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Back to Form 10-Q [form10q.htm]
 
Exhibit 10.18
 

ATTACHMENT I

RATE SHEETS

(a) Contractor Name: Harmony Health Plan of Illinois, Inc.

Address:  200 West Adams Street  Chicago, IL 60606

(b) Contracting Area(s) Covered by the Contractor and Enrollment Limit:

Contracting Area
Enrollment Limit
Region III - St. Clair, Madison, Perry, Randolph, and Washington Counties
50,000
Region IV
200,000
               

(c) Total Enrollment Limit for all Contracting Areas: 250,000

(e) Standard Capitation Rates for Enrollees, effective August 1, 2006 through
July 31, 2008:*

Age/Gender
Mo=month
Yr=year
 
Region I
(N.W. Illinois)
PMPM
 
Region II
(Central Illinois) PMPM
 
Region III
(Southern Illinois) PMPM
 
Region IV
(Cook County)
PMPM
 
Region V
(Collar Counties) PMPM
 
0-3Mo
 
$
1,290.99
 
$
1,047.86
 
$
1,214.79
 
$
1,383.98
 
$
1,008.88
 
4Mo-1Yr
 
$
122.07
 
$
124.58
 
$
147.56
 
$
139.60
 
$
131.27
 
2Yr-5Yr
 
$
51.37
 
$
55.46
 
$
64.68
 
$
59.00
 
$
49.44
 
6Yr-13Yr
 
$
43.52
 
$
50.34
 
$
55.12
 
$
43.63
 
$
40.03
 
14Yr-20Yr, Male
 
$
75.31
 
$
83.05
 
$
78.87
 
$
64.90
 
$
82.39
 
14Yr-20Yr, Female
 
$
117.55
 
$
118.15
 
$
136.31
 
$
100.33
 
$
98.16
 
21Yr-44Yr, Male
 
$
114.27
 
$
136.04
 
$
123.73
 
$
127.39
 
$
166.05
 
21Yr-44Yr, Female
 
$
157.98
 
$
157.44
 
$
166.17
 
$
149.48
 
$
151.36
 
45Yr+Male and Female
 
$
227.11
 
$
255.07
 
$
256.05
 
$
239.45
 
$
253.90
 

* Capitation rates listed are 100% of actuarially certified rates, but only
99.5% will be paid in year one of the Contract and 99% in year two of the
Contract in accordance with Section 7.8.

(f)  
Hospital Delivery Case Rates, effective August 1, 2006 through July 31, 2008:

Hospital Delivery Case Rate
(per delivery)
 
$3,501.90
 
$3,424.73
 
$3,591.08
 
$3,977.36
 
$3,645.96