SUMMIT REINSURANCE SERVICES SELECTS HMC AS PROVIDER OF DISEASE AND MATERNITY MANAGEMENT SERVICES

Fort Wayne, Ind. and Richmond, Va., August 30, 2005 – Summit Reinsurance Services, Inc. (Summit Re), a full-service managing general underwriter and reinsurance intermediary broker who focuses exclusively on managed care, and Health Management Corporation (HMC), a leading national health and disease management company, today announced that Summit Re has selected HMC as the provider of targeted disease and maternity management services for its health plan clients. Through the use of these services, health plans can improve overall health and wellness by identifying members at increased risk for future health complications and conducting highly customized interventions.

HMC's Healthy ReturnsSM Disease Management Program is used to manage high-cost chronic conditions that have traditionally represented a large portion of medical claims. These conditions include asthma, diabetes, coronary artery disease (CAD), congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), depression, low back pain and metabolic syndrome. For health plan members diagnosed with one or more of these conditions, a primary nurse care manager is assigned to deploy an Individualized Intervention PlanSM (IIP) that addresses the member's primary and co-morbid conditions. The IIP outlines patient-centric interventions based on the health status of the member and the latest clinical guidelines.

HMC's Baby Benefits® Maternity Management Program helps reduce the incidence and severity of pre-term births and other pregnancy-related complications through early and continuous prenatal and high-risk maternity care. HMC's clinical structure consists of an assigned primary nurse care manager for each high-risk participant, supported by on-site pharmacists, registered dietitians, health educators and a medical director. Since its inception in 1989, Baby Benefits has managed hundreds of thousands of births and received numerous awards for its documented delivery of improved healthcare outcomes and cost savings.

"Offering disease and maternity management services to our clients further affirms our mission of enhancing cost savings while maintaining quality of care," said Deborah Stubbs RN, MS, CCM, managed care specialist for Summit Reinsurance Services. "We chose to work with HMC because the company is a pioneer in the disease management field, and has the experience, resources and vision needed to deliver these important services."

"More and more forward-thinking health plans are focusing on early intervention to help prevent the onset of costly, chronic illness," said Jeff Odell, vice president of sales and marketing for HMC. "Summit Reinsurance Services' decision to offer its health plan clients access to services that facilitate this innovative approach speaks volumes about their commitment to meeting the expanding needs of their clients."

ABOUT SUMMIT REINSURANCE SERVICES, INC.
Summit Re is a full-service managing general underwriter and reinsurance intermediary broker who focuses exclusively on managed care. They help their clients analyze, manage, and transfer risk to protect their financial stability. Summit Re offers HMO excess reinsurance; managed care products and services from third party vendors; out-of-area indemnity solutions; ancillary products such as group life, disability, and long-term care; access to leading insurance carriers who specialize in provider excess loss; employer stop-loss; and managed healthcare professional liability. For more information, visit www.summit-re.com.

ABOUT HMC Founded in 1983, HMC is a leading national health and disease management company addressing chronic and complex health conditions that have a dramatic impact on healthcare outcomes and costs. Through a combination of clinical interventions, innovative technology, advanced predictive models and rigorous evaluation methodology, HMC helps health plans and employers to increase self care, improve clinical outcomes and control overall costs. The company's unique clinical structure consists of assigned primary nurse care managers, who develop an Individualized Intervention PlanSM (IIP) to address participants' primary and co-morbid conditions. HMC is consistently recognized by Health Industries Research Companies as on of the top disease management companies in America. For more information about HMC, call 800-523-9279 or visit www.choosehmc.com.