2009 Annual Reporting Requirements for Massachusetts Health Plans	
*information based on 2008 statistics	
Insurance Provider	% of Physicians voluntarily	Top 3 reasons for	
 	terminating contracts 	contract termination	
Aetna Health, Inc.	0.90%	1.  Voluntary Term	
 	 	2.  Recredentialing	
 	 	3.  Changed IPA/Group affiliate	
Aetna Life Insurance Company	0.90%	same as above	

Assurant Health 	 	 	
Time Insurance Company	3.90%	1. Left contracted medical group	
Union Security Insurance Company	3.90%	2. Physician initiated	
John Alden Life	3.90%	3.  Relocated	
Boston Medical Center HealthNet Plan	4%	1. Terminated relationship with PHO	
 	 	2.Terminated relationship with hospital	
 	 	3.  Provider moved out of state	
Blue Cross and Blue Shield of Massachusetts, Inc.	6.38%	1. Relocated	
 	 	2.  Resignation	
Blue Cross and Blue Shield of Mass. HMO	7.16%	3.  Voluntary non-compliance with recredentialing	
CIGNA HealthCare of Massachusetts, Inc.	1.36%	1.  Provider moved	
 	 	2.  Physician initiated	
 	 	3.  Health plan initiated recredentialing; physician voluntary non-compliance 	
ConnectiCare of Massachusetts, Inc.	3.90%	1.  No IPA affiliation	
 	 	2.  Relocation	
 	 	3.  Unknown or no reason	
(Consolidated Health Plans)	 	1. Left contracted medical group	
Guarantee Trust Life Insurance Company	 	2. Physician initiated	
Nationwide Life Insurance Company	3.90%	3. Relocated	
Fallon Community Health Plan, Inc.	3.86%	1.  Provider left group	
 	 	2.  Relocation	
 	 	3.  Retirement	
Fallon Health & Life Assurance Company	3.90%	1.  Left contracted medical group	
 	 	2.  Physician initiated	
 	 	3.  Relocated	
The Guardian Life Insurance Company of America	3.90%	1. Left contracted medical group	
 	 	2. Relocated	
 	 	3. Physician initiated	
Harvard Pilgrim Health Care, Inc.	5.3%	1. Left contracted practice	
 		2. No longer in network	
 		3. Failed to meet recredentialing	
Harvard Pilgrim Insurance Company	same as above	same as above	
Harvard Pilgrim Health Care of New England, Inc.	 	 	
Health New England, Inc.	6%	1. Left service area	
 	 	2. Retired	
 	 	3. Left participating group practice	
Neighborhood Health Plan, Inc.	5.8% Primary Care	1. Resignation	
 	4.4% Specialty Care	2. Moved out of area	
 	 	3. Provider site closed	
Neighborhood Commonwealth Care Plan	2.13%	 same	
 	 	1. Left area	
Markel Insurance Company	0.09%	2.  Provider requested termination plan	
 	 	3.  Retired	
Combined Insurance Company of America	 	 	
Pioneer Health Network	2.30%	N/A	
 First Health Network	0.97%	N/A	
Trustmark Insurance Company	N/A	1. Left contracted medical group	
 	 	2. Physician initiated	
 	 	3. Relocated	
Tufts Insurance Company	4.39%	1. Retirement	
 	 	2. Relocation	
 		3. No reason given	
Tufts Associated Health Maintenance Organization, Inc.	4.39%	Same as above	
	 	 	
UNICARE Life and Health Insurance Company	3.90%	1.  Left contracted medical group	
 	 	2.  Physician initiated	
 	 	3.  Relocated	
United HealthCare Insurance Company	N/A	N/A	
UnitedHealthcare of New England, Inc.	N/A	N/A	
 	 	 	
Network Health	4.36%	1. Left contracted medical group	
 	 	2. Moved out of state	
 	 	3.  Retired	
 	 	4.  Other