Health Net Reports Third Quarter 2009 Adjusted1 Net Income of $69.6 Million, or $0.67 per Diluted Share

Tue Nov 3, 2009 8:30am EST
 
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http://www.businesswire.com/news/home/20091103005481/en

The Company Recorded $189.5 Million in Pretax Charges, Including $170.6 Million
in Asset Impairments Related to the Pending Sale of Its Northeast Division

Charges Cause GAAP Net Loss of $66.0 Million, or $0.64 Per Share
LOS ANGELES--(Business Wire)--
Health Net, Inc. (NYSE: HNT) today announced a third quarter 2009 GAAP net loss
of $66.0 million, or $0.64 per share. GAAP net income in the third quarter of
2008 was $18.5 million, or $0.17 per diluted share. 

The third quarter 2009 GAAP results include the effect of two pretax charges: 

1. $170.6 million in noncash charges for the impairment of goodwill and other
assets related to the pending sale of the company`s Northeast division; and 

2. $19.5 million related to the company`s operations strategy that is designed
to reduce general and administrative (G&A) expenses. 

Both of these charges were offset by a favorable $0.6 million litigation reserve
true-up. A reconciliation of non-GAAP financial measures on the income statement
is included with this press release. 

Excluding the impact of the charges, net income in the third quarter of 2009 was
$69.6 million, or $0.67 per diluted share. Net income in the third quarter of
2008 was $37.8 million, or $0.35 per diluted share, excluding the impact of a
$17.1 million pretax charge related to the company`s operations strategy and a
$14.6 million pretax charge for impairment of the company`s investments. 

"We are pleased with our third quarter results. Cash flow was strong, and the
balance sheet is solid," said Jay Gellert, president and chief executive officer
of Health Net, Inc. "In addition, while we continue to produce strong new
commercial sales in targeted segments and products in our Western health plans,
overall commercial enrollment decreased due to in-group losses driven by the
economy. Also, our Medicare plans continue to meet expectations, and we are
reducing our administrative costs." 

On July 20, 2009, Health Net announced that it had entered into a definitive
agreement with UnitedHealthcare for the sale of Health Net`s Northeast health
plan subsidiaries and membership renewal rights. The regulatory approval process
for the Northeast transaction is proceeding as expected. The transaction is
currently expected to close by year-end 2009 or early 2010. 

Membership

Total health plan enrollment as of September 30, 2009 was approximately 3.6
million members, a decrease of 144,000 members, or 3.8 percent, compared with
September 30, 2008. Sequentially, total health plan enrollment decreased by
21,000 members, or 0.6 percent, from June 30, 2009. 

Total commercial risk enrollment decreased by 166,000 members, or 8.0 percent,
to approximately 1.9 million members as of September 30, 2009 compared with
September 30, 2008. Sequentially, commercial risk enrollment decreased by 49,000
members, or 2.5 percent, from June 30, 2009. 

"Our Western health plans produced new commercial sales of 35,000 members in the
third quarter, with more than 24,000 of these new members in California`s
narrow-network, lower-cost products," said Jim Woys, Health Net`s chief
operating officer. "Overall commercial enrollment declined due to persistent
pressures from the economic downturn." 

Enrollment in the company`s Medicare Advantage plans decreased by 7,000 members,
or 2.4 percent, to 286,000 members at the end of the third quarter of 2009
compared with the end of the third quarter of 2008. Sequentially, Medicare
Advantage membership increased by 2,000 members, or nearly 1.0 percent, from
June 30, 2009. 

Membership in the company`s Medicare PDP plans was 466,000 at the end of the
third quarter of 2009, a decrease of 72,000 members, or 13.4 percent, compared
with the end of the third quarter of 2008. Sequentially, PDP membership
increased by 8,000 members, or 1.7 percent, from June 30, 2009. 

Medicaid enrollment at September 30, 2009 was 894,000 members, an increase of
106,000 members, or 13.5 percent, from September 30, 2008. Sequentially,
Medicaid membership increased by 16,000 members, or 1.8 percent, from June 30,
2009. Both the quarter-over-quarter and sequential increases in Medicaid
enrollment were the result of the economic downturn that causes the
Medicaid-eligible population to increase. 

Revenues, Health Care Costs and G&A Expenses

Health Net`s total revenues increased 3.9 percent in the third quarter of 2009
to approximately $4.0 billion from $3.8 billion in the third quarter of 2008.
Health plan services premium revenues increased approximately 3.1 percent to
nearly $3.2 billion in the third quarter of 2009 compared with approximately
$3.1 billion in the third quarter of 2008. 

The company`s Government contracts revenues increased 4.7 percent in the third
quarter of 2009 to $758.5 million from $724.3 million in the third quarter of
2008. The increase was the result of Option Period 6 pricing for the company`s
TRICARE contract and continued growth in the Military and Family Life Consultant
(MFLC) contract that is administered by the company`s behavioral health
subsidiary, Managed Health Network. Sequentially, revenue decreased 8.8 percent
from the second quarter of 2009 primarily as a result of lower estimates of
health care costs related to Option Periods 5 and 6 and a change to TRICARE
payment policies that align with Medicare payment practices. 

The health plan services medical care ratio (MCR) was 86.4 percent in the third
quarter of 2009 and 87.5 percent in the third quarter of 2008. 

The commercial MCR was 87.0 percent in the third quarter of 2009 compared with
86.7 percent in the third quarter of 2008. Excluding the litigation reserve
true-up benefit in the third quarter of 2009, the commercial MCR would have been
40 basis points higher than the commercial MCR in the third quarter of 2008, or
87.1 percent. 

Commercial premium yields per member per month (PMPM) increased by 7.6 percent
in the third quarter of 2009 compared with the third quarter of 2008. Total
commercial health care costs PMPM increased 8.0 percent in the third quarter of
2009 compared with the third quarter of 2008. 

"Commercial health care costs in the quarter were adversely affected by higher
utilization related to the H1N1 flu virus, COBRA-related utilization and
higher-than-expected trends in our Northeast plans," said Woys. "We are
encouraged that the commercial MCR in our Western states improved substantially
in the third quarter of 2009 compared to the third quarter of 2008." 

Health Net`s Medicare plans continued to perform consistent with expectations in
the third quarter of 2009. The Medicare Advantage and Part D MCRs improved in
the third quarter of 2009 compared with the third quarter of 2008. 

The Government contracts cost ratio was 94.4 percent in the third quarter of
2009 compared with 95.0 percent in the third quarter of 2008 and 95.1 percent in
the second quarter of 2009. "The improvement in the Government contracts cost
ratio was due to an increase in MFLC volume and lower health care cost trends in
the third quarter," said Woys. "For 2009, we expect this ratio to be at the low
end of our previous guidance of 95.0 percent to 95.5 percent." 

On a GAAP basis, G&A expense was $319.5 million in the third quarter of 2009
compared with $294.2 million in the third quarter of 2008. On an adjusted
basis1, G&A expense was approximately $300.0 million in the third quarter of
2009 compared with $277.0 million in the third quarter of 2008. This increase
was primarily due to premium taxes and regulatory fees. 

On an adjusted1 basis, Health Net`s G&A expense ratio in the third quarter of
2009 increased 40 basis points compared with the third quarter of 2008. 

Health Net`s selling expenses of $83.3 million in the third quarter of 2009
decreased by approximately $10.0 million compared with the third quarter of
2008, primarily a result of a decrease in commercial membership during the past
12 months. 

Balance Sheet

As a result of the pending sale of the company`s Northeast health plans, assets
and liabilities relating to the Northeast business have been reclassified to
either "assets held for sale" or "liabilities held for sale" on the company`s
consolidated balance sheet. A supplemental balance sheet showing the impact of
these reclassifications is included with this press release. 

Cash and investments as of September 30, 2009 were approximately $1.8 billion
compared with approximately $2.2 billion as of September 30, 2008, and $2.1
billion as of June 30, 2009. Reserves for claims and other settlements as of
September 30, 2009 were $951.8 million compared with $1.3 billion as of
September 30, 2008. All of these amounts reflect the reclassifications noted
above. 

Days claims payable (DCP), including provider and other claims settlements and
charges, capitation payments and Medicare Part D expenses, for the third quarter
of 2009 decreased by 5.3 days to 41.0 days compared with 46.3 days in the third
quarter of 2008, and decreased sequentially by 2.1 days compared with the second
quarter of 2009. 

On an adjusted2 basis, DCP in the third quarter of 2009 decreased by 2.2 days to
50.5 days compared with the third quarter of 2008, and decreased by 3.7 days
sequentially. The sequential decline is primarily due to the timing of the
company`s check-runs. At September 30, 2009, the amount of claims processed but
waiting for the weekly check-run decreased by $48.0 million from June 30, 2009.
Reserves for incurred but not reported (IBNR) health care costs were stable in
the third quarter of 2009 compared to the second quarter of 2009. 

The company`s debt-to-total capital ratio was 25.8 percent as of September 30,
2009 compared with 27.6 percent as of September 30, 2008 and 25.2 percent as of
June 30, 2009. 

Cash Flow

Operating cash flow was $154.4 million in the third quarter of 2009 and was
affected by the company`s receipt of only two of three monthly Medi-Cal
payments. The company received the third payment of $64.8 million in early
October 2009. 

"We received $165.0 million in Medicare risk adjuster payments in the third
quarter of 2009 as expected," said Joseph Capezza, Health Net's chief financial
officer. "Therefore, we continue to believe that operating cash flow for the
full year of 2009 will be approximately $325 million to $350 million if we
receive all 12 monthly Medi-Cal payments in calendar year 2009." 

2009 Guidance

Including the impact of $100 million to $110 million in expected operations
strategy-related pretax charges and additional charges related to the pending
sale of the Northeast business the company expects to take in 2009, Health Net
expects 2009 full-year GAAP earnings per diluted share of $0.51 to $0.56 based
on expected diluted weighted average shares of 104 to 105 million shares. The
company lowered the top end of its earnings guidance range by $0.05 per diluted
share due to anticipated health care cost pressures in the fourth quarter of
2009 from higher utilization due to the H1N1 flu virus and continued expansion
of its COBRA membership. Therefore, the company expects full-year 2009 earnings
per diluted share of $2.25 to $2.30, excluding the impact of charges. 

The company recorded $170.6 million in goodwill and other impairments in the
third quarter of 2009 and expects to record additional impairments in the fourth
quarter of 2009. The company continues to evaluate the impact of the potential
sale of the Northeast business on its 2009 financial results, including
potential loss on sale of the Northeast business, tax benefits, severance costs,
other transaction-related costs and operating costs that will be incurred during
the transition period following the close of the transaction. 

The table on the following page updates previously issued full-year 2009
guidance.

                                                                                       
 Metric                          2009 Guidance                                         
 Year-end Membership             Commercial Risk: -6% to -7% (previously -3% to -5%)   
                                 
Medicaid: +10% to +12% (previously +6% to +8%)       
                                 
Medicare Advantage: -1% to -2%                       
                                 
PDP: -13% to -15% (previously -15% to -20%)          
 Consolidated Revenues           $15.5 billion to $16.0 billion                        
 Commercial Yields               ~ 8.0% (previously ~ 7.5% - 8.0%)                     
 Commercial                      ~ 8.0% (previously ~ 7.0 - 7.5%)                      
 
Health Care Cost Trends                                                              
 Selling Cost Ratio              ~ 2.9%                                                
 
Government Contracts Ratio     
~ 95.0% to 95.5%                                     
 
G&A Expense Ratio(a)           
~ 9.6% to 9.8%                                       
 Tax Rate(a)                     38.3% to 38.5% (previously 38.5% to 38.7%)            
 Weighted-average Fully          104 million to 105 million                            
 
Diluted Shares Outstanding                                                           
 GAAP EPS(b)                     $0.51 to $0.56 (previously $1.85 to $2.10)            
 
Non-GAAP EPS(a)                
$2.25 to $2.30 (previously $2.25 to $2.35)           
                                                                                         
 (a) Excludes the impact of expected operations strategy-related charges of $100 million to $110 million in 2009. 
                                                                                         
 (b) The company is currently evaluating the impact of the potential sale of the Northeast business on its 2009 financial results, including potential loss on sale of the Northeast business, tax benefits, severance costs, other transaction-related costs and operating costs that will be incurred during the transition period following the close of the transaction. 
                                                                                         


Conference Call

As previously announced, Health Net will discuss the company`s third quarter
2009 results during a conference call on Tuesday, November 3, 2009, beginning at
approximately 11:00 a.m. Eastern time. The conference call should be accessed at
least 15 minutes prior to its start with the following numbers:

         866.393.1637 (Domestic)               800.642.1687 (Replay - Domestic)       
         706.643.5711 (International)          706.645.9291 (Replay - International)  


An access code is required for both the live conference call and the replay. The
access code is 31753874. A replay of the conference call will be available
through 12.00 a.m. Eastern time on November 8, 2009. A live webcast and replay
of the conference call also will be available at www.healthnet.com under
"Investor Relations." The conference call webcast is open to all interested
parties. Anyone listening to the company`s conference call will be presumed to
have read Health Net`s Annual Report on Form 10-K for the year ended December
31, 2008, Quarterly Reports on Form 10-Q for the quarters ended March 31, 2009,
and June 30, 2009, and other reports filed by the company from time to time with
the Securities and Exchange Commission. 

About Health Net

Health Net, Inc. is among the nation`s largest publicly traded managed health
care companies. Its mission is to help people be healthy, secure and
comfortable. The company`s health plans and government contracts subsidiaries
provide health benefits to approximately 6.6 million individuals across the
country through group, individual, Medicare, Medicaid and TRICARE and Veterans
Affairs programs. Health Net`s behavioral health subsidiary, MHN, provides
mental health benefits to approximately 6.5 million individuals in all 50
states. The company`s subsidiaries also offer managed health care products
related to prescription drugs, and offer managed health care product
coordination for multi-region employers and administrative services for medical
groups and self-funded benefits programs. 

For more information on Health Net, Inc., please visit the company`s Web site at
www.healthnet.com. 

Cautionary Statements

All statements in this press release, other than statements of historical
information provided herein, may be deemed to be forward-looking statements and
as such are subject to a number of risks and uncertainties. These statements are
based on management`s analysis, judgment, belief and expectation only as of the
date hereof, and are subject to uncertainty and changes in circumstances.
Without limiting the foregoing, statements including the words "believes,"
"anticipates," "plans," "expects," "may," "should," "could," "estimate,"
"intend" and other similar expressions are intended to identify forward-looking
statements. Actual results could differ materially due to, among other things,
any failure to close the pending sale of our Northeast business; costs, fees and
expenses related to the pending sale and proposed post-closing administrative
services; potential termination of our TRICARE North operations; rising health
care costs; a continued decline in the economy; negative prior period claims
reserve developments; investment portfolio impairment charges; volatility in the
financial markets; trends in medical care ratios; unexpected utilization
patterns or unexpectedly severe or widespread illnesses; membership declines;
rate cuts affecting our Medicare or Medicaid businesses; litigation costs;
regulatory issues; operational issues; health care reform; and general business
and market conditions. Additional factors that could cause actual results to
differ materially from those reflected in the forward-looking statements
include, but are not limited to, the risks discussed in the "Risk Factors"
section included within the company`s most recent Annual Report on Form 10-K,
subsequent quarterly reports on Form 10-Q, and the risks discussed in the
company`s other filings with the Securities and Exchange Commission. Readers are
cautioned not to place undue reliance on these forward-looking statements. The
company undertakes no obligation to publicly revise any of its forward-looking
statements to reflect events or circumstances that arise after the date of this
release. 

The financial information presented in this press release is unaudited and is
subject to change as a result of subsequent events or adjustments, if any,
arising prior to the filing of the company`s Form 10-Q for the period ended
September 30, 2009. 

Footnotes

1Detailed explanations of the non-GAAP financial measures referred to in this
press release and reconciliations to the comparable GAAP measures are included
in the attached financial tables. 

2See footnote (a) in the Notes to Consolidated Financial Statements in the
financial schedules attached to this press release for a reconciliation of this
information to the comparable GAAP financial measure.

                                                                                                                                                                                      
 Health Net, Inc.                                                                                                                                                                     
 Enrollment Data - By State                                                                                                                                                           
 (In thousands)                                                                                                                                                                       
                                                                                         Change from                                                                        
                                                                                         June 30, 2009                             September 30, 2008                     
                                                     Sept 30,    June 30,    Sept 30,    Increase/             %                 Increase/              %             
                                                     2009        2009        2008        (Decrease)            Change            (Decrease)             Change        
 California                                                                                                                                                             
               Large Group                            888         908         954         (20     )            (2.2   )%        (66     )             (6.9   )%    
               Small Group and Individual             365         380         431         (15     )            (3.9   )%        (66     )             (15.3  )%    
               Commercial Risk                        1,253       1,288       1,385       (35     )            (2.7   )%        (132    )             (9.5   )%    
               ASO                                    5           3           5           2                    66.7   %         0                     0.0    %     
               Total Commercial                       1,258       1,291       1,390       (33     )            (2.6   )%        (132    )             (9.5   )%    
               Medicare Advantage                     136         134         131         2                    1.5    %         5                     3.8    %     
               Medi-Cal                               841         827         742         14                   1.7    %         99                    13.3   %     
                               Total California      2,235       2,252       2,263       (17     )            (0.8   )%        (28     )             (1.2   )%    
                                                                                                                                                                      
 Connecticut                                                                                                                                                            
               Large Group                            92          92          117         0                    0.0    %         (25     )             (21.4  )%    
               Small Group and Individual             23          23          26          0                    0.0    %         (3      )             (11.5  )%    
               Commercial Risk                        115         115         143         0                    0.0    %         (28     )             (19.6  )%    
               ASO                                    25          26          25          (1      )            (3.8   )%        0                     0.0    %     
               Total Commercial                       140         141         168         (1      )            (0.7   )%        (28     )             (16.7  )%    
               Medicare Advantage                     53          52          57          1                    1.9    %         (4      )             (7.0   )%    
                               Total Connecticut     193         193         225         0                    0.0    %         (32     )             (14.2  )%    
                                                                                                                                                                      
 New York                                                                                                                                                               
               Large Group                            97          97          101         0                    0.0    %         (4      )             (4.0   )%    
               Small Group and Individual             146         145         107         1                    0.7    %         39                    36.4   %     
               Commercial Risk                        243         242         208         1                    0.4    %         35                    16.8   %     
               ASO                                    7           7           11          0                    0.0    %         (4      )             (36.4  )%    
               Total Commercial                       250         249         219         1                    0.4    %         31                    14.2   %     
               Medicare Advantage                     2           2           6           0                    0.0    %         (4      )             (66.7  )%    
                               Total New York        252         251         225         1                    0.4    %         27                    12.0   %     
                                                                                                                                                                      
 New Jersey                                                                                                                                                             
               Large Group                            17          19          20          (2      )            (10.5  )%        (3      )             (15.0  )%    
               Small Group and Individual             62          61          55          1                    1.6    %         7                     12.7   %     
               Commercial Risk                        79          80          75          (1      )            (1.3   )%        4                     5.3    %     
               ASO                                    3           2           4           1                    50.0   %         (1      )             (25.0  )%    
               Total Commercial                       82          82          79          0                    0.0    %         3                     3.8    %     
               Medicaid                               53          51          46          2                    3.9    %         7                     15.2   %     
                               Total New Jersey      135         133         125         2                    1.5    %         10                    8.0    %     
                                                                                                                                                                      
 Arizona                                                                                                                                                                
               Large Group                            59          64          80          (5      )            (7.8   )%        (21     )             (26.3  )%    
               Small Group and Individual             38          39          50          (1      )            (2.6   )%        (12     )             (24.0  )%    
               Commercial Risk                        97          103         130         (6      )            (5.8   )%        (33     )             (25.4  )%    
               Medicare Advantage                     65          65          67          0                    0.0    %         (2      )             (3.0   )%    
                               Total Arizona         162         168         197         (6      )            (3.6   )%        (35     )             (17.8  )%    
                                                                                                                                                                      
 Oregon                                                                                                                                                                 
               Large Group                            78          86          99          (8      )            (9.3   )%        (21     )             (21.2  )%    
               Small Group and Individual             47          47          38          0                    0.0    %         9                     23.7   %     
               Commercial Risk                        125         133         137         (8      )            (6.0   )%        (12     )             (8.8   )%    
               Medicare Advantage                     24          24          22          0                    0.0    %         2                     9.1    %     
                               Total Oregon          149         157         159         (8      )            (5.1   )%        (10     )             (6.3   )%    
                                                                                                                                                                      
 Other States                                                                                                                                                           
               Medicare Advantage                     6           7           10          (1      )            (14.3  )%        (4      )             (40.0  )%    
                                                                                                                                                                      
 Medicare PDP (stand-alone)                            466         458         538         8                    1.7    %         (72     )             (13.4  )%    
                                                                                                                                                                      
                                                                                                                                                                      
 Total Health Plan Enrollment                                                                                                                                           
               Large Group                            1,231       1,266       1,371       (35     )            (2.8   )%        (140    )             (10.2  )%    
               Small Group and Individual             681         695         707         (14     )            (2.0   )%        (26     )             (3.7   )%    
               Commercial Risk                        1,912       1,961       2,078       (49     )            (2.5   )%        (166    )             (8.0   )%    
               ASO                                    40          38          45          2                    5.3    %         (5      )             (11.1  )%    
               Total Commercial                       1,952       1,999       2,123       (47     )            (2.4   )%        (171    )             (8.1   )%    
               Medicare Advantage                     286         284         293         2                    0.7    %         (7      )             (2.4   )%    
               Medicare PDP (stand-alone)             466         458         538         8                    1.7    %         (72     )             (13.4  )%    
               Medi-Cal/Medicaid                      894         878         788         16                   1.8    %         106                   13.5   %     
                               Total Health Plans    3,598       3,619       3,742       (21     )            (0.6   )%        (144    )             (3.8   )%    
                                                                                                                                                                      
                                                                                                                                                                      
 TRICARE - North Contract Eligibles                    3,040       3,040       2,951       0                    0.0    %         89                    3.0    %     
                                                                                                                                                                    


 Health Net, Inc.                                                                                                                                                                     
 Enrollment Data - Line of Business                                                                                                                                                   
 (In thousands)                                                                                                                                                                       
                                                                                         Change from                                                                        
                                                                                         June 30, 2009                             September 30, 2008                     
                                                     Sept 30,    June 30,    Sept 30,    Increase/             %                 Increase/              %             
                                                     2009        2009        2008        (Decrease)            Change            (Decrease)             Change        
                                                                                                                                                                      
 Large Group                                                                                                                                                            
               California                             888         908         954         (20     )            (2.2   )%        (66     )             (6.9   )%    
               Connecticut                            92          92          117         0                    0.0    %         (25     )             (21.4  )%    
               New York                               97          97          101         0                    0.0    %         (4      )             (4.0   )%    
               New Jersey                             17          19          20          (2      )            (10.5  )%        (3      )             (15.0  )%    
               Arizona                                59          64          80          (5      )            (7.8   )%        (21     )             (26.3  )%    
               Oregon                                 78          86          99          (8      )            (9.3   )%        (21     )             (21.2  )%    
                                                     1,231       1,266       1,371       (35     )            (2.8   )%        (140    )             (10.2  )%    
                                                                                                                                                                      
 Small Group and Individual                                                                                                                                             
               California                             365         380         431         (15     )            (3.9   )%        (66     )             (15.3  )%    
               Connecticut                            23          23          26          0                    0.0    %         (3      )             (11.5  )%    
               New York                               146         145         107         1                    0.7    %         39                    36.4   %     
               New Jersey                             62          61          55          1                    1.6    %         7                     12.7   %     
               Arizona                                38          39          50          (1      )            (2.6   )%        (12     )             (24.0  )%    
               Oregon                                 47          47          38          0                    0.0    %         9                     23.7   %     
                                                     681         695         707         (14     )            (2.0   )%        (26     )             (3.7   )%    
                                                                                                                                                                      
 Commercial Risk                                                                                                                                                        
               California                             1,253       1,288       1,385       (35     )            (2.7   )%        (132    )             (9.5   )%    
               Connecticut                            115         115         143         0                    0.0    %         (28     )             (19.6  )%    
               New York                               243         242         208         1                    0.4    %         35                    16.8   %     
               New Jersey                             79          80          75          (1      )            (1.3   )%        4                     5.3    %     
               Arizona                                97          103         130         (6      )            (5.8   )%        (33     )             (25.4  )%    
               Oregon                                 125         133         137         (8      )            (6.0   )%        (12     )             (8.8   )%    
                                                     1,912       1,961       2,078       (49     )            (2.5   )%        (166    )             (8.0   )%    
                                                                                                                                                                      
 ASO                                                                                                                                                                   
               California                             5           3           5           2                    66.7   %         0                     0.0    %     
               Connecticut                            25          26          25          (1      )            (3.8   )%        0                     0.0    %     
               New York                               7           7           11          0                    0.0    %         (4      )             (36.4  )%    
               New Jersey                             3           2           4           1                    50.0   %         (1      )             (25.0  )%    
                                                     40          38          45          2                    5.3    %         (5      )             (11.1  )%    
                                                                                                                                                                      
 Total Commercial                                                                                                                                                       
               California                             1,258       1,291       1,390       (33     )            (2.6   )%        (132    )             (9.5   )%    
               Connecticut                            140         141         168         (1      )            (0.7   )%        (28     )             (16.7  )%    
               New York                               250         249         219         1                    0.4    %         31                    14.2   %     
               New Jersey                             82          82          79          0                    0.0    %         3                     3.8    %     
               Arizona                                97          103         130         (6      )            (5.8   )%        (33     )             (25.4  )%    
               Oregon                                 125         133         137         (8      )            (6.0   )%        (12     )             (8.8   )%    
                                                     1,952       1,999       2,123       (47     )            (2.4   )%        (171    )             (8.1   )%    
                                                                                                                                                                      
 Medicare Advantage                                                                                                                                                     
               California                             136         134         131         2                    1.5    %         5                     3.8    %     
               Connecticut                            53          52          57          1                    1.9    %         (4      )             (7.0   )%    
               New York                               2           2           6           0                    0.0    %         (4      )             (66.7  )%    
               Arizona                                65          65          67          0                    0.0    %         (2      )             (3.0   )%    
               Oregon                                 24          24          22          0                    0.0    %         2                     9.1    %     
               Other States                           6           7           10          (1      )            (14.3  )%        (4      )             (40.0  )%    
                                                     286         284         293         2                    0.7    %         (7      )             (2.4   )%    
                                                                                                                                                                      
 Medi-Cal/Medicaid                                                                                                                                                      
               California                             841         827         742         14                   1.7    %         99                    13.3   %     
               New Jersey                             53          51          46          2                    3.9    %         7                     15.2   %     
                                                     894         878         788         16                   1.8    %         106                   13.5   %     
                                                                                                                                                                      
 Medicare PDP (stand-alone)                            466         458         538         8                    1.7    %         (72     )             (13.4  )%    
                                                                                                                                                                      
                                                                                                                                                                      
 Total Health Plan Enrollment                                                                                                                                           
               Large Group                            1,231       1,266       1,371       (35     )            (2.8   )%        (140    )             (10.2  )%    
               Small Group and Individual             681         695         707         (14     )            (2.0   )%        (26     )             (3.7   )%    
               Commercial Risk                        1,912       1,961       2,078       (49     )            (2.5   )%        (166    )             (8.0   )%    
               ASO                                    40          38          45          2                    5.3    %         (5      )             (11.1  )%    
               Total Commercial                       1,952       1,999       2,123       (47     )            (2.4   )%        (171    )             (8.1   )%    
               Medicare Advantage                     286         284         293         2                    0.7    %         (7      )             (2.4   )%    
               Medicare PDP (stand-alone)             466         458         538         8                    1.7    %         (72     )             (13.4  )%    
               Medi-Cal/Medicaid                      894         878         788         16                   1.8    %         106                   13.5   %     
                               Total Health Plans    3,598       3,619       3,742       (21     )            (0.6   )%        (144    )             (3.8   )%    
                                                                                                                                                                      
                                                                                                                                                                      
 TRICARE - North Contract Eligibles                    3,040       3,040       2,951       0                    0.0    %         89                    3.0    %     
                                                                                                                                                                    


 Health Net, Inc.                                                                                                                                                    
 Consolidated Statements of Operations                                                                                                                               
 (Amounts in thousands, except per share, PMPM and ratio data)                                                                                                       
                                                                                                                                                           
                                                                                                                                                           
                                                                      Quarter Ended                Quarter Ended                Quarter Ended              
                                                                      September 30,                June 30,                     September 30,              
 REVENUES:                                                               2008                         2009                         2009                       
            Health plan services premiums                                $      3,072,717           $      3,152,783           $      3,166,877         
            Government contracts                                                724,323                    832,088                    758,507           
            Net investment income                                               10,204                     20,432                     27,691            
            Administrative services fees and other income                       11,607                     8,387                      15,578            
                                                                             3,818,851                  4,013,690                  3,968,653         
                                                                                                                                                           
 EXPENSES:                                                                                                                                                    
            Health plan services                                                2,689,790                  2,718,039                  2,734,984         
            Government contracts                                                687,848                    791,044                    716,323           
            General and administrative                                          294,178                    332,188                    319,451           
            Selling                                                             93,232                     81,359                     83,275            
            Depreciation and amortization                                       17,255                     15,708                     12,689            
            Interest                                                            10,413                     11,518                     10,264            
            Impairments on assets held for sale                                 -                          -                          170,570           
                                                                             3,792,716                  3,949,856                  4,047,556         
 Income from operations before income taxes                                      26,135                     63,834                     (78,903    )      
 Income tax provision                                                            7,665                      23,694                     (12,881    )      
 Net income                                                               $      18,470              $      40,140              $      (66,022    )      
                                                                                                                                                           
 Basic earnings per share                                                 $      0.17                $      0.39                $      (0.64      )      
 Diluted earnings per share                                               $      0.17                $      0.38                $      (0.64      )      
                                                                                                                                                           
 Weighted average shares outstanding:                                                                                                                          
            Basic                                                               105,915                    103,854                    103,873           
            Diluted                                                             106,869                    104,323                    103,873           
                                                                                                                                                           
 Pretax margin                                                                   0.7        %               1.6        %               -2.0       %      
 Health plan services MCR                                                        87.5       %               86.2       %               86.4       %      
 Government contracts cost ratio                                                 95.0       %               95.1       %               94.4       %      
 G&A expense ratio                                                               9.5        %               10.5       %               10.0       %      
 Selling costs ratio                                                             3.0        %               2.6        %               2.6        %      
 Days claims payable (a)                                                         46.3                       43.1                       41.0              
 Days claims payable - adjusted (a)                                              52.7                       54.2                       50.5              
 Effective tax rate                                                              29.3       %               37.1       %               16.3       %      
 Health plan services premiums PMPM                                       $      276.29              $      295.11              $      296.16            
 Health plan services costs PMPM                                          $      241.86              $      254.41              $      255.77            
                                                                                                                                                         


 Health Net, Inc.                                                                                                                                                                                                                                                                                                                                                       
 Reconciliation of Non-GAAP Financial Measures                                                                                                                                                                                                                                                                                                                          
 Operating Results Excluding Charges                                                                                                                                                                                                                                                                                                                                    
 (Amounts in thousands, except per share, PMPM and ratio data)                                                                                                                                                                                                                                                                                                          
                                                                                                                                                                                                                                                                                                                                                                    
 Note: This table presents the company's consolidated operations for the periods presented below and the charges recorded in the consolidated statement of operations. Management believes that the presentation of certain financial information in the attached press release (such as Net investment income, Health plan services expense, General and administrative expense, Income before income taxes, Income tax provision, Net income, Basic and diluted earnings per share, Pretax margin, MCR, G&A expense ratio, and 
 effective tax rate), excluding the charges that were recorded, all of which are non-GAAP financial information, are important to investors as they exclude special items that are not indicative of our core operating results. Non-GAAP financial information presented below should be considered in addition to, not as a substitute for, financial information prepared in accordance with GAAP. 
                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                
                                                                        Quarter Ended September 30, 2008                                                                     Quarter Ended June 30, 2009                                                              Quarter Ended September 30, 2009                                                        
                                                                                                                                            Excluding                                                                            Excluding                                                                             Excluding                
                                                                                                           Impact of                        Impact of                                                Impact of                   Impact of                                                Impact of                    Impact of                
                                                                        As Reported                        Charge1                          Charge1                    As Reported                   Charge2                     Charge2                    As Reported                   Charge3                      Charge3                  
                                                                                                                                            (Non-GAAP)                                                                           (Non-GAAP)                                                                            (Non-GAAP)               
 REVENUES:                                                                                                                                                                                                                                                                                                                                          
             Health plan services premiums                                 $     3,072,717                                                   $     3,072,717          $     3,152,783                                         $     3,152,783          $     3,166,877                                          $     3,166,877        
             Government contracts                                                724,323                                                           724,323                  832,088                                                 832,088                  758,507                                                  758,507          
             Net investment income                                               10,204                           (14,642  )                     24,846                   20,432                                                  20,432                   27,691                                                   27,691           
             Administrative services fees and other income                       11,607                                                            11,607                   8,387                                                   8,387                    15,578                                                   15,578           
                                                                              3,818,851                        (14,642  )                     3,833,493                4,013,690                   -                         4,013,690                3,968,653                   -                          3,968,653        
                                                                                                                                                                                                                                                                                                                                                
 EXPENSES:                                                                                                                                                                                                                                                                                                                                          
             Health plan services                                                2,689,790                                                         2,689,790                2,718,039                   (2,056   )                2,720,095                2,734,984                   (571      )                2,735,555        
             Government contracts                                                687,848                                                           687,848                  791,044                                                 791,044                  716,323                                                  716,323          
             General and administrative                                          294,178                          17,145                         277,033                  332,188                     19,646                    312,542                  319,451                     19,495                     299,956          
             Selling                                                             93,232                                                            93,232                   81,359                                                  81,359                   83,275                                                   83,275           
             Depreciation and amortization                                       17,255                                                            17,255                   15,708                                                  15,708                   12,689                                                   12,689           
             Interest                                                            10,413                                                            10,413                   11,518                                                  11,518                   10,264                                                   10,264           
             Impairments on assets held for sale                                 -                                                                 -                        -                                                       -                        170,570                     170,570                    -                
                                                                              3,792,716                        17,145                         3,775,571                3,949,856                   17,590                    3,932,266                4,047,556                   189,494                    3,858,062        
 Income (loss) from operations before income taxes                                26,135                           (31,787  )                     57,922                   63,834                      (17,590  )                81,424                   (78,903    )                (189,494  )                110,591          
 Income tax provision (benefit)                                                   7,665                            (12,498  )                     20,163                   23,694                      (6,977   )                30,671                   (12,881    )                (53,890   )                41,009           
 Net income (loss)                                                          $     18,470                     $     (19,289  )               $     37,759             $     40,140                $     (10,613  )          $     50,753             $     (66,022    )          $     (135,604  )          $     69,582           
                                                                                                                                                                                                                                                                                                                                                
 Basic earnings (loss) per share                                            $     0.17                       $     (0.19    )               $     0.36               $     0.39                  $     (0.10    )          $     0.49               $     (0.64      )          $     (1.31     )          $     0.67             
 Diluted earnings (loss) per share                                          $     0.17                       $     (0.18    )               $     0.35               $     0.38                  $     (0.11    )          $     0.49               $     (0.64      )          $     (1.31     )          $     0.67             
                                                                                                                                                                                                                                                                                                                                                
 Weighted average shares outstanding:                                                                                                                                                                                                                                                                                                               
             Basic                                                               105,915                                                           105,915                  103,854                                                 103,854                  103,873                                                  103,873          
             Diluted                                                             106,869                                                           106,869                  104,323                                                 104,323                  103,873                                                  104,432          
                                                                                                                                                                                                                                                                                                                                                
 Pretax margin                                                                    0.7        %                     -0.8     %                     1.5        %             1.6        %                -0.4     %                2.0        %             -2.0       %                -4.8      %                2.8        %     
 Health plan services MCR                                                         87.5       %                     0.0      %                     87.5       %             86.2       %                -0.1     %                86.3       %             86.4       %                0.0       %                86.4       %     
 Government contracts cost ratio                                                  95.0       %                     -                              95.0       %             95.1       %                -                         95.1       %             94.4       %                -                          94.4       %     
 G&A expense ratio                                                                9.5        %                     0.5      %                     9.0        %             10.5       %                0.6      %                9.9        %             10.0       %                0.6       %                9.4        %     
 Selling costs ratio                                                              3.0        %                     -                              3.0        %             2.6        %                -                         2.6        %             2.6        %                -                          2.6        %     
 Effective tax rate                                                               29.3       %                     -5.5     %                     34.8       %             37.1       %                -0.6     %                37.7       %             16.3       %                -20.8     %                37.1       %     
                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                
 1 Includes a $14.6 million pretax realized losses from other-than-temporary impairments of investment securities included in net investment income and a $17.1 million pretax charge primarily for severance and other expenses related to the company's operations strategy and included in G&A expenses.                                                             
                                                                                                                                                                                                                                                                                                                                                                        
 2 Includes a $2.1 million pretax benefit for a litigation reserve true-up included in health plan services expenses and a $19.7 million pretax charge primarily for severance and other expenses related to the company's operations strategy and included in G&A expenses.                                                                                            
                                                                                                                                                                                                                                                                                                                                                               
 3 Includes $0.6 million litigation reserve true-up included in health care costs, a $19.5 million pretax charge primarily for IT systems and other expenses related to the company's operations strategy and included in G&A expenses and a $170.6 million pretax asset impairments for goodwill, intangible and IT-related assets related to the pending sale of our Northeast health plans. 
                                                                                                                                                                                                                                                                                                                                                           


 Health Net, Inc.                                                                                                                                                                                                
 Consolidated Balance Sheet                                                                                                                                                                                      
 (Amounts in thousands, except ratio data)                                                                                                                                                                       
                                                                                                                                                                                                      
                                                                                                                                                                                                      
                                                                                                                      September 30,                 June 30,                  Sept 30,                
                                                                                                                      2008                          2009                      2009                    
 ASSETS                                                                                                                                                                                                    
 Current Assets                                                                                                                                                                                            
           Cash and cash equivalents                                                                                      $      340,121              $    565,856            $    463,311          
           Investments - available for sale                                                                                      1,838,951                 1,477,651               1,309,864        
           Premiums receivable, net                                                                                              295,854                   414,199                 307,488          
           Amounts receivable under government contracts                                                                         235,064                   279,290                 224,495          
           Incurred but not reported (IBNR) health care costs receivable under TRICARE North contract                            307,970                   334,104                 323,207          
           Other receivables                                                                                                     107,032                   181,563                 183,258          
           Deferred taxes                                                                                                        111,266                   77,600                  101,043          
           Assets held for sale                                                                                                  -                         -                       848,601          
           Other assets                                                                                                          238,615                   207,383                 195,799          
 Total current assets                                                                                                             3,474,873                 3,537,646               3,957,066        
 Property and equipment, net                                                                                                      228,256                   169,925                 136,819          
 Goodwill, net                                                                                                                    751,949                   751,949                 611,886          
 Other intangible assets, net                                                                                                     96,122                    82,698                  29,478           
 Deferred taxes                                                                                                                   58,555                    67,247                  44,119           
 Investments - available for sale-noncurrent                                                                                      -                         60,047                  11,435           
 Other noncurrent assets                                                                                                          132,427                   133,501                 103,093          
 Total Assets                                                                                                              $      4,742,182            $    4,803,013          $    4,893,896        
                                                                                                                                                                                                      
 LIABILITIES AND STOCKHOLDERS' EQUITY                                                                                                                                                                      
 Current Liabilities                                                                                                                                                                                       
           Reserves for claims and other settlements                                                                      $      1,348,681            $    1,243,517          $    951,778          
           Health care and other costs payable under government contracts                                                        56,505                    76,709                  61,037           
           IBNR health care costs payable under TRICARE North contract                                                           307,970                   334,104                 323,207          
           Unearned premiums                                                                                                     197,881                   184,881                 124,828          
           Borrowings under amortizing financing facility                                                                        26,693                    117,999                 119,915          
           Liabilities held for sale                                                                                             -                         -                       355,530          
           Accounts payable and other liabilities                                                                                285,016                   352,890                 529,740          
 Total current liabilities                                                                                                        2,222,746                 2,310,100               2,466,035        
 Senior notes payable                                                                                                             398,224                   398,378                 398,429          
 Borrowings under amortizing financing facility                                                                                   119,900                   -                       -                
 Borrowings under revolving credit facility                                                                                       100,000                   100,000                 100,000          
 Other noncurrent liabilities                                                                                                     206,187                   167,993                 154,087          
 Total Liabilities                                                                                                                3,047,057                 2,976,471               3,118,551        
                                                                                                                                                                                                      
 Stockholders' Equity                                                                                                                                                                                      
           Common stock and additional paid-in capital                                                                           1,181,481                 1,191,021               1,184,905        
           Treasury common stock, at cost                                                                                        (1,367,302  )             (1,368,825  )           (1,368,854  )    
           Retained earnings                                                                                                     1,908,565                 2,006,275               1,940,253        
           Accumulated other comprehensive loss                                                                                  (27,619     )             (1,929      )           19,041           
 Total Stockholders' Equity                                                                                                       1,695,125                 1,826,542               1,775,345        
 Total Liabilities and Stockholders' Equity                                                                                $      4,742,182            $    4,803,013          $    4,893,896        
                                                                                                                                                                                                      
 Debt-to-Total Capital Ratio                                                                                                      27.6        %             25.2        %           25.8        %    
                                                                                                                                                                                                     


 Health Net, Inc.                                                                                                                                                                                                            
 Supplemental Consolidated Balance Sheet                                                                                                                                                                                     
 As of September 30, 2009                                                                                                                                                                                                    
 (Amounts in thousands, except ratio data)                                                                                                                                                                                   
                                                                                                                                                                                                                  
 Note:                                                                                                                                                                                                                       
 Set forth below is a supplemental consolidated balance sheet as of September 30, 2009, which breaks out certain assets and liabilities being held for sale, a portion of which is non-GAAP financial information. Management believes that the presentation of this non-GAAP financial information presented below is important to investors as it shows the assets and liabilities and the related amounts that will no longer be included in our consolidated balance sheet following closing of the pending sale of our 
 Northeast health plans to UnitedHealth Group. Non-GAAP financial information presented below should be considered in addition to, not as a substitute for, financial information prepared in accordance with GAAP.          
                                                                                                                                                                                                                  
                                                                                                                      Including                                                                                   
                                                                                                                      Assets/Liabilities                                                                          
                                                                                                                      Held for Sale                     Assets/Liabilities                                        
                                                                                                                      (Non-GAAP)                        Held for Sale                   As Reported               
 ASSETS                                                                                                                                                                                                                
 Current Assets                                                                                                                                                                                                        
           Cash and cash equivalents                                                                                      $        701,571                $        238,260              $     463,311           
           Investments - available for sale                                                                                        1,663,264                       353,400                    1,309,864         
           Premiums receivable, net                                                                                                350,390                         42,902                     307,488           
           Amounts receivable under government contracts                                                                           224,495                                                      224,495           
           Incurred but not reported (IBNR) health care costs receivable under TRICARE North contract                              323,207                                                      323,207           
           Other receivables                                                                                                       211,840                         28,582                     183,258           
           Deferred taxes                                                                                                          114,897                         13,854                     101,043           
           Assets held for sale                                                                                                    -                               (848,601  )                848,601           
           Other assets                                                                                                            222,496                         26,697                     195,799           
 Total current assets                                                                                                               3,812,160                       (144,906  )                3,957,066         
 Property and equipment, net                                                                                                        136,819                                                      136,819           
 Goodwill, net                                                                                                                      611,886                                                      611,886           
 Other intangible assets, net                                                                                                       75,630                          46,152                     29,478            
 Deferred taxes                                                                                                                     62,927                          18,808                     44,119            
 Investments - available for sale-noncurrent                                                                                        17,145                          5,710                      11,435            
 Other noncurrent assets                                                                                                            177,329                         74,236                     103,093           
 Total Assets                                                                                                              $        4,893,896              $        -                    $     4,893,896         
                                                                                                                                                                                                                  
 LIABILITIES AND STOCKHOLDERS' EQUITY                                                                                                                                                                                  
 Current Liabilities                                                                                                                                                                                                   
           Reserves for claims and other settlements                                                                      $        1,194,947              $        243,169              $     951,778           
           Health care and other costs payable under government contracts                                                          61,037                                                       61,037            
           IBNR health care costs payable under TRICARE North contract                                                             323,207                                                      323,207           
           Unearned premiums                                                                                                       169,413                         44,585                     124,828           
           Borrowings under amortizing financing facility                                                                          119,915                                                      119,915           
           Liabilities held for sale                                                                                               -                               (355,530  )                355,530           
           Accounts payable and other liabilities                                                                                  591,056                         61,316                     529,740           
 Total current liabilities                                                                                                          2,459,575                       (6,460    )                2,466,035         
 Senior notes payable                                                                                                               398,429                                                      398,429           
 Borrowings under amortizing financing facility                                                                                     -                                                            -                 
 Borrowings under revolving credit facility                                                                                         100,000                                                      100,000           
 Other noncurrent liabilities                                                                                                       160,547                         6,460                      154,087           
 Total Liabilities                                                                                                                  3,118,551                       -                          3,118,551         
                                                                                                                                                                                                                  
 Stockholders' Equity                                                                                                                                                                                                  
           Common stock and additional paid-in capital                                                                             1,184,905                                                    1,184,905         
           Treasury common stock, at cost                                                                                          (1,368,854  )                                                (1,368,854  )     
           Retained earnings                                                                                                       1,940,253                                                    1,940,253         
           Accumulated other comprehensive loss                                                                                    19,041                                                       19,041            
 Total Stockholders' Equity                                                                                                         1,775,345                       -                          1,775,345         
 Total Liabilities and Stockholders' Equity                                                                                $        4,893,896              $        -                    $     4,893,896         
                                                                                                                                                                                                                  
 Debt-to-Total Capital Ratio                                                                                                        25.8        %                                                25.8        %     
                                                                                                                                                                                                                   


 Health Net, Inc.                                                                                                                                                                       
 Consolidated Statements of Cash Flows                                                                                                                                                  
 (Amounts in thousands)                                                                                                                                                                 
                                                                                                                                                                                 
                                                                                                                                                                                 
                                                                                               Quarter Ended               Quarter Ended               Quarter Ended             
                                                                                               September 30,               June 30,                    September 30,             
                                                                                               2008                        2009                        2009                      
                                                                                                                                                                                 
 CASH FLOWS FROM OPERATING ACTIVITIES:                                                                                                                                            
 Net income (loss)                                                                              $      18,470             $      40,140             $      (66,022   )      
 Adjustments to reconcile net income (loss) to net cash                                                                                                                           
                                      provided by (used in) operating activities:                                                                                                
                                      Amortization and depreciation                                   17,255                    15,708                    12,689           
                                      Share-based compensation expense                                8,216                     5,987                     (5,025    )      
                                      Deferred income taxes                                           52,249                    11,579                    (45,976   )      
                                      Excess tax benefits from share-based compensation               (35       )               -                         -                
                                      Asset and investment impairment charges                         15,733                    491                       170,570          
                                      Other changes                                                   (4,985    )               1,140                     (5,362    )      
 Changes in assets and liabilities:                                                                                                                                               
                                      Premiums receivable and unearned premiums                       112,741                   (20,673   )               48,341           
                                      Other receivables, deferred taxes and other assets              (61,547   )               29,290                    (30,470   )      
                                      Amounts receivable/payable under government contracts           5,977                     (9,039    )               39,123           
                                      Reserves for claims and other settlements                       (9,075    )               (85,192   )               (48,570   )      
                                      Accounts payable and other liabilities                          (62,558   )               (43,598   )               85,055           
 Net cash provided by (used in) operating activities                                                   92,441                    (54,167   )               154,353          
                                                                                                                                                                                 
 CASH FLOWS FROM INVESTING ACTIVITIES:                                                                                                                                            
 Sales of investments                                                                                  154,478                   307,407                   465,732          
 Maturities of investments                                                                             58,400                    51,010                    37,355           
 Purchases of investments                                                                              (580,780  )               (455,652  )               (520,733  )      
 Proceeds from sale of property and equipment                                                          -                         -                         12               
 Purchases of property and equipment                                                                   (7,887    )               (5,081    )               (8,018    )      
                                                                                                                                                                                 
 Net sales and purchases of restricted investments and other                                           7,661                     (41       )               6,558            
 Net cash used in investing activities                                                                 (368,128  )               (102,357  )               (19,094   )      
                                                                                                                                                                                 
 CASH FLOWS FROM FINANCING ACTIVITIES:                                                                                                                                            
 Proceeds from exercise of stock options and employee stock purchases                                  235                       -                         485              
 Repurchases of common stock                                                                           (100,110  )               -                         (29       )      
 Excess tax benefits from share-based compensation                                                     35                        -                         -                
 Borrowings under financing arrangements                                                               200,000                   25,000                    -                
 Repayment of borrowings under financing arrangements                                                  (245,000  )               (42,444   )               -                
 Net cash (used in) provided by financing activities                                                   (144,840  )               (17,444   )               456              
                                                                                                                                                                                 
 Net decrease in cash and cash equivalents                                                             (420,527  )               (173,968  )               135,715          
 Cash and cash equivalents classified as assets held for sale                                          -                         -                         (238,260  )      
 Cash and cash equivalents, beginning of period                                                        760,648                   739,824                   565,856          
 Cash and cash equivalents, end of period                                                       $      340,121            $      565,856            $      463,311          
                                                                                                                                                                            


 Health Net, Inc.                                                                                                                                                                              
 Notes to Consolidated Financial Statements                                                                                                                                                    
                                                                                                                                                                                  
                                                                                                                                                                                  
 Note:                                                                                                                                                                                         
                                                                                                                                                                                  
 (a) Management believes that days claims payable (excluding capitation, provider and other claim settlements and Medicare Part D), a non-GAAP financial measure, provides useful information to investors because, in excluding those health care costs for which no or minimal reserves are maintained, it is a more accurate reflection of days claims payable calculated from claims-based reserves than is days claims payable, which does not exclude such costs. This non-GAAP financial information should be considered 
 in addition to, not as a substitute for, financial information prepared in accordance with GAAP. The following table provides a reconciliation of the differences between days claims payable (excluding capitation, provider and other claim settlements and Medicare Part D) and days claims payable, the most directly comparable financial measure calculated and presented in accordance with GAAP: 
                                                                                                                                                                                  
                                                                                                                                                                                  
                                                                                                           Q3 2008                  Q2 2009                  Q3 2009              
                                                                                                           (Dollars in millions)                                                      
 Reserve for Claims and Other Settlements                                                                         $    1,348.7           $    1,243.5           $    951.8         
 Add: Reserve for Claims and Other Settlements Held for Sale                                                                                                        $    243.2         
 Less: Capitation Payable, Provider and Other Claim Settlements and Medicare Part D                                    (245.3   )             (196.9   )             (159.2   )    
 Adjusted Reserve for Claims and Other Settlements                                                                     1,103.4                1,046.6                1,035.8       
                                                                                                                                                                                  
 (1) Average Reserve for Claims and Other Settlements                                                                  1,353.2                1,286.1                1,219.3       
                                                                                                                                                                                  
 (2) Average Adjusted Reserve for Claims and Other Settlements                                                         1,084.0                1,089.4                1,041.2       
                                                                                                                                                                                  
 (3) Health Plan Services Cost                                                                                         2,689.8                2,718.0                2,735.0       
 Less: Capitation Payable, Provider and Other Claim Settlements and Medicare Part D                                    (796.5   )             (887.4   )             (837.3   )    
 (4) Adjusted Health Plan Services Cost                                                                                1,893.3                1,830.6                1,897.7       
                                                                                                                                                                                  
 (5) Number of Days in Period                                                                                          92                     91                     92            
                                                                                                                                                                                  
 = (1) / (3) * (5) Days Claims Payable                                                                                 46.3                   43.1                   41.0          
 = (2) / (4) * (5) Days Claims Payable - Adjusted                                                                      52.7                   54.2                   50.5          
                                                                                                                                                                                  


 Health Net, Inc.                                                                                                                                  
 Reconciliation of Reserves for Claims and Other Settlements                                                                                       
 (In millions)                                                                                                                                     
                                                                                                                                            
                                                                                                                                            
                                                                   Health Plan Services                                                         
                                                                   YTD 9/2009                  Year 2008                   Year 2007        
                                                                                                                                            
 Reserve for claims (a), beginning of period                        $     957.1               $     838.7               $      754.2    
                                                                                                                                            
 Incurred claims related to:                                                                                                                 
                                 Current Year                            4,899.5                   6,372.2                    5,790.7  
                                 Prior Years (c)                         (72.1    )                (8.3     )                 0.6      
 Total Incurred (b)                                                       4,827.4                   6,363.9                    5,791.3  
                                                                                                                                            
 Paid claims related to:                                                                                                                     
                                 Current Year                            4,018.2                   5,443.2                    4,972.3  
                                 Prior Years                             843.4                     802.3                      734.5    
 Total Paid (b)                                                           4,861.6                   6,245.5                    5,706.8  
                                                                                                                                            
 Reserve for claims (a), end of period                                    922.9                     957.1                      838.7    
 Add:                                                                                                                                        
 Claims Payable (d)                                                       183.8                     284.8                      365.6    
 Other (e)                                                                88.2                      96.2                       96.1     
                                                                                                                                            
 Held for Sale Reserve for Claims and other Settlements (f)               (243.2   )                                                       
                                                                                                                                            
 Reserves for claims and other settlements, end of period           $     951.7               $     1,338.1             $      1,300.4  
                                                                                                                                        


 (a) Consists of incurred but not reported claims and received but unprocessed claims and reserves for loss adjustment expenses.                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
 (b) Includes medical claims only. Capitation, pharmacy and other payments including provider settlements are not included.                                                                                                                                                                                                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
 (c) This line represents the change in reserves attributable to the difference between the original estimate of incurred claims for prior years and the revised estimate.  In developing the revised estimate, there have been no changes in the approach used to determine the key actuarial assumptions, which are the completion factor and medical cost trend.  Claims liabilities are estimated under actuarial standards of practice and generally accepted accounting principles.  The majority of the reserve balance   
 held at each quarter-end is associated with the most recent months` incurred services because these are the services for which the fewest claims have been paid.  The majority of the adjustments to reserves relate to variables and uncertainties associated with actuarial assumptions.  The degree of uncertainty in the estimates of incurred claims is greater for the most recent months` incurred services.  Revised estimates for prior years are determined in each quarter based on the most recent updates of paid  
 claims for prior years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
 (d) Includes amount accrued for litigation and regulatory-related expenses.                                                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
 (e) Includes accrued capitation, shared risk settlements, provider incentives and other reserve items.                                                                                                                                                                                                                                                                                                                                                                                                                          
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
 (f) Reserves for claims and other settlements related to Northeast business reclassified to liabilities held for sale due to pending sale.                                                                                                                                                                                                                                                                                                                                                                                      


Health Net, Inc.
Investor Contact
Angie McCabe, 818-676-8692
angie.mccabe@healthnet.com
or
Media Contact
Margita Thompson, 818-676-7912
margita.thompson@healthnet.com



Copyright Business Wire 2009

 

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