Description

PacifiCare Health Systems is one of the nation's largest consumer health organizations with approximately 3 million health plan members and approximately 11.3 million specialty plan members nationwide. PacifiCare Health Systems, formed in 1996, offers managed care and other health insurance products to employer groups, individuals and Medicare beneficiaries throughout most of the United States and Guam. PacifiCare's commercial and senior plans are designed to deliver quality health care and customer service to members cost-effectively. These products include health insurance, health benefits administration and indemnity insurance products such as Medicare Supplement products offered through health maintenance organizations, or HMOs, and preferred provider organizations, or PPOs. PacifiCare also offers a variety of specialty managed care products and services that employees and individuals can purchase as a supplement to our basic commercial and senior medical plans or as stand-alone products. These products include pharmacy benefit management, or PBM, services, behavioral health services, group life and health insurance and dental and vision benefit plans. PacifiCare announced that it reached a definitive agreement in 2005 to merge with UnitedHealth Group. PacifiCare also recently announced that its standalone Medicare Part D prescription drug plans (PDPs) have been approved by the Centers for Medicare & Medicaid Services (CMS) in all 50 states.

Table of Contents

1.0 Health Insurance Industry Overview/Trends - pgs. 4-23 2.0 Medicare Prescription Drug Plan Overview - pgs. 25-65 3.0 Company Overview - pgs. 67-81 4.0 Corporate Strategy - pgs. 83-86 5.0 Internet Activities - pg. 88 6.0 Company Executives - pgs. 90-93 7.0 Financial and Membership Information - pgs. 95-111 8.0 Lines of Business - pgs. 113-174 9.0 Sources - pg. 176

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