseCoopers, LLP.
50. Master Business Agreement, dated February 2, 2006, by and between Aetna Life Insurance Company and ARNA Marketing Group, Inc.
(a)(viii)
1. The items set forth in Section 4.04 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
2. The Commercial Paper Dealer Agreements listed in Section 4.18 (a)(ix) of this Company Disclosure Schedules.
(a)(ix)
1. Agreement for Advances, Collateral Pledge, and Security Agreement, dated as of December 5, 2014, between Aetna Life Insurance Company and Federal Home Loan Bank of Boston.
2. Correspondent Services Agreement, dated as of December 5, 2014, between Aetna Life Insurance Company and Federal Home Loan Bank of Boston.
3. The Company’s commercial paper program, including:
a. Citi Treasury Manager Agreement, dated November 15, 2000, between Citibank, N.A. and Aetna U.S. Healthcare Inc.
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i. Commercial Paper Issuing and Paying Agency Agreement, dated as of November 15, 2000, between Citibank, N.A. and Aetna U.S. Healthcare Inc.
ii. Letter of Representations, dated November 15, 2000.
iii. Corporate Commercial Paper – Master Note, dated November 15, 2000.
b. Amended and Restated Commercial Paper Dealer Agreement (4(a)(2) Program), dated May 9, 2016, between Aetna Inc. and Barclays Capital Inc.
i. U.S. Commercial Paper Private Placement Memorandum for the Private Placement of 4(a)(2) Short-Term Notes, dated May 2, 2017, with Barclays Capital Inc. as dealer.
c. Amended and Restated Commercial Paper Dealer Agreement (4(a)(2) Program), dated May 9, 2016, between Aetna Inc. and Credit Suisse Securities (USA), LLC.
i. U.S. Commercial Paper Private Placement Memorandum for the Private Placement of 4(a)(2) Short-Term Notes, dated May 2, 2017, with Credit Suisse Securities (USA), LLC. as dealer.
d. Amended and Restated Commercial Paper Dealer Agreement (4(a)(2) Program), dated May 9, 2016, between Aetna Inc. and J.P. Morgan Securities LLC.
i. U.S. Commercial Paper Private Placement Memorandum for the Private Placement of 4(a)(2) Short-Term Notes, dated May 2, 2017, with J.P. Morgan Securities LLC as dealer.
e. Amended and Restated Commercial Paper Dealer Agreement (4(a)(2) Program), dated May 9, 2016, between Aetna Inc. and Merrill Lynch, Pierce, Fenner & Smith Incorporated.
i. U.S. Commercial Paper Private Placement Memorandum for the Private Placement of 4(a)(2) Short-Term Notes, dated May 2, 2017, with Merrill Lynch, Pierce, Fenner & Smith Incorporated as dealer.
f. Amended and Restated Commercial Paper Dealer Agreement (4(a)(2) Program), dated May 9, 2016, between Aetna Inc. and Wells Fargo Securities, LLC.
i. U.S. Commercial Paper Private Placement Memorandum for the Private Placement of 4(a)(2) Short-Term Notes, dated May 2, 2017, with Wells Fargo Securities, LLC. as dealer.
4. Items 8-10 set forth in Section 4.04 of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
5. Master Repurchase Agreement, dated July 29, 2005, by and between Aetna Life Insurance Company and J.P. Morgan Securities Inc.
6. Master Repurchase Agreement, dated November 1, 2005, by and between Aetna Inc. and Bank of America Securities LLC.
7. The Company’s commercial mortgage loan portfolio, as described in the Company SEC Documents.
(a)(x)
1. The item set forth in Section 4.12 of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
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(a)(xii)
1. Master Relationship Agreement, dated June 19, 2012, by and between Aetna ACO Holdings Inc. and Inova Health System Foundation.
2. Master Relationship Agreement, dated January 6, 2017, by and between Aetna ACO Holdings Inc. and Allina Health System.
3. Amended and Restated Master Relationship Agreement, dated August 7, 2017, by and between Aetna ACO Holdings Inc. and Banner Health.
4. Master Relationship Agreement, dated June 8, 2017, by and between Aetna ACO Holdings Inc. and Sutter Health Plan Products Organization, LLC.
5. Master Relationship Agreement, dated May 23, 2016, by and between Aetna ACO Holdings Inc. and Texas Health Resources, as amended by the amendments thereto dated November 14, 2016, May 22, 2017 and June 15, 2017.
6. Joint Venture Agreement, dated August 14, 2017, by and between Aetna International Inc. and PT Asuransi Central Asia.
(a)(xiii)
1. Consent, Facilitation & Coordination Agreement, dated November 1, 2017, by and between Aetna Better Health Inc. d/b/a Aetna Better Health of Illinois and Meridian Health Plan of Illinois, Inc.
2. Consent, Facilitation & Coordination Agreement, dated November 3, 2017, by and between Aetna Better Health Inc. d/b/a Aetna Better Health of Illinois and Cook County, through its Cook County Health and Hospitals System operating as CountyCare Health Plan.
3. Conditional Share Purchase Agreement, dated July 18, 2016, by and between Chan Wai Tong Christopher, Jong Yat Kit, Wong Tak Wai (as joint and several administrators of the estate of Nina Kung), Ripcord Limited and Aetna Global Holdings Limited.
4. Joint Venture Agreement, dated August 14, 2017, by and between Aetna International Inc. and PT Asuransi Central Asia.
(a)(xiv)
1. 4500 E. Cotton Center Blvd., Phoenix, AZ. Standard Office Lease, dated June 20, 2012; sublease to Banner Health and Aetna Health Plan, Inc. and Banner Health and Aetna Health Insurance Company, collectively, dated August 1, 2017.
2. 1333-1385 E Shaw Ave, Fresno, CA. Standard Office Lease, dated March 10, 2006, as amended by the amendments thereto dated October 19, 2006, September 21, 2007, March 11, 2011, April 30, 2014, November 10, 2014, and September 15, 2015.
3. 1340 Concord Terrace, Sunrise, FL. Lease Agreement, dated July 24, 2008, as amended by the amendment thereto dated March 24, 2009.
4. 9000 Southside Boulevard, Jacksonville, FL. Office Lease Agreement, dated May 20, 2016, as amended by the amendment thereto dated September 26, 2016.
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5. 10 South Riverside Plaza, Chicago, IL. Office Lease dated July 26, 2011, as amended by the amendments thereto dated November 15, 2012, April 25, 2014, April 15, 2015, July 29, 2016 and January 31, 2017.
6. 93 Worcester Street, Wellesley, MA. Lease Agreement dated February 22, 2016, as amended by the amendments thereto dated August 31, 2016 and September 13, 2017.
7. 4050 Piedmont Pkwy, High Point, NC. Standard Office Lease, dated June 30, 1997, as amended by the amendments thereto dated July 28, 1998, January 1, 2005, May 31, 2005, February 13, 2008, March 31, 2008 and December 18, 2013.
8. 1333 Broadway, New York, NY. Agreement of Lease, dated January 7, 2008; Lease Modification Agreement, dated March 5, 2010; Second Lease Modification Agreement, dated July 8, 2010 and Letter Agreement, dated March 24, 2017; Sublease dated September, 2015.
9. 61 Ninth Avenue, New York, NY. Lease, dated June 26, 2016; Letter, dated September 6, 2017.
10. 4300 Centreway Place, Arlington, TX. Standard Office Lease, dated May 16, 1997, as amended by the amendments thereto dated December 20, 2004, February 11, 2009, December 20, 2011 and May 29, 2012.
11. 100 Park Avenue (12th and 27th Floor), New York, NY. Agreement of Lease dated June 1, 2009; Lease Modification and Additional Space Agreement dated October 30, 2015.
12. 1600 SW 80th Terrace, Plantation, FL. Lease Agreement dated as of August 1, 2005; Sublease, dated November 1, 2013; Sublease to Hartford Fire Insurance Company, dated November 1, 2017 (sub-sublease).
13. 7400 W Campus Rd, New Albany, OH. Standard Office Lease, dated August 15, 1997, as amended by the amendments thereto dated June 18, 1998, September 26, 1998, December 1, 2004, September 4, 2009, December 29, 2011 and acknowledged June 26, 2012.
14. 101 Park Avenue, New York, NY. Lease, dated October 20, 2015.
15. 4141 N. Scottsdale Rd., Scottsdale, AZ. Lease, dated December 21, 2011; Sublease to Benchmark Electronics, Inc., dated July 10, 2017.
16. 550 Maryville Centre Dr., St. Louis, MO. Office Lease, dated October 11, 2005, as amended by the amendments thereto dated August 9, 2006, December 7, 2009, August 8, 2011, December 21, 2012, July 12, 2013 and November 27, 2017.
17. 3535 E. Valencia Rd., Tucson, AZ. Lease Agreement, dated July 29, 2015.
18. 9401 Indian Creek Pkwy, Overland Park, KS. Lease, dated October 8, 2012.
19. 2858 Northwestern Hwy, Southfield, MI. Lease Agreement, dated January 3, 2005, and Sublease, dated February 22, 2017, as amended by the amendment thereto dated May 18, 2017 and Sublease, dated June 3, 2015, as amended by the amendment thereto dated October 31, 2016.
20. 800 Crescent Centre Dr., Franklin, TN. Lease Agreement, dated October 27, 2011, as amended by those amendments thereto dated June 19, 2012, July 31, 2013, March 3, 2014 and August 8, 2017.
(a)(xv)
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1. Master Transaction Agreement, dated October 22, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
a. Intellectual Property Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
b. Trademark License Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
c. Administrative Services Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
d. Transitions Services Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
e. Distribution Agreement, dated November 1, 2017, between Aetna Inc. and Hartford Life and Accident Insurance Company.
2. International Program License Agreement, dated January 11, 1999, between Aetna Life Insurance Company and IBM.
3. International Passport Advantage Agreement (Passport), dated May 2, 2006, between Aetna Life Insurance Company and IBM.
4. Agreement for IBM Licensed Programs, dated October 4, 1983, between IBM and Aetna Life Insurance Company.
5. Enterprise Software and Services Option, dated November 30, 2005, between IBM and Aetna Life Insurance Company.
6. Microsoft Business Agreement, dated April 1, 2003, between Aetna Life Insurance Company and Microsoft Corporation.
7. HBO & Company Software License Agreement, dated March 31, 1999, between McKesson Health Solutions LLC (formerly HBO & Company of Georgia) and Aetna Life Insurance Company.
8. Master Service Agreement and License Agreement, dated April 13, 1999, between OptumInsight, Inc. (formerly Ingenix, Inc). and Aetna Life Insurance Company.
(a)(xvi)
1. Letter Agreement with Thomas Sabatino, dated March 31, 2016.
2. Letter Agreement with Rick Jelinek, dated October 14, 2015, as amended September 25, 2017.
3. Letter Agreement with Gary Loveman, dated September 17, 2015.
4. Employment Agreement with Karen Lynch, dated December 10, 2014.
5. Letter Agreement with Francis Soistman, dated December 17, 2012.
6. Letter Agreement with Shawn Guertin, dated March 23, 2011.
7. Amended and Restated Employment Agreement with Mark Bertolini, dated October 19, 2010, as amended August 4, 2013.
8. Letter Agreement with Harold Paz, dated May 29, 2014.
9. Letter Agreement with Richard DiBenedetto, dated July 9, 2013.
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10. Letter Agreement with Thomas Weidenkopf, dated September 2, 2015.
11. Form of Non-Competition, Non-Solicitation, Confidentiality and Assignment Agreement.
(a)(xvii)
1. Amended and Restated Aetna Inc. 2000 Stock Incentive Plan
a. Form of Aetna Inc. 2000 Stock Incentive Plan - Stock Appreciation Right Terms of Award
2. Amended Aetna Inc. 2010 Stock Incentive Plan
a. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (with non-compete provision)
b. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award
c. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award (2015)
d. Form of Aetna Inc. 2010 Stock Incentive Plan - Executive Restricted Stock Unit Terms of Award (2015)
e. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, with retirement vesting)
f. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, without retirement vesting)
g. Form of Aetna Inc. 2010 Stock Incentive Plan - Stock Appreciation Right Terms of Award (2015)
h. Form of Aetna Inc. 2010 Stock Incentive Plan - Stock Appreciation Right Agreement
3. Amended and Restated Aetna Inc. 2001 Annual Incentive Plan
4. Aetna Inc. 2010 Non-Employee Director Compensation Plan
a. Form of Aetna Inc. Non-Employee Director Compensation Plan - Restricted Stock Unit Agreement
5. Aetna Inc. Non-Employee Director Compensation Plan as amended through December 5, 2008
6. 1999 Director Charitable Award Program, as Amended and Restated on January 25, 2008
7. Aetna Inc. 2016 Employee Stock Purchase Plan
8. Director compensation package for non-management directors as disclosed in the Company’s 2017 Proxy Statement, subject to the disclosure in item 13 of Section 4.13(b) of this Company Disclosure Schedule.
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Section 4.19
Taxes
(c)
The Company’s U.S. federal consolidated income Tax Returns for the tax years ended December 31, 2014 and December 31, 2015 will not be closed until September 15, 2018 and September 15, 2019, respectively. The Tax Returns have been reviewed and approved by the IRS team assigned to the Company through the IRS Compliance Assurance Process (“CAP”) program.
(d)
[Redacted]
(j)
Coventry Health Care, Inc. was the common parent of a consolidated group until it was acquired by the Company in 2013. At various times prior to such acquisition, subsidiaries of Coventry Health Care, Inc. were members of an affiliated, consolidated, combined or unitary group other than a group with respect to which Coventry Health Care, Inc. was the common parent.
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Section 4.20
Employees and Employee Benefit Plans
(a)
1. Aetna Inc. 401(k) Plan.
2. Retirement Plan for Employees of Aetna Inc.
3. Aetna Inc. Long-term Disability Benefits Plan.
4. Aetna Inc. Life and Accident Insurance Benefits Plan.
5. Aetna Inc. Medical/Dental Plan (including Enhanced Benefits Program).
6. Aetna Inc. Medical/Dental Plan for Inactive Employees.
7. Aetna Inc. Voluntary Benefits Plan (Resources for Living).
8. Aetna Inc. Flexible Benefits Plan.
9. Aetna Inc. Dependent Care Spending Account Plan.
10. Aetna Inc. Health Care Flexible Spending Account Plan.
11. Aetna Inc. Short-term Disability Benefits Plan.
12. Aetna Inc. Job Elimination Benefits Plan.
13. Aetna Inc. Annual Bonus Plan.
14. Amended and Restated Aetna Inc. 2001 Annual Incentive Plan.
15. Amended and Restated Aetna Inc. 2000 Stock Incentive Plan.
a. Form of Aetna Inc. 2000 Stock Incentive Plan - Stock Appreciation Right Terms of Award.
16. Amended Aetna Inc. 2010 Stock Incentive Plan.
a. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (with non-compete provision).
b. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award.
c. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award (2015).
d. Form of Aetna Inc. 2010 Stock Incentive Plan - Executive Restricted Stock Unit Terms of Award (2015).
e. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, with retirement vesting).
f. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, without retirement vesting).
g. Form of Aetna Inc. 2010 Stock Incentive Plan - Stock Appreciation Right Terms of Award (2015).
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h. Form of Aetna Inc. 2010 Stock Incentive Plan - Stock Appreciation Right Agreement.
17. Aetna Inc. 2016 Employee Stock Purchase Plan.
18. Aetna Inc. 2010 Non-Employee Director Compensation Plan.
a. Form of Aetna Inc. Non-Employee Director Compensation Plan - Restricted Stock Unit Agreement.
19. Aetna Inc. Non-Employee Director Compensation Plan as Amended through December 5, 2008.
20. 1999 Director Charitable Award Program, as Amended and Restated on January 25, 2008.
21. Aetna Inc. Supplemental 401(k) Plan.
22. Aetna Inc. Supplemental Pension Benefit Plan.
23. Coventry Health Care Inc. 401(k) Restoration and Deferred Compensation Plan.
24. Aetna Inc. Deferred Compensation Plan.
25. US Health Care, Inc. Retiree Health Benefit Plan.
26. Aetna Inc. Paid Time Off Policy.
27. Aetna Inc. Tuition Assistance Plan.
28. Aetna Inc. Adoption Assistance Plan.
29. Apple Watch Program.
30. Student Loan Repayment Program.
31. Aetna 2016 Voluntary Early Retirement Plan.
32. Letter Agreement with Thomas Sabatino, dated March 31, 2016.
33. Letter Agreement with Rick Jelinek, dated October 14, 2015, as amended September 25, 2017.
34. Letter Agreement with Gary Loveman, dated September 17, 2015.
35. Employment Agreement with Karen Lynch, dated December 10, 2014.
36. Letter Agreement with Francis Soistman, dated December 17, 2012.
37. Letter Agreement with Shawn Guertin, dated March 23, 2011.
38. Amended and Restated Employment Agreement with Mark Bertolini, dated October 19, 2010, as amended August 4, 2013.
39. Letter Agreement with Harold Paz, dated May 29, 2014.
40. Letter Agreement with Richard DiBenedetto, dated July 9, 2013.
41. Letter Agreement with Thomas Weidenkopf, dated September 2, 2015.
42. Director compensation package for non-management directors as disclosed in the Company’s 2017 Proxy Statement, subject to the disclosure in item 13 of Section 4.13 of this Company Disclosure Schedule.
43. Sales incentive plans for sales and account management professionals and their managers.
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(b)
The Retirement Plan for Employees of Aetna Inc. is subject to Title IV of ERISA.
(e)
1. Employment Agreement with Karen Lynch, dated December 10, 2014.
2. Amended and Restated Employment Agreement with Mark Bertolini, dated October 19, 2010, as amended.
3. Amended and Restated Aetna Inc. 2000 Stock Incentive Plan
a. Form of Aetna Inc. 2000 Stock Incentive Plan – Stock Appreciation Right Terms of Award
4. Amended Aetna Inc. 2010 Stock Incentive Plan
a. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (with non-compete provision)
b. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award
c. Form of Aetna Inc. 2010 Stock Incentive Plan - Performance Stock Unit Terms of Award (2015)
d. Form of Aetna Inc. 2010 Stock Incentive Plan - Executive Restricted Stock Unit Terms of Award (2015)
e. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, with retirement vesting)
f. Form of Aetna Inc. 2010 Stock Incentive Plan - Restricted Stock Unit Terms of Award (2011, without retirement vesting)
g. Form of Aetna Inc. 2010 Stock Incentive Plan - Stock Appreciation Right Terms of Award (2015)
5. Aetna Inc. 2010 Non-Employee Director Compensation Plan
a. Form of Aetna Inc. Non-Employee Director Compensation Plan - Restricted Stock Unit Agreement
6. Aetna Inc. Non-Employee Director Compensation Plan as amended through December 5, 2008.
7. Amended and Restated Aetna Inc. 2001 Annual Incentive Plan
8. Aetna Inc. Job Elimination Benefits Plan
9. Aetna Inc. 401(k) Plan
10. Retirement Plan for Employees of Aetna Inc.
11. Aetna Inc. Medical/Dental Plan (including Enhanced Benefits Program)
12. Aetna Inc. Medical/Dental Plan for Inactive Employees
13. Aetna Inc. Short-term Disability Benefits Plan
14. Aetna Inc. Long-term Disability Benefits Plan
15. 1999 Director Charitable Award Program, as Amended and Restated on January 25, 2008
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(f)
1. COBRA benefits are provided after termination of employment.
2. Retiree medical, dental, and life insurance benefits are provided after termination of employment for certain eligible employees and directors.
(h)
The Company Employee Plans provide for payments and benefits estimated to be not more than approximately [redacted] that would not be deductible under Section 280G of the Code.
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Section 4.21
Labor Matters
1. The Company is party to various wage and hour litigation matters, certain of which are or are purported to be class actions. [A portion of this disclosure has been redacted.] At this time, the Company also has one such purported class action; cross motions for summary judgment are pending before the U.S. District Court for the District of Connecticut in this matter.
2. [Redacted]
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Section 4.22
Intellectual Property
Pursuant to Section 8.01(a) of the Agreement, the Company shall provide to Parent the information and documentation responsive to the representations and warranties of the Company set forth in Section 4.22 of the Agreement as promptly as reasonably practicable after the date of the Agreement.
(a)
Company Common Law Marks
1. 3-Point PlaySM (common law) 231. Aetna’s Resource ConnectionSM (common law)
2. 3-Point PlaySM (Design) 232. AetPress - Internal use only (no symbol)
3. A+ for SchoolsSM (common law) 233. Aexpressway™
4. Achieve your healthySM 234. ArrowSM
5. Active Benefit DesignSM 235. ArrowSM (Design)
6. Active CareTeamSM (common law) 236. AWCRxSM (common law) (acronym for Aetna Workers’ Comp PharmacySM)
7. Active Compassionate CareSM (common law) 237. Behavioral Healthcare Solutions™
8. Active Disease ManagementSM 238. Behavioral Healthcare Solutions Integrated Clinical Alliance™
9. Active Impact AnalysisSM 239. Beneficiary Management Services™ (common law)
10. Active Lifestyle CoachingSM 240. Benefits Beyond BordersSM
11. Active Maternity ManagementSM (common law) 241. Best Price™
12. Active Performance MeasuresSM (common law) 242. Better Access for Baby and You (Baby)™
13. ActiveAdvocateSM 243. Bright ExpectationsSM
14. ActiveAnalyticsSM (common law) 244. Build a Healthier Life
15. ActiveChallengeSM (common law) 245. Building Healthy Communities (no symbol)
16. ActiveFormularySM 246. California Health Affiliate Plan (no symbol)
17. ActiveHealth Clinical Decision Support (common law) 247. Care Advocate (no symbol)
18. ActiveHealth Clinical Development CenterSM (Design) 248. Care ConsiderationSM
19. ActiveHRASM 249. CarefreeSM
20. ActiveUM/CMSM 250. CareGeo�
21. ActiveWellnessSM 251. CareKitsSM (common law)
22. Acute Care @ HomeTM (common law) 252. CareUnifySM
23. ADA HR CoachSM (common law) 253. CatapultSM
24. Aetna Absence and Productivity SolutionsSM (common law) 254. Catapult (Design – display SM)
25. Aetna Accident Plan (no symbol) 255. CCGSM (common law) (use SM for services, not entity name)
26. Aetna Accountable Care Solutions (common law) 256. Choose and SaveSM
27. Aetna AdminLinkSM (common law) 257. Choices That Matter™
28. Aetna Advantage™ Dental (common law) 258. Choicewize™ (in San Bernardino and Riverside, CA only)
29. Aetna Advantage™ Student Dental 259. CityHealth ProfilesSM (common law)
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30. Aetna Advantage Plans for Individuals, Families and the Self-Employed (no symbol)
260. Clear Card HealthSM
31. Aetna Alcohol Screening, Brief Intervention and Referral to Treatment Program (no symbol)
261. CLI Protection SeriesSM
32. Aetna AnswerSM (common law) 262. Cofinity AdvantageSM
33. Aetna AscentSM 263. Cofinity SelectSM
34. Aetna AutoDebitSM (common law) 264. Community PlanSM (common law)
35. Aetna Basic HMO (common law) 265. Community from Coventry Health Care
36. Aetna Behavioral Health InsightsTM 266. Corporate Health Administrators™
37. Aetna Benefits AdvisorSM (common law) 267. Corporate Health Insurance™
38. Aetna Better Health® at Home Program 268. Coventry Bronze $20 Copay Baptist PD HPN PPO
39. Aetna Better Health Better BabiesSM 269. Coventry Bronze HSA Eligible Baptist PD HPN PPO
40. Aetna Better Health® Kids (Design) 270. Coventry Care Guides
41. Aetna Better HealthSM Premier Plan 271. Coventry Consumer Choice
42. Aetna Better Health® Provider Connection 272. Coventry FlexChoice
43. Aetna Bronze $10 Copay NY SignatureSM 273. Coventry Gold $5 Copay Baptist PD HPN PPO
44. Aetna Capital ManagementSM (common law) 274. Coventry Healthy Outcomes
45. Aetna Clinical Transformation Programs (no symbol) 275. Coventry NT24 (Nurse Triage)
46. Aetna Community Care (no symbol) 276. Coventry Pediatric Dental Network
47. Aetna Commuter Benefits� (common law) 277. Coventry Silver $5 Copay 2750 Baptist PD HPN PPO
48. Aetna Compassionate CareSM (common law) 278. Coventry WellBeing
49. Aetna Connect (common law) 279. Coventry Workers' Comp Services Provider Look-up tool
50. Aetna Cost and Trend AdvisorSM (common law) 280. CoventryOne Online Assistance
51. Aetna Cost Assurance Program (no symbol) 281. Customized Communications GroupSM (common law)
52. Aetna Critical Illness Plan (no symbol) 282. law)
Cut Costs. Not Benefits. Think VoluntarySM (common
53. Aetna Custom Care Management Solutions (no symbol) 283. DARTSM (common law)
54. Aetna Customer Health Information PortalTM (common law) 284. DART (Design – display SM)
55. Aetna/CVS pharmacy Prescription Drug Plan (PDP) 285. DMO® Access
56. Aetna Dental® Administrators 286. DocBear Design
57. Aetna Dental Care RewardSM 287. Doc Bear Design with Blocks
58. Aetna Dental DMO® with Select Network 288. e.Aetna™
59. Aetna Dental LinkSM 289. e.Plan Sponsor MonitorTM (common law)
60. Aetna Dental/Medical IntegrationSM 290. e.PSM™ (common law)
61. Aetna Dental Preventive CareSM 291. E-Pay™
62. Aetna Dental Referral Program™ 292. Easy Pay Design (display SM with design only)
63. Aetna Depression in Primary Care Program (no symbol) 293. Empowering Better Health and Wellness�
64. Aetna DirectSM (common law) 294. Engage & SaveSM (common law)
65. Aetna Disability and Absence Management ServicesSM 295. Enhanced Member OutreachSM (common law)
66. Aetna Disability ServicesSM 296. ER Check-InTM (common law)
67. Aetna Early Retiree HealthSM (common law) 297. Extend SM (common law)
68. Aetna Easy Quote™ 298. EZLink™
69. Aetna eBusiness for Brokers (no symbol) 299. EZLink & Design™
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70. Aetna eBusiness for Plan Sponsors (no symbol) 300. Find, Engage, HelpSM
71. Aetna EDI ConnectSM (common law) 301. First Call ResolutionSM (common law)
72. Aetna Employee Self Service™ 302. First Health® Part D
73. Aetna EnrollSM (common law) 303. First Health Part D Premier Plus (PDP)
74. Aetna Essentials 304. First Health Part D Value Plus
75. Aetna ExpressLaneSM (common law) 305. First Health Services Corporation
76. Aetna ExtrasSM 306. FocusedCare HPNSM
77. Aetna EZConnect™ (common law) 307. Focusing on your total care (no symbol)
78. Aetna Financial AdvantageSM (common law) 308. Freedom-of-Choice (no symbol)
79. Aetna Fitness (no symbol) 309. Futrix®
80. Aetna Fixed BenefitsSM Plan (common law) 310. Futrix Health®
81. Aetna Flexible Benefits (Design Only) 311. GDS Group Dental Service® (design)
82. Aetna Flexible Medical ModelSM (common law) 312. Get a smarter health planSM
83. Aetna Funding AdvantageSM 313. GetNHealthy with AetnaSM
84. Aetna Get ActiveSM (common law) 314. GHP
85. Aetna Gold $10 Copay NY SignatureSM 315. Golden Patriot™
86. Aetna Government Health PlansSM (common law) 316. Golden Premier™
87. Aetna Group Medicare Supplement Insurance Plan (no symbol) 317. GoodhealthSM
88. Aetna Health ConnectionsSM (common law) 318. GoodhealthSM An Aetna company
89. Aetna Health ConnectionsSM Direct2YouSM 319. HDMS (Design – display SM)
90. Aetna Health Decision Support Tool (no symbol) 320. Health Care UniversitySM
91. Aetna Health Information AdvantageTM (common law) 321. Health EnhancementSM (common law)
92. Aetna Health Information SolutionsSM 322. Health Fund One-to-One Plan from Innovation Health (no symbol)
93. Aetna® Health Mobile App 323. Health Your Way By AetnaSM
94. Aetna Health Network OnlySM (common law) 324. HealthabilitySM
95. Aetna Health Network OptionSM 325. Healthagen® Ignite
96. Aetna Health PromiseSM (common law) 326. HealthEHost�
97. Aetna HealtheKidsSM 327. Healthful™
98. Aetna HealthFund® One-to-One 328. HealthMosaicSM
99. Aetna Healthy ActionsSM 329. Healthy ActionsSM
100. Aetna Healthy ActionsSM--Multi-Year Alliance 330. Healthy Body, Healthy WeightSM (common law)
101. Aetna Healthy CommitmentsSM 331. Healthy business. Healthy family. Healthy life.SM (common law)
102. Aetna Healthy TicketTM 332. Healthy Imagination™
103. Aetna Hearing Discounts (no symbol) 333. Healthy Lifestyle Coaching (no symbol)
104. Aetna Hospital Plan (no symbol) 334. Healthy MeritsSM
105. Aetna Illinois Community PlanSM (common law) 335. Healthy TicketTM
106. Aetna In Touch CareSM (common law) 336. Helping You Stay Healthy™
107. Aetna In Touch CareSM Solutions (common law) 337. HereForUSM
108. Aetna Individual Advantage PlanSM (common law) 338. HMO Elite Care or POS Elite Care/
109. Aetna Individual AdvantageSM PPO Plan (common law) 339. Advantra Elite PPO
110. Aetna Individual AdvantageSM PPO Plus Plan (common law) 340. HSA InsiderTM
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111. Aetna Individual Medicare Supplement PlanSM 341. HSAmericaTM
112. Aetna Informatics (no symbol) 342. i.CAPSM (common law)
113. Aetna Information Institute (no symbol) 343. Innovation Health® Funding Advantage
114. Aetna Innovation at Work (headline only) (no symbol) 344. Innovation Health Medicare Advantage
115. Aetna INsiderTM (common law) 345. Institutes of Excellence™ (common law)
116. Aetna Institute For Improving Personal HealthSM (common law) 346. Institutes of ExcellenceTM Transplant Access Network by Aetna (common law)
117. Aetna InstitutesTM Program (common law) 347. Integrated Benefits SolutionsTM (common law)
118. Aetna Integrated Primary Care Behavioral Health Program (no symbol)
348. Integrated Rx CareSM (common law; also registered in Wisconsin)
119. Aetna International Comprehensive Health International Plan (common law)
349. Interglobal™
120. Aetna IPA Link (no symbol) 350. It’s Your Health™
121. Aetna Joint Claim AdministrationSM (common law) 351. Kids Feel Better With Us™
122. Aetna KidsPlaySM 352. Know more. Get Better.SM
123. Aetna Liberty Plan (no symbol) 353. Legal Reference™ (common law)
124. Aetna Life EssentialsSM (common law) 354. Legal Reference™ Plus
125. Aetna Market MatchSM 355. Legal Reference™ Plus Lawphone®
126. Aetna Marketplace (no symbol) 356. Lifetime of Care™
127. Aetna Medicare Advantage (no symbol) 357. Make HistorySM (common law)
128. Aetna Medicare BasicSM Plan (HMO) (common law) 358. Make It MeSM (common law)
129. Aetna Medicare Direct™ (common law) 359. Make It MineSM (common law)
130. Aetna Medicare Dual AdvantageSM Plan (HMO) (common law) 360. Managed Care Briefing™
131. Aetna Medicare Innovation Choice PlanSM 361. MaximoSM (common law) Use with Aetna logo
132. Aetna Medicare Innovation Prime PlanSM 362. MealMonkeySM
133. Aetna Medicare OpenSM Basic Plan (PFFS) (common law) 363. Medicity® Connect™
134. Aetna Medicare OpenSM Plan (PFFS) (common law) 364. Medicity® Engage™
135. Aetna Medicare OpenSM Value Plan (common law) 365. Medicity® Exchange™
136. Aetna Medicare OpenSM Value Plan w/Rx (PFFS) (common law)
366. Medicity® Explore™
137. Aetna MedicareSM Plan (HMO) (common law) 367. Medicity® Focus™
138. Aetna MedicareSM Plan (HMO) (PPO) (common law) 368. Medicity® Manage™
139. Aetna MedicareSM Plan (PPO) (common law) 369. Medicity® Network Manager�
140. Aetna Medicare Plan Selection ToolSM (common law) 370. Medicity® Notify™
141. Aetna Medicare Prime Plan (no symbol) 371. Medicity® Organize™
142. Aetna Medicare PremierSM Plan (HMO) (common law) 372. Member EssentialsSM
143. Aetna Medicare PremierSM Plan (PPO) (common law) 373. Meritain Health® Atlas
144. Aetna Medicare Rx® (PDP) 374. Meritain Health InsightsSM
145. Aetna Medicare Rx® Costco Plus Plan (PDP) 375. Meritain Health® RX Smart SavingsSM
146. Aetna Medicare Rx® Enhanced Plan (PDP) 376. Messages For You™
147. Aetna Medicare Rx Plus® (PDP) 377. MindCheckSM
148. Aetna Medicare Rx® Saver 378. Minding What MattersTo YouSM
149. Aetna Medicare Rx® Saver (PDP) 379. My Online ServicesSM (common law)
150. Aetna Medicare Rx® Select 380. My Resources for Living WellSM
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151. Aetna Medicare Rx® Select (PDP) 381. My Wellness ConnectionsSM (common law)
152. Aetna Medicare SelectSM Plan (HMO) (common law) 382. MyActiveHealthSM
153. Aetna Medicare SelectSM Plan (PPO) (common law) 383. National Advantage™ Program
154. Aetna Medicare Solution CenterSM (common law) 384. NeocoachSM
155. Aetna Medicare StandardSM Plan (HMO) (common law) 385. New Jersey Individual Choice™ (NJ Only)
156. Aetna Medicare StandardSM Plan (PPO) (common law) 386. NY SignatureSM
157. Aetna Medicare ValueSM Plan (HMO) (common law) 387. NYC Community PlanSM (common law)
158. Aetna Medicare ValueSM Plan (PPO) (common law) 388. One Common SolutionSM
159. Aetna MedPremier (no symbol) 389. Open Access Aetna SelectSM (common law)
160. Aetna MedSureSM (common law) 390. Open Choice-Open Access™
161. Aetna MyPulse� 391. OSCR—On-Site Concurrent Review™ (internal use only)
162. Aetna Navigator® Hospital Comparison Tool (no symbol) 392. Out Front With AetnaSM (Design)
163. Aetna No BoundariesSM (common law) 393. Partner with CoventryOne and help care for the people we serve.
164. Aetna Office Link UpdatesTM (common law) 394. Pathways to ExcellenceSM (common law)
165. Aetna Oncology SolutionsSM (common law) 395. Patriot®V HMO
166. Aetna One® Advocate 396. Patriot®X HMO
167. Aetna Online Benefit Administration (no symbol) 397. PayFlex® DirectTM
168. symbol)
Aetna Pediatric Behavioral Health Management Program (no 398. PayFlex® Wallet
169. Aetna Performance Formulary (no symbol) 399. PBS Healthy CheckSM Case Management
170. Aetna Performance Network OptionSM 400. PBS Healthy CheckSM Kidney Care
171. Aetna Performance Network 401. PBS Healthy CheckSM Nurse Advocacy
172. Aetna PlanShopperSM (common law) 402. PDC Hosting Services logo (Phoenix design with “PDCHS”) (Display SM with logo)
173. Aetna Platinum $10 Copay NY SignatureSM 403. Physician FocusSM (common law)
174. Aetna PPO Max Plan (no symbol) 404. Physicians For Excellence ProgramSM (common law)
175. Aetna Predictive Funding (no symbol) 405. Plan comunitario de Aetna para IllinoisSM (common law; see Aetna Illinois Community PlanSM)
176. Aetna Premier Care Network (no symbol) 406. Planifique Para Su SaludSM (Spanish “Plan for Your Health”)
177. Aetna Primary CareSM (common law) 407. Possibilities for All AbilitiesSM (common law)
178. Aetna Private Exchange Rx Network (no symbol) 408. “Powered by Aetna Navigator® (see “Plan Benefits Navigator”)
179. Aetna Producer PrivilegesSM (common law) 409. Price-A-DrugSM (common law)
180. Aetna Provider eSolutionsSM 410. Primary ChoiceSM (common law)
181. Aetna Psychiatric DisabilitySM (common law) 411. Prodigy Health GroupSM
182. Aetna Report Rx (no symbol) 412. ProNetSM
183. Aetna Resource Connection (no symbol) 413. Provider PreferenceSM (common law)
184. Aetna Resources For LivingSM 414. Provider Quality Performance ProgramSM (common law)
185. Aetna Retiree ConnectionTM 415. PulseSM (common law)
186. Aetna Return to Work SolutionsSM (common law) 416. Quality Health Analytics™
187. Aetna Rx Autofill (no symbol) 417. Rapid DeliverySM Package (common law)
188. Aetna Rx Courtesy StartSM (common law) 418. Real Needs. Real Solutions.SM (common law)
189. Aetna Rx Discount Pharmacy Network CardTM (common law) 419. Reawakening CenterSM (common law)
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190. Aetna Rx Home Delivery® Pharmacist Care Team 420. Reenergize Your Life, Refresh Your MindSM (common law)
191. Aetna Rx Savings CardSM 421. Resources For Living®
192. Aetna Rx Ways to Save (no symbol) 422. Rx Home Success ProgramSM (common law)
193. Aetna SelectSM 423. Safe SlumberSM (common law)
194. Aetna Service OptionsSM (common law) 424. Scrip World RX Smart SavingsSM
195. Aetna Silver $10 Copay NY SignatureSM 425. Slingshot ProcessSM (common law)
196. Aetna Small Group Premier Producer Program (no symbol) 426. Smarter is healthySM
197. Aetna Small Group Private Exchange Rx Network (no symbol) 427. SmartStart™
198. Aetna SmartSourceSM (common law) 428. Solution SleuthTM (common law)
199. Aetna Specialty Benefit Solutions (no symbol) 429. Solutions™
200. Aetna Specialty CareRxSM 430. Solutions4LifeSM (Horizon Mark)
201. Aetna Specialty Health Care ManagementSM (common law) 431. Southern Health
202. Aetna Specialty Performance NetworkSM 432. SRC An Aetna Company (no symbol)
203. Aetna Specialty Therapy ManagementSM (common law) 433. Step Up to Health™
204. Aetna SpectrumSM (common law) 434. Symptom-to-Provider TM (common law)
205. Aetna Spectrum Integrated BenefitsSM (common law) 435. Take Action On Your HealthSM (common law)
206. Aetna Stream (no symbol) 436. Teaming Up For A Healthy TomorrowSM
207. name)
Aetna Student HealthSM (common law) (no symbol for entity 437. Texas Health Aetna ER Doc
208. Aetna Strategic Desktop Customer Service Portal (no symbol) 438. Texas Health Affiliate Plan (no symbol)
209. Aetna Supplemental Retiree Medical Plan (no symbol) 439. The Chickering GroupSM, an Aetna Company
210. Aetna Targeted CareSM Solutions (common law) 440. The First Health® Network
211. Aetna Total Clinical ViewSM 441. The Mouth MattersSM (common law)
212. Aetna Transplant Life Management ProgramSM (common law) 442. Tools4YouSM (Design)
213. Aetna Treatment Decision Support Tool (no symbol) 443. Tools4You Your Emotions Your Time Your Family Your LifeSM (Design)
214. Aetna Value NetworkSM 444. Total Benefits Advantage & Design™
215. Aetna Value Performance NetworkSM (common law) 445. Uniquely Yours™
216. Aetna Value ProgramSM 446. UOM Custom NetworkSM
217. Aetna VHealthSM 447. Value PlanSM
218. Aetna VisionSM (common law) 448. Value PlusSM (common law)
219. Aetna VisionSM Preferred (common law) 449. Value ReadySM
220. Aetna Vital Dental SavingsSM 450. VHealth By AetnaSM
221. Aetna Voices of Health (no symbol)
451. “Vital Savings”: use as a common law mark in these formats: Vital SavingsSM on Dental; Vital SavingsSM on Fitness;Vital SavingsSM on Health; Vital SavingsSM on Long Term Care;Vital SavingsSM on Natural Products and Services; Vital SavingsSM on Pharmacy; Vital SavingsSM on Vision
222. Aetna Voluntary Group Medical Plan (no symbol) 452. Vitalidad Mexico con AetnaSM
223. Aetna Voluntary Plans and Consumer Services (no symbol) 453. WalletWise™ (common law)
224. Aetna Wellth Scorecard (no symbol) 454. Wellmatch OffersSM
225. Aetna Whole HealthSM 455. Wellness On UsSM
226. Aetna Women’s HealthSM (common law) 456. WellPath (D)
227. Aetna Workers’ Comp PharmacySM (common law) 457. Your Guide to Good Health
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228. Aetna Workers’ Comp Plus NetworkSM (common law) 458. your worldwide partner in GoodhealthSM
229. Aetna Works (no symbol)
230. Aetna WorldTravelerSM
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Company Trademarks
Trademark Country App. Date App. No Reg. Date Reg. No Status ACTIVE HEALTH MANAGEMENT (CIRCLE DESIGN)
Canada May 23 2002 1141047 Jun 14 2006 TMA666064 Registered
ACTIVEHEALTH United States Sep 4 2001 76307643 Oct 22 2002 2639077 Registered
ACTIVEHEALTH (word) Canada May 23 2002 1141046 May 17 2005 TMA639972 Registered
ACTIVEHEALTH (word) Switzerland May 16 2002 04677/2002 Nov 20 2002 P-504838 Registered
ACTIVEHEALTH MANAGEMENT United States Nov 5 2001 76334521 Feb 11 2003 2685777 Registered
ACTIVEHEALTH MANAGEMENT & design Switzerland Nov 20 2002 04678/2002 Feb 20 2003 504894 Registered
Caduceus (design) Switzerland Nov 20 2002 04679/2002 Feb 20 2003 504895 Registered
CAREENGINE Canada May 23 2002 1141044 May 17 2005 TMA640006 Registered
CAREENGINE United States Sep 4 2001 76307644 Nov 19 2002 2651624 Registered
CAREENGINE Switzerland Feb 19 2003 04483/2002 May 19 2003 507431 Registered
CIRCLE DESIGN Canada May 23 2002 1141045 May 18 2005 TMA640097 Registered
INFORMATION IS THE BEST MEDICINE United States Jun 6 2003 78259581 Mar 9 2004 2821408 Registered
HEALTHAMERICA United States May 31 1983 73428101 Jul 15 1986 1401497 Registered
Aetna Foundation, Inc. Partners In Community Giving
United States Sep 24 1996 75171057 May 12 1998 2157616 Registered
VOICE OF CONSCIENCE United States Mar 11 1997 75255554 Jan 27 1998 2132741 Registered
(Device Only) United States Apr 19 2011 85298471 Jul 17 2012 4176760 Registered
(Device Only) United States Apr 19 2011 85298507 Jul 3 2012 4169054 Registered
ADVANTRA United States Nov 9 2017 87678056 Pending
C United States Aug 17 2000 76111311 Aug 21 2001 2479946 Registered
CARELINK United States Sep 23 1994 74579211 Feb 13 1996 1955884 Registered
COMMUNITY FROM COVENTRY HEALTH CARE
United States May 19 2011 85324745 Dec 6 2011 4067275 Registered
COVENTRY United States Mar 19 1997 75259830 Jun 9 1998 2163705 Registered
COVENTRY United States Jan 3 1991 74128060 Nov 14 1995 1935701 Registered
COVENTRY CONNECT United States Nov 3 2011 85463654 Jun 19 2012 4161346 Registered
COVENTRY HEALTH CARE United States Apr 14 2008 77447277 Dec 9 2008 3543085 Registered
COVENTRY INTEGRATED NETWORK United States Jul 31 2009 77794537 May 18 2010 3789670 Registered
COVENTRYONE United States Jul 22 2005 76643440 Mar 6 2007 3216185 Registered
FIRST HEALTH PART D VALUE PLUS United States May 16 2011 85976839 Jul 31 2012 4184431 Registered
HEALTHCARE USA United States Dec 13 2006 76670266 May 13 2008 3425017 Registered
LIGHTING YOUR PATH TO GOOD HEALTH
United States Jun 27 2011 85356912 Sep 4 2012 4203409 Registered
Preferred Health Systems Kansas Dec 9 2014 18973 Dec 10 2014 18973 Registered
ALTIUS United States Mar 6 2008 77414953 May 19 2009 3621630 Registered
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Trademark Country App. Date App. No Reg. Date Reg. No Status @CREDENTIALS United States Sep 29 2000 78028288 Oct 8 2002 2633317 Registered
AE logo United States Jun 28 2012 85663847 Aug 20 2013 4386616 Registered
AETNA (jumping man) Argentina Sep 1 2010 3027424 Jul 5 2011 2451331 Registered
AETNA (jumping man) Dominican Republic Dec 30 2004 2004-104149 Apr 1 2005 147205 Registered
AETNA (jumping man) India Apr 17 1995 662276 Oct 30 2006 662276 Registered
AETNA (jumping man) India Sep 27 2010 2029402 Pending
AETNA (jumping man) China Jun 27 2007 6133151 Jul 21 2010 6133151 Registered
AETNA (jumping man) Saudi Arabia Feb 23 2011 165136 Jul 3 2012 1371/53 Registered
AETNA (jumping man) Saudi Arabia Feb 23 2011 165137 May 20 2012 1361/53 Registered
AETNA (jumping man) Taiwan Oct 1 1998 103308 Registered
AETNA (jumping man) United Arab Emirates Feb 27 2011 153587 Jan 30 2013 153587 Registered
AETNA (jumping man) United Arab Emirates Feb 27 2011 153588 Jan 30 2013 153588 Registered
Aetna (word) Canada Feb 25 1983 0499354 Jul 13 1984 TMA292975 Registered
Aetna (word) Canada Jan 9 1984 0514891 Oct 18 1985 TMA307388 Registered
Aetna (word) Hong Kong Mar 2 1992 199600383 Jan 12 1996 199600383 Registered
Aetna (word) Hong Kong Mar 2 1992 199400008 Jan 4 1994 199400008 Registered
Aetna (word) United States Jul 11 1994 74548195 Dec 5 1995 1939424 Registered
Aetna (word) United States Jul 11 1994 74548194 Dec 5 1995 1939423 Registered
Aetna (word) EUTM Apr 1 1996 000178442 Jan 8 1999 000178442 Registered
Aetna (word) Benelux Apr 8 1988 713953 Dec 2 1988 444180 Registered
Aetna (word) Bolivia Mar 14 1996 60711-C Mar 14 1996 98040-A Registered
Aetna (word) Brazil Dec 22 1995 326 Sep 22 1998 819020117 Registered
Aetna (word) Brazil Jun 13 1997 820088293 Dec 7 1999 820088293 Registered
Aetna (word) Cayman Islands Oct 1 1986 58222766 Sep 21 1990 1286804 Registered
Aetna (word) Chile Jan 20 2006 717920 Apr 18 2006 756245 Registered
Aetna (word) Chile Jan 11 2009 531768 Dec 1 1988 850206 Registered
Aetna (word) Chile Aug 5 2005 668623 Dec 5 1994 730619 Registered
Aetna (word) Chile Jan 20 2006 717931 Apr 7 2006 755742 Registered
Aetna (word) Colombia Nov 3 1994 94-050.455 Apr 27 1995 177446 Registered
Aetna (word) Dominican Republic May 30 1997 25021 Sep 15 1997 92689 Registered
Aetna (word) Germany Sep 27 1993 A55 478/36 Sep 28 1993 2083483 Registered
Aetna (word) India Apr 17 1995 662275 Aug 3 2006 662275 Registered
Aetna (word) India Sep 27 2010 2029401 Apr 13 2015 2029401 Registered
Aetna (word) Republic of Korea (South)
Oct 2 2008 5120080004215 Feb 19 2009 41001038200 00
Registered
Aetna (word) Mexico Sep 18 1996 274334 Sep 30 1996 533555 Registered
Aetna (word) Peru Feb 28 1995 229824 Feb 28 1995 3681 Registered
Aetna (word) South Africa Nov 29 1995 95/15849 Nov 29 1995 95/15849 Registered
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Trademark Country App. Date App. No Reg. Date Reg. No Status Aetna (word) Taiwan Oct 1 1987 26744 Registered
Aetna (word) Thailand Jul 9 1993 247908 Jul 9 1993 2120 Registered
Aetna (word) Thailand Jul 9 1993 247910 Jul 9 1993 4099 Registered
Aetna (word) Vietnam Aug 20 1991 4-1991-04652 Aug 18 1992 4-0004401-000
Registered
Aetna (word) Malaysia Jun 12 1998 98/07101 Nov 7 2002 98/07101 Registered
Aetna (word) India Apr 17 2013 2515308 2515308 Registered
Aetna (word) Singapore Apr 18 2013 T1306170I May 17 2015 T1306170I Registered
Aetna (word) Poland Sep 7 1998 Z.191485 Oct 8 2001 R.132895 Registered
Aetna (word) United Kingdom Oct 1 1986 1286804 Oct 1 1986 1286804 Registered
Aetna (word) Indonesia Aug 4 2017 JID-2017-036255 Pending
AETNA 1991 Hong Kong Mar 2 1992 199400007 Jan 4 1994 199400007 Registered
AETNA 1991 Singapore Jul 15 1991 T9106623C Jul 15 1991 T91/06623C Registered
AETNA 1996 Canada Jun 26 1997 0849063 Sep 8 1998 TMA500155 Registered
Aetna 2012 logo United States Mar 22 2012 85576962 May 7 2013 4330567 Registered
Aetna 2012 logo EUTM Mar 27 2012 010761112 Nov 15 2012 010761112 Registered
Aetna 2012 logo Saudi Arabia Dec 19 2012 189905 Dec 24 2013 143401830 Registered
Aetna 2012 logo Saudi Arabia Dec 19 2012 189906 Nov 6 2013 143401829 Registered
Aetna 2012 logo Saudi Arabia Dec 19 2012 189907 Pending
Aetna 2012 logo Saudi Arabia Dec 19 2012 189908 Pending
Aetna 2012 logo United Arab Emirates Dec 27 2012 184295 Sep 28 2015 184295 Registered
Aetna 2012 logo United Arab Emirates Dec 27 2012 184296 Sep 28 2015 184296 Registered
Aetna 2012 logo United Arab Emirates Dec 27 2012 184297 Sep 28 2015 184297 Registered
Aetna 2012 logo United Arab Emirates Dec 27 2012 184298 Sep 28 2015 184298 Registered
Aetna 2012 logo China Apr 15 2013 12424898 Feb 14 2015 12424898 Registered
Aetna 2012 logo China Apr 15 2013 12424897 Sep 21 2014 12424897 Registered
Aetna 2012 logo China Apr 15 2013 12424896 Feb 14 2015 12424896 Registered
Aetna 2012 logo Mexico Mar 7 2013 1355435 Jul 10 2014 1469198 Registered
Aetna 2012 logo Mexico Mar 7 2013 1355437 Jan 20 2014 1427782 Registered
Aetna 2012 logo Mexico Mar 7 2013 1355438 Jan 14 2014 1426070 Registered
Aetna 2012 logo Mexico Mar 7 2013 1355439 Dec 17 2013 1422952 Registered
Aetna 2012 logo India Apr 17 2013 2515307 Apr 17 2013 2515307 Registered
Aetna 2012 logo Qatar Aug 19 2013 83428 Nov 5 2015 83428 Registered
Aetna 2012 logo Qatar Aug 19 2013 83429 Nov 5 2015 83429 Registered
Aetna 2012 logo Qatar Aug 19 2013 83430 Nov 5 2015 83430 Registered
Aetna 2012 logo Kuwait Aug 7 2013 142427 Feb 9 2015 120198 Registered
Aetna 2012 logo Kuwait Aug 7 2013 142428 Feb 9 2015 120199 Registered
Aetna 2012 logo Kuwait Aug 7 2013 142429 Feb 9 2015 120200 Registered
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Trademark Country App. Date App. No Reg. Date Reg. No Status Aetna 2012 logo Kuwait Aug 7 2013 142430 Feb 9 2015 120201 Registered
Aetna 2012 logo Bahrain Aug 7 2013 99136 Dec 8 2015 99136 Registered
Aetna 2012 logo Bahrain Aug 7 2013 99137 Dec 8 2015 99137 Registered
Aetna 2012 logo Bahrain Aug 7 2013 99138 Dec 8 2015 99138 Registered
Aetna 2012 logo Bahrain Aug 7 2013 99139 Dec 8 2015 99139 Registered
Aetna 2012 logo Singapore Apr 18 2013 T1306171G Jun 17 2015 T1306171G Registered
Aetna 2012 logo Indonesia Apr 12 2013 J002013016919 Jul 30 2015 IDM00049005 4
Registered
Aetna 2012 logo Canada Aug 23 2013 1640762 Feb 3 2016 TMA928081 Registered
Aetna 2012 logo Hong Kong Mar 12 2013 302546082 Mar 12 2013 302546082 Registered
Aetna 2012 logo Bermuda Sep 18 2013 53113 Sep 19 2013 53113 Registered
Aetna 2012 logo Bermuda Sep 18 2013 53114 Sep 19 2013 53114 Registered
Aetna 2012 logo Bermuda Sep 18 2013 53115 Sep 19 2013 53115 Registered
Aetna 2012 logo Bermuda Sep 18 2013 53116 Sep 19 2013 53116 Registered
Aetna 2012 logo Macau Oct 25 2013 N/80154 May 13 2014 N/80154 Registered
Aetna 2012 logo Macau Oct 25 2013 N/80155 May 13 2014 N/80155 Registered
Aetna 2012 logo Macau Oct 25 2013 N/80156 May 13 2014 N/80156 Registered
Aetna 2012 logo Macau Oct 25 2013 N/80157 May 13 2014 N/80157 Registered
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Patents
Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Care Engine 09/957,473 U.S. Granted US 2003/0060688 6,802,810 10/12/2004 9/21/2021
System and Method For Administering Health Care Cost Reduction
10/813,968 U.S. Granted US 2005/0222867 7,693,728 4/6/2010 10/06/2028
System and Method for Using and Maintaining a Master Matching Index
11/416,666 U.S. Granted US 2006/0271401 8,095,386 1/10/2012 01/31/2029
System and Method for Using and Maintaining a Master Matching Index
2,605,278 Canada Granted 2,605,278 9/27/2016 5/3/2026
Providing Transparent Health Care Information To Consumers
11/457,449 U.S. Granted US 2008/0015892 8,510,124 8/13/2013 10/03/2029
System and Method For Offering And Guaranteeing Renewal Of Suspendable Healthcare Benefits
11/534,974 U.S. Granted 2008/0077450 8,032,396 10/4/2011 01/04/2030
Method of Promoting Health and Wellness Through Card Based Reward Programs
11/676,844 U.S. Granted US 2008/0197185 7,828,205 11/9/2010 07/29/2029
Predictive Score for Lending 11/827,111 U.S. Expired 1/23/20 15 for non-paymen t of mainten ance fees
7,860,786 12/28/2010 7/10/2027
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Systems And Method For Managing Health Care Complexity Via An Interactive Health Map Interface
11/865,538 U.S. Granted US 2009/0089083 8,229,757 7/24/2012 07/08/2030
System For The Processing Of Information between Remotely Located Healthcare Entities
11/928,783 U.S. Granted US 2008/0109447 7,653,634 1/26/2010 07/26/2026
Service Bus Architecture 11/966,736 U.S. Granted US 2009/0172695 8,032,894 10/4/2011 08/02/2030
Online Healthcare Consumer Portal 11/967,474 U.S. Granted US 2009/0171692 8,666,765 3/4/2014 11/07/2031
Service Identification and Decomposition For a Health Care Enterprise
12/031,371 U.S. Granted US 2009/0210499 8,484,044 7/9/2013 11/16/2030
Medical Management Modeler and Associated Methods
12/033,694 U.S. Granted US 2009/0043606 7,904,311 3/8/2011 3/30/2029
System and Method For Generating Real-Time Health Care Alerts
12/038,536 U.S. Filed Appealed US 2009/0216558
Record Locator Services 12/263,960 U.S. Granted US 2009/0150185 8,374,891 2/12/2013 12/17/2029
Record Locator Service 2,703,769 Canada Granted 2,703,769 1/10/2017 11/3/2028
Record Locator Service 2008844981 Europe Filed Published EP2208162
Healthcare Service Management Using A Centralized Service Management Module
12/362,336 U.S. Granted US 2009/0222283 8,660,856 2/25/2014 6/28/2030
Healthcare Service Management Using A Centralized Service Management Module
2,713,159 Canada Granted 2,713,159 1/17/2017 1/30/2029
System and Method For Generating Real-Time Health Care Alerts
098106170 Taiwan Granted Published TW 200943219 I557679 11/11/2016 2/25/2029
System and Method for Generating Real-Time Health Care Alerts
2009101267 79.0
China Granted Published CN 101526980 ZL2009101 26779.0
8/12/2015 2/26/2029
Health Care Payment Estimator 12/563,911 U.S. Filed Appealed 2011-0071854
Platform For Connecting Medical Information to Services for Medical Care
12/630,696 U.S. Granted US 2010/0145723 8,700,424 4/15/2014 11/11/2030
System For The Processing Of Information Between Remotely Located Healthcare Entities
12/630,847 U.S. Granted US 2010/0076783 7,953,699 5/31/2011 7/26/2026
System and Method For Administering Health Care Cost Reduction
12/724,185 U.S. Granted US 2010/0169124 8,428,963 4/23/2013 9/16/2024
System and Method For Code Automation 12/954,283 U.S. Granted US 2011/0179404 8,555,263 10/8/2013 8/16/2031
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Managing Healthcare Information In A Distributed System
13/280,287 U.S. Granted US 2012/0102502 8,661,453 2/25/2014 3/09/2032
System and Method for Patient Care Plan Management
13/345,336 U.S. Filed Appealed 2013-0179178
Managing Patient Consent in a Master Patient Index
13/346,721 U.S. Granted US 2012/0203571 8,949,137 2/3/2015 8/20/2026
System and Method for Pharmacovigilance
13/733,791 U.S. Granted 8,744,872 6/3/2014 1/03/2033
System and Method for Patient Care Plan Management
2,861,824 Canada Filed
Managing Patient Consent in a Master Patient Index
2,860,851 Canada Filed
Method and System for Aggregate Banding
14/102,198 U.S. Filed Published US 2014/0164381
Patient Consent and Confidentiality 14/108,249 U.S. Filed Published US 2014/0188512
Managing Healthcare Information in a Distributed System
14/171,655 U.S. Granted Published US 2014/0215490 8,990,834 3/24/2015 10/24/2031
System and Method for Patient Care Plan Management
MX/a/2014/ 007996
Mexico Filed
System and Method for Patient Care Plan Management
BR1120140 167192
Brazil Filed
System and Method for Patient Care Plan Management
2013800049 05.X
China Filed Published CN 104471597
Notifying Devices Within a Healthcare System
14/515,914 U.S. Filed
Systems and Methods for Patient Health Assessment
14/619,440 U.S. Filed Published US 2016/0232320
System and Method for Predicting Healthcare Costs
14/632,886 U.S. Filed Published US 2016/253687
Provider Rating System 14/683,811 U.S. Filed Published US 2016/0300023
Systems and Methods for Patient Health Assessment
14/880,601 U.S. Filed Published US 2016/0232300
Systems and Methods for Patient Health Assessment
14/880,786 U.S. Filed Published US 2016/0232328
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Systems and Methods for Patient Health Assessment
14/880,596 U.S. Filed Published US 2016/0232299
Computer Display for a Server Maintenance Tool Graphical User Interface (WUzUP)
29/545,002 U.S. Granted D772,250 11/22/2016 11/22/2031
Computer Display Screen for a Server Maintenance Tool with Graphical User Interface (WUzUP)
29/545,028 U.S. Granted D795,891 8/29/2017 8/29/2032
Computer Display Screen for a Server Maintenance Tool with Graphical User Interface (WuzUp)
29/545,019 U.S. Granted D786,890 5/16/2017 5/16/2032
Systems and Methods for Dynamically Generated Genomic Decision Support for Individualized Medical Treatment
15/081,250 U.S. Filed Published US 2017/0116379
System for Analyzing Patient Out-Of-Network Utilization and Improving Retention
15/087,333 U.S. Filed Published US 2016/0217261
Graphical User Interface for a Pharamcovigilance Tool for a Computer Display
29/561,035 U.S. Filed
Graphical User Interface for a Pharmacovigilance Tool for a Computer Display
29/561,618 U.S. Filed
User Interface for a Display Screen 29/562,190 U.S. Filed
User Interface for a Display Screen 29/562,146 U.S. Filed Allowed
User Interface for a Display Screen 29/562,154 U.S. Filed
User Interface for a Display Screen 29/562,139 U.S. Filed
User Interface for a Display Screen 29/562,177 U.S. Filed
User Interface for a Display Screen 29/562,185 U.S. Filed
User Interface for a Display Screen 29/562,203 U.S. Filed
Systems and Methods for Mitigating Risk of a Health Plan Member
15/170,659 U.S. Filed Published US 2016/0275263
Display Screen with Graphical User Interface
29/566,882 U.S. Filed Allowed
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Display Screen with Graphical User Interface
29/566,889 U.S. Filed Allowed
Display Screen with Graphical User Interface
29/566,900 U.S. Filed Allowed
Graphical User Interface for a Display Screen
29/566,874 U.S. Filed
Biometric Authentication System 15/187,172 U.S. Filed Published US 2017/0093851
Display Screen with a Homescreen Graphical User Interface
29/569,518 U.S. Granted D790,577 6/27/2017 6/27/2032
Display Screen with a Homescreen Graphical User Interface
29/569,530 U.S. Granted D791,810 7/11/2017 7/11/2032
Biometric Login User Interface for a Display Screen
29/569,664 U.S. Filed
Display Screen with a Payment Graphical User Interface
29/569,639 U.S. Granted D791,161 7/4/2017 7/4/2032
Display Screen with a Payment Graphical User Interface
29/569,812 U.S. Granted D790,578 6/27/2017 6/27/2032
Display Screen with a Successful-Payment Graphical User Interface
29/569,833 U.S. Granted D790,580 6/27/2017 6/27/2032
Display Screen with a Payment Graphical User Interface
29/569,823 U.S. Granted D790,579 6/27/2017 6/27/2032
Computing Environment Connectivity System
15/204,556 U.S. Filed Published US 2017/0034036
User Interface for a Display Screen 29/572,348 U.S. Filed
Adherence-Based Utilization Management 15/241,746 U.S. Filed Published US 2017/0053097
System and Method for Pharmacovigilance
15/252,014 U.S. Filed Published US 2017/0004274
System and Method for Pharmacovigilance
15/252,026 U.S. Filed Published US 2017/0004275
Graphical User Interface for a Display Screen
29/576,848 U.S. Filed
Graphical User Interface for a Display Screen
29/577,138 U.S. Filed
NYDOCS01/1714638.7
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Graphical User Interface for a Display Screen
29/577,111 U.S. Filed
Secret Sharing Scheme with Required Shared Key(s)
15/264,055 U.S. Filed
Graphical User Interface for a Display Screen
29/577,583 U.S. Filed
Shared Keys Based on Multiple Features 15/296,568 U.S. Filed
System and Method of Aggregating and Interpreting Data from Connected Devices
15/380,578 U.S. Filed Published US 2017/0177798
Resource Allocation 15/389,832 U.S. Filed Published US 2017/0186093
Systems and Methods for Controlling Business Processes Through Information Technology Operational Controls
15/390,907 U.S. Filed
System and Method for Delivering Digital Coaching Content
15/395,198 U.S. Filed Published US 2017/0109479
Individualized Cybersecurity Risk Detection Using Multiple Attributes
15/423,089 U.S. Filed
Minimize Garbage Collection In HL7 Manipulation
15/471,903 U.S. Filed Published US 2017/0277733
Interpreting HL7 Segment Hierarchy Dynamically
15/471,908 U.S. Filed Published US 2017/0277732
Software Defect Reduction 15/493,571 U.S. Filed
System and Method for a Semantically-Drive Smart Data Cache
15/496,691 U.S. Filed
Incorporating Multiple Authentication Systems and Protocols in Conjunction
15/589,252 U.S. Filed
A Scalable Distributed Computing System for Determining Exact Median and Other Quantiles in Big Data Applications
15/599,173 U.S. Filed
Well-Being Assessment and Index 62/514,448 U.S. Filed 6/2/2018
Risk Based Medical Identity Theft Prevention
15/651,577 U.S. Filed
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
Incorporating Risk-Based Decision in Standard Authentication and Authorization Systems
15/654,096 U.S. Filed
System and Methods to Establish User Profile Using Multiple Channels
15/655,076 U.S. Filed
Smart App Rating 15/656,504 U.S. Filed
Proximity Patient Details System 15/660,378 U.S. Filed
High Performance Data Profiler for Big Data
15/666,101 U.S. Filed
Computing Infrastructure Scalability Assessment
15/720,981 U.S. Filed
Presenting Health Data to a Responding Emergency Medical System
15/799,537 U.S. Filed
Method of Providing Personal Engagement in Recovery and Return to Work for Individuals on Disability Insurance
15/136,272 U.S. Filed Published US 2016/0314253
Managing Patient Consent in a Master Patient Index
14/542,247 U.S. Filed Published US 2015/0073827
Healthcare Management with a Support network
14/094,069 U.S. Filed Published US 2015/0154880
System and Method for Managing Employee Absences
10/365,814 U.S. Granted Published US 2003/0154098 7,184,962 02/27/2007 02/13/2023
Systems and Methods for Medical Information Management
2,839,181 Canada Pending
Systems and Methods for Medical Information Management
12786438.7 Europe Pending Published EP 2712460
Managing healthcare information in a distributed system
2011800612 94.3
China Pending Published CN 103339605
Managing healthcare information in a distributed system
2,815,487 Canada Pending
Platform for Connecting Medical Information to Services for Medical Care
2,745,127 Canada Pending
System and Method for Predicting Healthcare Costs
2,974,404 Canada Pending
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Title App. No. Country Status Substatus Publication No. Patent No. Grant Date Exp. Date
General tumor vaccine composition, spray and preparation method thereof
2017100550 13
China Pending Published CN 106860478
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Invention Disclosures
1. System and Apparatus for Detecting Allergic Reaction in Children and Alerting Parents or Guardians for Immediate Action
2. Vulnerability Analytics Engine (VAE)
3. DynamicObject
4. One Stop, Do It All Screen Design (Crisis Management App)
5. “My Circle”
6. Methods for Unified Authentication Software Development Kit
7. Take the Stairs Challenge Design
8. Hadoop Distributed File System MapReduce File Crusher
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Section 4.23
Properties
Items 7 and 8 set forth in Section 4.13(b) of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
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Section 4.24
Environmental Matters
Item 16 set forth in Section 4.15 of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
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Section 4.25
Insurance
Any of the Company Insurance Policies that are claims-made policies may terminate or lapse by their terms by reason of the consummation of the transactions contemplated by this Agreement and would require that an extended period endorsement be purchased in order to assure coverage for matters that arose prior to lapse or termination which were reported following the date of lapse or termination.
The annual premium for the Company’s directors’ and officers’ insurance policies for the policy year beginning October 31, 2016, and ending October 31, 2017, was $8,000,980.
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Section 6.01
Conduct of the Company
(b)
1. Acquisition of Canadian Insurance Company Limited (Hong Kong) for aggregate consideration not to exceed [redacted].
2. Acquisition or establishment of a license in Indonesia in connection with the joint venture between the Company and PT Asuransi Central Asia for aggregate consideration not to exceed [redacted].
3. Obligations to contribute to capital calls that are required pursuant to ongoing participation in various investment funds.
(d)
1. As of the applicable scheduled performance measurement date, the Company may determine whether the performance conditions for each outstanding Company PSU Award has been achieved consistent with the terms of such Company PSU Awards and past practice, except that, for the avoidance of doubt, such determination may be made by the Compensation Committee of the Board of Directors (the “Compensation Committee”) of the Company without regard to costs and expenses related to the transactions contemplated by this Agreement, a statement of which costs and expenses shall be provided to Parent in writing no less than five days prior to its submission to the Compensation Committee.
2. The Company may settle vested Company Stock Appreciation Rights that expire within an applicable Company trading blackout that cannot reasonably be waived in cash rather than stock.
3. [Redacted]
(e)
Capital expenditures for the remainder of calendar year 2017 not to exceed [redacted] in the aggregate. Commencing with calendar year 2018, capital expenditures not to exceed [redacted] in the aggregate in any calendar year (and, with respect to calendar year 2019, pro-rated for any partial calendar year) and allocated among three categories of expenditures (Capitalized Software, Real Estate Related and Other Fixed Assets) as set forth on Appendix 6.01(e) attached hereto [attachment redacted]; provided that the aggregate amount of capital expenditures allocated to any such individual category in any calendar year (or, with respect to calendar year 2019, partial calendar year) may exceed the total target amount of expenditures for such category (as set forth in the “2018 Plan” column therein, and, with respect to calendar year 2019, pro-rated for any partial calendar year) by no more than [redacted] (and, with respect to calendar year 2019, pro-rated for any partial calendar year), so long as the aggregate capital expenditures across all three categories do not exceed [redacted] in any calendar year (and, with respect to 2019, pro-rated for any partial calendar year).
(f)
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1. Divestiture of the Company’s Medicity business for aggregate consideration of not less than [redacted].
2. The elimination of the Company’s Subsidiary, Strategic Resource Company, by way of merger with and into Aetna Life Insurance Company, with Aetna Life Insurance Company surviving the merger.
3. Division of Aetna Life Insurance Company and sale of one or more of the resulting entities in connection with the sale of the Company’s domestic Group Life Insurance, Group Disability Insurance and Absence Management Business to Hartford Life and Accident Insurance Company (see item 1 of Section 4.13(a)(i) of this Company Disclosure Schedule).
4. Divestiture of the Company’s Medicaid business in Cook County, Illinois.
5. Divestiture of the Company’s Illinois Medicaid business outside of Cook County.
(g)
Items 1 through 6 set forth on Section 6.01(f) of this Company Disclosure Schedule are incorporated by reference as if set forth herein.
(h)(i)
1. Capital contributions required by the terms of the joint venture agreements identified in Section 4.18(a)(xiii) of this Company Disclosure Schedule.
2. The making of commercial mortgage loans under the Company’s investment portfolio consistent with the Company’s investment policy in effect on the date hereof.
(h)(ii)
1. Borrowings under, or repayments of, the Agreement for Advances, Collateral Pledge, and Security Agreement, dated as of December 5, 2014, between Aetna Life Insurance Company and Federal Home Loan Bank of Boston (including during syndication of the Debt Financing).
2. Borrowings under, or repayments of, the Company’s commercial paper program (see item 3 in Section 4.18(a)(ix) of this Company Disclosure Schedule) (including during syndication of the Debt Financing).
3. Borrowings under, or repayments or extensions of, the Credit Agreement (including during syndication of the Debt Financing).
4. Refinancing the Company’s Senior Notes due June 7, 2018 or, if applicable, March 15, 2019 (it being understood that the proviso to Section 6.01(h)(ii) of the Agreement shall not apply to any such refinancing).
5. Repayment when due of any of the Company’s debt in accordance with its terms.
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(i)
1. Borrowings under Agreement for Advances, Collateral Pledge, and Security Agreement, dated as of December 5, 2014, between Aetna Life Insurance Company and Federal Home Loan Bank of Boston.
2. Repo transactions in the Company’s investment portfolio in the ordinary course.
(j)
1. [Redacted]
2. Entry into excess of loss reinsurance agreements relating to the Company’s group commercial medical business with third parties.
3. Entry into Contracts with respect to actions otherwise expressly permitted pursuant to Section 6.01 of the Agreement (including as a result of being set forth on this Section 6.01 of the Company Disclosure Schedule).
(k)
1. Surrender by the Company’s Subsidiary, MHNet of Florida, Inc., of its Certificate of Authority as a Prepaid Limited Health Service Organization in the State of Florida.
2. Surrender by the Company’s Subsidiary, Aetna Better Health of Nevada Inc., of its Certificate of Authority as a health maintenance organization in the State of Florida.
3. Dissolution of the Company’s Subsidiary, Aetna Health Insurance Company of New York, and surrender of its Certificate of Authority as an insurance company in the State of New York.
(l)
1. Transactions with employees related to the Company’s 2016 Voluntary Early Retirement Plan and 2017 “Spans and Layers” or “Agile Workforce” activities.
2. The Company may establish a cash-based retention program in an aggregate amount of up to $70 million to promote retention and to incentivize efforts of employees to consummate the Closing and/or to assist with post-Closing integration (including the Company’s Chief Accounting Officer, but excluding any other employee who is an executive officer (as defined in the 1934 Act) or a member of the executive leadership team (this excluded group, the “Executive Officers”) (the “Retention Program”). Amounts under the Retention Program shall be allocated among the employees of the Company and its Subsidiaries in the amounts and on terms consistent with this paragraph and the chart below, as determined by the Chief Executive Officer of the Company in consultation with Parent; provided, however, that no eligible employee shall receive a retention payment in excess of one and one-half times his or her annual base salary. Payments under the Retention Program shall be contingent on the Closing and shall be paid in a single payment as indicated in the chart below, subject to the employee’s continued employment through the applicable payment date, or upon an earlier termination of the employee’s employment (i) by the Company without “Cause” (as defined in Section 7.05(d) of this Company Disclosure Schedule) or (ii) due to the employee’s resignation as a result of being required by Parent after the Closing Date to relocate by more than 35 miles from his or her primary place of employment (for the avoidance of doubt, a
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constructive termination under this clause (ii) shall not occur as a result of a relocation plan put in effect by the Company prior to the Closing, nor on account of a return to work requirement). Any amounts or portions thereof that are forfeited by an employee under the Retention Program shall not be reallocated by the Company.
Corp D v
Key Staff 1x -
Critical for Phase 1 1.5x $15M At close
Successful Salary
Close
L gal
Gov. Affairs
Financ
Target Group Award Value
Pool Value
Payout Timing
Intended Functional Groups
Phase 2
Staff required to maintain
operations until initial
integration is complete
.4X -1x Salary
$23M 3 – 9 months
following close
Financ
HR
Communications
L gal
IT
Inst. Busin ss (including MA
and PDP)
CHS (including Pharmacy)
Phase 3
Key talent required to drive future
performance during
integration
.5x-1x Salary
$32M 12 months following
close
Staff Functions
Inst. Busin ss
CHS
Upon completion of the allocation of the potential payments under the Retention Program in accordance with the foregoing, the chief human resources officer of the Company shall provide a copy thereof to the chief human resources officer of Parent.
3. The Company may adopt, establish, maintain and administer all employee cash incentive plans with respect to compensation cycles commencing prior to the Closing Date and may establish, grant and pay incentive opportunities under such plans in the ordinary course consistent with past practice, and, in the case of the annual cash incentive awards for the year during which the Closing occurs, in accordance with Section 7.05(d) of the Agreement, provided that, for the avoidance of doubt, determinations may be made by the Compensation Committee without regard to costs and expenses related to the transactions contemplated by this Agreement, a statement of which costs and expenses shall be provided to Parent in writing no less than five days prior to submission to the Compensation Committee.
4. The Company may adopt, establish, maintain and administer all sales incentive plans (SIPs) and provide for payments pursuant to, and in accordance with the terms of, such SIPs with
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respect to any currently open and new performance cycles between the date of this Agreement and the Closing Date, in each case consistent with the Company’s past practice.
5. The Company may amend the terms of any Company Equity Award to clarify that “Competitor” in the Employee Covenants shall only be organizations in the same business as the current Aetna business.
6. The Company may implement increases in base compensation for 24 employees who are not Executive Officers totaling approximately $75,000 in the aggregate that have been approved prior to the date of this Agreement but are not yet effective.
7. The Company may, for no more than five employees who would be considered “disqualified individuals”, accelerate the vesting and payment of annual cash incentives and equity awards that would, in the ordinary course, be vested or payable prior to the Closing to the extent reasonably determined by the Company to be beneficial in potentially minimizing any adverse tax consequences under Sections 280G and 4999 of the Code in a manner that does not increase the aggregate cost of such payments by the Company. In addition, Parent and the Company shall cooperate reasonably and in good faith to jointly agree and implement additional measures with respect to such employees to mitigate any remaining adverse tax consequences of Sections 4999 of the Code for such employees, to the extent practical.
8. Effective as of the Closing, the Company shall amend the Aetna Inc. Job Elimination Benefits Plan to modify Section 4.3(b) thereof to provide for the comparability standard contained in Section 7.05(b) of this Agreement.
(m)
1. The item set forth in Section 4.10 of this Company Disclosure Schedule is incorporated by reference as if set forth herein.
2. The Company is may revise its reportable segments following the sale of the Company’s domestic Group Life Insurance, Group Disability Insurance and Absence Management Business to Hartford Life and Accident Insurance Company (see item 1 of Section 4.13(a)(i) of this Company Disclosure Schedule).
(o)
1. Potential settlement of ongoing New York City tax audit for all open tax years 2000 through 2016.
2. Potential settlement of ongoing California state tax audits for tax years 2010 through 2013.
3. In connection with the Company’s sale of its U.S. group life and disability business to The Hartford, Aetna Life Insurance Company intends to transfer investments in mortgage loans with a value of approximately $140,000,000 to other members of the Company’s consolidated group in transactions that would constitute intercompany transactions within the meaning of Treasury Regulations Section 1.1502-13. These transfers are expected to result in a deferred intercompany gain of approximately $12,000,000.
(p)
1. [Redacted]
2. [Redacted]
3. [Redacted]
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4. [Redacted]
5. [Redacted]
6. The Company may enter into issue resolution agreements with the IRS with respect to loss reserves deductibility and R&D credits, in each case for tax periods that end during the period between the date hereof and the Closing Date.
7. The Company may settle ongoing New York City tax audits with respect to all open tax years 2000 through 2016.
8. The Company may settle ongoing California tax audits with respect to tax years 2010 through 2013.
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Section 7.05(a)
Severance Pay Plan
Aetna Inc. Job Elimination Benefits Plan; provided that, effective as of the Closing, the Company shall amend the Aetna Inc. Job Elimination Benefits Plan to modify Section 4.3(b) thereof to provide for the comparability standard contained in Section 7.05(b) of the Agreement.
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Section 7.05(d)
Annual Incentive Plans
1. Aetna Inc. Annual Bonus Plan; provided that, for the avoidance of doubt, determinations may be made by the Compensation Committee without regard to costs and expenses related to the transactions contemplated by this Agreement, a statement of which costs and expenses shall be provided to Parent in writing no less than five days prior to submission to the Compensation Committee.
2. Amended and Restated Aetna Inc. 2001 Annual Incentive Plan; provided that, for the avoidance of doubt, determinations may be made by the Compensation Committee without regard to costs and expenses related to the transactions contemplated by this Agreement, a statement of which costs and expenses shall be provided to Parent in writing no less than five days prior to submission to the Compensation Committee.
Definition of Cause
“Cause” shall mean (i) a violation of law, (ii) insubordination, (iii) disorderly conduct in the workplace, (iv) violation of the Company’s alcohol and drug policy, (v) unethical or fraudulent conduct, (vi) violation of the Company’s corporate compliance policies, (vii) refusal or failure to comply with job conditions, as set forth by the Company from time to time (including changes in work schedules or work days), (viii) attendance-related reasons, or (ix) performance-related reasons.
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Section 9.03(d)
Certain Company Required Governmental Authorizations
1. The Form A (or equivalent) Consents set forth in item 1 set forth in Section 4.03 of this Company Disclosure Schedule are hereby incorporated by reference as if set forth herein.
2. One or more orders issued by the California Department of Managed Health Care approving a Notice of Material Modification (as may be amended) filed jointly or respectively by Health and Human Resource Center, Inc., Aetna Dental of California, Inc., Aetna Health of California, Inc., and Aetna Better Health of California, Inc. in respect to their change of control under The Knox-Keene Health Care Service Plan Act of 1975, as amended, resulting from the transactions contemplated by the Agreement.
3. Expiration or early termination of the waiting periods or Consents, as applicable, associated with the Form E Filings required under Applicable Law with respect to the Merger.
4. To the extent required by Applicable Law with respect to the Merger, Filings with, or Consents of, all Governmental Authorities responsible for the administration and regulation of Medicaid in the following states:
a. Arizona
b. California
c. Florida
d. Illinois
e. Kentucky
f. Louisiana
g. Maryland
h. Michigan
i. New Jersey
j. New York
k. Ohio
l. Pennsylvania
m. Texas
n. Virginia
o. West Virginia
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