CHORUS COMMUNITY HEALTH PLANS INC

CCHP'S PURPOSE IS TO PROMOTE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME CHILDREN AND CERTAIN OTHER DISADVANTAGED RESIDENTS OF THE STATE OF WISCONSIN, AND TO PROMOTE OR SPONSOR PROGRAMS FURTHERING THE HEALTH OF ITS MEMBERS AND THE LARGER COMMUNITIES SERVED. CCHP IS AN HMO FOR WISCONSIN MEDICAID-ELIGIBLE INDIVIDUALS AND FAMILIES LIVING IN BROWN, CALUMET, DODGE, DOOR, FOND DU LAC, FOREST, GREEN LAKE, JEFFERSON, KENOSHA, KEWAUNEE, LINCOLN, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, ONEIDA, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, VILAS, WALWORTH, WASHINGTON, WAUKESHA, WAUPACA, WAUSHARA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2023 WAS 136,238 MEMBERS, AND THERE WERE 9,604 INPATIENT ADMISSIONS, 426,504 AMBULATORY ENCOUNTERS, AND 2,352 DELIVERIES IN 2023. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 11,500 PHYSICIANS, MORE THAN 13,400 NON PHYSICIANS, AND 102 HOSPITALS IN 2023. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS.

CCHP SELLS INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE DIRECTLY TO CONSUMERS. THERE WERE 16,085 MEMBERS ENROLLED AT THE END OF DECEMBER 2023. APPROXIMATELY 79 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 62 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 30 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY. BEGINNING IN 2022, CCHP ALSO STARTED TO SELL A STAND-ALONE DENTAL INSURANCE PLAN, WHICH HAD 189 MEMBERS ENROLLED AT THE END OF DECEMBER 2023.