* Trends in health care costs and utilization rates
* Ability to secure sufficient premium rate increases
* Competitor pricing below market trends of increasing costs
* Re-estimates of policy and contract liabilities
* Changes in government regulation of managed care, life insurance or
property and casualty insurance
* Significant acquisitions or divestitures by major competitors
* Introduction and use of new prescription drugs and technologies
* A downgrade in the Company's financial strength ratings
* Litigation or legislation targeted at managed care, life insurance
or property and casualty insurance companies
* Ability to contract with providers consistent with past practice
* Ability to successfully implement the Company's disease management
and utilization management programs
* Volatility in the securities markets and investment losses and
defaults
* General economic downturns, major disasters, and epidemics
This list is not exhaustive. Management believes the forward-looking
statements in this release are reasonable. However, there is no assurance
that the actions, events or results anticipated by the forward-looking
statements will occur or, if any of them do, what impact they will have on
the Company's results of operations or financial condition. In view of
these uncertainties, investors should not place undue reliance on any
forward-looking statements, which are based on current expectations. In
addition, forward-looking statements are based on information available the
day they are made, and (other than as required by applicable law, includin
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