Common use of Non-Reform Clause in Contracts

Non-Reform. See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Effective Date: 09/01/09 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 County Enrollment Level Provider Number Pasco 7,000 015016903 Pinellas 15,000 015016904 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area1 Counties: Escambia, Santa Xxxx Effective Date: 09/01/2012 County Enrollment Level Provider Number Escambia 67,500 15019344 Santa Xxxx 31,500 15019343 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Bay, Calhoun, Gadsden, Xxxxxxxxx, Xxxx, Liberty, Madison, Wakulla Effective Date: 09/01/2012 County Enrollment Level Provider Number Bay 16,900 15019345 Xxxxxxx 800 15019340 Gadsden 3,500 15019315 Jefferson 1,000 15019318 Xxxx 7,000 15019320 Liberty 400 15019342 Madison 1,500 15019322 Wakulla 1,000 15019336 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 1 of 4 WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Contract Healthease See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: HernandoCitrus, Sumter Xxxx, Xxxxxx, Xxxxxx Effective DateDates: 09/01/09 09/01/2012 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Citrus 7,500 15019309 Lake 17,000 15019319 Xxxxxx 20,000 15019323 Xxxxxx 6,000 15019329 See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: Xxxxx, Volusia Effective Date: 09/01/2012 County Enrollment Level Provider Number Xxxxx 55,000 15019313 Volusia 15,000 15019335 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Pasco 7,000 015016903 6,000 15019302 Pinellas 15,000 015016904 9,000 15019303 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 2 of 4 WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Contract Healthease See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Highlands, Hillsborough, Manatee, Polk Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Highlands 3,000 15019317 Hillsborough 28,000 015016902 18,000 15019300 Manatee 12,000 015016912 6,000 15019301 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida 10,000 15019304 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Brevard, Orange, Seminole, Osceola, Brevard Seminole Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 15019308 Orange 25,000 15019327 Osceola 8,000 15019328 Seminole 4,000 15019333 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 County: Sarasota Effective Dates: 09/01/2012 County Enrollment Level Provider Number Sarasota 3,000 15019332 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 3 of 4 WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Contract Healthease See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Xxxxxx, Palm Beach Effective Dates: 09/01/2012 County Enrollment Level Provider Number Xxxxxx 5,000 15019324 Palm Beach 10,500 15019339 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/2012 County Enrollment Level Provider Number Broward 13,500 15019337 See Exhibit 2-NR Table 2, General Capitation Rates, Mental Health Rates Area 11 County: Miami-Dade Effective Date: 09/01/2012 County Enrollment Level Provider Number Miami-Dade 25,000 15016909

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Franklin, Taylor Effective Date: 11/01/12 County Enrollment Level Provider Number Franklin 1,083 TBD Xxxxxx 2,516 TBD See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Sumter, Columbia, Xxxxxxxx, Xxxxx, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union Effective DateDates: 09/01/09 09/01/12 County Enrollment Level Provider Number Hernando 15,000 015016901 15016901 Sumter 4,500 015016916 15016916 Columbia 8,287 15016922 Effective Dates: 11/01/12 Bradford 3,032 TBD Dixie 1,928 TBD Xxxxxxxxx 1,644 TBD Xxxxxxxx 1,934 TBD Lafayette 646 TBD Levy 4,927 TBD Suwannee 5,346 TBD Union 1,483 TBD REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I, Exhibit 1-A, Page 1 of 4 WellCare of Florida, Inc. d/b/aStaywellHealth Plan of Florida Medicaid Non-Reform HMO Contract See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: St. Xxxxx, Flagler Effective Date: 09/01/12 County Enrollment Level Provider Number St. Xxxxx 8,300 15016920 Flagler 7,400 15016923 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Pasco 7,000 015016903 15016903 Pinellas 15,000 015016904 15016904 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Xxxx, Xxxxxx Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Hillsborough 28,000 015016902 15016902 Manatee 12,000 015016912 15016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 15016905 Xxxxxx 4,100 15016921 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health aStaywellHealth Plan of Florida Medicaid Non-Reform HMO Contract See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Orange 38,000 015016906 15016906 Seminole 6,000 015016908 15016908 Osceola 12,000 015016907 15016907 Brevard 14,000 015016913 15016913 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 Counties: DeSoto, Lee, Sarasota, Charlotte, Glades, Xxxxxx Effective Dates: 09/01/12 County Enrollment Level Provider Number DeSoto 4,100 15016919 Xxx 15,000 15016911 Sarasota 6,000 15016914 Charlotte 27,000 15016917 Effective Dates: 11/01/12 Glades 593 TBD Xxxxxx 6,048 TBD See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River, Okeechobee Effective Dates: 09/01/12 County Enrollment Level Provider Number Palm Beach 15,000 15016910 St. Lucie 4,500 15016915 Indian River 10,500 15016918 Effective Dates: 11/01/12 Okeechobee 5,000 TBD REMAINDER OF PAGE INTENTIONALLY LEFT BLANK See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward WellCare of Florida, Inc. d/b/aStaywellHealth Plan of Florida Medicaid Non-Reform HMO Contract Effective Date: 09/01/12 County Enrollment Level Provider Number Broward 25,000 15016900 See Exhibit 2-NR Table 2, General Capitation Rates, Mental Health Rates Area 11 County: Miami-Dade Effective Date: 09/01/12 County Enrollment Level Provider Number Miami-Dade 25,000 15016909 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 1 Counties: Escambia, Santa Rxxx Effective Date: 09/01/2012 County Enrollment Level Provider Number Escambia 67,500 015019344 Santa Rxxx 31,500 015019343 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Bay, Calhoun, Gadsden, Jxxxxxxxx, Xxxx, Liberty, Madison, Wakulla Effective Date: 09/01/12 County Enrollment Level Provider Number Bay 16,900 015019345 Cxxxxxx 800 015019340 Gadsden 3,500 015019315 Jefferson 1,000 015019318 Lxxx 7,000 015019320 Liberty 400 015019342 Madison 1,500 015019322 Wakulla 1,000 015019336 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA904, Attachment I, Page 11 of 19 WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d/b/a HealthEase See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: HernandoCitrus, Sumter Lxxx, Xxxxxx, Pxxxxx Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Citrus 7,500 015019309 Lake 7,000 015019319 Mxxxxx 20,000 015019323 Pxxxxx 6,000 015019329 See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: Dxxxx, Volusia Effective Date: 09/01/12 County Enrollment Level Provider Number Dxxxx 55,000 015019313 Volusia 15,000 015019335 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Pasco 7,000 015016903 6,000 015019302 Pinellas 15,000 015016904 9,000 015019303 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d/b/a HealthEase See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Highlands, Hillsborough, Manatee, Polk Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Highlands 3,000 015019317 Hillsborough 28,000 015016902 18,000 015019300 Manatee 12,000 015016912 6,000 015019301 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida 10,000 015019304 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 CountiesCounty: Brevard, Orange, Seminole, Osceola, Brevard Seminole Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 015019308 Orange 25,000 015019327 Osceola 8,000 015019328 Seminole 4,000 015019333 See Exhibit 2-NRNR Table 2, General Capitation Rates, Mental Health Rates Area 8 County: Sarasota Effective Date: 09/01/12 County Enrollment Level Provider Number Sarasota 3,000 015019332 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc., Medicaid HMO Non-C Reform Contract d/b/a HealthEase See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health RatesRates Area 9 Counties: Mxxxxx, Palm Beach Effective Date: 09/01/12 County Enrollment Level Provider Number Mxxxxx 5,000 015019324 Palm Beach 10,500 015019339 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/12 County Enrollment Level Provider Number Broward 13,500 015019337 See Exhibit 2-XX Xxxxx 0, Xxxxxxx Xxxxxxxxxx Xxxxx, Mental Health Rates Area 11 County: Miami-Dade Effective Date: 09/01/12 County Enrollment Level Provider Number Miami-Dade 25,000 015019338 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 14 of 19

Non-Reform. See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 1 Counties: Santa Xxxx Effective Date: 08/01/11 County Enrollment Level Provider Number Santa Xxxx 31,500 TBD See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Calhoun, Gadsden, Xxxxxxxxx, Xxxx, Liberty, Madison, Wakulla Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxxxx 800 015019340 Gadsden 3,500 015019315 Jefferson 1,000 015019318 Xxxx 7,000 015019320 Liberty 400 015019342 Madison 1,500 015019322 Wakulla 1,000 015019336 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: HernandoCitrus, Sumter Xxxx, Xxxxxx, Xxxxxx Effective Date: 09/01/09 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Citrus 7,500 015019309 Lake 7,000 015019319 Xxxxxx 20,000 015019323 Xxxxxx 6,000 015019329 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: Xxxxx, Volusia Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxx 55,000 015019313 Volusia 15,000 015019335 See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 County Enrollment Level Provider Number Pasco 7,000 015016903 6,000 015019302 Pinellas 15,000 015016904 9,000 015019303 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Highlands, Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Highlands 3,000 015019317 Hillsborough 28,000 015016902 18,000 015019300 Manatee 12,000 015016912 6,000 015019301 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida 10,000 015019304 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Brevard, Orange, Seminole, Osceola, Brevard Seminole Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 015019308 Orange 25,000 015019327 Osceola 8,000 015019328 Seminole 4,000 015019333 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health RatesRates Area 8 Counties: Sarasota Effective Date: 09/01/09 County Enrollment Level Provider Number Sarasota 3,000 015019332 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Xxxxxx, Palm Beach Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxxx 5,000 015019324 Palm Beach 10,500 015019339 See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 10 Counties: Broward Effective Date: 09/01/09 County Enrollment Level Provider Number Broward 13,500 015019337 See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 11 Counties: Miami-Dade Effective Date: 09/01/09 County Enrollment Level Provider Number Miami-Dade 25,000 015019338 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area1 Counties: Okaloosa, Xxxxxx Effective Date: 01/01/2013 County Enrollment Level Provider Number Okaloosa 12,400 15016943 Xxxxxx 3,700 15016944 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Franklin, Taylor, Gulf, Holmes, Jackson, Washington Effective Date: 11/01/2012 County Enrollment Level Provider Number Franklin 1,000 15016926 Xxxxxx 2,500 15016935 Effective Date: 01/01/2013 Gulf 1,300 15016939 Xxxxxx 2,800 15016940 Jackson 5,500 15016941 Washington 2,800 15016945 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Staywell Health Plan of Florida and Reform Contract See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Sumter, Columbia, Xxxxxxxx, Xxxxx, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union, Alachua Effective DateDates: 09/01/09 09/01/2012 County Enrollment Level Provider Number Hernando 15,000 015016901 15016901 Sumter 4,500 015016916 15016916 Columbia 8,200 15016922 Effective Dates: 11/01/2012 Bradford 3,000 15016924 Dixie 1,900 15016925 Xxxxxxxxx 1,600 15016927 Xxxxxxxx 1,900 15016929 Lafayette 600 15016931 Levy 4,900 15016932 Suwannee 5,300 15016934 Union 1,400 15016936 Effective Dates: 01/01/2013 Alachua 19,100 15016937 See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: St. Xxxxx, Flagler Effective Date: 09/01/2012 County Enrollment Level Provider Number St. Xxxxx 8,300 15016920 Flagler 7,400 15016923 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Medicaid HMO Non-C Reform Staywell Health Plan of Florida and Reform Contract See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Pasco 7,000 015016903 15016903 Pinellas 15,000 015016904 15016904 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Xxxx, Xxxxxx Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Hillsborough 28,000 015016902 60,000 15016902 Manatee 12,000 015016912 15016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida 15016905 Xxxxxx 4,100 15016921 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Orange 38,000 015016906 75,000 15016906 Seminole 6,000 015016908 10,000 15016908 Osceola 12,000 015016907 30,000 15016907 Brevard 14,000 015016913 30,000 15016913 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Staywell Health Plan of Florida and Reform Contract See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health RatesRates Area 8 Counties: DeSoto, Lee, Sarasota, Charlotte, Glades, Xxxxxx, Xxxxxxx Effective Dates: 09/01/2012 County Enrollment Level Provider Number DeSoto 4,100 15016919 Xxx 30,000 15016911 Sarasota 15,000 15016914 Charlotte 27,000 15016917 Effective Dates: 11/01/2012 Glades 500 15016928 Xxxxxx 6,000 15016930 Effective Dates: 01/01/2013 Xxxxxxx 22,800 15016938 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River, Okeechobee Effective Dates: 09/01/2012 County Enrollment Level Provider Number Palm Beach 40,000 15016910 St. Lucie 15,000 15016915 Indian River 10,500 15016918 Effective Dates: 11/01/2012 Okeechobee 5,000 15016933 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/2012 County Enrollment Level Provider Number Broward 25,000 15016900 See Exhibit 0-XX Xxxxx 0, Xxxxxxx Xxxxxxxxxx Xxxxx, Mental Health Rates WellCare of Florida, Inc. d/b/a Medicaid HMO Non-Reform Staywell Health Plan of Florida and Reform Contract Area 11 County: Miami-Dade, Monroe Effective Date: 09/01/2012 County Enrollment Level Provider Number Miami-Dade 25,000 15016909 Effective Date: 01/01/2013 Monroe 3,600 15016942 B. Reform See Exhibit 2-R (Baker, Clay, Xxxxx, Nassau) Agency Area 4 Effective Date: 01/01/2013 County Enrollment Level Provider Number Xxxxx 5,000 7293703 Clay 5,000 7293704 Xxxxx 20,000 7293701 Nassau 5,000 7293702 See Exhibit 2-R (Broward) Agency Area 10 Effective Date: 01/01/2013 County Enrollment Level Provider Number Broward 10,000 7293700 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Calhoun, Gadsden, Xxxxxxxxx, Xxxx, Liberty, Madison, Wakulla Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxxxx 800 015019340 Gadsden 3,500 015019315 Jefferson 1,000 015019318 Xxxx 7,000 015019320 Liberty 400 015019342 Madison 1,500 015019322 Wakulla 1,000 015019336 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: HernandoCitrus, Sumter Xxxx, Xxxxxx, Xxxxxx Effective Date: 09/01/09 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Citrus 7,500 015019309 Lake 7,000 015019319 Xxxxxx 20,000 015019323 Xxxxxx 6,000 015019329 AHCA Contract No. FA905, Attachment I, Exhibit 1, Page 1 of 9 HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: Xxxxx, Volusia Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxx 55,000 015019313 Volusia 15,000 015019335 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 County Enrollment Level Provider Number Pasco 7,000 015016903 6,000 015019302 Pinellas 15,000 015016904 9,000 015019303 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Highlands, Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Highlands 3,000 015019317 Hillsborough 28,000 015016902 18,000 015019300 Manatee 12,000 015016912 6,000 015019301 Polk 25,000 015016905 10,000 015019304 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA904FA905, Attachment I, Exhibit 1-B, Page 1 2 of 3 WellCare 9 HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Brevard, Orange, Seminole, Osceola, Brevard Seminole Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 015019308 Orange 25,000 015019327 Osceola 8,000 015019328 Seminole 4,000 015019333 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 County: Sarasota Effective Date: 09/01/09 County Enrollment Level Provider Number Sarasota 3,000 015019332 See Exhibit 0-XX Xxxxx 0, Xxxxxxx Xxxxxxxxxx Xxxxx plus Mental Health Rates Area 9 Counties: Xxxxxx, Palm Beach Effective Date: 09/01/09 County Enrollment Level Provider Number Xxxxxx 5,000 015019324 Palm Beach 10,500 015019339 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/09 County Enrollment Level Provider Number Broward 13,500 015019337 AHCA Contract No. FA905, Attachment I, Exhibit 1, Page 3 of 9 HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract See Exhibit 2-NR Table 4, General Capitation Rates, Mental Health Rates, plus Transportation Area 11 County: Miami-Dade Effective Date: 09/01/09 County Enrollment Level Provider Number Miami-Dade 25,000 015019338 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA905, Attachment I, Exhibit 1, Page 4 of 9

Non-Reform. See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Effective Date: 09/01/09 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 County Enrollment Level Provider Number Pasco 7,000 015016903 Pinellas 15,000 015016904 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area1 Counties: Okaloosa, Wxxxxx Effective Date: 01/01/13 County Enrollment Level Provider Number Okaloosa 12,474 TBD Wxxxxx 3,705 TBD See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Franklin, Taylor, Gulf, Holmes, Jackson, Washington Effective Date: 11/01/12 County Enrollment Level Provider Number Franklin 1,083 015016926 Txxxxx 2,516 015016935 Effective Date: 01/01/13 Gulf 1,357 TBD Hxxxxx 2,859 TBD Jackson 5,554 TBD Washington 1,083 TBD REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Medicaid Non-Reform HMO Contract Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Sumter, Columbia, Bxxxxxxx, Xxxxx, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union, Alachua Effective DateDates: 09/01/09 09/01/12 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Columbia 8,287 015016922 Effective Dates: 11/01/12 Bradford 3,032 015016924 Dixie 1,928 015016925 Gxxxxxxxx 1,644 015016927 Hxxxxxxx 1,934 015016929 Lafayette 646 015016931 Levy 4,927 015016932 Suwannee 5,346 015016934 Union 1,483 015016936 Effective Dates: 01/01/13 Alachua 19,183 TBD See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: St. Jxxxx, Flagler Effective Date: 09/01/12 County Enrollment Level Provider Number St. Jxxxx 8,300 015016920 Flagler 7,400 015016923 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I-C B, Exhibit 1, Page 2 of 5 WellCare of Florida, Inc. d/b/a Medicaid Non-Reform HMO Contract Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Pasco 7,000 015016903 Pinellas 15,000 015016904 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Pxxx, Xxxxxx Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida Hxxxxx 4,100 015016921 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I-B, Exhibit 1, Page 3 of 5 WellCare of Florida, Inc. d/b/a Medicaid Non-Reform HMO Contract Staywell Health Plan of Florida See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 Counties: DeSoto, Lee, Sarasota, Charlotte, Glades, Hxxxxx, Cxxxxxx Effective Dates: 09/01/12 County Enrollment Level Provider Number DeSoto 4,100 015016919 Lxx 15,000 015016911 Sarasota 6,000 015016914 Charlotte 27,000 015016917 Effective Dates: 11/01/12 Glades 593 015016928 Hxxxxx 6,048 015016930 Effective Dates: 01/01/13 Cxxxxxx 22,800 TBD See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River, Okeechobee Effective Dates: 09/01/12 County Enrollment Level Provider Number Palm Beach 15,000 015016910 St. Lucie 4,500 015016915 Indian River 10,500 015016918 Effective Dates: 11/01/12 Okeechobee 5,000 015016933 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/12 County Enrollment Level Provider Number Broward 25,000 015016900 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Medicaid Non-Reform HMO Contract Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates, Mental Health Rates Area 11 County: Miami-Dade, Monroe Effective Date: 09/01/12 County Enrollment Level Provider Number Miami-Dade 25,000 015016909 Effective Date: 01/01/13 Monroe 3,656 TBD B. Reform See Exhibit 2-R (Baker, Clay, Dxxxx, Nassau) Agency Area 4 Effective Date: 01/01/13 County Enrollment Level Provider Number Bxxxx 5,000 TBD Clay 5,000 TBD Dxxxx 20,000 TBD Nassau 5,000 TXX Xxx Xxxxxxx 0-X (Xxxxxxx) Xxxxxx Xxxx 00 Effective Date: 01/01/13 County Enrollment Level Provider Number Broward 10,000 TBD REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I-B, Exhibit 1, Page 5 of 5 WellCare of Florida, Inc. d/b/a Medicaid Non-Reform HMO Contract Staywell Health Plan of Florida ATTACHMENT I EXHIBIT 2-R MEDICAID REFORM HMO CAPITATION RATES By Area, Age and Eligibility Category/Population September 1, 2012 – August 31, 2013 (90112) TABLE 1: COMPREHENSIVE COMPONENT AND CATASTROPHIC COMPONENT CAPITATION RATES Effective September 1, 2012 ESTIMATED HEALTH PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS

Non-Reform. See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Effective Date: 09/01/09 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 County Enrollment Level Provider Number Pasco 7,000 015016903 Pinellas 15,000 015016904 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 See Exhibit 2-NR-C B Table 2, General Capitation Rates plus Mental Health RatesRates Area 8 Counties: Xxx, Sarasota, Charlotte Effective Date: 09/01/09, and 08/01/11 Charlotte County Enrollment Level Provider Number Xxx 15,000 015016911 Sarasota 6,000 015016914 Charlotte 27,000 TBD See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River Effective Date: 09/01/09, and 08/01/11 Indian River County Enrollment Level Provider Number Palm Beach 15,000 015016910 St. Lucie 4,500 015016915 Indian River 10,500 TBD REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 10 Counties: Broward Effective Date: 09/01/09 County Enrollment Level Provider Number Broward 25,000 015016900 See Exhibit 2-NR-B Table 2, General Capitation Rates plus Mental Health Rates Area 11 Counties: Miami-Dade Effective Date: 09/01/09 County Enrollment Level Provider Number Miami-Dade 25,000 015016909 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Non-Reform. See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Sumter, Columbia Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Hernando 15,000 015016901 Sumter 4,500 015016916 Columbia 8,287 TBD See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: St. Xxxxx, Flagler Effective Date: 09/01/12 County Enrollment Level Provider Number St. Xxxxx 8,300 015016920 Flagler 7,400 TBD See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Pasco 7,000 015016903 Pinellas 15,000 015016904 See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Effective Date: 09/01/09 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 11 of 3 18 WellCare of Florida, Inc. Inc., Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Xxxx, Xxxxxx Effective Date: 09/01/12 County Enrollment Level Provider Number Hillsborough 28,000 015016902 Manatee 12,000 015016912 Polk 25,000 015016905 Xxxxxx 4,100 015016921 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Orange 38,000 015016906 Seminole 6,000 015016908 Osceola 12,000 015016907 Brevard 14,000 015016913 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 Counties: DeSoto, Lee, Sarasota, Charlotte Effective Date: 09/01/12 County Enrollment Level Provider Number DeSoto 4,100 015016919 Xxx 15,000 015016911 Sarasota 6,000 015016914 Charlotte 27,000 015016917 WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River Effective Date: 09/01/12 County Enrollment Level Provider Number Palm Beach 15,000 015016910 St. Lucie 4,500 015016915 Indian River 10,500 015016918 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/09 County Enrollment Level Provider Number Broward 25,000 015016900 See Exhibit 0-XX Xxxxx 0, Xxxxxxx Xxxxxxxxxx Xxxxx, Mental Health Rates Area 11 County: Miami-Dade Effective Date: 09/01/12 County Enrollment Level Provider Number Miami-Dade 25,000 015016909 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 13 of 18 ATTACHMENT I EXHIBIT 2-NR ESTIMATED HEALTH PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS MEDICAID NON-REFORM HMO CAPITATION RATES By Area, Age and Eligibility Category Effective September 1, 2011 General Rates: XXXX XXX-X XXX-X XXX-XX Xxxx XXXXX+0XX 0XX-00XX AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) XXXXX+0XX 0XX-00XX AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) AGE (65-) AGE (65+) Female Male Female Male 01 944.58 184.93 99.14 62.81 127.84 67.50 271.85 155.86 430.03 12,534.08 1,853.67 459.10 183.60 219.90 719.01 846.95 304.31 95.72 75.16 02 809.74 158.54 85.26 55.17 110.84 59.12 234.16 134.73 369.40 10,634.20 1,571.89 378.61 129.11 165.06 567.50 702.50 304.31 85.34 66.80 03 977.48 191.38 102.88 66.37 133.57 71.13 282.47 162.44 445.78 13,033.48 1,927.78 480.73 199.09 235.25 760.70 885.63 304.31 86.58 67.80 04 982.26 192.25 101.91 59.51 127.52 64.77 277.81 157.18 443.92 13,413.62 1,983.70 490.64 194.84 234.00 766.84 905.39 304.31 79.94 62.45 05 1,109.71 217.27 116.92 75.94 152.20 81.32 321.19 184.92 506.42 14,476.72 2,141.09 531.81 215.85 257.04 836.50 980.51 304.31 74.93 58.42 06 1,021.04 199.94 108.39 73.89 143.78 78.57 298.90 173.52 468.21 13,062.91 1,932.30 484.19 205.34 240.45 771.66 891.12 304.31 73.50 57.26 07 966.83 189.24 100.39 58.99 125.91 64.15 273.80 155.07 437.19 13,593.51 2,010.10 494.41 190.58 231.59 766.17 913.39 304.31 72.84 56.74 08 952.04 186.41 100.57 66.44 131.76 70.95 276.63 159.73 435.19 12,412.16 1,835.77 456.44 186.23 221.31 719.07 841.38 304.31 80.42 62.84 09 1,032.49 202.14 108.41 68.86 139.93 73.98 297.32 170.54 470.17 14,347.56 2,121.42 519.54 195.54 239.92 799.72 960.67 304.31 82.17 64.25 10 1,028.53 201.37 108.26 69.90 140.62 74.92 297.28 170.98 469.11 17,915.36 2,649.60 657.40 265.37 316.67 1,032.39 1,212.35 304.31 92.58 72.64 11 1,187.84 232.59 125.70 84.02 165.46 89.59 346.10 200.24 543.62 15,014.29 2,220.47 549.99 220.03 263.49 861.45 1,014.60 304.31 120.99 95.51 6B* 1,020.54 199.85 108.39 74.07 143.91 78.73 298.94 173.68 468.11 13,061.73 1,932.14 484.22 205.49 240.58 771.87 891.14 304.31 73.50 57.26 TABLE 2 General + Mental Health Rates: TANF SSI-N SSI-B SSI-AB Area BTHMO+2MO 3MO-11MO AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) XXXXX+0XX 0XX-00XX AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) AGE (65-) AGE (65+) Female Male Female Male 01 944.69 185.04 101.42 73.90 138.20 77.86 281.21 165.22 436.32 12,535.85 1,855.44 479.56 233.51 260.16 798.67 877.14 321.65 105.67 85.11 02 809.82 158.62 86.94 63.35 118.47 66.75 241.06 141.63 374.03 10,636.65 1,574.34 406.90 198.14 220.74 677.67 744.25 321.65 95.29 76.75 03 977.58 191.48 104.95 76.48 143.01 80.57 291.00 170.97 451.51 13,035.03 1,929.33 498.65 242.81 270.52 830.48 912.07 321.65 96.53 77.75 04 982.44 192.43 105.47 76.86 143.72 80.97 292.45 171.82 453.76 13,415.57 1,985.65 513.21 249.90 278.41 854.72 938.69 321.65 89.89 72.40 05 1,109.82 217.38 119.15 86.82 162.35 91.47 330.37 194.10 512.59 14,478.63 2,143.00 553.88 269.70 300.48 922.45 1,013.08 321.65 84.88 68.37 06 1,021.10 200.00 109.62 79.88 149.37 84.16 303.96 178.58 471.61 13,064.26 1,933.65 499.77 243.36 271.12 832.34 914.11 321.65 83.45 67.21 07 967.00 189.41 103.81 75.65 141.46 79.70 287.85 169.12 446.63 13,595.73 2,012.32 520.10 253.26 282.15 866.20 951.30 321.65 82.79 66.69 08 952.12 186.49 102.22 74.49 139.28 78.47 283.42 166.52 439.76 12,413.76 1,837.37 474.89 231.24 257.62 790.90 868.60 321.65 90.37 72.79 09 1,032.61 202.26 110.86 80.78 151.06 85.11 307.38 180.60 476.93 14,350.11 2,123.97 548.96 267.31 297.81 914.26 1,004.08 321.65 92.12 74.20 10 1,028.64 201.48 110.43 80.47 150.48 84.78 306.20 179.90 475.10 17,917.79 2,652.03 685.44 333.77 371.85 1,141.56 1,253.72 321.65 102.53 82.59 11 1,187.93 232.68 127.53 92.93 173.78 97.91 353.62 207.76 548.67 15,016.41 2,222.59 574.45 279.72 311.64 956.71 1,050.70 321.65 130.94 105.46 6B* 1,020.60 199.91 109.57 79.84 149.30 84.12 303.81 178.50 471.38 13,063.07 1,933.48 499.73 243.33 271.10 832.26 914.03 321.65 83.45 67.21 AHCA Contract No. FA971, Attachment I, Exhibit 2-NR, Page 14 of 18

Non-Reform. See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area1 Counties: Okaloosa, Xxxxxx Effective Date: 01/01/2013 County Enrollment Level Provider Number Okaloosa 12,400 15016943 Xxxxxx 3,700 15016944 See Exhibit 2-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 2 Counties: Franklin, Taylor, Gulf, Holmes, Jackson, Washington Effective Date: 11/01/2012 County Enrollment Level Provider Number Franklin 1,000 15016926 Xxxxxx 2,500 15016935 Effective Date: 01/01/2013 Gulf 1,300 15016939 Xxxxxx 2,800 15016940 Jackson 5,500 15016941 Washington 2,800 15016945 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 1 of 5 Medicaid Non-Reform HMO Contract WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 3 Counties: Hernando, Sumter Sumter, Columbia, Xxxxxxxx, Xxxxx, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union, Alachua Effective DateDates: 09/01/09 09/01/2012 County Enrollment Level Provider Number Hernando 15,000 015016901 15016901 Sumter 4,500 015016916 15016916 Columbia 8,200 15016922 Effective Dates: 11/01/2012 Bradford 3,000 15016924 Dixie 1,900 15016925 Xxxxxxxxx 1,600 15016927 Xxxxxxxx 1,900 15016929 Lafayette 600 15016931 Levy 4,900 15016932 Suwannee 5,300 15016934 Union 1,400 15016936 Effective Dates: 01/01/2013 Alachua 19,100 15016937 See Exhibit 2-NRNR Table 2, General Capitation Rates plus Mental Health Rates Area 4 Counties: St. Xxxxx, Flagler Effective Date: 09/01/2012 County Enrollment Level Provider Number St. Xxxxx 8,300 15016920 Flagler 7,400 15016923 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 2 of 5 Medicaid Non-C Reform HMO Contract WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 5 Counties: Pasco, Pinellas Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Pasco 7,000 015016903 15016903 Pinellas 15,000 015016904 15016904 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 6 Counties: Hillsborough, Manatee, Polk Xxxx, Xxxxxx Effective Date: 09/01/09 09/01/12 County Enrollment Level Provider Number Hillsborough 28,000 015016902 15016902 Manatee 12,000 015016912 15016912 Polk 25,000 015016905 AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3 WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida 15016905 Xxxxxx 4,100 15016921 See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 7 Counties: Orange, Seminole, Osceola, Brevard Effective Date: 09/01/09 09/01/2012 County Enrollment Level Provider Number Orange 38,000 015016906 75,000 15016906 Seminole 6,000 015016908 10,000 15016908 Osceola 12,000 015016907 30,000 15016907 Brevard 14,000 015016913 30,000 15016913 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 3 of 5 Medicaid Non-Reform HMO Contract WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida See Exhibit 2-NR-C NR Table 2, General Capitation Rates plus Mental Health Rates Area 8 Counties: DeSoto, Lee, Sarasota, Charlotte, Glades, Xxxxxx, Xxxxxxx Effective Dates: 09/01/2012 County Enrollment Level Provider Number DeSoto 4,100 15016919 Xxx 15,000 15016911 Sarasota 6,000 15016914 Charlotte 27,000 15016917 Effective Dates: 11/01/2012 Glades 500 15016928 Xxxxxx 6,000 15016930 Effective Dates: 01/01/2013 Xxxxxxx 22,800 15016938 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 9 Counties: Palm Beach, St. Lucie, Indian River, Okeechobee Effective Dates: 09/01/2012 County Enrollment Level Provider Number Palm Beach 15,000 15016910 St. Lucie 4,500 15016915 Indian River 10,500 15016918 Effective Dates: 11/01/2012 Okeechobee 5,000 15016933 See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates Area 10 County: Broward Effective Date: 09/01/2012 County Enrollment Level Provider Number Broward 25,000 15016900 AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 4 of 5 Medicaid Non-Reform HMO Contract WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida See Exhibit 2-NR Table 2, General Capitation Rates, Mental Health Rates Area 11 County: Miami-Dade, Monroe Effective Date: 09/01/2012 County Enrollment Level Provider Number Miami-Dade 25,000 15016909 Effective Date: 01/01/2013 Monroe 3,600 15016942 B. Reform See Exhibit 2-R (Baker, Clay, Xxxxx, Nassau) Agency Area 4 Effective Date: 01/01/2013 County Enrollment Level Provider Number Xxxxx 5,000 7293703 Clay 5,000 7293704 Xxxxx 20,000 7293701 Nassau 5,000 7293702 See Exhibit 2-R (Broward) Agency Area 10 Effective Date: 01/01/2013 County Enrollment Level Provider Number Broward 10,000 7293700 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK