Common use of Financial Reports Clause in Contracts

Financial Reports. ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-01 FR-01 Notification to EHS Regarding Negative Change in Financial Status Notification to EHS Regarding Negative Change in Financial Status (Notification: Same Day) Ad-Hoc Notification: Same Day OnBase FR-02 FR-02 Outstanding Litigation Summary Outstanding Litigation Summary Annually OnBase FR-03 FR-03 Financial Ratio Analysis Financial Ratio Analysis\ Annually OnBase FR-04B FR-04B Experience Review and Revenue Expense Report (F-4B) Experience Review and Revenue Expense Report (F-4B) Quarterly and Annually OnBase FR-05C FR-05C Experience Review and Utilization/Cost Reports (F-5C) Experience Review and Utilization/Cost Reports (F-5C) Quarterly and Annually OnBase FR-07 FR-07 Liability Protection Policies Liability Protection Policies Annually OnBase FR-08 FR-08 DOI Financial Report (for Plans that are DOI licensed) DOI Financial Report (for Plans that are DOI licensed) Quarterly OnBase FR-09 FR-09 Insolvency Reserves Insolvency Reserves Attestation Annually OnBase FR-10 FR-10 Lag Triangles and Completion Factors Report (IBNR) Lag Triangles and Completion Factors Report (IBNR) Quarterly and Annually OnBase FR-11 FR-11 Description of Incurred But Not Reported (IBNR) Methodology Description of Incurred But Not Reported (IBNR) Methodology Annually OnBase FR-12 FR-12 Audited Financial Statements Audited Financial Statements Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-13 FR-13 Attestation Report from Independent Auditors on Effectiveness of Internal Controls Attestation Report from Independent Auditors on Effectiveness of Internal Controls Annually OnBase FR-14 FR-14 Financial Relationships Report Financial Relationships Report Annually OnBase FR-15 FR-15 Annual Administrative Detail Report Annual Administrative Detail Report Annually OnBase FR-17 FR-17 Quarterly Risk Share Report Quarterly Annual Risk Share Report Quarterly and Annually OnBase FR-18-A [RETIRED] FR-18-B [RETIRED] FR-19 FR-19 Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Ad-Hoc OnBase FR-20 [RETIRED] FR-21 [RETIRED]

Financial Reports. ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-01 FR-01 Notification to EHS Regarding Negative Change in Financial Status Notification to EHS Regarding Negative Change in Financial Status (Notification: Same Day) Ad-Hoc Notification: Same Day OnBase FR-02 FR-02 Outstanding Litigation Summary Outstanding Litigation Summary Annually Annual OnBase FR-03 FR-03 Financial Ratio Analysis Financial Ratio Analysis\ Annually Annual OnBase FR-04B FR-04B Experience Review and Revenue Expense Report (F-4B) Experience Review and Revenue Expense Report (F-4B) Quarterly and Annually Annual OnBase FR-05C FR-05C Experience Review and Utilization/Cost Reports (F-5C) Experience Review and Utilization/Cost Reports (F-5C) Quarterly and Annually Annual OnBase FR-07 FR-07 Liability Protection Policies Liability Protection Policies Annually Annual OnBase FR-08 FR-08 DOI Financial Report (for Plans that are DOI licensed) DOI Financial Report (for Plans that are DOI licensed) Quarterly OnBase FR-09 FR-09 Insolvency Reserves Insolvency Reserves Attestation Annually Annual OnBase FR-10 FR-10 Lag Triangles and Completion Factors Report (IBNR) Lag Triangles and Completion Factors Report (IBNR) Quarterly and Annually Annual OnBase FR-11 FR-11 Description of Incurred But Not Reported (IBNR) Methodology Description of Incurred But Not Reported (IBNR) Methodology Annually Annual OnBase FR-12 FR-12 Audited Financial Statements Audited Financial Statements Annually Annual OnBase FR-13 FR-13 Attestation Report from Independent Auditors on Effectiveness of Internal Controls Annual OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-13 FR-13 Attestation Report from Independent Auditors on Effectiveness of Internal Controls Attestation Report from Independent Auditors on Effectiveness of Internal Controls Annually OnBase FR-14 FR-14 Financial Relationships Report Financial Relationships Report Annually Annual OnBase FR-15 FR-15 Annual Administrative Detail Report Annual Administrative Detail Report Annually Annual OnBase FR-17 FR-17 Quarterly Risk Share Report Quarterly Annual Risk Share Report Quarterly and Annually Annual OnBase FR-18-A [RETIRED] FR-18-B A [RETIRED] FR-19 FR-19 Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Ad-Hoc OnBase FR-20 [RETIRED] FR-21 [RETIREDRESERVED]

Financial Reports. ACO MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-01 FR-01 Notification to EHS Regarding Negative Change in Financial Status Notification to EHS Regarding Negative Change in Financial Status (Notification: Same Day) Ad-Hoc Notification: Same Day OnBase FR-02 FR-02 Outstanding Litigation Summary Outstanding Litigation Summary Annually Annual OnBase FR-03 FR-03 Financial Ratio Analysis Financial Ratio Analysis\ Annually Annual OnBase FR-04B FR-04B Experience Review and Revenue Expense Report (F-4B) Experience Review and Revenue Expense Report (F-4B) Quarterly and Annually Annual OnBase FR-05C FR-05C Experience Review and Utilization/Cost Reports (F-5C) Experience Review and Utilization/Cost Reports (F-5C) Quarterly and Annually Annual OnBase FR-07 FR-07 Liability Protection Policies Liability Protection Policies Annually Annual OnBase FR-08 FR-08 DOI Financial Report (for Plans that are DOI licensed) DOI Financial Report (for Plans that are DOI licensed) Quarterly OnBase FR-09 FR-09 Insolvency Reserves Insolvency Reserves Attestation Annually Annual OnBase FR-10 FR-10 Lag Triangles and Completion Factors Report (IBNR) Lag Triangles and Completion Factors Report (IBNR) Quarterly and Annually Annual OnBase FR-11 FR-11 Description of Incurred But Not Reported (IBNR) Methodology Description of Incurred But Not Reported (IBNR) Methodology Annually Annual OnBase FR-12 FR-12 Audited Financial Statements Audited Financial Statements Annually Annual OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-13 FR-13 Attestation Report from Independent Auditors on Effectiveness of Internal Controls Annual OnBase MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System Attestation Report from Independent Auditors on Effectiveness of Internal Controls Annually OnBase FR-14 FR-14 Financial Relationships Report Financial Relationships Report Annually Annual OnBase FR-15 FR-15 Annual Administrative Detail Report Annual Administrative Detail Report Annually Annual OnBase FR-17 FR-17 Quarterly Risk Share Report Quarterly Annual Risk Share Report Quarterly and Annually Annual OnBase FR-18-A [RETIRED] FR-18-B A [RETIRED] FR-19 FR-19 Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Report on Rates Paid to a Parent Organization or Subsidiary in the Previous Contract Year Ad-Hoc OnBase FR-20 [RETIRED] FR-21 [RETIREDRESERVED]