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HEALTH ANNUAL STATEMENT

For the Year Ended December 31, 2013
of the Condition and Affairs of the

Arcadian Health Plan, Inc.

NAIC Group Code..... 3681 3681
(Current Period) (Prior Period)

NAIC Company Code..... 12151

Employer's ID Number..... 20-1001348

Organized under the Laws of Washington

State of Domicile or Port of Entry Washington

Country of Domicile United States of America

Licensed as Business Type.....Other

Is HMO Federally Qualified? Yes [ X ] No [ ]

Incorporated/Organized..... 04/06/2004

Commenced Business.....01/01/2005

Statutory Home Office 300 Deschutes Way SW, Suite 304.. Tumwater ..... WA ..... 98501
(Street and Number) (City or Town, State and Zip Code)

Main Administrative Office 500 West Main Street.. Louisville ..... KY ..... 40202 502-580-1000
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Mail Address P.O. Box 740036.. Louisvill..... KY ..... 40201-7436
(Street and Number or P.O. Box) (City or Town, State and Zip Code)

Primary Location of Books and Records 500 West Main Street. Louisville ..... KY ..... 40202 502-580-1000
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Internet Website Address www.humana.com

Statutory Statement ContactBrittany Ullrich 502-580-8223
(Name) (Area Code) (Telephone Number)
DOINQUIRIES@humana.com 502-580-2099
(E-Mail Address) (Fax Number)

OFFICERS
Bruce Dale Croussard, CEO/President
James Harry Bloem resigned 12/31/2013
Joan Olliges Lenahan, VP & Corporate Secretary
Jonathan Albert Canine, Appointed Actuary

OTHER OFFICERS
Brendan Andrew Baker # Reg.Pres. - Sr.Prod/Desert Pacific Reg.
George Grant Bauernfeind #, Vice President
Elizabeth Diane Bierbower Pres., Employer Group Segment
John Gregory Catron, VP & Chief compliance Officer
Mark Sobhi El-Tawil # VP & Div. Leader - Western Div.
Roy Goldman Ph.D., VP & Chief Actuary
Gary Edward Goldstein # VP & Div Leader - Central Div.
Charles Frederic Lambert III Vice President
Brian Phillip LeClaire, Cr.VP&Chief Service&Info Officer
Thomas Joseph Liston, President, Retail Segment
Bruce Devereau Perkins, Pres., Healthcare SErvices Seg.
Richard Donald Remmers, VP, Employer Group Segment
Oraida Maria Roman, RegPresSrProd/IntermountainReg
Debra Anne Smith # VP-Sr.Prod.Strategy&Prod.Dev
Pattie Dale Tye, President, Large Group
Joseph Christopher Ventura, Assistant Corporate Secretary
Timothy Alan Wheatley, VP - Senior Products
Ralph Martin Wilson, Vice President

DIRECTORS OR TRUSTEES
James Harry Bloem Resigned 12/31/2013
Bruce Dale Broussard
James Elmer Murray

 

State of........ Kentucky
County of..... Jefferson

The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement.


______________________________________
Bruce Dale Broussard
CEO/President

______________________________________
Joan Olliges Lenahan
VP & Corporate Secretary

______________________________________
Alan James Bailey
Assistant Treasurer

Subscribed and sworn to before me this

....21st..........day of .......February, 2014.....................................................

....................................................................................

a. Is this an original filing? Yes [ X ] No [ ]
b. If no,
1. State the amendment number.....
2. Date filed.....
3. Number of pages attached.....

 

Last Updated: March 3, 2014