Health Net 2015 Annual Report Download - page 75

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Western Region Operations Reportable Segment
Our Western Region Operations segment includes the operations of our commercial, Medicare, Medicaid and
dual eligibles health plans, the operations of our health and life insurance companies primarily in California, Arizona,
Oregon and Washington, and our pharmaceutical services subsidiary and certain operations of our behavioral health
subsidiaries in several states including Arizona, California, Oregon and Washington.
Western Region Operations Segment Membership
Change
As of December 31, 2015 v 2014 2014 v 2013
2015 2014 2013 Increase/
(Decrease) % Change Increase/ (Decrease) % Change
(Membership in thousands)
California
Large Group ............................. 451 474 565 (23) (4.9)% (91) (16.1)%
Small Group ............................. 244 246 244 (2) (0.8)% 2 0.8 %
Individual ................................. 250 237 100 13 5.5 % 137 137.0 %
Commercial.............................. 945 957 909 (12) (1.3)% 48 5.3 %
Medicare Advantage................. 166 173 153 (7) (4.0)% 20 13.1 %
Medi-Cal/Medicaid .................. 1,826 1,595 1,113 231 14.5 % 482 43.3 %
Dual Eligibles........................... 22 16 6 37.5 % 16
Total California................. 2,959 2,741 2,175 218 8.0 % 566 26.0 %
Arizona
Large Group ............................. 32 44 57 (12) (27.3)% (13) (22.8)%
Small Group ............................. 35 43 39 (8) (18.6)% 4 10.3 %
Individual ................................. 59 92 12 (33) (35.9)% 80 666.7 %
Commercial.............................. 126 179 108 (53) (29.6)% 71 65.7 %
Medicare Advantage................. 38 46 43 (8) (17.4)% 3 7.0 %
Medicaid................................... 65 81 4 (16) (19.8)% 77 1,925.0 %
Total Arizona..................... 229 306 155 (77) (25.2)% 151 97.4 %
Northwest
Large Group ............................. 27 29 29 (2) (6.9)% — — %
Small Group ............................. 21 24 36 (3) (12.5)% (12) (33.3)%
Individual ................................. 1 3 3 (2) (66.7)% — — %
Commercial.............................. 49 56 68 (7) (12.5)% (12) (17.6)%
Medicare Advantage................. 65 56 48 9 16.1 % 8 16.7 %
Total Northwest................. 114 112 116 2 1.8 % (4) (3.4)%
Total Health Plan Enrollment
Large Group ............................. 510 547 651 (37) (6.8)% (104) (16.0)%
Small Group ............................. 300 313 319 (13) (4.2)% (6) (1.9)%
Individual ................................. 310 332 115 (22) (6.6)% 217 188.7 %
Commercial.............................. 1,120 1,192 1,085 (72) (6.0)% 107 9.9 %
Medicare Advantage................. 269 275 244 (6) (2.2)% 31 12.7 %
Medi-Cal/Medicaid .................. 1,891 1,676 1,117 215 12.8 % 559 50.0 %
Dual Eligibles........................... 22 16 6 37.5 % 16
3,302 3,159 2,446 143 4.5 % 713 29.1 %