Public Information, Minnesota Statutes 62D.08. Male Female Total Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR NR NR NR NR NR NR

(1)

Type of Product: Commercial

Male

Female

Total

Male

Female

Total

<1

NR

1-4

NR

5-9

NR

10-14

NR

15-17

NR

18-19

NR

20-24

NR

25-29

NR

30-34

NR

35-39

NR

40-44

NR

45-49

NR

50-54

NR

55-59

NR

60-64

NR

65-69

NR

70-74

NR

75-79

NR

80-84

NR

85-89

NR

90+

NR

Unknown

NR

Total

NR

Age of

Enrollees

(2)

Type of Product: Medicare + Choice

Male

Female

Total

Male

Female

Total

<1

NR

1-4

NR

5-9

NR

10-14

NR

15-17

NR

18-19

NR

20-24

NR

25-29

NR

30-34

NR

35-39

NR

40-44

NR

45-49

NR

50-54

NR

55-59

NR

60-64

NR

65-69

NR

70-74

NR

75-79

NR

80-84

NR

85-89

NR

90+

NR

Unknown

NR

Total

NR

Member Months

Age of

Enrollees

(3)

Type of Product: Medicare Cost

Male

Female

Total

Male

Female

Total

<1

NR

1-4

NR

5-9

NR

10-14

NR

15-17

NR

18-19

NR

20-24

NR

25-29

NR

30-34

NR

35-39

NR

40-44

NR

45-49

NR

50-54

NR

55-59

NR

60-64

NR

65-69

NR

70-74

NR

75-79

NR

80-84

NR

85-89

NR

90+

NR

Unknown

NR

Total

NR

Member Months

Age of

Enrollees

(4)

Type of Product: Minnesota Senior Health Options (MSHO)

Male

Female

Total

Male

Female

Total

<1

-

-1-4

-

-5-9

-

-10-14

-

-15-17

-

-18-19

-

-20-24

-

-25-29

-

-30-34

-

-35-39

-

-40-44

-

-45-49

-

-50-54

-

-55-59

-

-60-64

-

-65-69

82

184

266

855 1,905

2,760

70-74

93

191

284 1,107

2,248

3,355

75-79

101

197

298 1,232

2,256

3,488

80-84

99

258

357 1,207

3,061

4,268

85-89

89

297

386 1,116

3,560

4,676

90+

84

436

520 1,208

5,497

6,705

Unknown

-

-Total

548 1,563

2,111

6,725

18,527

25,252

Age of

Enrollees

Member Months

Members at End of Period

(5)

Type of Product: Special Needs Basic Care (MA only)

Male

Female

Total

Male

Female

Total

<1

-

-1-4

-

-5-9

-

-10-14

-

-15-17

-

-18-19

3

2

5

36

21

57 20-24

32

34

66

396

376

772 25-29

52

38

90

636

491 1,127

30-34

56

37

93

705

536 1,241

35-39

52

43

95

648

590 1,238

40-44

67

77

144

864 1,025

1,889

45-49

81

162 1,026

1,144

2,170

50-54

88

99

187 1,201

1,293

2,494

55-59

94

110

204 1,179

1,403

2,582

60-64

74

73

147

955

995 1,950

65-69

11

18

29

142

290

432 70-74

-

-75-79

-

-80-84

-

-85-89

-

-90+

-

-Unknown

-

-Total

610

612 1,222

7,788

8,164

15,952

Age of

Enrollees

Member Months

Members at End of Period

(6)

Type of Product: Special Needs Basic Care Integrated

Male

Female

Total

Male

Female

Total

<1

-

-1-4

-

-5-9

-

-10-14

-

-15-17

-

-18-19

-

-20-24

3 -

3

36 -

36 25-29

2

4

24

48 30-34

3

9

12

43

105

148 35-39

8

16

89

96

185 40-44

7

10

17

75

133

208 45-49

15

16

31

176

198

374 50-54

15

22

37

201

253

454 55-59

17

23

40

214

275

489 60-64

8

18

26

94

224

318 65-69

4

5

9

54

75

129 70-74

-

-75-79

-

-80-84

-

-85-89

-

-90+

-

-Unknown

-

-Total

82

113

195 1,006

1,383

2,389

Age of

Enrollees

Member Months

Members at End of Period

(7)

Type of Product: Prepaid Medical Assistance Program (PMAP)

Male

Female

Total

Male

Female

Total

<1

542

538 1,080

3,286

3,279

6,565

1-4

1,451

1,374

2,825

19,053

17,898

36,951

5-9

1,505

1,494

2,999

18,125

17,802

35,927

10-14

1,127

1,150

2,277

13,139

13,727

26,866

15-17

550

531 1,081

6,395

6,353

12,748

18-19

214

308

522 3,268

3,809

7,077

20-24

362

972 1,334

4,701

11,462

16,163

25-29

386 1,055

1,441

4,725

12,369

17,094

30-34

397

892 1,289

4,852

10,335

15,187

35-39

296

486

782 3,735

6,085

9,820

40-44

239

393

632 2,980

4,780

7,760

45-49

243

316

559 2,934

3,759

6,693

50-54

229

242

471 2,796

2,721

5,517

55-59

162

150

312 1,965

1,807

3,772

60-64

77

76

153

974

893 1,867

65-69

71

111

182

782 1,207

1,989

70-74

52

88

140

636 1,054

1,690

75-79

49

76

125

552

859 1,411

80-84

42

84

126

500

945 1,445

85-89

24

66

90

292

869 1,161

90+

29

98

127

371 1,274

1,645

Unknown

-

-Total

8,047

10,500

18,547

96,061

123,287

219,348

Age of

Enrollees

(8)

Type of Product: MNCare

Male

Female

Total

Male

Female

Total

<1

9

8

17

62

63

125 1-4

105

86

191

966

852 1,818

5-9

127

87

214 1,342

1,020

2,362

10-14

75

78

153

754

788 1,542

15-17

30

44

74

342

447

789 18-19

18

29

47

165

294

459 20-24

69

117

186

803 1,344

2,147

25-29

75

96

171

953 1,148

2,101

30-34

78

104

182

902 1,239

2,141

35-39

70

69

139

757

829 1,586

40-44

59

81

140

711

896 1,607

45-49

62

95

157

627 1,112

1,739

50-54

75

106

181

960 1,321

2,281

55-59

51

73

124

647

902 1,549

60-64

56

67

123

615

800 1,415

65-69

-

1

38

100

138 70-74

-

6

6 75-79

-

-80-84

-

-85-89

-

-90+

-

-Unknown

-

-Total

959 1,141

2,100

10,644

13,161

23,805

Age of

Enrollees

(9)

Type of Product: Other:

Male

Female

Total

Male

Female

Total

<1

-

-1-4

-

2

2 -

13

13 5-9

4

2

6

43

31

74 10-14

4

2

6

43

34

77 15-17

2

1

3

28

17

45 18-19

4

1

5

42

12

54 20-24

3 -

3

51

7

58 25-29

4

2

6

28

4

32 30-34

3

1

4

40

2

42 35-39

2

4

6

13

51

64 40-44

-

2

23

26

49 45-49

3

2

5

46

31

77 50-54

2

1

3

12

24 55-59

2

3

5

24

41

65 60-64

3

2

5

35

23

58 65-69

-

-70-74

-

-75-79

-

-80-84

-

-85-89

-

-90+

-

-Unknown

-

-Total

36

25

61

428

304

732 ValuesHealth

Members at End of Period

Member Months

Age of

Enrollees

(10)

Type of Product: Administrative Services Only

Male

Female

Total

Male

Female

Total

<1

NR

1-4

NR

5-9

NR

10-14

NR

15-17

NR

18-19

NR

20-24

NR

25-29

NR

30-34

NR

35-39

NR

40-44

NR

45-49

NR

50-54

NR

55-59

NR

60-64

NR

65-69

NR

70-74

NR

75-79

NR

80-84

NR

85-89

NR

90+

NR

Unknown

NR

Total

NR

Age of

Enrollees

(11)

Prime West 2012 Page 11 of 13 Becker 3 - - - -Beltrami 4 141 274 - 4,574 414 - 5,403 Benton 5 - - - -Big Stone 6 122 39 2 340 49 - 552 Blue Earth 7 - - - -Brown 8 - - - -Carlton 9 - - - -Carver 10 - - - -Cass 11 - - - 1 - - 1 Chippewa 12 - - - -Chisago 13 - - - -Clay 14 - - - -Clearwater 15 103 69 - 974 76 - 1,222 Cook 16 - - - -Cottonwood 17 - - - -Crow Wing 18 - - - -Dakota 19 - - - -Dodge 20 - - - -Douglas 21 418 238 86 2,439 421 32 3,634 Faribault 22 - - - -Fillmore 23 - - - -Freeborn 24 - - - -Goodhue 25 - - - -Grant 26 62 21 16 475 88 - 662 Hennepin 27 - - - -Houston 28 - - - -Hubbard 29 73 104 - 2,077 215 - 2,469 Isanti 30 - - - -Itasca 31 - - - -Jackson 32 - - - -Kanabec 33 - - - -Kandiyohi 34 - - - -Kittson 35 - - -

(12)

-Prime West 2012 Page 12 of 13

Lac Qui Parle 37 - - -

-Lake 38 - - -

-Lake of the Woods 39 - - -

-Le Sueur 40 - - - -Lincoln 41 - - - -Lyon 42 - - - -McLeod 43 315 157 23 2,209 226 - 2,930 Mahnomen 44 - - - -Marshall 45 - - - -Martin 46 - - - -Meeker 47 256 65 14 1,666 206 11 2,218 Mille Lacs 48 - - - -Morrison 49 - - - -Mower 50 - - - -Murray 51 - - - -Nicollett 52 - - - -Nobles 53 - - - -Norman 54 - - - -Olmsted 55 - - - -Otter Tail 56 - - - 1 - 2 3 Pennington 57 - - - -Pine 58 - - - -Pipestone 59 131 38 14 845 96 - 1,124 Polk 60 - - - -Pope 61 175 73 14 868 141 - 1,271 Ramsey 62 - - - -Red Lake 63 - - - -Redwood 64 - - - -Renville 65 134 78 11 1,366 75 - 1,664 Rice 66 - - - -Rock 67 - - - -Roseau 68 - - - -Saint Louis 69 - - - -Scott 70 - - -

(13)

-Prime West 2012 Page 13 of 13 Sibley 72 - - - -Stearns 73 - - - 13 13 Steele 74 - - - -Stevens 75 95 54 11 441 48 - 649 Swift 76 - - - -Todd 77 - - - 1 1 Traverse 78 86 12 4 271 45 1 419 Wabasha 79 - - - -Wadena 80 - - - -Waseca 81 - - - -Washington 82 - - - -Watonwan 83 - - - -Wilkin 84 - - - -Winona 85 - - - -Wright 86 - - - 1 1 Yellow Medicine 87 - - - -State Total 88 NR NR NR 2,111 1,222 195 18,547 2,100 61 NR 24,236 Outside State 89 NR Unknown 90 NR SUBTOTAL 91 NR NR NR 2,111 1,222 195 18,547 2,100 61 NR 24,236