First Amendment to the AARP Health Insurance Agreement by and among American Association of Retired
Persons, Trustees of the AARP Insurance Plan and United HealthCare Insurance Company
The American Association of Retired Persons and the Trustees of the AARP Insurance Plan hereby agree with
the United HealthCare Insurance Company to the Amendment of the AARP Insurance Agreement, entered into
by said parties and dated as of February 26, 1997, as set forth below:
A. Section 2.86 of the Agreement is amended to read as follows:
"SHIP PLAN means any health insurance plan, including any Medicare Select plan, underwritten by United
pursuant to this Agreement, including without limitation any such plan described by any master group insurance
policy issued to AARP Trust by United (or its affiliates) and insured or reinsured by United (or its affiliates) at any
time during the term of this Agreement."
B. Article 2 of the Agreement is amended by the addition of the following Sections 2.117 and 2.118:
"2.117 MEDICARE SELECT means a Medicare Supplement policy or certificate that contains restricted
network provisions, and is offered consistent with state law applicable thereto."
"2.118 NETWORK PROVIDER means any health care provider that has agreed to participate in a Medicare
Select plan made available under the SHIP."
C. Section 3.2.2 of the Agreement is amended by the addition of new subsections (f) and (g) to read as follows:
"(f) United shall make available to AARP members Medicare Select plans at such sites and in accordance with
such timeframe as may be agreed to by the parties. United shall develop and maintain arrangements with
Network Providers providing for the furnishing of the Medicare Select plans. such arrangements shall include
payment arrangements which provide cost savings opportunities to SHIP Insureds participating in the Medicare
Select plans. United will manage the Network Provider relationships to
promote network stability and quality improvement and to address service conce