NEW YORK SUPPLEMENT for the year 2012 of the ExceUus Health Plan, Inc: .

SCHEDULE G (NY)
Showing (1) all payments in excess of $5,000 to each Trade Association, Service Organization, Statistical, Actuarial or Rating Bureau or Organization during the year: and (2)* all salaries, bonuses and other
compesnations, except commissions paid to or retained by agents, paid in the current year to (a) each director or trustee regardless of the amount thereof, (b) each of the ten officers or employees receiving the
largest amounts attributed to reporting company, as reported in column 7, (c) the remaining officers or employees, if the amount received was in excess of $160,000, and (3) any other person, firm or corporation,
excluding medical providers, if the amount received was in excess of $160,000 except for amounts included in Shedules J(NY) and K(NY).
Salaries should be reported gross before any adjustments for tax sheltered programs and the like.
Report in Column 5 gross bonus & all other compensation including any amount deferred pursuant to a deferred compensation plan and or employee saving plan.
'For categories 2(a), 2(b) and 2(c) " If the reporting entity does not belong to a holding company system, column 7 should equal column 6.

3

2

Title

Name of Payee

4

Location of Payee

Salary Paid by
Company and All
Other Companies
in Holding
Company System

Colleen 0 Leary MD.
Margaret 0 Shea MD .
Geraldine Ochocinska

· ... 50,935
· .. 3,550
.1,450

David Page MD ............ .
Louis .Papa MD.
Scott Perra
William Pienta
Cathy Pircsuk ............. .
Luke Pomilio
Saurin PORat MD
Carolyn Portanova
Tom Rattmann
Leonard
Redon, .
........
Andrew Rudnick PhD
Kathryn Ruscitto .
Clyde Rutherford.
Ruth Scott PhD
CasperSed~wick .
Julie Shimer
Norm Silverstein
Albert
.. , Simone
. . . . .PhD
.. .
Richard Simons
Nicholas Stamato MD
Charles Stuart
Judith
Sweet .
, .. " .
Thomas G Tranter
Joseph.Tripi.
Maurice Varon M.D
William Viscardo MD
Christine Wagner .
Jack Webb
Gregory lNickham .
P~g~y Wozniak EdD
GeorQe (Geff).Yancey.Jr..
DavidYounQ ..
0299999 " Total

5
Bonus & all other
Compensation
Deferred or
Paid By Company
and All other
Companies in
Holding Company
System

7
Total Amount
Paid by Company
and All Other
Companies in
Holding
Company System
(4) + (5)

Amount Paid by
or
Amount
Allocated
to Company

.50,.935

..34,185

· .. 3,900
.. ... 4,550
.2,250
· .2,900
600

. ..... 3,550
· . . . . . . . 1,450
· 3,900
· .. 4,.550
...... 2,250
· 2,.900
600

........ 3,.550
. . . . . .1,450
........ 3,.900
........ 4,.550
....... 2,250
.. 2,900
600

· . . . . . .. 3,050
. 3,925

... 3,050
. 3,.925

... 3,050
.. 3,.925

·.....

3,900 ....... 3,900
. 3,900
· 68,569
.. 68,.569
...... 51,819
......... 1~
.1~.1~
· 2,050 ........ 2,050 ....... 2,050
.
1,700 .........1..700 .........1,700
600
600
600
........ 3,650
· . 68,442
· .2,200
..
3,650
· .... 8,708
· 2,300
. 3,650
· ....... 44,285
· . . . . . . . 2,600
· . 2,650

· .... 3,650
68,442
.. 2,200
. 3,.650
..... 8,708
.. 2,.300
. 3,650
44,285
........ 2,600
....... 2,.650

.. 3,650
....... 22,.632
........ 2,200
........ 3,650
........ 4,150
........ 2,300
. 3,.650
.27,.535
........ 2,600
.. 2,650

.~~..~~ ........ ~~
· .. 3,650
.. ~~
· . . . 3,050
· . . 1,950

. 3,650

...... 3,.650

..~~....~~

........ 3,050
. 3,050
.1,950
. . .1 ,950
1,700 ........ 1..700 ........ 1..700
3,650
....... 3,.650
. . . . . 3,650
· . 48,458
· ....... 87,412 ....... 87,412
· 3,650
· .. 3,650
.... 3,.650

xxx

xxx

1,440,467

1,440,467

949,149

3,792,709
· . 2,718,353
...... 891,389
· . 1.. 626,389
825,730
· .325,698
.355,537
· . 747,297
. ..278,447
· . 688,875
627,876
· . · 2.61 ,577 · .
594,449
· 2.31 ,827 · .
133,744
500,809
469,755
... · .130,825
455,028
· . .194,630

3,256,504
1,626,389
681,574
. . 747,297
688,875
..
. .. 627,876
594,449
500,809
469,755
455,029

·(2b)Ten Officers orE.mployees ReceiyinQ
·the LarQest Amounts
CEO & President LTH "CEO EHP
President & COO
EVP &CFO
SVP Executive
Performance
, .. ,
..
. ....
SVP & CAO.CorR Gen Counsl.
SVP Financial Services
SVP Business Technology.
SVP & Corp Medical Dir .
SVP Hlth Care&NtwrkMgmt.
SVP Corp Com&Public Plcy ...
0399999 Total

Klein,. DavidH..
Booth, ChristopherC...
Coleman, Dorothy A. ..
Parysek, Virginia.
Sloan, Stephen.
Simmons, lNiliiam .
Thornton, Barry .
Lustick, Martin .
Eisenstat, Paul T. . .
Taylor, Geoffrey E..

Rochester
NY
Rochester
NY
Rochester
NY
Buffalo
NY
Rochester
NY
Rochester
NY
Rochester
NY
Rochester
....... ..... . ... . NY
Rochester
NY
Rochester
....... ..... , ... NY

XXX

XXX

4,806,890

·(2c)Remaininfi Officers and Employees in
excess 01$160,000 .
Pres
Univera
...
.
.. Healthcare
.
. ..
SVP Corp Relations.
SVP Chng Mf1mt& IT Exec .
SVP Marketing and Sales...
SVP Info Mfimt& Architect
Reg President .
VP Comm Health Enga~ement .
SVP Customer Oper~tions ..
SVP Undrwrtr & Actl Sv
ChiefActuary .
Reg. President .
SVP Corp Administration

· . · .1,074,356
735,000
500,032
· . . .. 3.91,760
... 410,428
· . 366,299
..
. 3.62,622
· .
· . . .. 367,065
3.38,930
260,398

·.

Wingerter, .Arthur G..
Mack, David
Hawley, Benjamin ..
R~ed, Jame~ ..
Doyle, Karen M: ..
McGurgan, Kevin
Thompson, RobertH.....
Dr~9oon~, pe.nise T.. ..
Kenney, Michael.
Schroer, Sheila
Vande.Wal, Eve M..
Volkmar, Keith A.

Buffalo
Rochester
Rochester
Syracuse.
Rochester
Syracuse.
Rochester
Rochester
Rochester
Rochester
Utica
Rochester

NY
NY
NY
NY
NY
NY
NY
NY
NY
... . NY
NY
NY

NY -6.1

. ....

.... . 277,654
.... . 276,092
1.36,635
· . 309,017
291,248
270,307
315,822
· . 255,481
.. . .. .268,497
267,541
· . .. . .255,671
263,511

5,522,027
...... . .. .

· .......1.53,957
153,252
· 266,389
· ....... 100,803
. .... 110,277
117,796
. .. · . 65,269
.... 1.14,592

· ...... 100,594
· ....... 99,473
. ....1.10,146
101,061

10,328,917
·.

... .

..

. 43.1,.611
429,344
403,024
. 409,820
40.1,525
388,103
381,091
· . 370,073
· . 369,091
367,014
365,817
364,572

·
·.
·.
·.·

9,648,557

..

..

431,611
429,.345
· . 403,024
· . 40.1,.585
401,525
388,103
· . 381,091
370,072
369,091
367,.014
365,818
364,572

NEW YORK SUPPLEMENT for the year 2012 of the Excel.lus Health .Plan,.lnc: ..

SCHEDULE G (NY)
Showing (1) all payments in excess of $5,000 to each Trade Association, Service Organization, Statistical, Actuarial or Rating Bureau or Organization during the year: and (2)' all salaries, bonuses and other
compesnations, except commissions paid to or retained by agents:paid in the current year to (a) each director or trustee regardless of the amount thereof, (b) each of the ten officers or employees receiving the
largest amounts attributed to reporting company, as reported in column 7, (c) the remaining officers or employees, if the amount received was in excess of $160,000, and (3) any other person, firm or corporation,
excluding medical providers, if the amount received was in excess of $160,000 except for amounts included in Shedules J(NY) and K(NY),
Salaries should be reported gross before any adjustments for tax sheltered programs and the like,
Report in Column 5 gross bonus & all other compensation including any amount deferred pursuant to a deferred compensation plan and or employee saving plan,
'For categories 2(a), 2(b) and 2(c) -If the reporting entity does not belong to a holding company system, column 7 should equal column 6,

3

2

TiUe

Name of Payee

Reg President .
Vercillo, Arthur p, .
VP Sales
Muscatello, ToddA. .
SVP Fin Trans Mgt .
Spencer,. James D,.. ,
Dubeck, Frank J..
VP &.CMO for Med PolicX .
VP &CMO for Uti! M.gmt ......... , , Kerr, Jamie E. ,
ChiefPharmacx Officer.
Owerbach, Joel.
SVP Corp HR ................ . Sanderson, David G, ,
Cassady, Margaret M,.
Sr Deputy G.eneralCounsel , .
VP&CMO
McCall,. Marybeth K" .
Corp VP&ChiefCompl Ofcr .
PicciriUi..Schauseil, .Deborah ,
VP & Med Dir Geriatrics
Bomba, Patricia A. .
VP&CMO
Vienne .Jr., Richard p'.
Associate
Medical Dir II
Sassaman, Edward .
..............
Eliaszewskyj, Susan
Corp VP Admin Services.
Ber~eman, Christine .
VP Quality. Office.... ,
VP QlljI & Hlth Infonnatic.
Frank, Carolyn B,..
Assoc MedDir&MgrDentalRvw,
Devore, Carl M,.
Corp VP Culture&Org Effi ,
Philippe, Marie .
VP Medical Svcs
Youngman, VViliiam J,.
VP Medicare Finance
Stigum,. Tove L..
Corp VP Controller .
Owen, Daniel.
VP NtwkMgt&Prov Affairs. ,
Vitagliano, .Antonio.
SrDeputyGeneral.Counsel.
Quinlivan, TimothyJ: ..
Pawenski, Pamela.
Reg. VP Sales .
Corp VP Strt Comm&Ctv Svc , .
Puchalski, Philip' .
VP Enterprise Fin Pln~ .
Kinney III, JohnP" .
VP Systems Operations .
Griffith, John W: .
VP Prov
Rels & Comms
Horn, .Kathleen A:
.........
, .
Associate
Medical Dir II .
Lock~ood,. Richard H, .
... , ..........
Corp VP Learn &.Org Dvlp.
McManmon, Donna F...
Associate
Medical .Dir I
Dina, Steven C, .
- .......
VP CSD Operations.
Gardner, Melissa N, .
SVP and Treasurer
Haefner, .James C...
CMO Behavioral Health
Griepp,.Ann.
CFO Univera
Mercury, Robert N,.
SVP Acctg. & Corp Cntrl,
Rubin, Catherine V: .
VP Prov &. Ntwk Mgmt .
Meyers:Alessi, Lisa M: .
VP CSD Operations.
Gray, MindyB, .
VP Information M.gmt ........... , , Ral~h, Julianne M, ,
VP Human Resources EHP
Nanilreave, Richard P: , .
Harris, Mark
VP Corp Audit , .
SVP Government Programs .
Burke, Michael S:
VP
Ciciarelli,. Patricia
. Sales
... Administration
...
,
VP National ,Programs ,
Persi, Lynn M,..
VP HCNM Admin
Hiltunen,. Katharine...
Reg. VP Sales & Acct Mgt . ,
Muthumbi, Mark .
Carr, Mari J,.
VP Reqmts&StrtQicBusPrjts . ,
Corp VP Comp .& Ben
Reak, Camille.
VP Health Plan Trans
Schwab, Timothy H, ,
..........
Rosenhoch, ,Valerie J,.
VP Legisl ReQulatry PolcX ,
Corp Dir HRIS .
Rozalski,. Audrey T: ..
Associate Medical Dir II
Birnbaum, Allan M,
VP QlljI Review, & Remed .
Miller, ~amie L,.
Reg, VP Sales & Acct Mgt .
Bowe, Mary T: .
VP CSD Operations.
Black, Karen A..
VP Ethics Compl,&, Advoc ,
White, Lisa A..
VP Contracting.
Polk, Jeffrey .
Luthrlnger-Hart, Elizabeth
Dir SN Enrll,&. Cust O~s .
Corp Dir IT Infra & Ops .
Meyers, Timothy. .
VP Cnfg Competency.
Argentieri, Tracex A..
VP Business A~p.lications .
Napier, Thomas . ,
Dir MedSvcUtil&PrO!lMQt.
Lubba, .Jodi .
VP Finance
Babocsi, .John .
Reg. Dir Sales
Clark, Kelly M: ..
Reg VP Comm&Commun Inv .
Redmond, James H,.
Associate Medical Dir II
Bartels, Matthew F: .
Dir Sol Design & Qily .
Sullivan, Robert F, ,
Fin Svcs UndrwrtgBusCnslt
Southcott, Ad~m F: . .
R~g·
S~I~s (il) ...... .
Williams, Lynne M,

Oi;

Location of Payee

.

4

Salary Paid by
Company and All
Other Companies
in Holding
Company System

Sxracuse .
NY
...... 265,707
Sxracuse ,
N Y . . . . . . 259,727
Rochester .......... NY .
. ...... ,58,257
Utica
NY
.... 269,303
Rochester .......... NY .. , ...... 270,370
Rochester
NY
...... 256,979
Rochester, , ........ NY . ,. . ...... 275,956
Syracuse.
NY
.242,598
Syracuse.
N Y , ..... 239,207
Rochester
NY
...... 244,394
Rochester
NY
241,627
Buffalo
NY
. 235,938
Rochester
NY
... ,233,042
Rochester
NY
. , .. 226,929
Rochester
N Y . . . . . . 224,020
Buffalo
NY
...... 223,478
Rochester
N Y , . . . . 226,023
Rochester .......... NY , , ,
,218,898
Rochester
NY
...... 218,542
Rochester
NY
... 222,022
Rochester
NY
. 48,776
Utica
NY
,205,439
Rochester
NY
....... 222,371.
Buffalo
N Y , .... 1.98,991.
Rochester
NY
. 202,099
Rochester
NY
...... 209,416
Rochester
NY
· , , , , , ,1.97,992
Utica
NY
,1,93,238
NY
Syracuse.
· ..... 209,494
NY
,191,482
Syracuse. ,
NY
Buffalo
.189,246
NY
Rochester
· ...... 1.90,311
Rochester
NY
· ..... 203,742
Rochester
NY
.196,299
Rochester
NY
182,374
Rochester
NY
, , , ,188,595
Buffalo
NY
· ..... 182,572
NY
Syracuse,
· ..... 181,371.
Rochester
NY
· ...... 185,029
Rochester
NY
· ...... 179,.151.
NY
Rochester
· . , , .. 172,689
Rochester
NY
· .. 180,676
syr~~u~~
NY
· ..... .1.74,752
Rochester
NY
, ..... 174,821
Rochester
NY
...... .1.70,711,
NY
,154,097
Syracuse ..
Rochester
NY
· ... ,166,680
Rochester
NY
· .. 168,563
Rochester
NY
· ..... .1.70,008
Buffalo
NY
· .. 159,495
NY
Rochester
· . , ,68,759
NY
Syracuse.
· ..... 154,360
Rochester
NY
· ..... 153,282
Rochester
NY
· ..... 154,097
Rochester
NY
, . 45,514
NY
Syracuse.
, ...... 1.58,.139
Rochester
NY
· .. 173,395
Rochester
NY
, ..... 162,765
NY
Rochester
· ..... 160,680
Buffalo
NY
, ..... 149,361
Rochester
NY
· ..... 1.53,727
Rochester
NY
· ... 157,755
NY
Rochester
· ..... 153,929
Rochester
NY
.... 92,873
NY
Rochester
· ..... 146,182
Buffalo
NY
· .... 146,238
NY
Rochester
· .. 1,54,291
NY
Rochester
.. 152,772
Utica
NY
127,897

NY-6,2

5
Bonus & all other
Compensation
Deferred or
Paid By Company
and All Other
Companies in
Holding Company
System
.. 93,498
.. 83,981
. 269,994
, ... 53,396
. 52,056
.... ,'" 52,675
. 51,160
" " " " 50,849
........ 52,919
, , , 46,784
....... 275,634
.. 46,517
, , 48,987
. 42,059
... 43,880
........ 44,259
........ 44,730
. , , , . 45,165
, ... 44,232
. 40,682
, , .... 205,846
.. 43,294
. ....... 21,584
. ....... 44,125
, .. 38,063
........ 28,540
· 37,708
· . 39,343
· . 20,590
· ....... 38,004
· ....... 38,780
· ....... 36,063
·
39,449
..... 29,579
, 39,579
· . , . 33,345
...... 38,475
· ....... 36,610
..... 30,232
· ....... 33,631.
· ,38,421
· . 27,705
· ....... 33,087
, ..... 31,914
· 34,284
· ....... 47,953
· ....... 33,291
, ... 31,148
, ,29,682
· , . . . . . 39,739
.. 130,517
· . 40,519
· ....... 41,472
· ....... 38,475
· ...... 146,799
· ....... 33,098
... 17,137
· ....... 25,776
· . 25,208
· ....... 34,780
, , . 29,542
23,959
, ......
,
· ...
·.
·
·

27,759
88,371.
34,033
32,793
23,686
24,917
49,787

6

7

Total Amount
Paid by Company
and All Other
Companies in
Holding
Company System
(4) + (5)

Amount Paid by
or
Amount
Allocated
to Company

... ,359,205 ....... 359,205
. , , , ,343,708
.. 343,708
.. 328,251
, .. 328,251
....... 322,.699
.322,699
, . . . 322,426 ...... 322,426
309,.654
,309,654
, .. 327,,116 , ...... 305,789
, ..... 293,447 ....... 293,447
, ... 292,126
, , , , .292,,125
. 291,178
, . 291,178
....... 517,261 ...... 288,221
. 282,455 ...... 282,454
,282,029. . . . . 282,029
....... 268,988 ....... 268,988
.267,.900
.267,900
....... 267,.737
..... 267,737
....... 270,.753 ...... 265,098
, ,264,063
, ,264,063
....... 262,.774 ....... 262,775
. , .262,704
.262,704
....... 254,622 ....... 254,,621
, , , , ,248,733
.. , , , ,248,733
...... 243,955 ...... 243,955
...... 243,116 ...... 243,115
240,.162 ...... 240,162
237,956
..... 237,957
, .. 235,700
.... 235,700
232,581 ...... 232,580
. 230,084
, , . . . 230,085
· . . . . . 229,486 ...... 229,486
· . . . . . 228,026 ...... 228,026
226,374
. , ,226,374
.. 243,,191226,019
...... 225,878 ...... 225,878
. , .221,953 ....... 221,.954
, .221,940
...... 221,940
· 221,047
. . 221,047
,217,981
...... 217,981
215,261
, . , , ,215,261
.212,782
. ...... 212,782
...... 211,110 · ...... 21.1,.109
....... 208,381 · . . . . . 208,381
.... 207,839
.. 207,838
...... 206,735 ...... 206,735
.. 204,995
.... 204,995
....... 202,050 ....... 202,050
....... 199,971 ...... 1.99,971
....... 199,711 ....... 199,712
"." .. 199,.690
,199,.690
...... 1.99,.234 ...... 1.99,234
.1.99,.276
· , .197,967
... 1.94,879
· .194,879
· .194,755
· ...... 1.94,754
· .. 1.92,572
· ...... 192,572
· .1.92,313
· ...... 1.92,313
· .. 191,237
.... . 1.91,237
....... 190,532 ....... 1.90,532
.188,541
. ,188,541
, , , ,185,888
, ... 185,888
.184,142
.. 184,141
, .. 183,269 · ..... 183,269
· ..... 181,714 · ...... 181,714
181,688
· ...... 181,688
... 181,245
, ..... 18.1,244
.. 180,215 ....... 180,214
....... 179,031
.179,031
....... 177,977 ....... 177,978
.177,690
....... 1.77,.689
177,684
177,684

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