WellCare Health Plans 10-Q 2006 Q3 Quarterly report

Back to Form 10-Q

Exhibit 10.18

ATTACHMENT I

RATE SHEETS

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

Address:200 West Adams Street  Chicago, IL 60606

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

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

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

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

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

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

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

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