United States Court of Appeals for the Federal Circuit ______________________

HEALTH REPUBLIC INSURANCE COMPANY, Plaintiff-Appellee

KAISER FOUNDATION HEALTH PLAN INC., KAI- SER FOUNDATION HEALTH PLAN OF GEORGIA, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDA- TION HEALTH PLAN INC. OF COLO., KAISER FOUNDATION HEALTHPLAN OF THE NW, GROUP HEALTH COOPERATIVE, HARKEN HEALTH IN- SURANCE COMPANY, HEALTH PLAN OF NE- VADA, INC., OXFORD HEALTH PLANS (NJ), INC., ROCKY MOUNTAIN HEALTH MAINTENANCE OR- GANIZATION, INCORPORATED, UNITEDH- EALTHCARE BENEFITS PLAN OF CALIFORNIA, UNITEDHEALTHCARE COMMUNITY PLAN, INC., UNITEDHEALTHCARE INSURANCE COMPANY, UNITEDHEALTHCARE LIFE INSURANCE COM- PANY, UNITEDHEALTHCARE OF ALABAMA, INC., UNITEDHEALTHCARE OF COLORADO, INC., UNITEDHEALTHCARE OF FLORIDA, INC., UNIT- EDHEALTHCARE OF GEORGIA, INC., UNITEDH- EALTHCARE OF KENTUCKY, LTD., UNITEDHEALTHCARE OF LOUISIANA, INC., UNITEDHEALTHCARE OF MISSISSIPPI, INC., UNITEDHEALTHCARE OF NEW ENGLAND, INC., UNITEDHEALTHCARE OF NEW YORK, INC., UNITEDHEALTHCARE OF NORTH CAROLINA, INC., UNITEDHEALTHCARE OF OKLAHOMA, INC., UNITEDHEALTHCARE OF PENNSYLVANIA, INC., UNITEDHEALTHCARE OF THE MID-ATLAN- TIC, INC., UNITEDHEALTHCARE OF THE Case: 22-1018 Document: 51 Page: 2 Filed: 01/31/2023

2 HEALTH REPUBLIC INSURANCE COMPANY v. US

MIDLANDS, INC., UNITEDHEALTHCARE OF THE MIDWEST, INC., UNITEDHEALTHCARE OF UTAH, INC., UNITEDHEALTHCARE OF WASHINGTON, INC., UNITEDHEALTHCARE OF OHIO, INC., ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC., ALL SAVERS INSURANCE COMPANY, UNIT- EDHEALTHCARE INSURANCE COMPANY INC., Plaintiffs-Appellants

v.

UNITED STATES, Defendant ______________________

2022-1018 ______________________

Appeal from the United States Court of Federal Claims in No. 1:16-cv-00259-KCD, Judge Kathryn C. Davis.

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COMMON GROUND HEALTHCARE COOPERA- TIVE, ON BEHALF OF ITSELF AND ALL OTHERS SIMILARLY SITUATED, Plaintiff-Appellee

KAISER FOUNDATION HEALTH PLAN INC., KAI- SER FOUNDATION HEALTH PLAN OF GEORGIA, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDA- TION HEALTH PLAN INC. OF COLO., KAISER FOUNDATION HEALTHPLAN OF THE NW, GROUP HEALTH COOPERATIVE, HARKEN HEALTH IN- SURANCE COMPANY, HEALTH PLAN OF NE- VADA, INC., OXFORD HEALTH PLANS (NJ), INC., ROCKY MOUNTAIN HEALTH MAINTENANCE Case: 22-1018 Document: 51 Page: 3 Filed: 01/31/2023

HEALTH REPUBLIC INSURANCE COMPANY v. US 3

ORGANIZATION, INCORPORATED, UNITEDH- EALTHCARE BENEFITS PLAN OF CALIFORNIA, UNITEDHEALTHCARE COMMUNITY PLAN, INC., UNITEDHEALTHCARE INSURANCE COMPANY, UNITEDHEALTHCARE LIFE INSURANCE COM- PANY, UNITEDHEALTHCARE OF ALABAMA, INC., UNITEDHEALTHCARE OF COLORADO, INC., UNITEDHEALTHCARE OF FLORIDA, INC., UNIT- EDHEALTHCARE OF GEORGIA, INC., UNITEDH- EALTHCARE OF KENTUCKY, LTD., UNITEDHEALTHCARE OF LOUISIANA, INC., UNITEDHEALTHCARE OF MISSISSIPPI, INC., UNITEDHEALTHCARE OF NEW ENGLAND, INC., UNITEDHEALTHCARE OF NEW YORK, INC., UNITEDHEALTHCARE OF NORTH CAROLINA, INC., UNITEDHEALTHCARE OF OKLAHOMA, INC., UNITEDHEALTHCARE OF PENNSYLVANIA, INC., UNITEDHEALTHCARE OF THE MID-ATLAN- TIC, INC., UNITEDHEALTHCARE OF THE MID- LANDS, INC., UNITEDHEALTHCARE OF THE MIDWEST, INC., UNITEDHEALTHCARE OF UTAH, INC., UNITEDHEALTHCARE OF WASHINGTON, INC., UNITEDHEALTHCARE OF OHIO, INC., ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC., ALL SAVERS INSURANCE COMPANY, UNIT- EDHEALTHCARE INSURANCE COMPANY INC.,