Affinity Health Plan Inc.

“Form 990, part iii, line 1 the mission of affinity health plan is to improve the health and well-being of its members, their families, and their communities in collaboration with primary care providers. Affinity strives to be the health plan of choice for its members and its providers -- known for assuring access to high quality, cost-effective care; delivering the best customer experience; and contributing significantly to achieving a patient-centered health care system. Other program service form 990, part iii, line 4d the child health plus (chp) program is funded by the state of new york to provide health insurance coverage for children that are under the age of 19. Form 990 review form 990, part vi, line 11b the financial staff compiles the financial and other information required in the 990 return. Kpmg, llp, prepares the return and the information is reviewed by the company's cfo and senior vice president and controller. A final copy of the form 990 is made available to the entire governing body before filing. Description of process to monitor transactions for conflicts of interest form 990, part vi, question 12c 1. Actual or potential conflicts of interest must be disclosed to appropriate management personnel, human resources or the corporate compliance officer. 2. Employees must seek guidance and approval from appropriate management personnel prior to pursuing any business or personal activity that may constitute a conflict of interest. 3. Management, with purchasing authority, will complete a related party questionnaire annually to identify any potential or actual conflicts of interest. 4. Employees, upon hire and annually thereafter, review the code of ethics which includes information on conflicts of interest. In addition, employees are required to sign an attestation, upon hire and annually thereafter, that they acknowledge and understood the code of ethics. If a conflict of interest is found, persons with a conflict recuse themselves from decisions related to the conflict.”

“FORM 990, PART VI, QUESTIONS 15A AND 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, CFO AND COO INCLUDED REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE (THE "COMMITTEE") COMPRISED OF INDEPENDENT DIRECTORS CHARGED WITH THIS RESPONSIBILITY, CONSIDERATION OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION AND DOCUMENTATION OF THE DELIBERATION AND DECISION. AFFINITY HEALTH PLAN'S COMPENSATION PROGRAM FOR THESE POSITIONS AND OTHER OFFICERS AND KEY EMPLOYEES INCLUDES ESTABLISHED POLICIES FOR JOB EVALUATION USING A POINT FACTOR SYSTEM; MERIT INCREASES; AND SALARY ACTIONS ASSOCIATED WITH NEW HIRES, PROMOTIONS, TRANSFERS AND DEMOTIONS. SPECIFICALLY, FOR: A) THE CEO - COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS ESTABLISHED BY THE COMPENSATION COMMITTEE AND RATIFIED BY THE BOARD OF DIRECTORS OF AFFINITY HEALTH PLAN. THE BOARD AND THE COMMITTEE HAS ESTABLISHED COMPENSATION TERMS FOR THE CEO CONSIDERING COMPARABILITY DATA FOR CEO POSITIONS IN SIMILAR ORGANIZATIONS IN THEIR DELIBERATIONS AND DECISION MAKING. THESE DECISIONS ARE DOCUMENTED IN ACCORDANCE WITH LEGAL REQUIREMENTS AND BEST PRACTICES. B) OTHER OFFICERS AND KEY EMPLOYEES - JOBS HELD BY OTHER OFFICERS AND JOBS HELD BY KEY EMPLOYEES ARE EVALUATED USING THE POINT FACTOR JOB EVALUATION PROCESS APPLICABLE TO ALL JOBS AT AFFINITY HEALTH PLAN. BASED ON THE POINT FACTOR EVALUATION, JOBS ARE PLACED IN A SALARY GRADE. MERIT INCREASES ARE CALCULATED THROUGH A FORMULAIC APPROACH BASED DIRECTLY ON THE RESULTS OF A FORMAL YEAR END PERFORMANCE EVALUATION. THIS PROGRAM APPLIES TO ALL EMPLOYEES INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. DISCRETIONARY COMPENSATION DECISIONS APPLICABLE FOR OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING PROMOTIONAL SALARY ADJUSTMENTS, MARKET/EQUITY SALARY ADJUSTMENTS AND STARTING SALARIES FOR NEWLY HIRED OFFICERS AND KEY EMPLOYEES ARE MADE AFTER REVIEW OF COMPARABILITY DATA FROM PUBLISHED SOURCES FOR SIMILAR POSITIONS IN THE RELEVANT LABOR MARKET. PUBLISHED COMPARABILITY DATA UTILIZED INCLUDES INDUSTRY SPECIFIC DATA. INTERNAL DATA IS REVIEWED AS WELL WITH THE OBJECTIVE OF ENSURING INTERNAL EQUITY WITH SIMILARLY SITUATED STAFF. DISCRETIONARY COMPENSATION DECISIONS IMPACTING THOSE OF THE FOREGOING POSITIONS THAT ARE ALSO DEEMED TO BE "DISQUALIFIED PERSONS" UNDER THE INTERNAL REVENUE CODE (E.G., CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER) ARE MADE BY THE COMMITTEE (AND RATIFIED BY THE BOARD) IN ACCORDANCE WITH "INTERMEDIATE SANCTIONS SAFE HARBOR" STANDARDS UTILIZING THE SAME PROCESSES AS ARE APPLIED TO THE CEO (DISCUSSED ABOVE). DOCUMENT DISCLOSURE FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS governing documents, conflict of interest policy, and financial statements AVAILABLE UPON REQUEST.”

“Description:covered lives total expenses:3239700 program services:3239700”

“Description:medicaid stop loss insurance total expenses:11447341 program services:11447341”

“Description:prenatal/postpartum care total expenses:47431 program services:47431”

“Description:other medical total expenses:490382 program services:490382”

“Description:home health care total expenses:16447 program services:16447”

“Description:ambulatory surgery total expenses:1531648 program services:1531648”

“Description:dme, medical supplies total expenses:107022 program services:107022”

“Description:acupuncture total expenses:43136 program services:43136”

“Description:chiropractic total expenses:188048 program services:188048”

“Description:outpatient physical therapy total expenses:204985 program services:204985”

“Description:ambulatory surgery hcra total expenses:304637 program services:304637”

“Description:vision capitation total expenses:3900965 program services:3900965”

“Description:transportation non-emergent total expenses:3733859 program services:3733859”

“Description:nursing facility total expenses:2832380 program services:2832380”

“Description:family planning total expenses:20269 program services:20269”

“Description:diagnostic test lab-monte total expenses:1627255 program services:1627255”

“Description:lab hcra total expenses:1811958 program services:1811958”

“Description:lab capitations total expenses:8523701 program services:8523701”

“Description:radiology - capitation total expenses:134641 program services:134641”

“Description:diagnostic test lab & x-ray cl total expenses:74243659 program services:74243659”

“Description:beacon hcra total expenses:1092097 program services:1092097”

“Description:dental hcra total expenses:206643 program services:206643”

“Description:behavioral health capitation total expenses:21909452 program services:21909452”

“Description:dental capitation total expenses:28572026 program services:28572026”

“Description:dental claims total expenses:2416623 program services:2416623”

“Description:pharmacy gov gap disc total expenses:-51898 program services:-51898”

“Description:pharmacy reinsurance total expenses:-7956225 program services:-7956225”

“Description:pharmacy lics total expenses:-6315401 program services:-6315401”

“Description:reserve for recovery total expenses:1072977 program services:1072977”

“Description:third party recoveries - reins total expenses:-21016182 program services:-21016182”

“Description:other professional svc-hcra total expenses:3521891 program services:3521891”

“Description:other professional services - total expenses:93594529 program services:93594529”

“Description:outpatient claims-ibnr total expenses:-26754179 program services:-26754179”

“Description:profession service-ibnr total expenses:-885257 program services:-885257”

“Description:emergency room hcra total expenses:2065908 program services:2065908”

“Description:emergency room claims total expenses:41880167 program services:41880167”

“Description:inpatient med. Surgical hcra total expenses:23184171 program services:23184171”

“Description:reserves - family planning car total expenses:-568937 program services:-568937”

“Description:premium tax total expenses:2444802 management and general:2444802”