Common use of Capitation Rates Clause in Contracts

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual HMO Capitation November 1, 2000 *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November 1, 2000 *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual Small Group HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Small Group HMO Capitation November July 1, 2000 *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual HMO Capitation November 1, 2000 $ *** PMPM May 1l, 2001 $ *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex sex, and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual HMO Capitation November April 1, 2000 2003 *** PMPM May through December 31, 2003 January 1, 2001 2004 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November July 1, 2000 *** PMPM May 1, January 1 2001 *** PMPM***

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Period Individual HMO Capitation November 1, 2000 *** PMPM May June 1, 2001 *** PMPM January 1, 2002 *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Period Individual HMO Capitation November June 1, 2000 1998 to June 30, 1998 *** PMPM May July 1, 2001 1998 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November 1, 2000 *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, . sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Period Standard HMO Capitation November June 1, 2000 1998 to June 30, 1998 *** PMPM May July 1, 2001 1998 *** PMPM

Capitation Rates. PPG Capitation for Individual Small Group HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Small Group HMO Capitation November April 1, 2000 . 2003 *** PMPM May through December 31, 2003 January 1, 2001 2004 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Period Standard HMO Capitation November 1, 2000 *** PMPM May June 1, 2001 *** PMPM January 1, 2002 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. , Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, . sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November April 1, 2000 2003 *** PMPM May through December 31, 2003 January 1, 2001 2004 *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November 1, 2000 *** PMPM May 1, 2001 $ *** PMPM

Capitation Rates. PPG Capitation for Individual Small Group HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Small Group HMO Capitation November 1, 2000 *** PMPM May 1, 2001 $ *** PMPM

Capitation Rates. PPG Capitation for Individual Standard HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Standard HMO Capitation November 1, 2000 $ *** PMPM May 1l, 2001 $ *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Standard HMO, Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual 3/1/03-2/29/04 Standard HMO Capitation November 1, 2000 Effective 3/1/04 Standard HMO Capitation *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual Small Group HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual Period Small Group HMO Capitation November 1, 2000 *** PMPM May June 1, 2001 *** PMPM January 1, 2002 *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual HMO Capitation November July 1, 2000 *** PMPM May 1, 2001 *** PMPM

Capitation Rates. PPG Capitation for Individual HMO Members shall be determined on a monthly basis by multiplying the following normalized PMPM rates by the age, sex and benefit plan factors set forth in Addendum B for each assigned Member. Normalized PMPM rates represent the PMPM prior to the adjustment for PPG’s assigned Members’ age, sex and benefit plan. Actual PPG gross Capitation shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. Effective Date Individual HMO Capitation November Effective February 1, 2000 2002, through December 31, 2002, *** PMPM May Effective January 1, 2001 2003, *** PMPM