va health care delivery system through our network of providers . we are compensated by the va for the cost of our providers 2019 services at a specified contractual amount per service plus an additional administrative fee for each transaction . the contract , under which we began providing services on january 1 , 2008 , is comprised of one base period and four one-year option periods subject to renewals at the federal government 2019s option . we are currently in the first option period , which expires on september 30 , 2009 . for the year ended december 31 , 2008 , revenues under this va contract were approximately $ 22.7 million , or less than 1% ( 1 % ) of our total premium and aso fees . for the year ended december 31 , 2008 , military services premium revenues were approximately $ 3.2 billion , or 11.3% ( 11.3 % ) of our total premiums and aso fees , and military services aso fees totaled $ 76.8 million , or 0.3% ( 0.3 % ) of our total premiums and aso fees . international and green ribbon health operations in august 2006 , we established our subsidiary humana europe in the united kingdom to provide commissioning support to primary care trusts , or pcts , in england . under the contracts we are awarded , we work in partnership with local pcts , health care providers , and patients to strengthen health-service delivery and to implement strategies at a local level to help the national health service enhance patient experience , improve clinical outcomes , and reduce costs . for the year ended december 31 , 2008 , revenues under these contracts were approximately $ 7.7 million , or less than 1% ( 1 % ) of our total premium and aso fees . we participated in a medicare health support pilot program through green ribbon health , or grh , a joint- venture company with pfizer health solutions inc . grh was designed to support cms assigned medicare beneficiaries living with diabetes and/or congestive heart failure in central florida . grh used disease management initiatives , including evidence-based clinical guidelines , personal self-directed change strategies , and personal nurses to help participants navigate the health system . revenues under the contract with cms over the period which began november 1 , 2005 and ended august 15 , 2008 are subject to refund unless savings , satisfaction , and clinical improvement targets are met . under the terms of the contract , after a claims run-out period , cms is required to deliver a performance report during the third quarter of 2009 . to date , all revenues have been deferred until reliable estimates are determinable , and revenues are not expected to be material when recognized . our products marketed to commercial segment employers and members smart plans and other consumer products over the last several years , we have developed and offered various commercial products designed to provide options and choices to employers that are annually facing substantial premium increases driven by double-digit medical cost inflation . these smart plans , discussed more fully below , and other consumer offerings , which can be offered on either a fully-insured or aso basis , provided coverage to approximately 670000 members at december 31 , 2008 , representing approximately 18.5% ( 18.5 % ) of our total commercial medical membership as detailed below . smart plans and other consumer membership other commercial membership commercial medical membership .
at december 31 , 2008 what was the percent of the fully-insured to the total commercial medical smart plans and other consumer membership
these products are often offered to employer groups as 201cbundles 201d , where the subscribers are offered various hmo and ppo options , with various employer contribution strategies as determined by the employer. .