Operates as a managed care organization that operates commercial and Medicare Advantage health plans through comprehensive provider networks. The Company historical operations are in areas where there have been few or no competing Medicare Advantage plans. National Medicare Advantage penetration varies widely because of various factors, including infrastructure and provider accessibility. The Company's service areas in particular are underpenetrated in terms of the percentage of Medicare beneficiaries enrolled in Medicare Advantage plans. The Company's Medicare Advantage plans currently operate in Tennessee, Texas, Alabama, Illinois, and Mississippi. They also utilize their infrastructure and provider networks in Alabama and Tennessee to offer commercial health plans to individuals and employer groups.