Year 2002 Annual Reporting Requirements for Massachusetts Health Plans
*information based on 2001 statistics

Insurance Provider                                 Filed              # Internally        # Internally           # Withdrawn
Grievances         Approved            Denied          before Resolution
AETNA Life Insurance Company
Medical                                            534                     266                     210                           0
(additional 58
partial pay)
Dental                                              55                        5                        50                            0

AETNA U.S. Healthcare, Inc.                           534                     188                     208                           0
Altus Dental Insurance Company                        1                         1                         0                             0

Ameritas Life Insurance Corporation                     3                         1                         2                             0

Reliance Standard Life Insurance Company                0                         0                         0                             0
Baystate Health Systems (PPA)                          0                         0                         0                             0

Blue Cross & Blue Shield of Massachusetts            2160                   1197                    963                           0

Blue Cross & Blue Shield of Rhode Island              1317                    797                     306                   Other (214)

CIGNA Health Care of Massachusetts                   655                     385                     270                           4

Conn. General Life Ins. (PPO, DPP, DPPO)       MA PPO and
Dental:  88                 41                       47                            0
Columbian Life Ins. Company                           0                         0                         0                             0
ConnectiCare, Inc. & Associates                        89                       86                        3                             0

Corvell (PPA for OHU-Compcare)                        0                         0                         0                             0

Massachusetts Department of Public Health                              Office of Patient Protection

Year 2002 Annual Reporting Requirements for Massachusetts Health Plans
*information based on 2001 statistics

Insurance Provider                             Filed              # Internally       # Internally           # Withdrawn
Grievances         Approved            Denied          before Resolution
Delta Dental Plan of Massachusetts                 24                        9                        15                            0

Fallon Community Health Plan                    1829                    536                    195                          12
Fallon Health & Life Assurance Com.                NA                      NA                      NA                          NA
Fortis Insurance Company                         65                       35                       30                            0

Fortis Benefits Insurance Co.                       39                       22                       20                            0

John Alden Life Insurance Co.                     227                     145                      82                            0

GE Group Life Insurance Company                   1                         1                         0                             0
(Medical)

(Dental)                                          0                         0                         0                             0

Great West Life &                                  4                         3                         1                             0
Annuity Insurance Company

One Health Plan of Massachusetts, Inc.               2                         0                         2                             0

New England Life Insurance Company                6                         6                         0                             0

Metropolitan Life Insurance Company

Same as above

Same as
above                    0                             0

Guardian                                        27                        9                        16                            2
214                     182                      32                            0
2                         1                         1                             0

Massachusetts Department of Public Health                              Office of Patient Protection

Year 2002 Annual Reporting Requirements for Massachusetts Health Plans
*information based on 2001 statistics

Insurance Provider                                 Filed           # Internally      # Internally           # Withdrawn
Grievances       Approved           Denied          before Resolution
Harvard Pilgrim Health Care, Inc.                      1357                  626                   664                          91

Pilgrim Health Care, Inc.
First Return Insurance, Inc.
Harvard Pilgrim Insurance Company                     3                       3                       0                             0
Harvard Pilgrim Health Care of New England               2                       2                       0                             0
Health New England                                 219                   137                    85                            5

Managed Comp (PPA)                                  0                       0                       0                             0

MEGA Life & Health Insurance Company                 30                      9                      17                            4

Mid-West National Life Insurance                        7                       1                       6                             0
Company of Tennessee
Chesapeake Life Insurance Company                     0                       0                       0                             0

Metropolitan Life Insurance Company                   35                     13                     22                            4
(Dental)

Neighborhood Health Plan                             61                     42                     19                            0

Pioneer Health Network- The PPO                        0                       0                       0                             0

Combined Insurance Company of America                0                       0                       0                             0
Principal Life Insurance Company (Dental)                0                       0                       0                             0

ReliaStar Life Insurance Company                       0                       0                       0                             0
(Superior Vision Plan)

Massachusetts Department of Public Health                              Office of Patient Protection

Year 2002 Annual Reporting Requirements for Massachusetts Health Plans
*information based on 2001 statistics

Insurance Provider                            Filed           # Internally      # Internally           # Withdrawn
Grievances       Approved           Denied          before Resolution
Trustmark Insurance Company                     1                       1                       0                             0

Tufts Associated                              1215                  265                   812                         138
Health Maintenance Organization

UniCare                                        32                     20                     12                            0

United Healthcare Insurance Company
United Healthcare of New England Inc.             255                    95                     65                            0

Vision Services Plan Insurance Com.              129                   105                    21                            3

Massachusetts Department of Public Health                              Office of Patient Protection