COVERING THE COMMONWEALTH

Printed materials, namely, brochures, manuals, newsletters, informational sheets, course materials, and educational and instructional materials in the field of member insurance benefits

Business administration of health maintenance organizations; customer services, namely, responding to customers inquiries for others in the field of health insurance, provided by means of a call center, the Internet and the postal services; business administration and management, namely, administrative services for the public health sector in the nature of general administration, namely, management of health care clinics for others; health care utilization and review services; case and medical management namely, health care cost containment; provider relations services, namely, requesting health care provider privileges from health care institutions on behalf of physicians and health care providers; call centers services, namely, operation of telephone call centers for others; provision of advertising services for others, namely, the distribution of advertisements for display on the Internet through websites, social media, emails, microblogs, blogs, electronic messages, instant messages, text messages, multimedia messages, social networks, status updates, forums, and electronic bulletin boards; consumer research services, namely, conducting business surveys and outreach programs to obtain consumer feedback; Medicaid-managed care plan services and Medicare/Medicaid dual eligibility plan services, namely, retail pharmacy services, mail order services featuring prescription drugs, on-line ordering services featuring prescription drugs; cost management for the health benefit plans of others; electronic processing of health care information, physician referrals, utilization review and pre-certification services, and billing administration of accounts on behalf of others; arranging and conducting health and wellness incentive programs to promote improvement in outcomes for health plan enrollees; distribution of tangible or virtual incentive awards to promote wellness programs and healthy lifestyles in the nature of stored value card services and/or stored value electronic certificate services

Insurance underwriting in the field of health care in the nature of risk-based health insurance services for low-income individuals; administration of health care benefits plans in the nature of health maintenance organizations; administrative services for the public health sector, namely, administration of pre-paid health care plans; health insurance claims processing; provider relations, namely, administration of preferred provider plans in the field of health care; health insurance administration; providing health insurance information via the internet; providing financial consultation in the fields of health care plans and health care planning; providing grants to organizations dedicated to addressing the needs of the underserved

Telephone hotline counseling, namely, offering medical and healthcare advice; telephone information service featuring information in the field of medical and healthcare advice; Medicaid managed health care services; healthcare services, namely, providing a healthcare management program offering information in the field of medical and healthcare advice, fitness evaluation, and consultation to individuals to improve their overall health and to help assist them in decisions relative to health, wellness, and nutrition