ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of , Inc. EXHIBIT 2 - ACCIDENT AND HEALTH PREMIUMS DUE AND UNPAID 1 2 3 4 5 6 7 Name of Debtor 1 - 30 Days 31 - 60 Days 61 - 90 Days Over 90 Days Nonadmitted Admitted 0199999 Total individuals 60,781 32,191 92,972 Group Subscribers: 0299998. Premiums due and unpaid not individually listed 0299999. Total group 0 0 0 0 0 0 0399999. Premiums due and unpaid from entities 20,291 20,291 0499999. Premiums due and unpaid from entities 28,918,199 6,602,417 6,683,423 28,315,463 70,519,502

18 0599999 Accident and health premiums due and unpaid (Page 2, Line 15) 28,999,271 6,602,417 6,715,614 28,315,463 0 70,632,765 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 3 - RECEIVABLES 1 2 3 4 5 6 7 Name of Debtor 1 - 30 Days 31 - 60 Days 61 - 90 Days Over 90 Days Nonadmitted Admitted CVS Caremark 4,478,961 4,478,961 4,478,960 21,124,796 21,124,795 13,436,883 0199998. Aggregate Pharmaceutical Rebate Receivables Not Individually Listed 0199999. Total Pharmaceutical Rebate Receivables 4,478,961 4,478,961 4,478,960 21,124,796 21,124,795 13,436,883 0299998. Aggregate Claim Overpayment Receivables Not Individually Listed 7,421,331 2,232,011 1,909,685 8,379,576 7,296,836 12,645,767 0299999. Total Claim Overpayment Receivables 7,421,331 2,232,011 1,909,685 8,379,576 7,296,836 12,645,767 0399998. Aggregate Loans and Advances to Providers Not Individually Listed 488,334 488,334 0399999. Total Loans and Advances to Providers 488,334 0 0 0 488,334 0 0499998. Aggregate Capitation Arrangement Receivables Not Individually Listed 19,196 23,130 24,004 172,968 172,968 66,330 0499999. Total Capitation Arrangement Receivables 19,196 23,130 24,004 172,968 172,968 66,330 0599998. Aggregate Risk Sharing Receivables Not Individually Listed 0599999. Total Risk Sharing Receivables 0 0 0 0 0 0 0699998. Aggregate Other Receivables Not Individually Listed 1,677,451 3,300 3,300 19,800 1,703,851 0699999. Total Other Receivables 1,677,451 3,300 3,300 19,800 1,703,851 0

0799999 Gross health care receivables 14,085,273 6,737,402 6,415,949 29,697,140 30,786,784 26,148,980

19 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 3A - ANALYSIS OF HEALTH CARE RECEIVABLES COLLECTED AND ACCRUED Health Care Receivables Collected Health Care Receivables Accrued 5 6 During the Year as of December 31 of Current Year 1 2 3 4 Health Care Estimated Health Care On Amounts Accrued On Amounts Accrued Receivables in Receivables Accrued Prior to January 1 of On Amounts Accrued December 31 of On Amounts Accrued Prior Years as of December 31 Type of Health Care Receivable Current Year During the Year Prior Year During the Year (Columns 1 + 3) of Prior Year

1. Pharmaceutical rebate receivables 28,936,031 19,524,261 1,417,314 33,144,364 30,353,345 30,916,761

2. Claim overpayment receivables 4,527,498 30,661,911 1,691,400 18,251,203 6,218,898 4,605,496

3. Loans and advances to providers 405,614 488,334 405,614 405,614

4. Capitation arrangement receivables 10,186 22,279 217,019 32,465 32,465

5. Risk sharing receivables 0 0

6. Other health care receivables 375,093 2,694,389 1,703,851 375,093 2,768,475

7. Totals (Lines 1 through 6) 34,254,422 52,880,561 3,130,993 53,804,771 37,385,415 38,728,811

Note that the accrued amounts in Columns 3, 4, and 6 are the total health care receivables, not just the admitted portion.

20 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 4 - CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported) Aging Analysis of Unpaid Claims 1 2 3 4 5 6 7 Account 1 - 30 Days 31 - 60 Days 61 - 90 Days 91 - 120 Days Over 120 Days Total Claims Unpaid (Reported) CVS Caremark 18,207,003 18,207,003 0199999. Individually listed claims unpaid 18,207,003 0 0 0 0 18,207,003 0299999. Aggregate accounts not individually listed- uncovered 0 0399999. Aggregate accounts not individually listed-covered 1,231,909 321,577 1,553,486 0499999. Subtotals 19,438,912 0 0 0 321,577 19,760,489 0599999. Unreported claims and other claim reserves 145,280,530 0699999. Total amounts withheld 0799999. Total claims unpaid 165,041,019

21 0899999 Accrued medical incentive pool and bonus amounts 13,306,367 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 5 - AMOUNTS DUE FROM PARENT, SUBSIDIARIES AND AFFILIATES 1 2 3 4 5 6 Admitted 7 8 Name of Affiliate 1 - 30 Days 31 - 60 Days 61 - 90 Days Over 90 Days Nonadmitted Current Non-Current NONE

0399999 Total gross amounts receivable

22 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 6 - AMOUNTS DUE TO PARENT, SUBSIDIARIES AND AFFILIATES 1 2 3 4 5 Affiliate Description Amount Current Non-Current Molina Healthcare, Inc. Miscellaneous charges 10,055,059 10,055,059 Molina Healthcare, Inc. Loan from Parent 10,000,000 10,000,000 0199999. Individually listed payables 20,055,059 20,055,059 0 0299999. Payables not individually listed 0

0399999 Total gross payables 20,055,059 20,055,059 0

23 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 7 PART 1- SUMMARY OF TRANSACTIONS WITH PROVIDERS 1 2 3 4 5 6 Column 1 Direct Medical Column 1 Total Column 3 Column 1 Expenses Paid to Expense as a % Members as a % Expenses Paid to Non-Affiliated Payment Method Payment of Total Payments Covered of Total Members Affiliated Providers Providers Capitation Payments: 1. Medical groups 2,184,892 0.2 399,622 100.0 2,184,892 2. Intermediaries 44,464,702 3.5 14,170 3.5 44,464,702 3. All other providers 5,255,491 0.4 399,622 100.0 5,255,491 4. Total capitation payments 51,905,085 4.1 813,414 203.5 0 51,905,085 Other Payments: 5. Fee-for-service 60,340,408 4.8 XXX XXX 60,340,408 6. Contractual fee payments 1,146,467,744 91.1 XXX XXX 1,146,467,744 7. Bonus/withhold arrangements - fee-for-service 0 0.0 XXX XXX 8. Bonus/withhold arrangements - contractual fee payments 0 0.0 XXX XXX 9. Non-contingent salaries 0 0.0 XXX XXX 10. Aggregate cost arrangements 0 0.0 XXX XXX 11. All other payments 0 0.0 XXX XXX 12. Total other payments 1,206,808,152 95.9 XXX XXX 0 1,206,808,152 13. TOTAL (Line 4 plus Line 12) 1,258,713,237 100% XXX XXX 0 1,258,713,237

24 EXHIBIT 7 - PART 2 - SUMMARY OF TRANSACTIONS WITH INTERMEDIARIES 1 2 3 4 5 6 Average Intermediary’s Monthly Intermediary’s Authorized NAIC Code Name of Intermediary Capitation Paid Capitation Total Adjusted Capital Control Level RBC ACCESS2CARE LLC 12,635,283 1,052,940 AMERICAN SPECIALTY HEALTH FITNESS INC 300,373 25,031 AMERICAN SPECIALTY HEALTH SYSTEMS - MI 113,383 9,449 DELTA DENTAL OF - MI 4,318,161 359,847 DETROIT AREA AGENCY ON AGING - 1104997121 12,746 1,062 DETROIT WAYNE INTEGRATED HEALTH NETWORK 4,054,342 337,862 HEARUSA INC - 1164707998 391,988 32,666 JOINT VENTURE HOSPITAL LABS - 1073587937 7,202,294 600,191 MACOMB COUNTY COMMUNITY MENTAL HEALTH 875,320 72,943 QUEST DIAGNOSTICS MICHIGAN 5,403,188 450,266 SCION DENTAL INC 562,558 46,880 TELADOC PHYSICIANS PA - 1245403567 194,956 16,246 THE SENIOR ALLIANCE INC - 1821182585 10,243 854 VISION SERVICE PLAN 8,389,867 699,156 9999999 Totals 44,464,702 XXX XXX XXX ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT 8 - FURNITURE, EQUIPMENT AND SUPPLIES OWNED 1 2 3 4 5 6

Accumulated Book Value Less Assets Not Description Cost Improvements Depreciation Encumbrances Admitted Net Admitted Assets

1. Administrative furniture and equipment 1,991,094 1,702,184 288,910 288,910

2. Medical furniture, equipment and fixtures

3. Pharmaceuticals and surgical supplies

4. Durable medical equipment

5. Other property and equipment 4,147,358 2,154,140 1,993,218 1,993,218

6. Total 6,138,452 0 3,856,324 2,282,128 2,282,128 0

25 *52630202043023100* ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION (a) REPORT FOR: 1. CORPORATION Molina Healthcare of Michigan, Inc. 2. Troy, MI (LOCATION) NAIC Group Code 1531 BUSINESS IN THE STATE OF Michigan DURING THE YEAR 2020 NAIC Company Code 52630 1 Comprehensive (Hospital & Medical) 4 5 6 7 8 9 10 2 3

Medicare Vision Dental Federal Employees Title XVIII Title XIX Total Individual Group Supplement Only Only Health Benefit Plan Medicare Medicaid Other

Total Members at end of:

1. Prior Year 362,421 5,165 0 0 0 0 0 24,081 333,175 0

2. First Quarter 367,144 10,237 24,817 332,090

3. Second Quarter 376,829 9,840 25,329 341,660

4. Third Quarter 390,639 9,921 26,216 354,502

5. Current Year 399,622 9,587 26,757 363,278

4,567,740 119,116 306,658 4,141,966

30.MI 6. Current Year Member Months

Total Member Ambulatory Encounters for Year:

7 Physician 2,244,163 45,251 443,955 1,754,957

8. Non-Physician 3,037,670 45,015 702,090 2,290,565

9. Total 5,281,833 90,266 0 0 0 0 0 1,146,045 4,045,522 0

10. Hospital Patient Days Incurred 212,964 2,116 66,716 144,132

11. Number of Inpatient Admissions 38,099 405 8,500 29,194

12. Health Premiums Written (b) 1,782,867,025 43,371,593 495,318,002 1,244,177,430

13. Life Premiums Direct 0

14. Property/Casualty Premiums Written 0

15. Health Premiums Earned 1,685,949,867 41,464,224 494,783,920 1,149,701,723

16. Property/Casualty Premiums Earned 0

17. Amount Paid for Provision of Health Care Services 1,258,713,237 25,787,863 369,576,253 863,349,121

18 Amount Incurred for Provision of Health Care Services 1,285,874,690 26,918,923 376,851,106 882,104,661 (a) For health business: number of persons insured under PPO products and number of persons insured under indemnity only products . (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $ 495,318,002

*52630202043059100* ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION (a) REPORT FOR: 1. CORPORATION Molina Healthcare of Michigan, Inc. 2. Troy, MI (LOCATION) NAIC Group Code 1531 BUSINESS IN THE STATE OF Grand Total DURING THE YEAR 2020 NAIC Company Code 52630 1 Comprehensive (Hospital & Medical) 4 5 6 7 8 9 10 2 3

Medicare Vision Dental Federal Employees Title XVIII Title XIX Total Individual Group Supplement Only Only Health Benefit Plan Medicare Medicaid Other

Total Members at end of:

1. Prior Year 362,421 5,165 0 0 0 0 0 24,081 333,175 0

2. First Quarter 367,144 10,237 0 0 0 0 0 24,817 332,090 0

3. Second Quarter 376,829 9,840 0 0 0 0 0 25,329 341,660 0

4. Third Quarter 390,639 9,921 0 0 0 0 0 26,216 354,502 0

5. Current Year 399,622 9,587 0 0 0 0 0 26,757 363,278 0

30.GT 6. Current Year Member Months 4,567,740 119,116 0 0 0 0 0 306,658 4,141,966 0

Total Member Ambulatory Encounters for Year:

7 Physician 2,244,163 45,251 0 0 0 0 0 443,955 1,754,957 0

8. Non-Physician 3,037,670 45,015 0 0 0 0 0 702,090 2,290,565 0

9. Total 5,281,833 90,266 0 0 0 0 0 1,146,045 4,045,522 0

10. Hospital Patient Days Incurred 212,964 2,116 0 0 0 0 0 66,716 144,132 0

11. Number of Inpatient Admissions 38,099 405 0 0 0 0 0 8,500 29,194 0

12. Health Premiums Written (b) 1,782,867,025 43,371,593 0 0 0 0 0 495,318,002 1,244,177,430 0

13. Life Premiums Direct 0 0 0 0 0 0 0 0 0 0

14. Property/Casualty Premiums Written 0 0 0 0 0 0 0 0 0 0

15. Health Premiums Earned 1,685,949,867 41,464,224 0 0 0 0 0 494,783,920 1,149,701,723 0

16. Property/Casualty Premiums Earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of Health Care Services 1,258,713,237 25,787,863 0 0 0 0 0 369,576,253 863,349,121 0

18 Amount Incurred for Provision of Health Care Services 1,285,874,690 26,918,923 0 0 0 0 0 376,851,106 882,104,661 0 (a) For health business: number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0 . (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $ 495,318,002

ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 1 - SECTION 2 Reinsurance Assumed Accident and Listed by Reinsured Company as of December 31, Current Year 1 2 3 4 5 6 7 8 9 10 11 12 13 Reserve Liability NAIC Type of Type of Other Than for Reinsurance Payable Modified Company ID Effective Domiciliary Reinsurance Business Unearned Unearned on Paid and Coinsurance Funds Withheld Code Number Date Name of Reinsured Jurisdiction Assumed Assumed Premiums Premiums Premiums Unpaid Losses Reserve Under Coinsurance NONE

9999999 - Totals

31 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 2 Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year 1 2 3 4 5 6 7 NAIC Company ID Effective Domiciliary Code Number Date Name of Company Jurisdiction Paid Losses Unpaid Losses 0399999. Total Life and Annuity - U.S. Affiliates 0 0 0699999. Total Life and Annuity - Non-U.S. Affiliates 0 0 0799999. Total Life and Annuity - Affiliates 0 0 1099999. Total Life and Annuity - Non-Affiliates 0 0 1199999. Total Life and Annuity 0 0 1499999. Total Accident and Health - U.S. Affiliates 0 0 1799999. Total Accident and Health - Non-U.S. Affiliates 0 0 1899999. Total Accident and Health - Affiliates 0 0 23680 47-0698507 01/01/2020 Odyssey Reinsurance Company. CT 1,454 1999999. Accident and Health - U.S. Non-Affiliates 1,454 0 2199999. Total Accident and Health - Non-Affiliates 1,454 0 2299999. Total Accident and Health 1,454 0 2399999. Total U.S. (Sum of 0399999, 0899999, 1499999 and 1999999) 1,454 0 2499999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999 and 2099999) 0 0

9999999 Totals - Life, Annuity and Accident and Health 1,454 0

32 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 3 - SECTION 2 Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year 1 2 3 4 5 6 7 8 9 10 Outstanding Surplus Relief 13 14 Domi- Reserve Credit 11 12 NAIC ciliary Type of Type of Unearned Taken Other Modified Funds Withheld Company ID Effective Juris- Reinsurance Business Premiums than for Unearned Coinsurance Under Code Number Date Name of Company diction Ceded Ceded Premiums (Estimated) Premiums Current Year Prior Year Reserve Coinsurance 0399999. Total General Account - Authorized U.S. Affiliates 0 0 0 0 0 0 0 0699999. Total General Account - Authorized Non-U.S. Affiliates 0 0 0 0 0 0 0 0799999. Total General Account - Authorized Affiliates 0 0 0 0 0 0 0 23680 47-0698507 01/01/2020 Odyssey Reinsurance Company. CT SSL/I MC 871,070 23680 47-0698507 01/01/2020 Odyssey Reinsurance Company. CT SSL/I MR 19,400 23680 47-0698507 01/01/2020 Odyssey Reinsurance Company. CT SSL/I CMM 49,100 0899999. General Account - Authorized U.S. Non-Affiliates 939,570 0 0 0 0 0 0 1099999. Total General Account - Authorized Non-Affiliates 939,570 0 0 0 0 0 0 1199999. Total General Account Authorized 939,570 0 0 0 0 0 0 1499999. Total General Account - Unauthorized U.S. Affiliates 0 0 0 0 0 0 0 1799999. Total General Account - Unauthorized Non-U.S. Affiliates 0 0 0 0 0 0 0 1899999. Total General Account - Unauthorized Affiliates 0 0 0 0 0 0 0 2199999. Total General Account - Unauthorized Non-Affiliates 0 0 0 0 0 0 0 2299999. Total General Account Unauthorized 0 0 0 0 0 0 0 2599999. Total General Account - Certified U.S. Affiliates 0 0 0 0 0 0 0 2899999. Total General Account - Certified Non-U.S. Affiliates 0 0 0 0 0 0 0 2999999. Total General Account - Certified Affiliates 0 0 0 0 0 0 0 3299999. Total General Account - Certified Non-Affiliates 0 0 0 0 0 0 0 3399999. Total General Account Certified 0 0 0 0 0 0 0 3699999. Total General Account - Reciprocal Jurisdiction U.S. Affiliates 0 0 0 0 0 0 0 3999999. Total General Account - Reciprocal Jurisdiction Non-U.S. Affiliates 0 0 0 0 0 0 0

33 4099999. Total General Account - Reciprocal Jurisdiction Affiliates 0 0 0 0 0 0 0 4399999. Total General Account - Reciprocal Jurisdiction Non-Affiliates 0 0 0 0 0 0 0 4499999. Total General Account Reciprocal Jurisdiction 0 0 0 0 0 0 0 4599999. Total General Account Authorized, Unauthorized, Reciprocal Jurisdiction and Certified 939,570 0 0 0 0 0 0 4899999. Total Separate Accounts - Authorized U.S. Affiliates 0 0 0 0 0 0 0 5199999. Total Separate Accounts - Authorized Non-U.S. Affiliates 0 0 0 0 0 0 0 5299999. Total Separate Accounts - Authorized Affiliates 0 0 0 0 0 0 0 5599999. Total Separate Accounts - Authorized Non-Affiliates 0 0 0 0 0 0 0 5699999. Total Separate Accounts Authorized 0 0 0 0 0 0 0 5999999. Total Separate Accounts - Unauthorized U.S. Affiliates 0 0 0 0 0 0 0 6299999. Total Separate Accounts - Unauthorized Non-U.S. Affiliates 0 0 0 0 0 0 0 6399999. Total Separate Accounts - Unauthorized Affiliates 0 0 0 0 0 0 0 6699999. Total Separate Accounts - Unauthorized Non-Affiliates 0 0 0 0 0 0 0 6799999. Total Separate Accounts Unauthorized 0 0 0 0 0 0 0 7099999. Total Separate Accounts - Certified U.S. Affiliates 0 0 0 0 0 0 0 7399999. Total Separate Accounts - Certified Non-U.S. Affiliates 0 0 0 0 0 0 0 7499999. Total Separate Accounts - Certified Affiliates 0 0 0 0 0 0 0 7799999. Total Separate Accounts - Certified Non-Affiliates 0 0 0 0 0 0 0 7899999. Total Separate Accounts Certified 0 0 0 0 0 0 0 8199999. Total Separate Accounts - Reciprocal Jurisdiction U.S. Affiliates 0 0 0 0 0 0 0 8499999. Total Separate Accounts - Reciprocal Jurisdiction Non-U.S. Affiliates 0 0 0 0 0 0 0 8599999. Total Separate Accounts - Reciprocal Jurisdiction Affiliates 0 0 0 0 0 0 0 8899999. Total Separate Accounts - Reciprocal Jurisdiction Non-Affiliates 0 0 0 0 0 0 0 8999999. Total Separate Accounts Reciprocal Jurisdiction 0 0 0 0 0 0 0 9099999. Total Separate Accounts Authorized, Unauthorized, Reciprocal Jurisdiction and Certified 0 0 0 0 0 0 0 9199999. Total U.S. (Sum of 0399999, 0899999, 1499999, 1999999, 2599999, 3099999, 3699999, 4199999, 4899999, 5399999, 5999999, 6499999, 7099999, 7599999, 8199999 and 8699999) 939,570 0 0 0 0 0 0 9299999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999, 2099999, 2899999, 3199999, 3999999, 4299999, 5199999, 5499999, 6299999, 6599999, 7399999, 7699999, 8499999 and 8799999) 0 0 0 0 0 0 0 9999999 - Totals 939,570 0 0 0 0 0 0 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc.

Schedule S - Part 4 N O N E

Schedule S - Part 4 - Bank Footnote N O N E

34 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 5 Reinsurance Ceded to Certified Reinsurers as of December 31, Current Year ($000 Omitted) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Collateral 23 24 25 26 16 17 18 19 20 21 22 Percent Credit Percent Allowed Liability for of on Net Reins- Dollar Collateral Obli- Amount of urance Percent Total Amount of Provided gation Credit with Certified Collat- Recover- Net Collateral for Net Subject to Allowed for Certified Rein- eral Paid and able/ Obligation Required Issuing or Funds Total Obli- Collateral Net Reinsurers surer Effective Required Unpaid Reserve Subject for Full Confirming Deposited Collateral gation (Col. 23 / Obligation Due to NAIC Domi- Rating Date of for Full Losses Credit Miscellan- to Credit Bank by and Provided Subject to Col. 8, Subject to Collateral Com- ciliary (1 Certified Credit Reserve Recover- Taken eous Collateral (Col. 14 Multiple Reference Trust Withheld (Col. 16 + Collateral not to Collateral Deficiency pany ID Effective Juris- through Reinsurer (0% - Credit able Other (Col. 9 + Balances (Col. 12 - Times Beneficiary Letters Number Agree- from 17 + 19 + (Col. 22 / Exceed (Col. 14 x (Col. 14 - Code Number Date Name of Reinsurer diction 6) Rating 100%) Taken (Debit) Debits 10 + 11) (Credit) 13) Col. 8) Trust of Credit (a) ments Reinsurers Other 20 + 21) Col. 14) 100%) Col. 24) Col. 25) NONE

35

9999999 - Totals XXX XXX XXX

(a) Issuing or Confirming Letters Bank of Reference Credit American Bankers Association Letters of Number Code (ABA) Routing Number Issuing or Confirming Bank Name Credit Amount ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 6 Five Year Exhibit of Reinsurance Ceded Business ($000 Omitted) 1 2 3 4 5 2020 2019 2018 2017 2016

A. OPERATIONS ITEMS

1. Premiums 49 76 67 105 94

2. Title XVIII - Medicare 19 371 46 41 39

3. Title XIX - Medicaid 871 1,385 460 501 459

4. Commissions and reinsurance expense allowance

5. Total hospital and medical expenses

B. BALANCE SHEET ITEMS

6. Premiums receivable

7. Claims payable 0 0 0 0 0

8. Reinsurance recoverable on paid losses 1 138 274 263 43

9. Experience rating refunds due or unpaid

10. Commissions and reinsurance expense allowances due

11. Unauthorized reinsurance offset

12. Offset for reinsurance with Certified Reinsurers

C. UNAUTHORIZED REINSURANCE (DEPOSITS BY AND FUNDS WITHHELD FROM)

13. Funds deposited by and withheld from (F) 0 0 0 0 0

14. Letters of credit (L) 0 0 0 0 0

15. Trust agreements (T) 0 0 0 0 0

16. Other (O) 0 0 0 0 0

D. REINSURANCE WITH CERTIFIED REINSURERS (DEPOSITS BY AND FUNDS WITHHELD FROM)

17. Multiple Beneficiary Trust 0 0 0 0

18. Funds deposited by and withheld from (F) 0 0 0 0

19. Letters of credit (L) 0 0 0 0

20. Trust agreements (T) 0 0 0 0

21. Other (O) 0 0 0 0

36 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE S - PART 7 Restatement of Balance Sheet to Identify Net Credit For Ceded Reinsurance 1 2 3 As Reported Restatement Restated (net of ceded) Adjustments (gross of ceded)

ASSETS (Page 2, Col. 3)

1. Cash and invested assets (Line 12) 402,318,705 402,318,705

2. Accident and health premiums due and unpaid (Line 15) 90,503,710 90,503,710

3. Amounts recoverable from reinsurers (Line 16.1) 1,454 (1,454) 0

4. Net credit for ceded reinsurance XXX 1,454 1,454

5. All other admitted assets (Balance) 71,185,084 71,185,084

6. Total assets (Line 28) 564,008,953 0 564,008,953

LIABILITIES, CAPITAL AND SURPLUS (Page 3)

7. Claims unpaid (Line 1) 165,041,019 165,041,019

8. Accrued medical incentive pool and bonus payments (Line 2) 13,306,367 13,306,367

9. Premiums received in advance (Line 8) 1,349,548 1,349,548

10. Funds held under reinsurance treaties with authorized and unauthorized reinsurers (Line 19 first inset amount plus second inset amount) 0 0

11. Reinsurance in unauthorized companies (Line 20 minus inset amount) 0 0

12. Reinsurance with Certified Reinsurers (Line 20 inset amount) 0

13. Funds held under reinsurance treaties with Certified Reinsurers (Line 19 third inset amount) 0 0

14. All other liabilities (Balance) 224,235,376 224,235,376

15. Total liabilities (Line 24) 403,932,310 0 403,932,310

16. Total capital and surplus (Line 33) 160,076,643 XXX 160,076,643

17. Total liabilities, capital and surplus (Line 34) 564,008,953 0 564,008,953

NET CREDIT FOR CEDED REINSURANCE

18. Claims unpaid 0

19. Accrued medical incentive pool 0

20. Premiums received in advance 0

21. Reinsurance recoverable on paid losses 1,454

22. Other ceded reinsurance recoverables 0

23. Total ceded reinsurance recoverables 1,454

24. Premiums receivable 0

25. Funds held under reinsurance treaties with authorized and unauthorized reinsurers 0

26. Unauthorized reinsurance 0

27. Reinsurance with Certified Reinsurers 0

28. Funds held under reinsurance treaties with Certified Reinsurers 0

29. Other ceded reinsurance payables/offsets 0

30. Total ceded reinsurance payables/offsets 0

31. Total net credit for ceded reinsurance 1,454

37 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE T - PART 2 INTERSTATE COMPACT - EXHIBIT OF PREMIUMS WRITTEN Allocated by States and Territories Direct Business Only 1 2 3 4 5 6 Disability Long-Term Life Annuities Income Care (Group and (Group and (Group and (Group and Deposit-Type States, Etc. Individual) Individual) Individual) Individual) Contracts Totals 1. Alabama AL 2. Alaska AK 3. Arizona AZ 4. Arkansas AR 5. California CA 6. Colorado CO 7. Connecticut CT 8. Delaware DE 9. District of Columbia DC 10. FL 11. Georgia GA 12. Hawaii HI 13. ID 14. IL 15. Indiana IN 16. Iowa IA 17. Kansas KS 18. Kentucky KY 19. LA 20. ME 21. Maryland MD 22. Massachusetts MA 23. Michigan MI 24. Minnesota MN 25. Mississippi MS 26. MO 27. Montana MT 28. Nebraska NE 29. Nevada NV 30. New Hampshire NONENH 31. NJ 32. NM 33. New York NY 34. North Carolina NC 35. North Dakota ND 36. OH 37. Oklahoma OK 38. Oregon OR 39. Pennsylvania PA 40. Rhode Island RI 41. SC 42. South Dakota SD 43. Tennessee TN 44. TX 45. UT 46. Vermont VT 47. Virginia VA 48. WA 49. WV 50. WI 51. Wyoming WY 52. American Samoa AS 53. Guam GU 54. PR 55. U.S. Virgin Islands VI 56. Northern Mariana Islands MP 57. Canada CAN 58. Aggregate Other Alien OT 59. Total

39 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE Y PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Type If of Control Control (Ownership, is Is an Name of Securities Relation- Board, Owner- SCA Exchange Domi- ship Management, ship Filing NAIC if Publicly Traded Names of ciliary to Attorney-in-Fact, Provide Re- Group Company ID Federal (U.S. or Parent, Subsidiaries Loca- Reporting Directly Controlled by Influence, Percen- Ultimate Controlling quired? Code Group Name Code Number RSSD CIK International) Or Affiliates tion Entity (Name of Entity/Person) Other) tage Entity(ies)/Person(s) (Y/N) * 1531 Molina Healthcare, Inc. 00000 13-4204626 1179929 New York Stock Exchange Molina Healthcare, Inc. DE UDP Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 81-2824030 Molina Clinical Services, LLC DE NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 45-2634351 Molina Healthcare Data Center, LLC NM NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 30-0876771 Molina Healthcare of Arizona, Inc. AZ NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 33-0342719 Molina Healthcare of California CA IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 13128 26-0155137 Molina Healthcare of Florida, Inc. FL IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 15714 80-0800257 Molina Healthcare of Georgia, Inc. GA IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 14104 27-1823188 Molina Healthcare of Illinois, Inc. IL IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 16596 83-3866292 Molina Healthcare of Kentucky, Inc. KY IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 81-4229476 Molina Healthcare of Louisiana, Inc. LA NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 52630 38-3341599 Molina Healthcare of Michigan, Inc. MI RE Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 16301 26-4390042 Molina Healthcare of Mississippi, Inc. MS IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 20-3567602 Molina Healthcare of Nevada, Inc. NV NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 95739 85-0408506 Molina Healthcare of New Mexico, Inc. NM IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 27-1603200 Molina Healthcare of New York, Inc. NY IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 12334 20-0750134 Molina Healthcare of Ohio, Inc. OH IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 81-0864563 Molina Healthcare of Oklahoma, Inc. OK NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 81-0855820 Molina Healthcare of Pennsylvania, Inc. PA NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 15600 66-0817946 Molina Healthcare of Puerto Rico, Inc. PR IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N

41 1531 Molina Healthcare, Inc. 15329 46-2992125 Molina Healthcare of South Carolina, Inc. SC IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 84-3288805 Molina Healthcare of Tennessee, Inc. TN NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 10757 20-1494502 Molina Healthcare of Texas, Inc. TX IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N Molina Healthcare of Texas Insurance Company 1531 Molina Healthcare, Inc. 13778 27-0522725 TX IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 95502 33-0617992 Molina Healthcare of Utah, Inc. UT IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 96270 91-1284790 Molina Healthcare of Washington, Inc. WA IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 12007 20-0813104 Molina Healthcare of Wisconsin, Inc. WI IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 46-2821516 Molina Hospital Management, LLC CA NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 45-2854547 Molina Pathways, LLC DE NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 47-2296708 Molina Care Connections, LLC TX NIA Molina Pathways, LLC Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 46-5098489 Molina Youth Academy CA NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 85-3111408 2028 West Broadway, LLC DE NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 16808 84-4039542 Oceangate Reinsurance, Inc. UT IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 62-1651095 Pathways Community Corrections, LLC DE NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 14447 45-4229574 Florida MHS, Inc. FL IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 45-3008411 SWH Holdings, Inc. DE NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 16043 81-0983027 Magellan Complete Care of Virginia, LLC VA IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 14641 45-5337737 Magellan Complete Care of Arizona, Inc. AZ IA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 87-0785193 Senior Health Holdings, LLC DE NIA SWH Holdings, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 20-1098537 Senior Health Holdings, Inc. DE NIA Senior Health Holdings, LLC Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 46-4158996 AlphaCare Holdings, Inc. DE NIA Senior Health Holdings, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 12776 83-0463162 Senior Whole Health of New York, Inc. NY IA AlphaCare Holdings, Inc. Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 39-1572350 The Management Group, LLC WI NIA Molina Healthcare, Inc. Ownership 100.000 Molina Healthcare, Inc. N Senior Whole Health Management Company, Inc. 1531 Molina Healthcare, Inc. 00000 61-1511719 DE NIA Senior Health Holdings, LLC Ownership 100.000 Molina Healthcare, Inc. N 1531 Molina Healthcare, Inc. 00000 83-0351160 Senior Whole Health, LLC DE NIA Senior Health Holdings, Inc. Ownership 100.000 Molina Healthcare, Inc. N

Asterisk Explanation ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SCHEDULE Y PART 2 - SUMMARY OF INSURER’S TRANSACTIONS WITH ANY AFFILIATES 1 2 3 4 5 6 7 8 9 10 11 12 13 Income/ (Disbursements) Purchases, Sales Incurred in Reinsurance or Exchanges of Connection with Income/ Any Other Material Recoverable/ Loans, Securities, Guarantees or (Disbursements) Activity Not in the (Payable) on NAIC Real Estate, Undertakings for Management Incurred Under Ordinary Course of Losses and/or Company ID Names of Insurers and Parent, Shareholder Capital Mortgage Loans or the Benefit of any Agreements and Reinsurance the Insurer’s Reserve Credit Code Number Subsidiaries or Affiliates Dividends Contributions Other Investments Affiliate(s) Service Contracts Agreements * Business Totals Taken/(Liability) 00000 13-4204626 Molina Healthcare, Inc. 537,000,000 (22,014,739) 1,505,708,347 (10,000,000) 2,010,693,608 00000 33-0342719 Molina Healthcare of California (100,000,000) (227,706,082) (5,599,429) (333,305,511) 582,205 00000 45-2634351 Molina Healthcare Data Center, Inc. 2,000,000 2,000,000 13128 26-0155137 Molina Healthcare of Florida, Inc. (65,000,000) (62,486,070) 317,740 (127,168,330) 893,143 14104 27-1823188 Molina Healthcare of Illinois, Inc. (105,266,699) (674,880) (105,941,579) 384,165 52630 38-3341599 Molina Healthcare of Michigan, Inc. (116,000,000) (170,070,327) 10,000,000 (276,070,327) 95739 85-0408506 Molina Healthcare of New Mexico, Inc. (11,064,689) (433,080) (11,497,769) 12334 20-0750134 Molina Healthcare of Ohio, Inc. (109,000,000) (221,619,036) (680,042) (331,299,078) 4,554,277 15600 66-0817946 Molina Healthcare of Puerto Rico, Inc. (3,895,352) (307,762) (4,203,114) 15329 46-2992125 Molina Healthcare of South Carolina, Inc (56,513,953) (56,513,953) 10757 20-1494502 Molina Healthcare of Texas, Inc. (94,000,000) (210,266,290) 1,010,089 (303,256,201) (1,035,474) 13778 27-0522725 Molina Healthcare of Texas Insurance Com (5,210,765) (5,210,765) 1,149,907 95502 33-0617992 Molina Healthcare of Utah, Inc. (27,000,000) (51,739,893) (2,013,412) (80,753,305) 1,040,289 00000 26-1769086 Molina Healthcare of Virginia, Inc. (622,199) (622,199) 96270 91-1284790 Molina Healthcare of Washington, Inc. (91,000,000) (311,441,484) (3,893,933) (406,335,417) 1,479,105

42 12007 20-0813104 Molina Healthcare of Wisconsin, Inc. (20,000,000) (37,996,042) (1,821,269) (59,817,311) 15714 80-0800257 Molina Healthcare of Georgia, Inc. 188 188 00000 27-1603200 Molina Healthcare of New York, Inc. 42,000,000 (23,119,886) 18,880,114 16596 83-3866292 Molina Healthcare of Kentucky, Inc. 55,000,000 (860,000) 54,140,000 00000 81-2824030 Molina Clinical Services, LLC 34,384,974 34,384,974 16301 26-4390042 Molina Healthcare of Mississippi, Inc. 10,000,000 (42,657,518) 295,783 (32,361,735) 752,053 16808 84-4039542 Oceangate Reinsurance, Inc. 250,000 (3,390,000) 19,010,960 15,870,960 (9,799,670) 00000 46-0598968 Molina Healthcare of Maryland, Inc. (1,613,250) (1,613,250) 9999999 Control Totals 0 0 0 0 0 0 XXX 0 0 0

ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state. However, in the event that your domiciliary state waives the filing requirement, your response of WAIVED to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions. Responses MARCH FILING 1. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? YES 2. Will an actuarial opinion be filed by March 1? YES 3. Will the confidential Risk-based Capital Report be filed with the NAIC by March 1? YES 4. Will the confidential Risk-based Capital Report be filed with the state of domicile, if required, by March 1? YES

APRIL FILING 5. Will Management’s Discussion and Analysis be filed by April 1? YES 6. Will the Supplemental Investment Risks Interrogatories be filed by April 1? YES 7. Will the Accident and Health Policy Experience Exhibit be filed by April 1? YES

JUNE FILING 8. Will an audited financial report be filed by June 1? YES 9. Will Accountant's Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1? YES

AUGUST FILING 10. Will the regulator-only (non-public) Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile and electronically with the NAIC (as a regulator-only non-public document) by August 1? YES The following supplemental reports are required to be filed as part of your annual statement filing if your company is engaged in the type of business covered by the supplement. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions. MARCH FILING 11. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1? NO 12. Will the Supplemental Life data due March 1 be filed with the state of domicile and the NAIC? NO 13. Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1? NO 14. Will the actuarial opinion on participating and non-participating policies as required in Interrogatories 1 and 2 on Exhibit 5 to Life Supplement be filed with the state of domicile and electronically with the NAIC by March 1? NO 15. Will the actuarial opinion on non-guaranteed elements as required in Interrogatory 3 to Exhibit 5 to Life Supplement be filed with the state of domicile and electronically with the NAIC by March 1? NO 16. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1? NO 17. Will an approval from the reporting entity’s state of domicile for relief related to the five-year rotation requirement for lead audit partner be filed electronically with the NAIC by March 1? NO 18. Will an approval from the reporting entity’s state of domicile for relief related to the one-year cooling off period for independent CPA be filed electronically with the NAIC by March 1? NO 19. Will an approval from the reporting entity’s state of domicile for relief related to the Requirements for Audit Committees be filed electronically with the NAIC by March 1? NO APRIL FILING 20. Will the Long-Term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1? NO 21. Will the Supplemental Life data due April 1 be filed with the state of domicile and the NAIC? NO 22. Will the Supplemental Health Care Exhibit (Parts 1, 2 and 3) be filed with the state of domicile and the NAIC by April 1? YES 23. Will the regulator only (non-public) Supplemental Health Care Exhibit’s Expense Allocation Report be filed with the state of domicile and the NAIC by April 1? YES 24. Will the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit be filed with the state of domicile and the NAIC by April 1? NO 25. Will the Adjustments to the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit (if required) be filed with the state of domicile and the NAIC by April 1? NO AUGUST FILING 26. Will Management’s Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1? YES Explanations: 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 24. 25.

Bar Codes: 11. Medicare Supplement Insurance Experience Exhibit [Document Identifier 360] *52630202036000000* 12. Life Supplement [Document Identifier 205] *52630202020500000* 13. SIS Stockholder Information Supplement [Document Identifier 420] *52630202042000000* 14. Participating Opinion for Exhibit 5 [Document Identifier 371] *52630202037100000* 15. Non-Guaranteed Opinion for Exhibit 5 [Document Identifier 370] *52630202037000000* 16. Medicare Part D Coverage Supplement [Document Identifier 365] *52630202036500000* 17. Relief from the five-year rotation requirement for lead audit partner [Document Identifier 224] *52630202022400000* 18. Relief from the one-year cooling off period for independent CPA [Document Identifier 225] *52630202022500000*

43 ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Molina Healthcare of Michigan, Inc. SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES 19. Relief from the Requirements for Audit Committees [Document Identifier 226] *52630202022600000* 20. Long-Term Care Experience Reporting Forms [Document Identifier 306] *52630202030600000* 21. Life Supplement [Document Identifier 211] *52630202021100000* 24. Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit [Document Identifier 290] *52630202029000000* 25 Adjustments to the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit [Document Identifier 300] *52630202030000000*

43.1