1. Exhibit 1. Average 2016 Premiums, by State and Metal Tier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016Average Premium by Metal Tier for 40-Year-Old Nonsmoker, 2016 All PlansSilver Plans All PlansSilver PlansBronzeSilverGoldPlatinum United States 0%-1%6%5%$278$337$410$502 Alabama 3%8% 15%17%$268$315$394$406 Alaska 31%32% 31%34%$619$783$898 - Arizona -3%-2% 6%5%$288$342$392 - Arkansas 3%1% -1%-3%$235$271$321$359 California 1% 0%4%1%$248$309$381$449 Colorado -8%-6% 8%7%$283$353$414$531 Connecticut -1% -7%-1%2%$266$380$412$482 Delaware 3%6% 18%15%$291$372$442$539 District of Columbia 11% 8%-2%-9%$193$267$361$448 Florida 7% -1%-9%$293$336$416$553 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

2. Exhibit 1. Average 2016 Premiums, by State and Metal Tier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016Average Premium by Metal Tier for 40-Year-Old Nonsmoker, 2016 All PlansSilver Plans All PlansSilver PlansBronzeSilverGoldPlatinum United States 0%-1%6%5%$278$337$410$502 Georgia 1%-1% 10%9%$288$336$422- Hawaii -3% -5%29%31%$222$271$330$389 Idaho 14% 17%12% $269$325$369- Illinois -2%-9% 6%8%$264$313$386- Indiana 5%4% -4%-5%$290$335$404- Iowa 11%10% 15%12%$279$348$416$569 Kansas 4%1% 26%23%$250$301$356$438 Kentucky 7%-1% 4%5%$239$293$353$357 Louisiana 12%11% 6%13%$314$404$464$473 Maine -1%2% 3%0%$284$343$458- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

3. Exhibit 1. Average 2016 Premiums, by State and Metal Tier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016Average Premium by Metal Tier for 40-Year-Old Nonsmoker, 2016 All PlansSilver Plans All PlansSilver PlansBronzeSilverGoldPlatinum United States 0%-1%6%5%$278$337$410$502 Maryland 0%-2% 9% $229$293$364$361 Massachusetts 0%2% 1% $290$348$464$550 Michigan -1%-5% 4%5%$252$322$405$475 Minnesota 19% 14%21%27%$228$308$367- Mississippi -19%-15% 3%-4%$272$302$397$428 Missouri 9%8% 15%12%$288$343$413$420 Montana 3% 22%28%$279$348$436- Nebraska 10%4% 19%16%$295$372$449- Nevada 4%1% 5%8%$260$313$379$396 New Hampshire 16%13% -1%1%$251$333$401$360 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

4. Exhibit 1. Average 2016 Premiums, by State and Metal Tier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016Average Premium by Metal Tier for 40-Year-Old Nonsmoker, 2016 All PlansSilver Plans All PlansSilver PlansBronzeSilverGoldPlatinum United States 0%-1%6%5%$278$337$410$502 New Jersey 2%-4% 4%5%$342$377$473$637 New Mexico -1%-3% 10%6%$214$268$316$405 New York - ---$382$460$534$630 North Carolina 12%13% 27%22%$341$418$504$646 North Dakota 7% 10%9%$279$346$406- Ohio 4% 7% $284$343$407- Oklahoma -1%3% 10%20%$255$345$409- Oregon -5%-4% 17% $253$307$369- Pennsylvania 12% -1%-4%$246$300$364$509 Rhode Island 0% -2%9%12%$244$318$359- South Carolina 10%3% 6% $282$325$412- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

5. Exhibit 1. Average 2016 Premiums, by State and Metal Tier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016Average Premium by Metal Tier for 40-Year-Old Nonsmoker, 2016 All PlansSilver Plans All PlansSilver PlansBronzeSilverGoldPlatinum United States 0%-1%6%5%$278$337$410$502 South Dakota -21%-20% 14%19%$282$345$427- Tennessee 9% 37%33%$260$341$470$638 Texas 5%2% -8%-9%$253$298$361$514 Utah 5%4% 22%21%$255$309$367$404 Vermont 7% 9%6% $398$483$558$661 Virginia -56%-49% 6% $269$325$413$409 Washington -1% -2%2%-1%$247$302$378- West Virginia 10%9% 27%31%$305$378$455- Wisconsin 7%9% 0%3%$314$386$440$475 Wyoming 5%6% 5%7%$417$486$579- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

6. Exhibit 2. 2016 Premium and Premiums Changes for Benchmark Silver Plans for Urban, Suburban, and Rural Areas Statewide Percentage Increase in Benchmark Silver Plan Statewide Percentage Increase in Benchmark Silver Plan by Geographic Area Average Benchmark Silver Plan Premium for 40-Year-Old Nonsmoker, by Geographic Area and State, 2016 Average Benchmark Silver Plan Premium for 40-Year- Old Nonsmoker by State, 2016 % Increase in Benchmark Silver Plan, 2014-2015 % Increase in Benchmark Silver Plan, 2015- 2016 UrbanSuburbanRural UrbanSuburbanRural 2014-20152015-20162014-20152015-20162014-20152015-2016 United States 1%6%0%4%3%8%1%11%$276$302$305$289 Alabama 3%14%2%8%-3%18%4%16%$285$301 $296 Alaska 28%31%26%31%29%31%34%31%$719 Arizona -5%16%-10%17%7%21%13%10%$207$217$324$229 Arkansas -2%3%-2%4%-2%1%-3%8%$289$303$298$300 California 1% 4% 0% 4% 1% 6% 9% 2%$268$384$349$293 Colorado -18%39%-16%30%-20%45%-30%52%$274$288$404$307 Connecticut -13% 8% -12% 12% -14% 2% -14% 14%$337$384$344$358 Delaware 4%18%4%18% - - - -$356-- District of Columbia 5% -4% 5% -4% - - - -$243-- Florida 4%-11%2%-6%13%-14%14%-5%$258$291$295$280 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

7. Exhibit 2. 2016 Premium and Premiums Changes for Benchmark Silver Plans for Urban, Suburban, and Rural Areas Statewide Percentage Increase in Benchmark Silver Plan Statewide Percentage Increase in Benchmark Silver Plan by Geographic Area Average Benchmark Silver Plan Premium for 40-Year-Old Nonsmoker, by Geographic Area and State, 2016 Average Benchmark Silver Plan Premium for 40-Year- Old Nonsmoker by State, 2016 % Increase in Benchmark Silver Plan, 2014-2015 % Increase in Benchmark Silver Plan, 2015- 2016 UrbanSuburbanRural UrbanSuburbanRural 2014-20152015-20162014-20152015-20162014-20152015-2016 United States 1%6%0%4%3%8%1%11%$276$302$305$289 Georgia 1%9%2%1%2%3%-11%40%$257$268$393$285 Hawaii 9% 30% 9% 30% - - - $262-- Idaho 0% 21% -9% 30% 6% 16% -2% 16%$273$283$289$283 Illinois 3%10%1%-8%9%22%-3%20%$198$283$317$253 Indiana -6%-8%-4%-11%-7%-8%-20%-1%$292$276$271$280 Iowa -2%11%-4%9%-7%24%13%6%$269$254$314$283 Kansas -1%12%0%8%-2%15%0%10%$242$250$252$248 Kentucky 0%-5%3%2%9%-11%-16%1%$216$229$253$230 Louisiana 3%41%0%18%6%55%4%52%$350$351$370$355 Maine -2%1%-4%1% -5%0%7%$285$326$341$315 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

8. Exhibit 2. 2016 Premium and Premiums Changes for Benchmark Silver Plans for Urban, Suburban and Rural Areas Statewide Percentage Increase in Benchmark Silver Plan Statewide Percentage Increase in Benchmark Silver Plan by Geographic Area Average Benchmark Silver Plan Premium for 40-Year-Old Nonsmoker, by Geographic Area and State, 2016 Average Benchmark Silver Plan Premium for 40-Year- Old Nonsmoker by State, 2016 % Increase in Benchmark Silver Plan, 2014-2015 % Increase in Benchmark Silver Plan, 2015- 2016 UrbanSuburbanRural UrbanSuburbanRural 2014-20152015-20162014-20152015-20162014-20152015-2016 United States 1%6%0%4%3%8%1%11%$276$302$305$289 Maryland 5% 9% 3% 6% 4% 13% 9% 6%$249$256$258$253 Massachusetts -4%2%-7%3%-6%3% -3%$264 $247$262 Michigan 3%4%3%-2%5%-1%-3%26%$226$232$324$245 Minnesota 17% 20% 19% 29% 27% 32% -7% 0%$235$273$284$252 Mississippi -19%-7%-19%-6%-26%-8%-17%-6%$255$280$257$265 Missouri 2%14%5% -2%33%1%12%$289$335$348$312 Montana -6%35%-5%37%-3%33%-8%34%$326$322$319$322 Nebraska 2%24%-3%18%7%26%16%45%$313$330$383$327 Nevada 0%9%0%10%0%8%-9%2%$261$335$442$285 New Hampshire -15%6%-15%6% - - - -$261-- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

9. Exhibit 2. 2016 Premium and Premiums Changes for Benchmark Silver Plans for Urban, Suburban, and Rural Areas Statewide Percentage Increase in Benchmark Silver Plan Statewide Percentage Increase in Benchmark Silver Plan by Geographic Area Average Benchmark Silver Plan Premium for 40-Year-Old Nonsmoker, by Geographic Area and State, 2016 Average Benchmark Silver Plan Premium for 40-Year- Old Nonsmoker by State, 2016 % Increase in Benchmark Silver Plan, 2014-2015 % Increase in Benchmark Silver Plan, 2015- 2016 UrbanSuburbanRural UrbanSuburbanRural 2014-20152015-20162014-20152015-20162014-20152015-2016 United States 1%6%0%4%3%8%1%11%$276$302$305$289 New Jersey -1%3%-1%3% - - - -$325-- New Mexico -11%13%-11%39%-12%30%-10%-8%$241$277$219$235 New York - - - - - - - -$367$418$446$388 North Carolina 9%21%7%18%14%21%11%24%$387$384$410$388 North Dakota 5%7%0%12%7%9%7%6%$304$333$323$320 Ohio 3%-1% 3%4%-6%12%0%$254$253$278$257 Oklahoma 2%36%9%35%0%37%-2%36%$295$306$293$297 Oregon -1%18%-1%23%-1%14%-2%15%$261$271$275$267 Pennsylvania -7%3%-11%-9%4%19%-2%2%$243$282$214$258 Rhode Island -12% 1% -12% 1% - - - -$263-- South Carolina -2%7%-4%5%1%14%1%0%$291$310$288$298 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

10. Exhibit 2. 2016 Premium and Premiums Changes for Benchmark Silver Plans for Urban, Suburban, and Rural Areas Statewide Percentage Increase in Benchmark Silver Plan Statewide Percentage Increase in Benchmark Silver Plan by Geographic Area Average Benchmark Silver Plan Premium for 40-Year-Old Nonsmoker, by Geographic Area and State, 2016 Average Benchmark Silver Plan Premium for 40-Year- Old Nonsmoker by State, 2016 % Increase in Benchmark Silver Plan, 2014-2015 % Increase in Benchmark Silver Plan, 2015- 2016 UrbanSuburbanRural UrbanSuburbanRural 2014-20152015-20162014-20152015-20162014-20152015-2016 United States 1%6%0%4%3%8%1%11%$276$302$305$289 South Dakota -7%26%-3%20%-15%31%-4%27%$309$354$330 Tennessee 4%44%8%38%2%49%-7%44%$280$282$301$284 Texas 4%-8%3%-11%9%-5%5%3%$248$218$248$244 Utah 3%14%3%13%3%12%2%19%$244$258$293$257 Vermont 6% 7% 6% 7% - - - $468-- Virginia 3%1%4%0%3%7%3% $281$314$282$283 Washington -8% 4% -10% -11% -7% 14% -7% -8%$227$308$244$275 West Virginia 8%23%8%19%8%19%8%26%$322$344$376$358 Wisconsin 5% 6%-2%2%7%6%4%$326$322$267$305 Wyoming 5%6%3%5%7%10%5% $426$468 $461 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

11. Exhibit 3. Average 2016 Premiums, by Type of Carrier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016 Average Premium by Type of Carrier for 40-Year-Old Nonsmoker, 2016 Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross and Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OpMedicaid United States 6%0%-8%-13%7%4%12% $363$351$340$331 Alabama 4%0% -- 15%10%--$345$303-- Alaska 35%--26%39%--38%$822--$686 Arizona -5%8%-32%2%8%-8%11%2%$304$291$277$256 Arkansas 2%---6%9%---1%$310$367-$319 California 5%-1%- -2%-4%-10%$346$331-$363 Colorado -4% -16%10% 6%-18%$378$333-$434 Connecticut -5%--13%-10%5%13%-$364$375$332- Delaware 2%---18%13%--$401$355-- District of Columbia 11%9%---1%-6%--$310$280-- Florida 19%11%--17%-3%-7%--4%$420$343-$276 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

12. Exhibit 3. Average 2016 Premiums, by Type of Carrier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016 Average Premium by Type of Carrier for 40-Year-Old Nonsmoker, 2016 Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid United States 6%0%-8%-13%7%4%12% $363$351$340$331 Georgia -14%15%--6%20%5%-44%$335$340-$405 Hawaii -9%9%--26%35%--$313$292-- Idaho 11%--23%22%-21%1%$314-$289$335 Illinois 8%-4%-20%-18%1%-1%22%37%$293$317$337$347 Indiana -6%---8%7%3%--9%$336$378-$298 Iowa --15%-2%---14%-$314-$324 Kansas -2%--15%21%---$313$304-- Kentucky -8%13%27%-8%29%--$293$334-- Louisiana 14%8%10%-8%13%--$403$366-- Maine --0%-1%-2%-$339-$321- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

13. Exhibit 3. Average 2016 Premiums, by Type of Carrier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016 Average Premium by Type of Carrier for 40-Year-Old Nonsmoker, 2016 Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross and Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid United States 6%0%-8%-13%7%4%12% $363$351$340$331 Maryland 16%-7%-8%-15%1%18%-$324$288$284- Massachusetts 2%--6%9%4%--3%$527$535-$428 Michigan 9%19%-11%-7%10% 17%-2%$341$271$439$300 Minnesota 3%--7%29%--22%$335--$291 Mississippi -0%--27%-10%---$352-- Missouri 4%--12%11%--15%$340$333-$342 Montana 9%--2%-7%12%-33% $323-$344$333 Nebraska 20%-4%-10%20%--22%$398$338-$331 Nevada 0%6%0%- --$326$297-- New Hampshire 0%---6%-14%-$295-$315- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

14. Exhibit 3. Average 2016 Premiums, by Type of Carrier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016 Average Premium by Type of Carrier for 40-Year-Old Nonsmoker, 2016 Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid United States 6%0%-8%-13%7%4%12% $363$351$340$331 New Jersey 4%--6%-8%-4%--$432$396-- New Mexico ---5%--- ---$284 New York - -------$496$576-- North Carolina 13%---24%16%--$466$382-- North Dakota 12%--3%12%--15%$372--$341 Ohio 9%15%--10%2%12%16%10%$339$333$392$315 Oklahoma 6%---11%---$289$368-- Oregon -5%2%-8%5%20%7%22%25%$312$267$334$336 Pennsylvania 9%-18%-5%17%3%-9%$361$281-$304 Rhode Island 6%---10%13%--$334$313-- South Carolina -2%-0%-11%-12%-$329$408$322- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

15. Exhibit 3. Average 2016 Premiums, by Type of Carrier, and Average Change in Premiums, 2014-2015 and 2015-2016 Premium Increases 2014-2015Premium Increases 2015-2016 Average Premium by Type of Carrier for 40-Year-Old Nonsmoker, 2016 Blue Cross Blue Shield National Commercial CO-OPMedicaid Blue Cross and Blue Shield National Commercial CO-OPMedicaid Blue Cross Blue Shield National Commercial CO-OPMedicaid United States 6%0%-8%-13%7%4%12% $363$351$340$331 South Dakota - ------- ---- Tennessee 17%10%-30%-36%-3%--$407$292-- Texas 13%9%--18%-5%-7%-19%$299$322-$321 Utah -16%6%5%-23%30%18%-$262$320$311 Vermont 8%--10%6%-- $486--$514 Virginia 3%-59%--72%4%11%- $316$315-$329 Washington 4%-4%-5%-11%4%1%-3%-9%$319$318$264$256 West Virginia 10%---32%---$392--- Wisconsin 7%- 4% 13%-1%-6%$351$395$352$355 Wyoming - ----------- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

16. Exhibit 4. Number of Carriers Offering Plans in Three Select Rating Regions, by State, in 2016, and Change Since 2014 and 2015 Urban AreaSuburban AreaRural Area Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 United States 6.8 6.71-0.465.71.4-0.45.35.21.1-0.1 Alabama 32.71-0.322.510.52210 Alaska 220022002200 Arizona 1393-4125.42-6.683.52-4.5 Arkansas 452145114521 California 6 5.8 -0.2 54.50-0.5352 Colorado 109.80-0.2770047.63.6 Connecticut 4 4 1 0 44104410 Delaware 3 (statewide) 3 (statewide) 00-------- District of Columbia 4 (statewide) 3 (statewide) 0 -------- Florida 96.30-2.753.72-1.332.82-0.2 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

17. Exhibit 4. Number of Carriers Offering Plans in Three Select Rating Regions, by State, in 2016, and Change Since 2014 and 2015 Urban AreaSuburban AreaRural Area Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 United States 6.8 6.71-0.465.71.4-0.45.35.21.1-0.1 Georgia 98.64-0.475.43-1.663.34-2.7 Hawaii 2 (statewide) 2 (statewide) 0 0 -------- Idaho 5 51 05 5105520 Illinois 882044.910.964.51-1.5 Indiana 86.85-1.2774066.540.5 Iowa 3401230123.501.5 Kansas 4410431431 Kentucky 481443.41-0.62503 Louisiana 64.61-1.444.500.554.51-0.5 Maine 3 (statewide) 3 (statewide) 10-------- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

18. Exhibit 4. Number of Carriers Offering Plans in Three Select Rating Regions, by State, in 2016, and Change Since 2014 and 2015 Urban AreaSuburban AreaRural Area Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 United States 6.8 6.71-0.4661.4-0.45.35.21.1-0.1 Maryland 8 8 3 0 88306822 Massachusetts 991089.401.473-2-4 Michigan 141331312394.62-4.4 Minnesota 5 5 0 0 55002402 Mississippi 3310331032.91-0.1 Missouri 442033.710.73310 Montana 431431 431 Nebraska 440044003401 Nevada 441053.71-1.32200 New Hampshire 5 (statewide) 5 (statewide) 40--- - ---- Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

19. Exhibit 4. Number of Carriers Offering Plans in Three Select Rating Regions, by State, in 2016, and Change Since 2014 and 2015 Urban AreaSuburban AreaRural Area Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 United States 6.8 6.71-0.465.71.4-0.45.35.21.1-0.1 New Jersey 652--- - ---- New Mexico 54144004400 New York -10.2---7.4---6-- North Carolina 3310331021.60-0.4 North Dakota 330033003300 Ohio 1211.54-0.51010.440.468.322.3 Oklahoma 42-2 42-232-3 Oregon 89-2199208820 Pennsylvania 64.42-1.655.610.685.91-2.1 Rhode Island 3 (statewide) 3 (statewide) 1 0 -------- South Carolina 54154.71-0.35.03.31-1.7 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.

20. Exhibit 4. Number of Carriers Offering Plans in Three Select Rating Regions, by State, in 2016, and Change Since 2014 and 2015 Urban AreaSuburban AreaRural Area Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015- 2016 Number of Carriers, 2015 Number of Carriers, 2016 Change 2014- 2015 Change 2015 - 2016 United States 6.8 6.71-0.465.71.4-0.35.35.21.1-0.1 South Dakota 320320 320 Tennessee 54142.61-1.432.51-0.5 Texas 78.721.766.730.71110.52-0.5 Utah 650540 420-2 Vermont 2 (statewide) 2 (statewide) 0 0 -------- Virginia 67.301.332.8-0.268.512.5 Washington 8 8 1 0 99.4109940 West Virginia 110012011100 Wisconsin 662076.62-0.41011.721.7 Wyoming 210210210 Source: Review of publicly available 2014, 2015, and 2016 rate filings from Departments of Insurance and insurance exchange marketplace websites and CCIIO FFM landscape file.