Attached files
file | filename |
---|---|
8-K - FORM 8-K - AMERIGROUP CORP | d444780d8k.htm |
Exhibit 99.1
WellPoint, Inc. / Amerigroup Corporation Acquisition
Form A Filings Status as of November 26, 2012
State | Amerigroup Regulated Entity |
Form A Status |
Amerigroup Membership (Approximate) |
Conditions / Limitations / Restrictions | ||||
Tennessee |
Amerigroup Tennessee, Inc. | Approved
Oct. 2 |
205,000 | None | ||||
Texas |
Amerigroup Texas, Inc.; Amerigroup Insurance Company; Amerigroup Corporation
|
Approved Oct. 29 Form A; Oct. 31 TPA |
649,000 | Closing must occur within 90 days from the October 29 order date (unless the Texas Insurance Commissioner extends the deadline)
Texas Department must be notified upon completion of the closing | ||||
New Mexico |
Amerigroup Community Care of New Mexico, Inc. | Approved Nov. 7 |
24,000 | None | ||||
Florida |
Amerigroup Florida, Inc. | Approved Nov. 9 |
268,000 | Updated background checks for certain Amerigroup officers must be submitted to the Office of Insurance Regulation (OIR) within 30 days from the date of the order
Legible fingerprint cards for certain Amerigroup officers must be submitted to the OIR
If the OIR determines that an officer or director of WellPoint, ATH or WellPoint Merger Sub, or the Florida HMO, has been found guilty of, or has pleaded guilty or nolo contendere to a felony or a misdemeanor (other than a minor traffic violation), or if background checks have not in fact been submitted for certain individuals, then such individual shall be removed from office with 30 days of notification from the OIR; and if such removal from office does not occur, the OIR may immediately suspend, revoke or take other administrative action as it deems appropriate upon the Certificate of Authority of the Florida HMO
The Florida HMO may not be a guarantor of any loan without prior approval from the OIR
WellPoint must make funds available to maintain the Florida HMOs surplus in compliance with Florida statutory minimum surplus requirements
Final executed closing documents and a closing funds statement must be provided to the OIR within 10 days of closing
Closing must occur within 90 days from the November 9 approval date (unless the OIR extends the deadline)
The Florida HMO must report to the OIR being named as a party defendant in a class action, within 15 days after the class is certified |
State | Amerigroup Regulated Entity |
Form A Status |
Amerigroup Membership (Approximate) |
Conditions / Limitations / Restrictions | ||||
Compliance with the approval orders requirements must be certified to the OIR within 90 days from the date of the approval order
Procedures to comply with requirements for detecting and preventing prohibited transaction with persons identified at the U.S. Treasury Departments Office of Foreign Assets Control website must be maintained
Failure to adhere to one or more terms or conditions may result in the revocation of the Florida HMOs Certificate of Authority
Each party must bear its own costs and expenses | ||||||||
Nevada |
Amerigroup Nevada, Inc. | Approved Nov. 9 |
85,000 | None | ||||
New Jersey |
Amerigroup New Jersey, Inc. | Approved Nov. 13 |
153,000 | None | ||||
Georgia |
AMGP Georgia Managed Care Company, Inc. | Approved Nov. 15 |
290,000 | None | ||||
New York1 |
Amerigroup New York, LLC | Approved Nov. 15 |
452,0002 |
The Amerigroup New York HMO and the existing WellPoint New York HMO must notify members regarding the acquisition and their membership in the Amerigroup New York HMO
Two year waiver of the transfer of funds (dividends) from the Amerigroup New York HMO to WellPoint or any affiliate
The Amerigroup New York HMOs current 2012 Policies and Procedures regarding Complaints and Grievances must continue after the acquisition and may not be adjusted based on WellPoints operations in and outside New York
The expansion of provider networks for two New York counties must be submitted to the Department within 60 days of the approval date
Certain members of the Amerigroup New York HMO who are chronically ill may, upon request, be allowed to continue care with their specialist physicians following the acquisition
WellPoints existing New York HMO will continue to provide coverage to certain members in upstate counties that do not overlap with the Amerigroup New York HMO, until alternative arrangements are available for such members
|
1 | Change of control is subject to approval by Department of Health; not regulated by the New York State Department of Insurance. |
2 | Other than Virginia, New York is the only state in which Amerigroup and WellPoint both have Medicaid managed care membership. |
2
State | Amerigroup Regulated Entity |
Form A Status |
Amerigroup Membership (Approximate) |
Conditions / Limitations / Restrictions | ||||
WellPoint must report to the Department on the number of providers assigned from WellPoints exiting New York HMO to the Amerigroup New York HMO post acquisition, and submit a revised provider network | ||||||||
Louisiana |
Amerigroup Louisiana, Inc. | Approved Nov. 16 |
144,000 | Louisiana Department must be notified of completion of the closing of the acquisition | ||||
Maryland |
Amerigroup Maryland, Inc. | Approved Nov. 19 |
215,000 | Maryland Administration must be notified of completion of the closing of the acquisition
The Maryland HMO must submit a Form B filing within 15 days after the end of the month in which the closing occurs, reflecting the new ownership | ||||
Ohio |
Amerigroup Ohio, Inc. | Approved Nov. 19 |
61,000 | None | ||||
Kansas |
Amerigroup Kansas, Inc. | Approved Nov. 21 |
N/A3 | Closing must occur within 60 days from the date of the order | ||||
Washington |
Amerigroup Washington, Inc. | Pending | 16,000 | |||||
Virginia4 |
Amerigroup Virginia, Inc. | N/A | 55,000 | N/A |
3 | Amerigroup will start serving members in Kansas beginning January 1, 2013. |
4 | WellPoint had originally filed a Form A application with the Virginia Bureau of Insurance on August 6, 2012. WellPoint's proposed acquisition of Amerigroup's Virginia business raised antitrust or competition issues. With resolution of those issues through Amerigroup's pending divestiture of its Virginia HMO to an unrelated party prior to or at the closing of WellPoint's acquisition of Amerigroup, Virginia's approval for WellPoint's Form A application is no longer needed and, accordingly, upon discussion and coordination with the Virginia insurance regulator, WellPoint withdrew its Virginia Form A application on October 9, 2012. |
3