EX-10.5






Exhibit 10.5




Medicare Advantage Attestation of Benefit Plan




WELL
CARE OF FLORIDA, INC.

H1032

Date: 08/29/2008



I attest that I have examined the Plan Benefit Packages (PBPs) identified below and that the
benefits identified in the PBPs are those that the above-stated organization will make available to
eligible beneficiaries in the approved service area during program year 2009. I further attest that
we have reviewed the bid pricing tools (BPTs) with the certifying actuary and have determined them
to be consistent with the PBPs being attested to here.



I attest that I have examined the employer/union-only group waiver (“800 series”) PBPs identified
below and that these PBPs are those that the above-stated organization will make available only to
eligible employer/union-sponsored group plan beneficiaries in the approved service area during
program year 2009. I further attest we have reviewed any MA bid pricing tools (BPTs) associated
with these PBPs (no Part D bids are required for 2009 “800 series” PBPs) with the certifying
actuary and have determined them to be consistent with any MA PBPs being attested to here.



I further attest that these benefits will be offered in accordance with all applicable Medicare
program authorizing statutes and regulations and program guidance that CMS has issued to date and
will issue during the remainder of 2008 and 2009, including but not limited to, the 2009 Call
Letter, the 2009 Solicitations for New Contract Applicants, the Medicare Prescription Drug Benefit
Manual, the Medicare Managed Care Manual, and the CMS memoranda issued through the Health Plan
Management System (HPMS).




	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Plan	 	Segment	 	 	 	 	 	Plan	 	Transaction	 	MA	 	Part D	 	CMS Approval	 	Effective
	ID	 	ID	 	Version	 	Plan Name	 	Type	 	Type	 	Premium	 	Premium	 	Date	 	Date
	002
	 	0
	 	11
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	31.00
	 	4.00
	 	08/29/2008
	 	01/01/2009
	008
	 	0
	 	7
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	010
	 	0
	 	6
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	012
	 	0
	 	6
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	014
	 	0
	 	6
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	019
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	025
	 	0
	 	6
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	29.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	028
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	031
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	032
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	033
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	035
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	037
	 	0
	 	5
	 	WellCare Advance
	 	HMO
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009






Page 1 of 4 — WELL CARE OF FLORIDA, INC. — H1032 — 08/29/2008









 






	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Plan	 	Segment	 	 	 	 	 	Plan	 	Transaction	 	MA	 	Part D	 	CMS Approval	 	Effective
	ID	 	ID	 	Version	 	Plan Name	 	Type	 	Type	 	Premium	 	Premium	 	Date	 	Date
	040
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	043
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	044
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	060
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	15.40
	 	08/29/2008
	 	01/01/2009
	061
	 	0
	 	8
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	15.60
	 	08/29/2008
	 	01/01/2009
	064
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009
	065
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	5.60
	 	08/29/2008
	 	01/01/2009
	066
	 	0
	 	6
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	9.60
	 	08/29/2008
	 	01/01/2009
	069
	 	0
	 	7
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009.
	073
	 	0
	 	11
	 	WellCare Choice
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	077
	 	0
	 	5
	 	WellCare Advance
	 	HMO
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009
	079
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	085
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	086
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	8.70
	 	08/29/2008
	 	01/01/2009
	088
	 	0
	 	8
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	6.20
	 	08/29/2008
	 	01/01/2009
	089
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	14.10
	 	08/29/2008
	 	01/01/2009
	091
	 	0
	 	6
	 	WellCare Essential
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	097
	 	0
	 	9
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0:00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	098
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	101
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	18.60
	 	08/29/2008
	 	01/01/2009
	102
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009
	104
	 	0
	 	8
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	11.50
	 	08/29/2008
	 	01/01/2009
	106
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	2.80
	 	08/29/2008
	 	01/01/2009
	107
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	8.90
	 	08/29/2008
	 	01/01/2009
	113
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	122
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009
	123
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009
	124
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	11.20
	 	08/29/2008
	 	01/01/2009
	125
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	17.70
	 	08/29/2008
	 	01/01/2009






Page 2 of 4 — WELL CARE OF FLORIDA, INC. — H1032 — 08/29/2008









 






	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Plan	 	Segment	 	 	 	 	 	Plan	 	Transaction	 	MA	 	Part D	 	CMS Approval	 	Effective
	ID	 	ID	 	Version	 	Plan Name	 	Type	 	Type	 	Premium	 	Premium	 	Date	 	Date
	126
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	17.30
	 	08/29/2008
	 	01/01/2009
	127
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009
	128
	 	0
	 	8
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	7.70
	 	08/29/2008
	 	01/01/2009
	130
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	1.10
	 	08/29/2008
	 	01/01/2009
	131
	 	0
	 	6
	 	WellCare Dividend
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	132
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	133
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	136
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	11.60
	 	08/29/2008
	 	01/01/2009
	138
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	21.50
	 	08/29/2008
	 	01/01/2009’
	144
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	145
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	146
	 	0
	 	6
	 	WellCare Value
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	148
	 	0
	 	7
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	18.80
	 	08/29/2008
	 	01/01/2009
	152
	 	0
	 	8
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	12.70
	 	08/29/2008
	 	01/01/2009
	153
	 	0
	 	7
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	13.70
	 	08/29/2008
	 	01/01/2009
	162
	 	0
	 	6
	 	WellCare Select
	 	HMOPOS
	 	Renewal
	 	0.00
	 	10.30
	 	08/29/2008
	 	01/01/2009
	163
	 	0
	 	8
	 	WellCare Access
	 	HMO
	 	Renewal
	 	0.00
	 	19.70
	 	08/29/2008
	 	01/01/2009
	164
	 	0
	 	6
	 	WellCare

Prescription Plus
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	166
	 	0
	 	8
	 	WellCare Value Plus
	 	HMOPOS
	 	Renewal
	 	0.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	168
	 	0
	 	8
	 	WellCare Premium
	 	HMOPOS
	 	Renewal
	 	57.00
	 	0.00
	 	08/29/2008
	 	01/01/2009
	801
	 	0
	 	4
	 	Employer Florida 1
	 	HMOPOS
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009
	802
	 	0
	 	4
	 	Employer Florida 2
	 	HMOPOS
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009
	803
	 	0
	 	4
	 	Employer Florida 3
	 	HMOPOS
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009
	804
	 	0
	 	4
	 	Employer Florida 4
	 	HMOPOS
	 	Renewal
	 	0.00
	 	N/A
	 	08/29/2008
	 	01/01/2009






Page 3 of 4 — WELL CARE OF FLORIDA, INC. — H1032 — 08/29/2008









 





	 	 	 	 	 
	 
	 	 	 	 
	/s/ Heath Schiesser
 

CEO:

	 	9/5/08
 

Date:
	 	 
	Heath Schiesser 

CEO/President 

8735 Henderson Road 

Tampa, FL 33634

813-290-6205
	 	 	 	 
	 
	 	 	 	 
	/s/ Thomas L. Tran
 

CFO:

	 	9/5/08
 

Date:
	 	 
	Tom Tran 

CFO 

8735 Henderson Road 

Tampa, FL 33634

813-290-6200 (1770)
	 	 	 	 







Page 4 of 4 — WELL CARE OF FLORIDA, INC. — H1032 — 08/29/2008