EXECUTIVE DIRECTOR’S REPORT Peter V. Lee, Executive Director | November 21, 2013 Board Meeting

ANNOUNCEMENT OF CLOSED SESSION ACTIONS 1

EXECUTIVE DIRECTOR’S UPDATE 2

OCTOBER METRICS MONTHLY REPORT 3

ESTIMATED DISTRIBUTION ACROSS SUBSIDY SOURCES 4 Based on applications submitted through October 31, 2013.

5 Note: These represent individual application counts for the weekly federal reporting periods. The numbers are not additive for accumulative purposes due to the dynamic nature of application status throughout the enrollment cycle (e.g., an applicant may have changed application status). INDIVIDUAL APPLICATIONS

6 Note: These represent individual application counts for the weekly federal reporting periods. The numbers are not additive for accumulative purposes due to the dynamic nature of application status throughout the enrollment cycle (e.g., an applicant may have changed application status). INDIVIDUAL PLAN SELECTIONS

7 ENROLLMENT BY AGE Individual Enrollments 1 and Exchange Eligible Applications Completed, With Subsidy Status, Across Age Brackets October Age Brackets Individuals Exchange Eligible – Subsidized Individuals Exchange Eligible – Non-Subsidized Total Individuals Exchange Eligible Individuals Enrolled 1 – Subsidized Individuals Enrolled 1 – Non- Subsidized Total Individuals Enrolled 1 California Population Distribution 3 % of Total AGE <18 4,14111%12,44916%16,59014%67314%8913%1,5645%28% AGE 18 to 25 3,2109%7,0689%10,2789%3126%2,0328%2,3448%7% AGE 26 to 34 5,75716%12,42016%18,17716%80717%3,77315%4,58015%14% AGE 35 to 44 5,16414%11,47115%16,63515%93019%4,00715%4,93716%14% AGE 45 to 54 6,86819%13,19917%20,06718%1,00121%5,86423%6,86522%14% AGE 55 to 64 9,71526%17,11822%26,83323%1,09723%9,29036%10,38734%11% AGE 65 or older 1,9065%4,0265%5,9325%321%1210%1530%11% Total 36,761100%77,751100%114,512100%4,852100%25,978100%30,830100% 1Enrollment is defined as application submitted, plan selected, but not yet effectuated. 2Enrollment data based on data extracted from California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) on November 6, 2013 and application data based on data extracted from CalHEERS on November 14, Taken from 2010 US Census data with an error margin of +/- 1%. 4This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 5This data does not include Medi-Cal. Children are underrepresented compared to the population. This is largely due to the fact that children in families with incomes up to 250% of the Federal Poverty Level are likely Medi-Cal eligible and are not reflected in the enrollments above. Oldest age brackets, 45-64, are overrepresented compared to the population year olds are applying in very similar proportion to the population.

8 ENROLLMENT BY ISSUER Individual Enrollments 1 Completed, With Subsidy Status, Across Issuer October Individuals Enrolled 1 – SubsidizedIndividuals Enrolled 1 – Non-SubsidizedTotal Individuals Enrolled 1 Issuers % of Total Anthem Blue Cross of California 1, %7, %8, % Blue Shield of California 1, %6, %7, % Chinese Community Health Plan 50.1%2110.8%2160.7% Contra Costa Health Plan 100.2%400.2%500.2% Health Net %4, %4, % Kaiser Permanente %7, %8, % L.A. Care Health Plan781.6%2901.1%3681.2% Molina Healthcare240.5%1200.5%1440.5% Sharp Health Plan450.9%2531.0%2981.0% Valley Health Plan50.1%300.1%350.1% Western Health Advantage 130.3%560.2%690.2% Total4, %25, %30, % 1Enrollment is defined as application submitted, plan selected, but not yet effectuated. 2Based on data extracted from CalHEERS on November 6, This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 4This data does not include Medi-Cal.

9 ENROLLMENT BY LANGUAGE Individual Enrollments 1 Completed, With Subsidy Status, Across Language October Language 3 Individuals Enrolled 1 – Subsidized Individuals Enrolled 1 – Non-Subsidized Total Individuals Enrolled 1 California Population Distribution 4 % of Total English4, %21, %26, % 56.1% Spanish430.9%9513.7%9943.2% 28.8% Asian and Pacific Islander languages 631.3%1,1294.3%1,1923.9%9.7% Other Indo-European languages 100.2%960.4%1060.3%4.4% Other languages %1.0% (blank)3176.5%1,8727.2%2,1897.1%- Total4, %25, %30, % 1Enrollment is defined as application submitted, plan selected, but not yet effectuated by payment. 2Based on data extracted from CalHEERS on November 6, Language categories grouped to match Census categories. 4Taken from US Census data with an error margin of +/- 1%. 5This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 6This data does not include Medi-Cal. In October, when most enrollments were performed online or by phone, the disproportionate enrollment was by English speakers. Covered California anticipates more diverse language mix in the coming months with greater in-person enrollment.

10 APPLICATION BY LANGUAGE Individual Applications Completed, With Subsidy Status, Across Language October Language 2 Individuals Exchange Eligible – Subsidized Individuals Exchange Eligible – Non-Subsidized Total Individuals Exchange Eligible California Population Distribution 3 % of Total English30, %63, %94, % 56.1% Spanish1,5834.3%3,7944.9%5,3774.7% 28.8% Asian and Pacific Islander languages 1,3783.7%2,7713.6%4,1493.6%9.7% Other Indo-European languages %3490.4%4930.4%4.4% Other languages % (blank)2,9678.1%6,9048.9%9,8718.6% - Total36, %77, %114, % 1Based on data extracted from CalHEERS on November 6, Language categories grouped to match Census categories. 3Taken from US Census data with an error margin of +/- 1%. 4This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 5This data does not include Medi-Cal.

ENROLLMENT BY REGION 11 Individual Enrollments 1 Completed, With Subsidy Status, Across Region October Regions Individuals Enrolled 1 – Subsidized Individuals Enrolled 1 – Non-Subsidized Total Individuals Enrolled 1 California Population Distribution 3 % of Total 1 - Northern counties %1,1484.4%1,3104.2%3.7% 2 - North Bay counties %1,3255.1%1,5705.1%3.5% 3 - Sacramento Valley %1,9457.5%2,1747.1%5.8% 4 - San Francisco %7032.7%8922.9%2.2% 5 - Contra Costa County %1,0724.1%1,2734.1%2.8% 6 - Alameda County %1,4715.7%1,7545.7%4.1% 7 - Santa Clara County %1,1944.6%1,4724.8% 8 - San Mateo County %7012.7%8432.7%1.9% 9 - Monterey Coast 711.5%5972.3%6682.2%2.0% 10 - San Joaquin Valley %1,1774.5%1,3434.4%5.1% 11 - Central San Joaquin 400.8%4681.8%5081.6%3.3% 12 - Central Coast %1,3265.1%1,5375.0%4.1% 13 - Eastern counties 50.2%850.3%900.3%0.6% 14 - Kern County 400.8%2581.0%2981.0%2.3% 15 - Los Angeles County, partial %2,2818.8%2,7278.8% 26.4% 16 - Los Angeles County, partial 1, %3, %4, % 17 - Inland Empire %2,5299.7%2,8509.2%11.3% 18 - Orange County %1,9947.7%2,3797.7%8.1% 19 - San Diego County %2,4579.5%2,8919.4%8.3% Total 4, %25, %30, % 1Enrollment is defined as application submitted, plan selected, but not yet effectuated by payment. 2Based on data extracted from CalHEERS on November 6, Taken from US Census data with an error margin of +/- 1%. 4This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 5This data does not include Medi-Cal.

APPLICATIONS BY REGION 12 Individual Applications Completed, With Subsidy Status, Across Region October Regions Individuals Exchange Eligible – Subsidized Individuals Exchange Eligible – Non-Subsidized Total Exchange Eligible Individuals California Population Distribution 2 % of Total 1 - Northern counties 1,6374.5%3,2034.1%4,8404.2%3.7% 2 - North Bay counties 1,6874.6%3,4524.4%5,1394.5%3.5% 3 - Sacramento Valley 2,5657.0%5,4607.0%8,0257.0%5.8% 4 - San Francisco 1,0492.9%1,9932.6%3,0422.7%2.2% 5 - Contra Costa County 1,3523.7%2,7133.5%4,0653.5%2.8% 6 - Alameda County 1,8675.1%3,7724.9%5,6394.9%4.1% 7 - Santa Clara County 1,7244.7%3,4284.4%5,1524.5%4.8% 8 - San Mateo County %1,7872.3%2,6792.3%1.9% 9 - Monterey Coast %1,6242.1%2,4112.1%2.0% 10 - San Joaquin Valley 1,7854.9%4,1795.4%5,9645.2%5.1% 11 - Central San Joaquin %1,7072.2%2,4172.1%3.3% 12 - Central Coast 1,7254.7%3,5214.5%5,2464.6%4.1% 13 - Eastern counties %2530.3%3790.3%0.6% 14 - Kern County %1,1351.5%1,6071.4%2.3% 15 - Los Angeles County, partial 3,3839.2%7,0909.1%10,4739.1% 26.4% 16 - Los Angeles County, partial 5, %10, %15, % 17 - Inland Empire 3, %8, %12, %11.3% 18 - Orange County 2,9177.9%6,0947.8%9,0117.9%8.1% 19 - San Diego County 3,2959.0%6,9609.0%10,2559.0%8.3% Total 36, %77, %114, % 1Based on data extracted from CalHEERS on November 6, Taken from US Census data with an error margin of +/- 1%. 3This data reflects only the first month of a six month enrollment process. The rates and distribution are very likely to change over time. Additional analysis will be conducted in the future. 4This data does not include Medi-Cal.

COVERED CALIFORNIA RATING REGION MAP 13 Regions ProviderRegions Served Anthem Blue Cross of California 1*, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 Blue Shield of California 1*, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 Chinese Community Health Plan 4, 8** Contra Costa Health Plan 5 Health Net 4, 5, 7, 8, 9, 10, 14, 15, 16, 17, 18, 19 Kaiser Permanente 1*, 2, 3, 4, 5, 6, 7, 8, 10*, 11, 12*, 13*, 14, 15, 16, 17, 18, 19 L.A.Care Health Plan15, 16 Molina Healthcare15, 16, 17, 19 Sharp Health Plan19 Valley Health Plan7 Western Health Advantage 2, 3 * specific areas only ** northern area only

VOTER REGISTRATION 14

15 UPDATE ON VOTER REGISTRATION Voter Registration Coordinator o Diane Stanton, Deputy Director of External Affairs, will serve as Covered California’s interim voter registration coordinator. o Coordination activities will be transferred to Covered California’s Eligibility and Enrollment department in the coming year. o Covered California is establishing an address to reach the coordinator: Progress Update o Continuing to add voter registration features to Covered California home page and enrollment website. o Working with California Secretary of State to enhance voter registration training material.