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. Period Individual HMO January 1, 1998 to June 30, 1998 $ *** PMPM July 1, 1998 to August 31, 1998 $ *** PMPM September 1, 1998 $ PMPM (See Section A8 above)

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. Period Individual Standard HMO January 1, 1998 to June 30, 1998 $ *** PMPM July 1, 1998 to August 31, 1998 $ *** PMPM September 1, 1998 $ PMPM (See Section section A8 above)

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. Period Individual Small Group HMO January 1, 1998 to June 30, 1998 $ *** PMPM July 1, 1998 to August 31, 1998 $ *** PMPM September 1, 1998 $ PMPM (See Section A8 above)

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. Period Individual HMO January Capitation October 1, 1998 to June 302001, 1998 $ through December 31, 2001, *** PMPM July January 1, 1998 to August 2002, through December 31, 1998 $ 2002, *** PMPM September January 1, 1998 $ PMPM (See Section A8 above)2003, $*** 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. Period Individual Small Group HMO January Capitation October 1, 1998 to June 302001, 1998 through December 31, 2001, $ *** PMPM July January 1, 1998 to August 2002 through December 31, 1998 2002, $ *** PMPM September January 1, 1998 $ PMPM (See Section A8 above)2003, $*** 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. Period Individual Standard HMO Capitation October 1, 2001 Through December 31, 2001 $44.61 PMPM January 1, 1998 to June 302002 Through December 31, 1998 $ 2002 $47.29 PMPM January 1, 2003 *** PMPM July 1, 1998 to August 31, 1998 $ *** PMPM September 1, 1998 $ PMPM (See Section A8 above)PMPM

Capitation Rates. PPG Capitation for Individual 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 fluctuatesfluctuate. Period Individual HMO January 1, 1998 to June 30, 1998 $ $*** PMPM July 1, 1998 to August 31, 1998 $ $*** PMPM September 1, 1998 $ PMPM (See Section A8 aboveabove )

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. Period Individual Standard HMO January 1, 1998 to June 30, 1998 $ $*** PMPM July 1, 1998 to August 31, 1998 $ $*** PMPM September 1, 1998 $ PMPM (See Section section A8 aboveabove )

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. Period Individual Small Group HMO January 1, 1998 to June 30, 1998 $ $*** PMPM July 1, 1998 to August 31, 1998 $ $*** PMPM September 1, 1998 $ $PMPM (See Section A8 aboveabove )