Downstate - New York Hospitals.

Downstate - New York Hospitals. BRONX Bronx Lebanon Hospital Center All Divisions Jacobi Medical Center Lincoln Medical & Mental Health Center Montefiore Medical Center All Divisions North Central Bronx Hospital St. Barnabas Hospital DUTCHESS Northern Dutchess Hospital Vassar Brothers Medical Center KINGS Beth Israel Medical Center Kings Highway Division Brookdale Hospital Medical Center Brooklyn Hospital Center Coney Island Hospital Interfaith Medical Center Kings County Hospital Center Kingsbrook Jewish Medical Center Lutheran Medical Center NY Community Hospital of Brooklyn New York Methodist Hospital University Hospital of Brooklyn Woodhull Medical & Mental Health Center Wyckoff Heights Medical Center NASSAU Mercy Medical Center Nassau University Medical Center St. Francis Hospital St. Joseph Hospital South Nassau Communities Hospital Winthrop University Hospital NEW YORK Bellevue Hospital Center Beth Israel Medical Center Petrie Division Harlem Hospital Center NEW YORK (continued) Manhattan Eye, Ear & Throat Institute Memorial Sloan Kettering Cancer Center Metropolitan Hospital Center Mount Sinai Hospital New York Downtown Hospital New York Eye & Ear Infirmary New York Presbyterian Hospital - Columbia University Medical Center and Allen Pavilion New York Weill Cornell Center NYU Hospital For Joint Diseases NYU Langone Medical Center St. Luke s Roosevelt Hospital Center - St. Luke s Division St. Luke s Roosevelt Hospital Center - Roosevelt Division ORANGE Bon Secours Community Hospital Orange Regional Medical Center St. Anthony Community Hospital St. Luke s Cornwall Hospital Cornwall Campus St. Luke s Cornwall Hospital Newburgh Campus PUTNAM Putnam Hospital QUEENS Elmhurst Hospital Center Flushing Hospital Medical Center Jamaica Hospital Medical Center Mount Sinai Hospital of Queens New York Hospital of Queens Queens Hospital Center St. John s Episcopal Hospital South Shore RICHMOND Richmond University Medical Center ROCKLAND Good Samaritan Hospital Nyack Hospital SUFFOLK Brookhaven Memorial Hospital Medical Center Eastern Long Island Hospital Good Samaritan Hospital Medical Center John T. Mather Memorial Hospital Peconic Bay Medical Center St. Catherine of Siena Medical Center St. Charles Hospital & Rehabilitation Center Southampton Hospital Stony Brook University Hospital SULLIVAN Catskill Regional Medical Center ULSTER Ellenville Regional Hospital Health Alliance Mary s Avenue Campus Health Alliance Broadway Campus WESTCHESTER Blythedale Children s Hospital Hudson Valley Hospital Center Lawrence Hospital Center Mount Vernon Hospital New York Weill Cornell Westchester Northern Westchester Hospital Center Phelps Memorial Hospital Center St. John s Riverside Hospital St. John s Riverside Hospital Dobbs Ferry Pavilion St. Joseph s Medical Center Sound Shore Medical Ctr. of Westchester White Plains Hospital Center Hospitals listed above currently participate in the MagnaCare Extra Network which is exclusive to Health Republic Insurance of New York. Please note that all hospitals in the MagnaCare Network do not participate in the MagnaCare Extra Network. HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St, New York, NY 10004 646-679-4661 888-990-5702 HealthRepublicNY.org HRINY_BR03_HospitalNetOv_DSV2_091514

New Jersey Hospitals. ATLANTIC AtlantiCare Atlantic City AtlantiCare Pomona BERGEN Bergen Regional Medical Center Englewood Hospital & Medical Center Hackensack University Medical Center HackensackUMC at Pascack Valley Holy Name Medical Center Valley Hospital BURLINGTON Deborah Heart & Lung Center Virtua Memorial Hospital of Burlington County Virtua West Jersey Hospital Marlton CAMDEN Kennedy Memorial Hospitals Cherry Hill Campus Kennedy Memorial Hospitals Stratford Campus Virtua West Jersey Hospital Berlin Virtua West Jersey Hospital Voorhees CUMBERLAND Inspira Medical Center Vineland ESSEX Clara Maass Medical Center East Orange Hospital HackensackUMC Mountainside Newark Beth Israel Medical Center St. Barnabas Medical Center St. Michael s Medical Center GLOUCESTER Kennedy Memorial Hospitals Washington Township Inspira Medical Center Woodbury HUDSON Bayonne Medical Center Christ Hospital Hoboken University Medical Center Meadowlands Hospital Medical Center HUNTERDON Hunterdon Hospital MERCER Robert Wood Johnson University Hospital at Hamilton MIDDLESEX JFK Medical Center Raritan Bay Medical Center Old Bridge Raritan Bay Medical Center Perth Amboy Robert Wood Johnson University Hospital St. Peter s University Hospital University Medical Center of Princeton MONMOUTH Bayshore Community Hospital Centrastate Medical Center Jersey Shore University Medical Center Monmouth Medical Center Riverview Medical Center MORRIS Chilton Medical Center Morristown Medical Center St. Clare s Hospital Boonton Township MORRIS continued... St. Clare s Hospital Denville St. Clare s Hospital Dover OCEAN Community Medical Center Kimball Medical Center Ocean Medical Center Southern Ocean County Hospital PASSAIC St. Joseph s Wayne Hospital St. Joseph s Regional Medical Center Paterson St. Mary s Hospital SALEM Inspira Medical Center Elmer SOMERSET Somerset Medical Center SUSSEX Newton Medical Center UNION Overlook Medical Center Robert Wood Johnson University Hospital Rahway Trinitas Regional Medical Center WARREN Hackettstown Community Hospital Warren Hospital Hospitals listed above currently participate in the MagnaCare Extra Network and are exclusive to Health Republic Insurance. Please note that all hospitals in the MagnaCare Network do not participate in the MagnaCare Extra Network. HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St., New York, NY 10004 646-679-4661 888-990-5702 HealthRepublicNY.org HRINY_BR03_HospitalNetOv_NJV2_091514

Connecticut & Surrounding New York Hospitals. FAIRFIELD, CT Bridgeport Hospital Danbury Hospital Greenwich Hospital Stamford Hospital LICHFIELD, CT New Milford Hospital Sharon Hospital NEW HAVEN, CT Yale New Haven Hospital BRONX, NY Bronx Lebanon Hospital Center - All Divisions Jacobi Medical Center Lincoln Medical & Mental Health Center Montefiore Medical Center - All Divisions New York Westchester Square Medical Center North Central Bronx Hospital St. Barnabas Hospital ROCKLAND, NY Good Samaritan Hospital Nyack Hospital WESTCHESTER, NY Blythedale Children s Hospital Hudson Valley Hospital Center Lawrence Hospital Center Mount Vernon Hospital New York Weill Cornell - Westchester Northern Westchester Hospital Center Phelps Memorial Hospital Center St. John s Riverside Hospital St. John s Riverside Hospital - Dobbs Ferry Pavilion St. Joseph s Medical Center Sound Shore Medical Center of Westchester White Plains Hospital Center NEW YORK, NY Bellevue Hospital Center Beth Israel Medical Center - Petrie Division Harlem Hospital Center Manhattan Eye, Ear & Throat Institute Memorial Sloan Kettering Cancer Center NYU Hospital for Joint Diseases Metropolitan Hospital Center Mount Sinai Hospital New York Eye & Ear Infirmary New York Presbyterian Hospital - Columbia University Medical Center and Allen Pavilion New York Weill Cornell Center New York Downtown Hospital NYU Langone Medical Center St. Luke s Roosevelt Hospital Center Hospitals listed above currently participate in the MagnaCare Extra Network which is exclusive to Health Republic Insurance of New York. Please note that all hospitals in the MagnaCare Network do not participate in the MagnaCare Extra Network. HEALTH REPUBLIC INSURANCE OF NEW YORK 30 Broad St, New York, NY 10004 646-679-4661 888-990-5702 HealthRepublicNY.org HRINY_BR03_HospitalNetOv_CT.NY._091814

Physician Network Overview. Provider counts listed below are for providers in the MagnaCare Extra Network which is exclusive to Health Republic Insurance of New York. Please note that all providers in the MagnaCare Network do not participate in the MagnaCare Extra Network. NEW YORK ALBANY 28 1 146 38 75 90 878 1,256 ALLEGANY 17 1 11 5 4 3 49 90 BRONX 201 17 649 219 304 252 2,609 4,251 BROOKLYN (KINGS) 340 12 1,221 322 569 613 4,035 7,112 BROOME 0 0 4 0 2 32 39 77 CATTARAUGUS 29 2 36 6 6 19 220 318 CAYUGA 2 0 3 1 1 40 45 92 CHAUTAUQUA 30 2 42 17 17 51 334 493 CHEMUNG 5 0 2 0 1 3 27 38 CHENANGO 2 0 0 1 0 5 5 13 CLINTON 7 0 2 3 0 0 13 25 COLUMBIA 11 0 15 10 8 31 147 222 CORTLAND 4 0 7 2 1 1 60 75 DELAWARE 3 1 7 0 0 27 38 76 DUTCHESS 39 2 123 39 76 107 749 1,135 ERIE 229 9 393 157 229 196 2,827 4,040 ESSEX 14 0 6 4 2 5 26 57 FRANKLIN 1 0 0 3 1 11 4 20 FULTON 6 0 5 3 0 33 38 85 GENESEE 15 0 10 5 5 13 145 193 GREENE 16 3 10 9 2 6 87 133 HAMILTON 6 0 0 0 0 0 1 7 HERKIMER 7 1 10 5 0 19 28 70 JEFFERSON 1 0 2 1 3 0 28 35 LEWIS 1 0 0 1 0 0 2 4 LIVINGSTON 9 0 14 1 5 3 43 75 MADISON 2 0 4 3 0 30 64 103 MANHATTAN (NYC) 183 10 1,321 420 310 496 5,527 8,267 MONROE 124 0 277 80 94 157 1,068 1,800 MONTGOMERY 4 0 4 4 6 33 45 96 NASSAU 232 6 836 208 374 512 3,663 5,831 NIAGARA 79 4 79 42 28 67 646 945 ONEIDA 35 1 44 19 16 101 215 431 ONONDAGA 27 1 49 41 57 112 957 1,244 ONTARIO 9 0 17 0 3 11 126 166 ORANGE 82 0 235 75 126 185 1,063 1,766 ORLEANS 14 0 9 4 1 14 29 71 OSWEGO 16 1 27 5 1 59 148 257 OTSEGO 1 0 0 0 0 27 17 45 PUTNAM 9 1 83 35 35 18 412 593 QUEENS 256 15 1,102 264 399 395 3,079 5,510 RENSSELAER 29 2 35 11 7 82 147 313 ROCKLAND 30 0 123 58 98 88 624 1,021 ST. LAWRENCE 1 0 1 3 0 0 12 17 HEALTH REPUBLIC INSURANCE OF NEW YORK 888-990-5702 HealthRepublicNY.org HRINY_BR02_PhysicianNetOvV2_091614 PAGE 1 OF 2

Physician Network Overview. NEW YORK continued... SARATOGA 82 1 46 29 25 80 403 666 SCHENECTADY 39 0 34 5 13 38 372 501 SCHOHARIE 0 0 0 2 1 0 4 7 SCHUYLER 1 0 0 0 0 0 2 3 SENECA 4 0 3 0 1 0 30 38 STATEN ISLAND (RICHMOND) 58 4 234 65 110 117 880 1,468 STEUBEN 7 1 4 0 1 6 28 47 SUFFOLK 281 6 425 163 269 442 3,364 4,950 SULLIVAN 21 0 45 8 13 102 223 412 TIOGA 0 0 0 0 0 0 9 9 TOMPKINS 9 0 0 1 2 1 49 62 ULSTER 32 1 35 11 29 121 402 631 WARREN 77 1 42 14 10 25 151 320 WASHINGTON 18 0 12 2 3 0 53 88 WAYNE 3 0 4 0 1 25 24 57 WESTCHESTER 133 7 610 270 270 457 2,822 4,569 WYOMING 9 1 12 3 8 20 58 111 YATES 4 0 3 0 1 3 28 39 NEW YORK TOTAL 2,934 114 8,473 2,697 3,623 5,384 39,221 62,446 NEW JERSEY ATLANTIC 38 2 127 34 48 45 481 775 BERGEN 113 6 455 139 265 211 1,893 3,082 BURLINGTON 113 3 112 35 66 32 666 1,027 CAMDEN 100 3 104 75 107 40 922 1,351 CAPE MAY 22 0 19 5 2 26 113 187 CUMBERLAND 36 1 30 13 21 26 182 309 ESSEX 73 7 404 162 202 147 1,676 2,671 GLOUCESTER 48 1 33 27 85 7 388 589 HUDSON 73 1 260 74 117 191 840 1,556 HUNTERDON 78 0 24 15 33 16 162 328 MERCER 58 2 131 55 41 84 620 991 MIDDLESEX 91 4 356 126 172 83 1,283 2,115 MONMOUTH 93 0 317 134 177 146 1,333 2,200 MORRIS 76 2 152 77 99 65 892 1,363 OCEAN 60 3 189 68 97 117 921 1,455 PASSAIC 73 3 226 59 93 81 814 1,349 SALEM 4 0 7 4 8 9 97 129 SOMERSET 62 0 89 54 60 25 485 775 SUSSEX 12 0 49 14 30 22 175 302 UNION 69 3 228 68 93 180 1,004 1,645 WARREN 29 0 38 16 9 9 199 300 NEW JERSEY TOTAL 1,321 41 3,350 1,254 1,825 1,562 15,146 24,499 HEALTH REPUBLIC INSURANCE OF NEW YORK 888-990-5702 HealthRepublicNY.org HRINY_BR02_PhysicianNetOvV2_091614 PAGE 2 OF 2