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<br />PARTICIPATING PROVIDER AGREEMENT
<br />
<br />SCHEDULE D
<br />COMPANY AFFILIATES
<br />
<br />As of the Effective Date, the Affiliates of WellCare included as the “Company” are listed below.
<br />
<br />Affiliates State
<br />Celtic Insurance Company Multiple States
<br />Health Net Community Solutions, Inc. Multiple States
<br />Health Net Life Insurance Company Multiple States
<br />WellCare Health Plans, Inc. Multiple States
<br />WellCare of Alabama, Inc. Alabama
<br />Bridgeway Health Solutions of Arizona, Inc.
<br />Care1st Health Plan of Arizona Inc.
<br />Health Net of Arizona, Inc., d/b/a Arizona Complete Health
<br />One Care by Care1st Health Plan of Arizona Inc.
<br />WellCare Health Insurance of the Southwest, Inc.
<br />WellCare Health Plans of Arizona, Inc.
<br />Arizona
<br />Arkansas Health & Wellness Health Plan, Inc.
<br />Arkansas Total Care, Inc.
<br />NovaSys Health, Inc.
<br />WellCare Health Insurance Company of America
<br />Arkansas
<br />Harmony Health Plan, Inc. Arkansas, Illinois, Mississippi,
<br />South Carolina, Tennessee
<br />California Health and Wellness Plan
<br />Health Net of California, Inc.
<br />WellCare of California, Inc., f/k/a Easy Choice Health Plan, Inc.
<br />California
<br />WellCare Health Insurance of Connecticut, Inc. Connecticut
<br />WellCare of Connecticut, Inc. Connecticut, North Carolina
<br />Sunshine Health Plan Community Solutions, Inc.
<br />Sunshine State Health Plan, Inc.
<br />WellCare Health Insurance of Arizona, Inc.WellCare of Florida, Inc.
<br />Florida
<br />Ambetter of Peach State, Inc.
<br />Peach State Health Plan, Inc.
<br />WellCare of Georgia, Inc.
<br />Georgia
<br />WellCare Health Insurance of Arizona, Inc., d/b/a ‘Ohana Health Plan, Inc.
<br />WellCare Health Insurance of Hawaii, Inc. Hawaii
<br />IlliniCare Health Plan, Inc.
<br />Meridian Health Plan of Illinois, Inc.
<br />WellCare of Illinois, Inc.
<br />Illinois
<br />Meridian Health Plan of Michigan, Inc. Illinois, Indiana, Michigan, Ohio
<br />Coordinated Care Corporation, d/b/a Managed Health Services - IN Indiana
<br />Iowa Total Care, Inc. Iowa
<br />Sunflower State Health Plan, Inc. Kansas
<br />WellCare Health Insurance Company of Kentucky, Inc., d/b/a WellCare of
<br />Kentucky, Inc. Kentucky
<br />Louisiana Healthcare Connections, Inc.
<br />WellCare Health Insurance Company of Louisiana, Inc. Louisiana
<br />WellCare of Maine, Inc. Maine
<br />CeltiCare Health Plan of Massachusetts, Inc.
<br />WellCare Health Plans of Massachusetts, Inc. Massachusetts
<br />Meridian Health Plan of Michigan, Inc.
<br />Michigan Complete Health, Inc. Michigan
<br />DocuSign Envelope ID: 2EC1F0FD-FAF9-4B42-B52E-D419F55A6210
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