Exhibit
10.162


 


AMENDMENT
TO

MEDICARE+CHOICE PHYSICIAN GROUP SERVICE AGREEMENT


 


This Amendment is entered into effective May 1, 2002, by and between California
Physicians’ Service, Inc. dba Blue Shield of California (“Health Plan”) and NorthWest Orange County Medical Group
(“Physician Group”) in order to further modify the Medicare+Choice Physician
Group Service Agreement (“Agreement”), which was effective September 1, 1990,
as amended.


 


Recitals


 


A.                                   Whereas, Health Plan and Physician Group
entered into the Agreement on September 1, 1990;


 


B.                                     Whereas, Health Plan and Physician Group have
completed and agreed upon the reconciliation of the Pharmacy Risk Sharing
Program 1998 through 2000, pursuant to the terms of the January 1, 2002
amendment to the Agreement; and


 


C.                                     Whereas, Health Plan and Physician Group have
agreed upon new terms for the Agreement.


 


NOW,
THEREFORE, in consideration of the recitals, covenants, conditions and promises
contained in the Agreement, the parties agree that the Agreement is hereby
amended as follows:


 


1.                                       Physician Group and Health Plan agree that
the Revised Balance (as such term is defined in Section 1.C of the January 1,
2002, amendment to the Agreement) for the Pharmacy Risk Sharing Program for
calendar years 1998 through 2000 is $98,317.53.  Documentation of the Revised Balance is set forth in Attachment
1-R, attached to this Amendment and incorporated herein.  The April 2002 Monthly Payment of $7,003.44
is the only payment made by Physician Group to Health Plan as of the Effective
Date of this Amendment.  Thus, the
Revised Monthly Payment is $5,371.41 for the months of May 2002 through August
2003 and the Revised Monthly Payment for September 2003 is $5,371.53.  The total of the Revised Monthly Payments is
$91,314.09, which is equivalent to the Revised Balance of $98,317.53, less the
one Monthly Payment for April 2002 of $7,003.44.


 


2.                                       Physician Group agrees to deductions in its
Capitation Fees of $5,371.41 per month by Health Plan for the time period of
May 2002 through August 2003 and $5,371.53 in the month of September 2003.  These seventeen (17) Revised Monthly
Payments, plus the April 2002 Monthly Payment, represent Physician Group’s
payment in full of the $98,317.53 Revised Balance.  If the Agreement is terminated for any reason during this


 


1

















 


seventeen (17) month
period, then Physician Group shall make the remaining monthly payments to
Health Plan by the fifteenth (15th) of the month.  Any payments not received by Health Plan by
the fifteenth (15th) of a month shall accrue interest at the Bank of
America reference rate, plus two percent (2%) per annum, until paid by
Physician Group.


 


3.                                       All
other provisions of the Agreement or its Amendments or Addendums not
inconsistent herein shall remain in full force and effect.


 


IN WITNESS WHEREOF, the parties hereto have executed this Amendment as
of the date and year first written above.


 


	
  BLUE
  SHIELD OF CALIFORNIA

  	
  NORTHWEST
  ORANGE COUNTY MEDICAL

  GROUP

  
	
   

  	
   

  
	
  By:

  	
  /s/ Lisa Rubino

  	
   

  	
  By:

  	
  /s/ Pratibha Patel

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Name:

  	
  Lisa Rubino

  	
   

  	
  Name:

  	
  PRATIBHA PATEL, MD

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  Sr. V.P, IGBU

  	
   

  	
  Title:

  	
  PRESIDENT

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Date:

  	
  5/6/02

  	
   

  	
  Date:

  	
  4/26/02

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  PREMIER PHYSICIAN SERVICES

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  By:

  	
  /s/ James P. Agronick

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  Name:

  	
  JAMES P. AGRONICK

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  Title:

  	
  CEO

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
  Date:

  	
  4/26/02

  	
   

  



 


2

















 


Attachment 1-R


NWOC
(Corrected)


 


Northwest Orange County IPA (28, LY, SA)


 


1995-1998 Deficits Carried Forward


 


	
   

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  28- La Palma

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  Per Letter of
  1/26/99

  	
   

  
	
  LY - Anaheim

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  Per Letter of
  1/26/99

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  See NWOC Cap
  Ded’

  	
   

  
	
  Total

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  tab for detail

  	
   

  



 


28 La Palma                   6.05%
of Revenue / 50% NTE 25% (Surplus) / 50% NTE 25% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-97

  	
   

  	
  6.05

  	
  %

  	
  487

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-97

  	
   

  	
  6.05

  	
  %

  	
  477

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  10/15/98 Cap Ded

  	
   

  
	
  Mar-97

  	
   

  	
  6.05

  	
  %

  	
  475

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  11/15/98 Cap Ded

  	
   

  
	
  Apr-97

  	
   

  	
  6.05

  	
  %

  	
  477

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  12/15/98 Cap Ded

  	
   

  
	
  May-97

  	
   

  	
  6.05

  	
  %

  	
  478

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  2/15/99 Cap Ded

  	
   

  
	
  Jun-97

  	
   

  	
  6.05

  	
  %

  	
  474

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  3/15/99 Cap Ded

  	
   

  
	
  Jul-97

  	
   

  	
  6.05

  	
  %

  	
  473

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-97

  	
   

  	
  6.05

  	
  %

  	
  475

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-97

  	
   

  	
  6.05

  	
  %

  	
  475

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-97

  	
   

  	
  6.05

  	
  %

  	
  47

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-97

  	
   

  	
  6.05

  	
  %

  	
  473

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-97

  	
   

  	
  6.05

  	
  %

  	
  473

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  5,707

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  



 


LY Anaheim                  6.05%
of Revenue / 50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-97

  	
   

  	
  6.05

  	
  %

  	
  84

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  10/15/98 Cap Ded

  	
   

  
	
  Feb-97

  	
   

  	
  6.05

  	
  %

  	
  85

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  11/15/98 Cap Ded

  	
   

  
	
  Mar-97

  	
   

  	
  6.05

  	
  %

  	
  178

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  12/15/98 Cap Ded

  	
   

  
	
  Apr-97

  	
   

  	
  6.05

  	
  %

  	
  93

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  2/15/99 Cap Ded

  	
   

  
	
  May-97

  	
   

  	
  6.05

  	
  %

  	
  98

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  3/15/99 Cap Ded

  	
   

  
	
  Jun-97

  	
   

  	
  6.05

  	
  %

  	
  94

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  4/15/99 Cap Ded

  	
   

  
	
  Jul-97

  	
   

  	
  6.05

  	
  %

  	
  97

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  5/15/99 Cap Ded

  	
   

  
	
  Aug-97

  	
   

  	
  6.05

  	
  %

  	
  95

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  6/15/99 Cap Ded

  	
   

  
	
  Sep-97

  	
   

  	
  6.05

  	
  %

  	
  94

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  7/15/99 Cap Ded

  	
   

  
	
  Oct-97

  	
   

  	
  6.05

  	
  %

  	
  90

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  Nov-97

  	
   

  	
  6.05

  	
  %

  	
  92

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  Dec-97

  	
   

  	
  6.05

  	
  %

  	
  93

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  1,193

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1997 Total

  	
   

  	
   

  	
   

  	
  6,900

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


28 La Palmo                   6.05
% of Revenue / 50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-98

  	
   

  	
  8.00

  	
  %

  	
  450

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-98

  	
   

  	
  8.00

  	
  %

  	
  458

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-98

  	
   

  	
  8.00

  	
  %

  	
  454

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-98

  	
   

  	
  8.00

  	
  %

  	
  443

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-98

  	
   

  	
  8.00

  	
  %

  	
  446

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-98

  	
   

  	
  8.00

  	
  %

  	
  439

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-98

  	
   

  	
  8.00

  	
  %

  	
  435

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-98

  	
   

  	
  8.00

  	
  %

  	
  435

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-98

  	
   

  	
  8.00

  	
  %

  	
  433

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-98

  	
   

  	
  8.00

  	
  %

  	
  423

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-98

  	
   

  	
  8.00

  	
  %

  	
  433

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-98

  	
   

  	
  8.00

  	
  %

  	
  432

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  5,290

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


LY Anaheim                  6.05%
of Revenue / 50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-98

  	
   

  	
  8.00

  	
  %

  	
  97

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-98

  	
   

  	
  8.00

  	
  %

  	
  97

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-98

  	
   

  	
  8.00

  	
  %

  	
  95

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-98

  	
   

  	
  8.00

  	
  %

  	
  97

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-98

  	
   

  	
  8.00

  	
  %

  	
  100

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-98

  	
   

  	
  8.00

  	
  %

  	
  97

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-98

  	
   

  	
  8.00

  	
  %

  	
  99

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-98

  	
   

  	
  8.00

  	
  %

  	
  99

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-98

  	
   

  	
  8.00

  	
  %

  	
  100

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-98

  	
   

  	
  8.00

  	
  %

  	
  103

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-98

  	
   

  	
  8.00

  	
  %

  	
  103

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-98

  	
   

  	
  8.00

  	
  %

  	
  101

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  1,188

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1988 Total

  	
   

  	
   

  	
   

  	
  6478

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


1

















 


Attachment 1-R


NWOC
(Corrected)


 


28 - La
Palma               6.05% of Revenue / 50%
(Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-99

  	
   

  	
  7.50

  	
  %

  	
  428

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-99

  	
   

  	
  7.50

  	
  %

  	
  428

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-99

  	
   

  	
  7.50

  	
  %

  	
  428

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-99

  	
   

  	
  7.50

  	
  %

  	
  433

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-99

  	
   

  	
  7.50

  	
  %

  	
  429

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-99

  	
   

  	
  7.50

  	
  %

  	
  433

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-99

  	
   

  	
  7.50

  	
  %

  	
  431

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-99

  	
   

  	
  7.50

  	
  %

  	
  428

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-99

  	
   

  	
  7.50

  	
  %

  	
  418

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-99

  	
   

  	
  7.50

  	
  %

  	
  424

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-99

  	
   

  	
  7.50

  	
  %

  	
  426

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-99

  	
   

  	
  7.50

  	
  %

  	
  438

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  5,142

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


LY -
Anaheim               6.05% of Revenue /
50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-99

  	
   

  	
  7.50

  	
  %

  	
  104

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-99

  	
   

  	
  7.50

  	
  %

  	
  113

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-99

  	
   

  	
  7.50

  	
  %

  	
  117

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-99

  	
   

  	
  7.50

  	
  %

  	
  120

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-99

  	
   

  	
  7.50

  	
  %

  	
  115

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-99

  	
   

  	
  7.50

  	
  %

  	
  116

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-99

  	
   

  	
  7.50

  	
  %

  	
  117

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-99

  	
   

  	
  7.50

  	
  %

  	
  114

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-99

  	
   

  	
  7.50

  	
  %

  	
  112

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-99

  	
   

  	
  7.50

  	
  %

  	
  111

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-99

  	
   

  	
  7.50

  	
  %

  	
  113

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-99

  	
   

  	
  7.50

  	
  %

  	
  107

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  1,359

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1999 Total

  	
   

  	
   

  	
   

  	
  6,501

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


28 - La
Palma               6.05% of Revenue / 50%
NTE 25% (Surplus) / 50% NTE 25% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-00

  	
   

  	
  6.05

  	
  %

  	
  436

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-00

  	
   

  	
  6.05

  	
  %

  	
  428

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-00

  	
   

  	
  6.05

  	
  %

  	
  430

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-00

  	
   

  	
  6.05

  	
  %

  	
  421

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-00

  	
   

  	
  6.05

  	
  %

  	
  422

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-00

  	
   

  	
  6.05

  	
  %

  	
  415

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-00

  	
   

  	
  6.05

  	
  %

  	
  406

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-00

  	
   

  	
  6.05

  	
  %

  	
  404

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-00

  	
   

  	
  6.05

  	
  %

  	
  416

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-00

  	
   

  	
  6.05

  	
  %

  	
  412

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-00

  	
   

  	
  6.05

  	
  %

  	
  408

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-00

  	
   

  	
  6.05

  	
  %

  	
  416

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  5,014

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


LY -
Anaheim               6.05% of Revenue /
50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-00

  	
   

  	
  6.05

  	
  %

  	
  112

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  112

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


2

















 


Attachment 1 - R


NWOC
(Corrected)


 


SA - Anaheim       6.05% of Revenue / 50% (Surplus) / 50% (Deficit)


 


	
  Month

  	
   

  	
  Budget

  Allocation

  	
   

  	
  Member

  Months

  	
   

  	
  Budget

  	
   

  	
  PMPM

  Budget

  	
   

  	
  Claims
  Total

  	
   

  	
  Claims

  PMPM

  	
   

  	
  Variance

  	
   

  	
  Due-From

  NOCMG

  	
   

  	
  Adjustments

  	
   

  	
  Adjusted

  Amt Due

  	
   

  	
  Payments/

  Deductions

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  Notes

  	
   

  
	
  Jan-00

  	
   

  	
  6.05

  	
  %

  	
  —

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Feb-00

  	
   

  	
  6.05

  	
  %

  	
  113

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Mar-00

  	
   

  	
  6.05

  	
  %

  	
  113

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Apr-00

  	
   

  	
  6.05

  	
  %

  	
  113

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  May-00

  	
   

  	
  6.05

  	
  %

  	
  127

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jun-00

  	
   

  	
  6.05

  	
  %

  	
  131

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Jul-00

  	
   

  	
  6.05

  	
  %

  	
  134

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Aug-00

  	
   

  	
  6.05

  	
  %

  	
  128

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Sep-00

  	
   

  	
  6.05

  	
  %

  	
  142

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Oct-00

  	
   

  	
  6.05

  	
  %

  	
  149

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Nov-00

  	
   

  	
  6.05

  	
  %

  	
  179

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Dec-00

  	
   

  	
  6.05

  	
  %

  	
  176

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  1,503

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  2000 Total

  	
   

  	
   

  	
   

  	
  6,629

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  Summary

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  
	
  1995-1996 Totals

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  1997 Total

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  1998 Total

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  1999 Total

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  2000 Total

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  
	
  GRAND TOTAL

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
   

  	
   

  



 


Settlement Proposal


 


	
   

  	
   

  	
  Outstanding

  Balance

  	
   

  	
  2002

  Adjustment

  	
   

  	
  Final
  Amounts

  Due

  	
   

  
	
  1995-96

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  
	
  1997

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  
	
  1998

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  
	
  1999

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  
	
  2000

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  
	
  Total

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  	
  ***

  	
   

  



 


Reconciliation Adjustments:


-1998 budget recalculated at 8.00% of
revenue and 1999 budgets recalculated at 7.50% of revenue (for both IPAs)


 


3

















 


Attachment 1- R


NWOC Cap
Ded


 


1995-1996 Deficits


	
  IPA Code

  	
   

  	
  Date of

  Cap Deduct

  	
   

  	
  Amount

  	
   

  
	
  28

  	
   

  	
  5/19/99

  	
   

  	
  ***

  	
   

  
	
  28

  	
   

  	
  9/15/99

  	
   

  	
  ***

  	
   

  
	
  28

  	
   

  	
  10/5/99

  	
   

  	
  ***

  	
   

  
	
  28

  	
   

  	
  11/19/99

  	
   

  	
  ***

  	
   

  
	
  28

  	
   

  	
  1/10/00

  	
   

  	
  ***

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  ***

  	
   

  



 


	
  IPA Code

  	
   

  	
  Date of

  Cap Deduct

  	
   

  	
  Amount

  	
   

  
	
  LY

  	
   

  	
  5/19/99

  	
   

  	
  ***

  	
   

  
	
  LY

  	
   

  	
  9/15/99

  	
   

  	
  ***

  	
   

  
	
  LY

  	
   

  	
  10/5/99

  	
   

  	
  ***

  	
   

  
	
  LY

  	
   

  	
  11/19/99

  	
   

  	
  ***

  	
   

  
	
  LY

  	
   

  	
  1/10/00

  	
   

  	
  ***

  	
   

  
	
  Total

  	
   

  	
   

  	
   

  	
  ***

  	
   

  



 


4