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WHITE KCASE

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[W&C Draft: (New York) September 29,2015]

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PROJECT CONFLliENCE: STATE REGULATORY ST A HiS CHART

The following chart represents the current status of the state Form A (and equivalent) and Form E filings in the United
States for Anthem Inc.'s proposed acquisition of Cigna Corporation.

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Alabama Department of Insurance


(Richard Ford, Chief Examiner)

Form A filed on 9/2/15.

FormA

Arizona Department of Insurance

FormA

(Cary W. Cook, Chief Financial Compliance Officer)

FormE

California Department of Managed Health Care

STATUS

Material Modification

llearing expected.

Form A filed on 9/3/15.

Amendment to Material Modification filed on


9/25/15 to include HealthSpring Life (holds a Knox
Keene Act license).
Material Modification filed on 9/9/15.
I leafing cxpccicd.

7J

Colorado Division of Insurance

FormA

(Peg Brown; Scott Lloyd)

FormE

Connecticut Insurance Department

FormA

Form A filed on 9/22/15.

(Kathy Belfi; Beth Cook)

FormE

llearing l'\rcctcd.

Delaware Department of Insurance

FormA

Form A filed on 9/2/15.

(Dave Lonchar, Director of Company Regulation)

FormE

I karing .:xreeted.

DC Department of Insurance, Securities and


Banking

N/A

llearing ,:xpc':icd.

(Dana Sheppard, Deputy Commissioner)


The FLOIR sent initiall'larificatioll and
background letters 011 9/23/15.
Florida Office of Insurance Regulation

Letter of Notification

(Belinda Miller, Chief of Staff)

FormA

The FLaiR requested information on certain Cigna


officers and directors on 9/3/1 5.
Form A filed on 8/24/15.
Letter of Notification filed on 7/28/15.
Letter of Authorization filed 817115.
IIl~aring

Georgia Office of Insurance and Safety Fire


Commissioner
(Trey Sivley, Director Financial Analysis and
Regulatory Services)

l'lIpcetcd.

The GA OCI sent an initial request for additional


information on 9/21/15.
FormA

GA Trade Secret Affidavit filed on 9/4/1 5.

FormE

Form A filed on 9/3/15.


I karing c>.p..:ct..:d.

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WHITE K CASE
PRIVILEGED & CONFIDENTIJ
ATTORNEY WORK PRODUC
Illinois Department of Insurance

FormA

Form A filed on 9/2/15.

Indiana Department of Insurance

FormA

Form A filed on 9/2/15.

(Cindy Donovan, Deputy Commissioner)

Form E

I karing (xpected.

(Kevin Fry, Director of the Financial Division)

Kansas Insurance Department


(Ken Abitz, Director of Financial Surveillance)

The KID stated via email that it had no objections to


the draft exemption letter on 9/25/15.
Exemption Letter

Draft of exemption letter filed on 9/2/15.


Pre-Acquisition Letter filed on 7/29/15.

Kentucky Department of Insurance

FormA

Form A filed on 9/2/15.

(OJ Wasson)

Form E

I klring C'Xrel:1cd.

Maryland Insurance Administration

FormA

(Lynn Beckner, Chief Financial Analyst)

Form E

Mississippi Insurance Department


(1. Mark Haire, Deputy Commissioner)

Form A filed on 9/2/15.

Exemption Letter

Missouri Department of Insurance

FormA

Form A filed on 9/2/15.

(Debbie Doggett Chief Financial Analyst)

Form E

I karing c<pecled.

Montana Insurance Department


(Steve Matthews, Chief Financial Examiner)

Nebraska Department of Insurance


(Christy Neighbors General Counsel)

Nevada Division of Insurance


(Acting Commissioner Amy Parks)

FormA

N/A

Hearing sl'heduled for October 2 L

Form A filed on 9/3/15.

[Form A filed on 9/2/15; subsequently retracted per


the NE DOL]

FormE

New Hampshire Insurance Department

FormA

Form A filed on 9/2/15.

(Alex Feldvebel, Deputy Commissioner)

Form E

llearing expecjcd.

FormA
Form E
New Jersey Department of Banking and
Insurance

Amendment to HMO Cert.


of Authority

(Kristine Maurer)

Notice of a Change in HMO


Operations
Notice of Change in ODS'
Application Information

2
Americas 90821204

Form A filed on 9/2/15.

WHITE &. CASE

PRIVILEGED & CONFIDENTIJ


A TIORNEY WORK PRODUC

(Troy Oechsner

Request for Approval of


Acquisition of Control (i.e.,
Form A)

The NY DFS has rr<luested submbsion of FOfm E


information and a "short-form" plan of
opl'rations.

Executive Deputy Superintendent)

Form E Info

Form A filed on 9/2/15.

FormA

Form A filed on 9/2/15.

(Dwight Radel, Assistant Director of Risk


Assessment)

FormA

Form A filed on 9/2115.

Pennsylvania Insurance Department. Office of


Corporate and Financial Regulation in
Pennsylvania

Letter of Notification (deskdrawer rule)

New York Department of Financial Services

North Carolina Department of Insurance


(Jackie Obusek, Chief Financial Analyst)
Ohio Department of Insurance

FormA

Form A filed on 9/2115.

Material change filings for


Bravo Health (HMO) and
Cigna Dental (PPO)

Letter of Notification filed on 7/29/2015.

(Steve Yerger, Chief of the Company Licensing)


Pennsylvania Department of Health Bureau of
Managed Care
(Bill Wiegmann, Director)

South Carolina Department of Insurance


(Linda Haralson. Chief Financial Examiner)

! karing.

r()~sihk.

The SC DOl sent an initial request for additional


information on 9/28/15.
FormA

Form A filed on 9/2115.


Hearing possibk

Tennessee Department of Commerce & Insurance

FormA

Form A filed on 9/2/15.

(Mark Jaquish, Financial Affairs Director)

Form E

I [caring c"pl'ctcd.

FormA

Texas Department of Insurance


(Jodi Rider Analyst)

Application of Acquisition
of Control of a TPA
Notice Regarding the
Acquisition of a Producer

'fh(' TDI sent an initial request for additional


information on 9/24/15.

Form A filed on 9/2115.

Health and Human Services


Commission filing
Virginia State Corporation Commission. Bureau
of Insurance
(Edward J. Buyalos, Jr., Chief Financial Auditor)

FormA

The VA BOI sent an initial request for additional


information 011 9128/15.

FormE

Form A filed on 9/3/15.


llearing expected.

Wisconsin Department of Insurance


(Kristin L. Forsberg, Company Licensing Specialist)

FormE

3
Americas 90821204