The group's principal activity is to provide multi-state managed care that arranges for the delivery of health care services to persons eligible for medicaid and other programs for low-income families and individuals. The group generates revenue primarily from the premiums received from the contracts with state medicaid agencies and other managed care organizations with which the group operates as a subcontractor. The group has health plans in California, Washington, Michigan and Utah. The group became publicly held on 08-Jul-2003.