Exhibit 10.13


    
      
        

      

    

    Back to Form 10-Q

     

    Exhibit
      10.13

     

    

      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      EMPLOYER/UNION-ONLY
        GROUP PART D ADDENDUM TO CONTRACT WITH APPROVED ENTITY PURSUANT TO SECTIONS
        1860D-1 THROUGH 1860D-42 OF THE SOCIAL SECURITY ACT FOR THE OPERATION OF
        A
        VOLUNTARY MEDICARE PRESCRIPTION DRUG PLAN

       

      The
        Centers for Medicare & Medicaid Services (hereinafter referred to as "CMS")
        and WellCare
        Prescription Insurance, Inc., a Prescription Drug Plan (PDP) Sponsor
        (hereinafter referred to as the "PDP Sponsor"), agree to amend the contract
        S^§^7goveming the PDP Sponsor's operation of one or more Voluntary Medicare
        Prescription Drug Plans, pursuant to sections 1860D-1 through 1860D-42 of
        the
        Social Security Act (hereinafter referred to as "the Act"), to permit PDP
        Sponsor to offer Employer/Union-Only Group Part D Prescription Drug Plans
        (hereinafter referred to in this Addendum as "employer/union-only group PDPs")
        in accordance with the waivers granted by CMS under section 1860D-22(b) of
        the
        Act. The terms of this Addendum shall only apply to PDPs offered exclusively
        to
        employers/unions.

       

       

      This
        Addendum is made pursuant to Subpart K of 42 CFR Part 423.

       

       

      Page
        1
        of  9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

      


      ARTICLE
        I 

      VOLUNTARY
        MEDICARE PRESCRIPTION DRUG PLAN

       

      A.
        PDP
        Sponsor agrees to operate one or more employer/union-only group PDPs in
        accordance with the terms of this Addendum, the Medicare Prescription Drug
        Plan
        contract, which incorporates in its entirety: either the 2006 Solicitation
        For
        Applications from Prescription Drug Plans released on January 21, 2005 (as
        revised on March 9, 2005) or the 2007 Solicitation for Applications For New
        Prescription Drug Plans released on January 27, 2006 (as revised on February
        2,
        2006), as modified by the 2007 Application For PDP Sponsors To Offer New
        Employer/Union-Only Group Waiver Plans (EGWPs) (released on January 27, 2006)
        (except for requirements contained therein that are expressly waived or modified
        by this Addendum); all provisions of Federal statutes, regulations, and policies
        applicable to PDP Sponsors and PDPs (except to the extent any such provisions
        are expressly waived or modified by this Addendum); and any employer/union-only
        group waiver guidance. PDP Sponsor also agrees to operate one or more
        employer/union-only group PDPs in accordance with the regulations at 42 CFR
        §423.1 through 42 CFR §423.910 (with the exception of Subparts Q, R, and S),
        sections 1860D-1 through 1860D-42 of the Act (with the exception of 1860D-22(a)
        and 1860D-31), and the applicable solicitations/applications, as well as
        all
        other applicable Federal statutes, regulations, and policies, including any
        employer/union-only group waiver guidance.

       

      B.
        This
        Addendum is deemed to incorporate any changes that are required by statute
        to be
        implemented during the term of the contract, and any regulations and policies
        implementing or interpreting such statutory provisions.

       

      C.
        In the
        event of any conflict between the employer/union-only group waiver guidance
        issued prior to the execution of the contract and this Addendum, the provisions
        of this Addendum shall control. In the event of any conflict between the
        employer/union-only group waiver guidance issued after the execution of the
        contract and this Addendum, the provisions of the employer/union-only group
        guidance shall control.

       

      D.
        This
        Addendum is in no way intended to supersede or modify 42 CFR Part 423 or
        section
        1860D-1 through D-42 of the Act, except as specifically provided in applicable
        employer/union-only group waiver guidance and/or in this Addendum. Failure
        to
        reference a regulatory requirement in this Addendum does not affect the
        applicability of such requirement to the PDP Sponsor and CMS.

       

      E.
        The
        provisions of this Addendum apply to all employer/union-only group PDPs offered
        by PDP Sponsor under this contract number. In the event of any conflict between
        the provisions of this Addendum and any other provision of the contract,
        the
        terms of this Addendum shall control.

       

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        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

      


      


      ARTICLE
        II 

      FUNCTIONS
        TO BE PERFORMED BY THE PDP SPONSOR

       

      A.
        ENROLLMENT

       

      1.
        PDP
        Sponsor agrees to restrict enrollment in an employer/union-only group PDP
        to
        those Part D eligible individuals eligible for the employer's/union's
        employment-based retiree prescription drug coverage. PDP Sponsor agrees not
        to
        enroll active employees of an employer/union in its employer/union-only group
        PDPs.

       

      2.
        PDP
        Sponsor will not be subject to the requirement to offer the employer/union-only
        group PDP to all Part D eligible beneficiaries residing in its service area
        as
        set forth in 42 CFR §423.104(b).

       

      3.
        If an
        employer/union elects to enroll Part D eligible individuals eligible for
        its
        employer/union-only group PDP through a group enrollment process, PDP Sponsor
        will not be subject to the individual enrollment requirements set forth in
        42
        CFR §423.32(b). PDP Sponsor agrees that all Part D eligible individuals eligible
        for its employer/union-only group PDP will be advised that the employer/union
        contracting with PDP sponsor to offer an employer/union-only group PDP
        (hereinafter referred to as "employer/union") intends to enroll them into
        the
        plan through a group enrollment process unless the individual affirmatively
        opts
        out of such enrollment. PDP Sponsor agrees that all such individuals will
        be
        provided this information at least 30 days prior to the effective date of
        the
        individual's enrollment in the employer/union-only group PDP. PDP Sponsor
        agrees
        the information must include a summary of benefits offered under the
        employer/union-only group PDP, an explanation of how to get more information
        on
        such plan, and an explanation of how to contact Medicare for information
        on
        other Part D plans that might be available to the individual. In addition,
        PDP
        Sponsor agrees that all information necessary to effectuate enrollment must
        be
        submitted electronically to CMS, consistent with CMS instructions.

       

      B.
        PRESCRIPTION DRUG BENEFIT

       

      1.   
        (a) Except as provided in II.B.l(b), PDP Sponsor agrees to provide basic
        prescription drug coverage, as defined under 42 CFR §423.100, under any
        employer/union-only group PDP, in accordance with Subpart C of 42 CFR Part
        423.
        PDP Sponsor also agrees to provide Part D benefits under any employer/union-only
        group PDP as described in PDP Sponsor's bid approved each year by
        CMS.

       

      (b)
        CMS
        agrees that PDP Sponsor will not be subject to the actuarial equivalence
        requirement set forth in 42 CFR §423.104(e)(5) with respect to any
        employer/union-only group PDP and may provide less than the defined standard
        coverage
        between the deductible and initial coverage limit. PDP Sponsor agrees that
        its
        basic prescription drug coverage under any employer/union-only group PDP
        will
        satisfy all of the other actuarial equivalence standards set forth in 42
        CFR
§423.104, including but not limited to the requirement set forth in 42 CFR
        §423.104(e)(3) that the plan has a total or gross value that is at least equal
        to the total or gross value of defined standard coverage.

       

      Page
        3 of
        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

       

      (c)
        CMS
        agrees that nothing in this Addendum prevents PDP Sponsor from offering benefits
        in addition to basic prescription drug coverage to employers/unions. Such
        additional benefits offered pursuant to private agreements between PDP Sponsor
        and employers/unions will be considered non-Medicare Part D benefits. PDP
        Sponsor agrees that such additional benefits may not reduce the value of
        basic
        prescription drug coverage (e.g., additional benefits cannot impose a cap
        that
        would preclude enrollees from realizing the full value of such basic
        prescription drug coverage).

       

      (d)
        PDP
        Sponsor agrees that enrollees of employer/union-only group PDPs shall not
        be
        charged more than the sum of his or her monthly beneficiary premium attributable
        to basic prescription drug coverage and 100% of the monthly beneficiary premium
        attributable to his or her supplemental prescription drug coverage (if any).
        PDP
        Sponsor must pass through the direct subsidy payments received from CMS to
        reduce the amount that the beneficiary pays.

       

      (e)
        PDP
        Sponsor agrees that any additional non-Medicare Part D benefits offered to
        an
        employer/union will always pay primary to the subsidies provided by CMS to
        low-income individuals under Subpart P of 42 CFR Part 423 (the "Low-Income
        Subsidy").

       

      2.
        PDP
        Sponsor agrees enrollees of employer/union-only group PDPs will not be permitted
        to make payment of premiums under 42 CFR §423.293(a) through withholding from
        the enrollee's Social Security, Railroad Retirement Board, or Office of
        Personnel Management benefit payment.

       

      3.
        PDP
        Sponsor agrees it shall obtain written agreements from each employer/union
        that
        provide that the employer/union may determine how much of an enrollee's Part
        D
        monthly beneficiary premium it will subsidize, subject to the restrictions
        set
        forth in II.B.3(a) through (e). PDP Sponsor agrees to retain these written
        agreements with employers/unions and provide access to these written agreements
        to CMS in accordance with 42 CFR §§423.504(d) and 423.505(d) and
        (e).

       

      (a)
        The
        employer/union can subsidize different amounts for different classes of
        enrollees in the employer/union-only group PDP provided such classes are
        reasonable and based on objective business criteria, such as years of service,
        date of retirement, business location, job category, and nature of compensation
        (e.g., salaried v. hourly). Different classes cannot be based on eligibility
        for
        the Low Income Subsidy.

       

      Page
        4 of
        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      (b)
        The
        employer/union cannot vary the premium subsidy for individuals within a given
        class ofenrollees.

       

      (c)
        The
        employer/union cannot charge an enrollee for prescription drug coverage provided
        under the plan more than the sum of his or her monthly beneficiary premium
        attributable to basic prescription drug coverage and 100% of the monthly
        beneficiary premium attributable to his or her supplemental prescription
        drug
        coverage (if any). The employer/union must pass through direct subsidy payments
        received from CMS to reduce the amount that the beneficiary pays.

       

      (d)
        For
        all enrollees eligible for the Low Income Subsidy, the low income premium
        subsidy amount will first be used to reduce the portion of the monthly
        beneficiary premium attributable to basic prescription drug coverage paid
        by the
        enrollee, with any remaining portion of the premium subsidy amount then applied
        toward the portion of the monthly beneficiary premium attributable to basic
        prescription drug coverage paid by the employer/union.

       

      (e)
        If
        the low income premium subsidy amount for which an enrollee is eligible is
        less
        than the portion of the monthly beneficiary premium paid by the enrollee,
        then
        the employer/union should communicate to the enrollee the financial consequences
        for the beneficiary of enrolling in the employer/union-only group PDP as
        compared to enrolling in another Part D plan with a monthly beneficiary premium
        equal to or below the low income premium subsidy amount.

       

      4.
        For
        non-calendar year employer/union-only group PDPs, PDP Sponsor may determine
        benefits (including deductibles, out-of-pocket limits, etc.) on a non-calendar
        year basis subject to the following requirements:

       

      (a)
        Applications, formularies, bids and other submissions to CMS must be submitted
        on a calendar year basis;

       

      (b)
        The
        employer/union-only group PDP must be actuarially equivalent to defined standard
        coverage for the portion of its plan year that falls in a given calendar
        year.
        An employer/union-only group PDP will meet this standard if it is actuarially
        equivalent for the calendar year in which the plan year starts and no design
        change is made for the remainder of the plan year. In no event can PDP Sponsor
        increase during the plan year the annual out-of-pocket threshold;

       

      (c)
        After
        an enrollee's incurred costs exceed the annual out-of-pocket threshold, the
        employer/union-only group PDP must provide coverage that is at least actuarially
        equivalent to that provided under standard prescription drug coverage;
eligibility
        for such coverage can be determined on a plan year basis.

       

      Page
        5 of
        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      C.
        DISSEMINATION OF EMPLOYER/UNION-ONLY GROUP PLAN INFORMATION

       

      1.
        Except
        as provided in II.C.2., CMS agrees that with respect to any employer/union-only
        group PDPs, PDP Sponsor will not be subject to the information requirements
        set
        forth in 42 CFR §423.48 and the prior review and approval of marketing materials
        and enrollment forms requirements set forth in 42 CFR §423.50. PDP Sponsor will
        be subject to all other dissemination requirements contained in 42 CFR §423.128
        and in CMS guidance, including those requirements contained in the "Medicare
        Marketing Materials Guidelines for Medicare Advantage Plans (MAs), Medicare
        Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs),
        and
        1876 Cost Plans."

       

      2.
        CMS
        agrees that the dissemination requirements set forth in 42 CFR §423.128 will not
        apply with respect to any employcr/union-only group PDP when the employer/union
        is subject to alternative disclosure requirements (e.g., the Employee Retirement
        Income Security Act of 1974 ("ERISA")) and fully complies with such alternative
        requirements. PDP Sponsor agrees to comply with the requirements for this
        waiver
        contained in employer/union-only group waiver guidance, including those
        requirements contained in Chapter 13 of the "Medicare Marketing Materials
        Guidelines for Medicare Advantage Plans (MAs), Medicare Advantage Prescription
        Drug Plans (MA-PDs), Prescription Drug Plans (PDPs), and 1876 Cost
        Plans."

       

      D.
        PAYMENT TO PDP SPONSOR

       

      Except
        as
        provided in II.D.l through 3 of this section, payment under this Addendum
        will
        be governed by the rules ofSubpart G of 42 CFR Part 423.

       

      1.
        PDP
        Sponsor will receive a monthly direct subsidy for each employer/union-only
        group
        PDP enrollee equal to the amount of the national average monthly bid amount
        (not
        its approved standardized bid), adjusted for health status (as determined
        under
        42 CFR §423.329(b)(l)) and reduced by the base beneficiary premium for the
        employer/union-only group PDP, as adjusted under 42 CFR §423.286(d)(3), if
        applicable. The further adjustments to the base beneficiary premium contained
        in
        42 CFR §423.286(d)(l) and (2) will not apply.

       

      2.
        PDP
        Sponsor agrees that the risk-sharing payment adjustment described in 42 CFR
        §423.336 is not applicable for any employer/union-only group PDP
        enrollee.

       

      3.
        PDP
        Sponsor will not receive monthly reinsurance payment amounts in the manner
        set forth in 42 CFR §423.329(c)(2)(i) for any employer/union-only group PDP
        enrollee, but instead will receive the full reinsurance payment following
        the
        end of year reconciliation as described in 42 CFR
§423.329(c)(2)(ii).

       

      Page
        6 of
        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      4.
        For
        non-calendar year plans:

       

      (a)
        CMS
        payments will be determined on a calendar year basis;

       

      (b)
        Low
        income subsidy payments and reconciliations will be determined based on the
        calendar year for which the payments are made; and

       

      (c)
        PDP
        Sponsor acknowledges that it will not receive reinsurance payments under
        42 CFR
§423.329(c).

       

      E.
        SERVICE AREA, FORMULARIES, AND PHARMACY ACCESS

       

      1.
        CMS
        agrees that PDP Sponsor may offer an employer/union-only group PDP in any
        PDP
        region in which PDP Sponsor, either itself or through subcontractors or other
        partners, offers a PDP to Part D eligible individuals not participating in
        an
        employer/union-only group PDP (hereinafter referred to as a "non-group PDP").
        PDP Sponsor may extend coverage under an employer/union-only group PDP to
        other
        PDP regions in which eligible individuals reside, provided the PDP Sponsor,
        either itself or through subcontractors or other partners, offers a non-group
        PDP in the PDP region where the most substantial portion of the employer's
        employees (or in the case of a union, the union's participants) reside. PDP
        Sponsor agrees to conduct an actual review to identify where the most
        substantial portion of the employer's/union's employees/participants reside,
        and
        to maintain adequate supporting documentation of such review (including the
        date
        of such review, by whom the review was conducted, and any other relevant
        documentation to substantiate the review), and to permit CMS to audit and
        review
        such documentation. Such expanded service areas must have convenient Part
        D
        pharmacy access sufficient to meet the needs of enrollees wherever they
        reside.

       

      2.
        PDP
        Sponsor agrees to utilize, as the formulary for any employer/union-only
group
        PDP, a base formulary that has received approval from CMS, in accordance
        with
        CMS formulary guidance, for use in a non-group PDP offered by PDP sponsor.
        Except as set forth in 42 CFR §423.120(b) and sub-regulatory guidance, PDP
        Sponsor may not modify the approved base formulary used for any
        employer/union-only group PDP by removing drugs, adding additional utilization
        management restrictions, or increasing the cost-sharing status of a drug
        from
        the base formulary. Enhancements that are permitted to the base formulary
        include adding additional drugs, removing utilization management restrictions,
        and improving the cost-sharing status of drugs.

       

      3.
        For
        any employer/union-only group PDP, PDP Sponsor agrees to provide Part D benefits
        in the plan's service area utilizing a pharmacy network and formulary that
        meets
        the requirements of 42 CFR §423.120, with the following exception: 
CMS
        agrees that the retail pharmacy access requirements set forth in 42 CFR
§423.120(a)(l) ("Tricare" standards) will not apply when the employer/union-only
        group PDP's pharmacy network is sufficient to meet the needs of its

       

      Page
        7 of
        9

       

      



      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      enrollees
        throughout the employer/union-only group PDP's service area, as determined
        by
        CMS. CMS may periodically review the adequacy of the employ er/union-only
        group
        PDP's pharmacy network and require the employer/union-only group PDP to expand
        access if CMS determines that such expansion is necessary in order to ensure
        that the employer/union-only group PDP's network is sufficient to meet the
        needs
        of its enrollees.

       

      Page
        8 of
        9

       

      



      


      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      


      PDP
        EMPLOYER/UNION-ONLY GROUP CONTRACT ADDENDUM

       

      In
        witness whereof, the parties hereby execute this Addendum.

       

      FOR
        THE
        PDP SPONSOR

      


      
        	
                Todd
                  Farha

                Pinted
                  Name

              	
                President
                  and CEO

                Title

                 

              
	
                /s/
                  Todd S. Farha

                Signature

              	
                9/6/06

                Date

                 

              
	
                WellCare
                  Prescription Insurance, Inc.

                Organization

              	
                8735
                  Henderson Rd. Tampa, FL 33634

                Address

                 

              
	
                FOR
                  THE CENTERS FOR MEDICARE & MEDICAID SERVICES

              
	
                /s/
                  Brenda Tranchida

                Brenda
                  Tranchida

                Deputy
                  Director

                Employer
                  Policy & Operations Group

                Center
                  for Beneficiary Choices

              	
                9/21/06

                Date

              


      

      


      


      


      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      

        Prescription
          Drug Plan Attestation of Benefit Plan and Price

        WELLCARE
          PRESCRIPTION INSURANCE, INC.

        S5967 

        Date:
          09/05/2006

         

        I
          attest
          that the following plan numbers as established in the final Plan Benefit
          Package
          (PBP) will be operated by the above-stated organization and made available
          to
          eligible beneficiaries in the approved service area during program year
          2007.I
          further attest that the organization will comply with all applicable program
          guidance that CMS has issued to date and will issue during the remainder
          of 2006
          and 2007 pursuant to Medicare program authorizing statutes and regulations,
          including but not limited to, the 2007 Call Letters, the 2007 Solicitations
          for
          New Contract Applicants, and the CMS memoranda issued through the Health
          Plan
          Management System (HPMS).

        


         

        
          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                
	
                  035

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  26.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  036

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  21.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  037

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  22.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  038

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  22.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  039

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  040

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  041

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  26.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  042

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  043

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  044

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  045

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  17.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  046

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  30.00

                	
                  08/31/2006

                	
                  01/01/2007

                


        

        
           

          Page 1
            of 9 - WELLCARE PRESCRIPTION INSURANCE, INC.
            -
            S5967

           

          
            
              
              

            

            
              
              

              
                

              

            

            
              
              

            

          

          
            	
                    Plan
                      ID

                  	
                    Segment
                      ID

                  	
                    Version

                  	
                    Plan
                      Name

                  	
                    Plan
                      Type

                  	
                    Transaction
                      Type

                  	
                    Part
                      D Premium

                  	
                    CMS
                      Approval Date

                  	
                    Effective 
                      Date

                  


          

        

        
          	
                  047

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  25.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  048

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  28.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  049

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  28.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  050

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  24.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  051

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  25.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  052

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  23.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  053

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  23.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  054

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  055

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  26.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  056

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  19.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  057

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  058

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  28.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  059

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  26.80

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        
          Page
            2 of
            9 - WELLCARE PRESCRIPTION INSURANCE, INC. - S5967 - 09/05/2006

           

          
            
              
              

            

            
              
              

              
                

              

            

            
              
              

            

          

          
            	
                    Plan
                      ID

                  	
                    Segment
                      ID

                  	
                    Version

                  	
                    Plan
                      Name

                  	
                    Plan
                      Type

                  	
                    Transaction
                      Type

                  	
                    Part
                      D Premium

                  	
                    CMS
                      Approval Date

                  	
                    Effective 
                      Date

                  


          

        

        
          	
                  060

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  25.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  061

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  26.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  062

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  063

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  19.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  064

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  29.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  065

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  30.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  066

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  067

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  27.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  068

                	
                  0

                	
                  4

                	
                  WellCare
                    Signature

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  36.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  069

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  45.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  070

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  36.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  071

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  39.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  072

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  42.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  073

                	 	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  37.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  074

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  46.60

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        Page
          3 of 9 - WELLCARE PRESCRIPTION INSURANCE, INC. -
          S5967 - 09/05/2006

      

       

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        


        
          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                


        

        
          	
                  075

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  42.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  076

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  47.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  077

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  42.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  078

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  45.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  079

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  41.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  080

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  49.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  081

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  42.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  082

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  53.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  083

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  46.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  084

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  45.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  085

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  47.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  086

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  46.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  087

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  35.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  088

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  43.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  089

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  45.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  090

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  33.60

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        Page 4
          of 9 - WELLCARE PRESCRIPTION INSURANCE,
          INC. - S5967 - 09/05/2006

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        

          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                


        

        
          	
                  092

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  40.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  093

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  46.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  094

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  39.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  095

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                        Prescription Drug Plan

                	
                  Renewal

                	
                  33.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  096

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  39.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  097

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  38.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  098

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  43.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  099

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  43.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  100

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  45.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  101

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  35.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  102

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  42.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  103

                	
                  0

                	
                  1

                	
                  WellCare
                    Complete

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  58.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  138

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  21.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  139

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  13.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  140

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  14.90

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        Page 5
          of 9 - WELLCARE PRESCRIPTION INSURANCE,
          INC. - S5967 - 09/05/2006

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        

          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                


        

        
          	
                  141

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  15.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  142

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  12.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  143

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  19.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  144

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  19.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  145

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  22.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  146

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.50

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  147

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  148

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  10.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  149

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  150

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  151

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  152

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  19.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  153

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  15.90

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  154

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  155

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  16.70

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        Page 6
          of 9 - WELLCARE PRESCRIPTION INSURANCE,
          INC. - S5967 - 09/05/2006

         

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        

          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                


        

        
          	
                  156

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  15.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  157

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  158

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.20

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  159

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  11.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  160

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  161

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  20.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  162

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  18.80

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  163

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  17.30

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  164

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  17.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  165

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  10.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  166

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  10.60

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  167

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  22.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  168

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  24.00

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  169

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  9.70

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  170

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  17.30

                	
                  08/31/2006

                	
                  01/01/2007

                


        

         

        Page 7
          of 9 - WELLCARE PRESCRIPTION INSURANCE,
          INC. - S5967 - 09/05/2006

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        

          	
                  Plan
                    ID

                	
                  Segment
                    ID

                	
                  Version

                	
                  Plan
                    Name

                	
                  Plan
                    Type

                	
                  Transaction
                    Type

                	
                  Part
                    D Premium

                	
                  CMS
                    Approval Date

                	
                  Effective 
                    Date

                


        

        
          	
                  171

                	
                  0

                	
                  2

                	
                  WellCare
                    Classic

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  29.40

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  801

                	
                  0

                	
                  1

                	
                  WellCare
                    Smart Plan

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  35.10

                	
                  08/31/2006

                	
                  01/01/2007

                
	
                  802

                	
                  0

                	
                  1

                	
                  WellCare
                    Smart Plan

                	
                  Medicare
                    Prescription Drug Plan

                	
                  Renewal

                	
                  35.10

                	
                  08/31/2006

                	
                  01/01/2007

                


        

        
Page
          8 of
          9 - WELLCARE PRESCRIPTION INSURANCE, INC. - S5967 -
          09/05/2006

      

       

      


      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      *
        For all
        800-series Plan IDs, plans have the flexibility to vary the premium amounts
        that
        they charge. Therefore, the amount listed in the "Part D Premium" column
        may not
        coincide with the amount actually charged. For CY2007, the direct subsidy
        payment will be based on the national average monthly bid amount rather than
        on
        the bid submitted by the plan. Also, the base beneficiary premium will be
        used
        rather than the plan's premium as derived from their standardized bid in
        determining the low-income premium subsidy. 

       

      

        

          
            	
                     

                    /s/
                      Todd Farha

                    CEO:
                      

                    Todd
                      Farha

                    CEO/President

                    8735
                      Henderson Road, Ren 2

                    Tampa,
                      FL 33634

                  	
                     

                    9/6/06

                    Date

                  
	
                     

                    /s/
                      Paul Behrens

                    CFO

                    Paul
                      Behrens

                    Chief
                      Financial Officer

                    8735
                      Henderson Road, Ren 2

                    Tampa,
                      FL 33634

                    888-888-9355
                      (1469)

                  	
                     

                    9/6/06

                    Date

                  


          

        

      

       

       

       

      Page
        9 of
        9 - WELLCARE PRESCRIPTION INSURANCE, INC. - S5967 -
        09/05/2006