humana8-k09072011.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 8-K
CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
SECURITIES EXCHANGE ACT OF 1934
|
Date of report (Date of earliest event reported):
|
September 7, 2011
|
Humana Inc.
(Exact Name of Registrant as Specified in Its Charter)
Delaware
(State or Other Jurisdiction of Incorporation)
|
1-5975
|
61-0647538
|
|
(Commission File Number)
|
(IRS Employer Identification No.)
|
|
500 West Main Street, Louisville, KY
|
40202
|
|
(Address of Principal Executive Offices)
|
(Zip Code)
|
502-580-1000
(Registrant's Telephone Number, Including Area Code)
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 8.01 Other Events.
In its quarterly report on Form 10-Q for the quarter ended June 30, 2011, Humana Inc. (the “Company”) disclosed that all material contracts between Humana and CMS relating to the company’s Medicare business had been renewed for 2012. The Company is now reporting that all of its 2012 Medicare Advantage (“MA”) and Prescription Drug Plan (“PDP”) offerings filed with the Centers for Medicare and Medicaid Services (“CMS”) in June 2011 have been approved by CMS and the related contracts have been executed (the “CMS Contracts”).
MA and PDP offerings approved for 2012 include:
|
·
|
HMO plans in 500 counties across 28 states and Puerto Rico.
|
|
·
|
Local PPO plans in 1,271 counties across 39 states and Puerto Rico.
|
|
·
|
Regional PPO plans in 23 states across 14 Medicare Advantage regions.
|
|
·
|
The following Private Fee-for-Service (PFFS) plans, the network arrangements for which are mutually exclusive and are not offered in overlapping service areas:
|
|
o
|
Full-network Private Fee-for-Service (PFFS) plans in 37 states. All services are available in and out of network, taking full advantage of any Humana contracted discounts when the member uses in-network providers.
|
|
o
|
Partial-network PFFS plan (networked for ancillary services only) in 747 counties in 24 states.
|
|
o
|
Deemed-network PFFS (any provider) in 11 counties in 2 states.
|
|
·
|
PDP offerings approved for 2012 are statewide in 50 states, the District of Columbia and Puerto Rico and include a nationwide PDP co-branded with Wal-Mart Stores, Inc. (NYSE: WMT).
|
The marketing process for all 2012 Medicare offerings begins on October 1, 2011, with enrollment beginning October 15, 2011.
Each of the CMS Contracts was effective when signed, has a termination date of December 31, 2012 and may be renewed for successive one-year terms subject to the consent of the parties (Humana and CMS) and their agreement on a bid as submitted by Humana or its subsidiaries. Each of the CMS Contracts may be terminated by either party in the event of the failure by the other to substantially carry out its obligations under the CMS Contracts, and by CMS in the event of a violation by Humana of relevant CMS regulations.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
| |
HUMANA INC.
BY: /s/ Steven E. McCulley
Steven E. McCulley
Vice President and Controller
(Principal Accounting Officer)
|
Dated: September 7, 2011