Common use of Capitation Rates Clause in Contracts

Capitation Rates. PPG Capitation for 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 3/1/03-2/29/04 Small Group HMO Capitation Effective 3/1/04 Small Group HMO Capitation *** PMPM *** PMPM

Capitation Rates. PPG Capitation for 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 3/1/03-2/29/04 Small Group HMO Capitation Effective 3/1/04 Small Group HMO Capitation February 1, 2002, through December 31, 2002, *** PMPM Effective January 1, 2003, *** PMPM

Capitation Rates. PPG Capitation for 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 3/1/03-2/29/04 Period Small Group HMO Capitation Effective 3/1/04 Small Group HMO Capitation June 1, 1998 to June 30, 1998 *** PMPM July 1, 1998 *** PMPM

Capitation Rates. PPG Capitation for Small Group 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 3/1/03-2/29/04 Small Group Individual HMO Capitation Effective 3/1/04 Small Group Individual HMO Capitation *** PMPM *** PMPM