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UNH » Topics » IV. Member Selection

This excerpt taken from the UNH 10-K filed Mar 1, 2005.

IV. Member Selection

 

To ensure that credible claims/utilization data exists, only those members continuously enrolled in an AARP Medicare Supplement plan for a minimum of 12 months will be considered. The PSDP program identifies program participants based upon claim costs, number of chronic conditions and utilization patterns.

 

  •   Enrollment in this pilot is voluntary, and the member may terminate their involvement at any time

 

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  •   There is no additional premium cost to the members who enroll in the program

 

  •   The pilot group suffers from four or more impactible chronic conditions, and within the past year required at least one emergency room visit and one hospital stay.

 

  •   The pilot will consist of 400 randomly selected members who fit the above criteria, selected from the existing base of current Medicare Supplement members.

 

  •   The program will include a control group of 400 members.

 

  •   Pilot members will not be replenished

 

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