| |
Change
Number 1 to Form A
|
| Form
A Statement |
Form
A - Statement Regarding the Acquisition of Control of a
Domestic Health Carrier and a Domestic Insurer |
| Form A Statement |
Form
A - Statement Regarding the Acquisition of Control of a
Domestic Health Carrier and a Domestic Insurer (Black Lined) |
| Exhibit A-1 |
No
Change to Documents Filed on September 17, 2002 |
| Exhibit
A-2a |
Articles
of Amendment of the Articles of Incorporation of Premera |
| Exhibit
A-2b |
Articles
of Amendment of the Articles of Incorporation of Premera
(Black Lined) |
| Exhibit
A-3a |
Premera
Conversion Transaction |
| Exhibit
A-3b |
Premera
Conversion Transaction |
| Exhibit
A-4a |
Plan
of Conversion of Premera |
| Exhibit
A-4b |
Plan
of Conversion of Premera (Black Lined)
|
| Exhibit
A-5a |
Disclaimer
of Control |
| Exhibit
A-5b |
Disclaimer
of Control (Black Lined) |
| Exhibit
A-6 |
No
Change to Documents Filed on October 25, 2002 |
| Annex
1 |
No
Change to Documents Filed on September 17, 2002 |
| Exhibit
B-1a |
Articles
of Incorporation of [New Premera Corp.] |
| Exhibit
B-1b |
Articles
of Incorporation of [New Premera Corp.] (Black Lined) |
| Exhibit
B-2a |
Bylaws
of [New Premera Corp.] |
| Exhibit
B-2b |
Bylaws
of [New Premera Corp.] (Black Lined)
|
| Exhibit
B-3a |
Organizational
Chart Post Conversion Transaction |
| Exhibit
B-3b |
Organizational
Chart Post Conversion Transaction |
| Exhibit
C-1 |
Biographical
Affidavit |
| Exhibit
E-1a |
Articles
of Incorporation of [Washington Foundation Shareholder] |
| Exhibit
E-1b |
Articles
of Incorporation of [Washington Foundation Shareholder]
(Black Lined) |
| Exhibit
E-2a |
Bylaws
of [Washington Foundation Shareholder] (the "Corporation") |
| Exhibit
E-2b |
Bylaws
of [Washington Foundation Shareholder] (the "Corporation")
(Black Lined) |
| Exhibit E-3a |
The
Form of Articles of Incorporation of the Washington Charitable
Organization has been Eliminated from the Form A Statement |
| Exhibit
E-3b |
Articles
of Incorporation of [Alaska Health Foundation] |
| Exhibit
E-3c |
Articles
of Incorporation of [Alaska Health Foundation] (Black Lined) |
| Exhibit
E-4a |
The
Form of Bylaws of the Washington Charitable Organization
has been Eliminated From the Form A Statement |
| Exhibit
E-4b |
Bylaws
of [Alaska Health Foundation] (the "Corporation") |
| Exhibit
E-4c |
Bylaws
of [Alaska Health Foundation] (the "Corporation")
(Black Lined) |
| Exhibit
E-5 |
This
Document has been Eliminated From the Form A Statement |
| Exhibit
E-6 |
This
Document has been Eliminated From the Form A Statement |
| Exhibit
E-7 |
No
Change to Document Filed on September 17, 2002 and supplemented
on October 25, 2002 |
| Exhibit
E-8a |
The
Description of Destacking Transaction has been Eliminated
From the Form A Statement |
| Exhibit
E-8b |
Washington
Economic Impact Assurances |
| Exhibit
G-1a |
Description
of the Amount of voting Securities of the Acquired Companies
Which the Applicant and its Affiliates Beneficially Own |
| Exhibit
G-1b |
Description
of the Amount of voting Securities of the Acquired Companies
Which the Applicant and its Affiliates Beneficially Own
(Black Lined) |
| Exhibit
G-2 |
No
Change to Documents Filed on September 27, 2002 |
| Exhibit
G-3a |
Form
of Transfer, Grant and Loan Agreement by and among Premera |
| Exhibit
G-3b |
Form
of Transfer, Grant and Loan Agreement by and among Premera
(Black Lined) |
| Exhibit
G-4a |
Form
of Voting Trust and Divestiture Agreement by and among
[New Premera Corp.] - Washington |
| Exhibit
G-4b |
Form
of Voting Trust and Divestiture Agreement by and among
[New Premera Corp.] Washington (Black Lined) |
| Exhibit
G-4c |
Form
of Voting Trust and Divestiture Agreement by and among
[New Premera Corp.] - Alaska |
| Exhibit
G-4d |
Form
of Voting Trust and Divestiture Agreement by and among
[New Premera Corp.] Alaska (Black Lined) |
| Exhibit
G-5a |
Form
of Registration Rights Agreement by and among [New Premera] |
| Exhibit
G-5b |
Form
of Registration Rights Agreement by and among [New Premera]
(Black Lined) |
| Exhibit
G-6 |
This Document
has been Eliminated From the Form A Statement |
| Exhibit
G-7 |
No
Change to Document Filed on September 17, 2002 and supplemented
on October 25, 2002 |
| Exhibit
G-8a |
The
Form of Indemnification Agreement has Been Eliminated From
the Form A Statement |
| Exhibit
G-8b |
Guaranty
Agreement - Washington |
| Exhibit
G-8c |
Guaranty
Agreement - Alaska |
| Exhibit
G-9a |
Form
D Prior Notice of a Transaction |
| Exhibit
G-9b |
Form
D Prior Notice of a Transaction (Black Lined) |
| Exhibit
G-10a |
Exhibit
G-10 (February, 2004) Description of Stock Ownership Plans |
| Exhibit
G-10b |
Exhibit
G-10 (February, 2004) Description of Stock Ownership Plans
(Black Lined) |
| Exhibit
G-11a |
Premera
Blue Cross/Premera of Alaska Transfer of Assets Agreement |
| Exhibit
G-11b |
Premera
Blue Cross/Premera of Alaska Transfer of Assets Agreement
(Black Lined) |
| Exhibit
G-12a |
Premera
Blue Cross/New Premera Blue Cross Transfer of Assets Agreement |
| Exhibit
G-12b |
Premera
Blue Cross/New Premera Blue Cross Transfer of Assets Agreement
(Black Lined) |
| Exhibit
G-13a |
Premera/New
Premera Transfer of Assets Agreement |
| Exhibit
G-13b |
Premera/New
Premera Transfer of Assets Agreement (Black Lined) |
| Exhibit
G-14a |
Plans
of Reorganization of Premera Blue Cross |
| Exhibit
G-14b |
Plans
of Reorganization of Premera Blue Cross (Black Lined) |
| Exhibit
G-15a |
Plan
of Distribution of Premera Blue Cross |
| Exhibit
G-15b |
Plan
of Distribution of Premera Blue Cross (Black Lined) |
| Exhibit
G-16a |
Articles
of Incorporation of [New Premera Blue Cross Corp.] |
| Exhibit
G-16b |
Articles
of Incorporation of [New Premera Blue Cross Corp.] (Black Lined) |
| Exhibit
G-17a |
Bylaws
of [New Premera Blue Cross Corp.] |
| Exhibit
G-17b |
Bylaws
of [New Premera Blue Cross Corp.] (Black Lined) |
| Exhibit
G-18a |
Plan
of Reorganization of Premera |
| Exhibit
G-18b |
Plan
of Reorganization of Premera (Black Lined) |
| Exhibit
G-19a |
Plan
Distribution of Premera |
| Exhibit
G-19b |
Plan
Distribution of Premera (Black Lined) |
| Exhibit
G-20a |
Blue
Cross License Agreement |
| Exhibit
G-20b |
Blue
Shield License Agreement |
| Exhibit
G-20c |
Blue
Cross Controlled Affiliate License Agreement |
| Exhibit
G-20d |
Blue
Shield Controlled Affiliate License Agreement |
| Exhibit
G-21a |
License
Agreement |
| Exhibit
G-21b |
License
Agreement (Black Lined) |
| Exhibit
G-22 |
Form
of Unallocated Shares Escrow Agent Agreement |
| Exhibit
H-1 |
Consolidated
Financial Statements- Premera |
| Exhibit
H-2a |
Management
Agreement |
| Exhibit
H-2b |
Management
Agreement (Black Lined) |
