2019 REPORT U.S. Political Contributions & Related Activity A NOTE FROM THE UNITEDHEALTH GROUP PAC CHAIR The 325,000 people of UnitedHealth Group are driven by a shared mission to make a difference in the lives of the 137 million people we are privileged to serve and are committed to leading in the development of the next- generation health care system in a socially conscious way. Across the nation, Federal and State policy-makers are continuing to debate policy solutions to address the health care challenges facing our communities, including affordability and access. UnitedHealth Group values the opportunity and responsibility to meaningfully engage and partner with policy-makers by contributing to the national conversation on health care modernization. We are uniquely positioned to share distinctive policy solutions that improve outcomes, lower costs, and create a better health care experience for everyone. In the 2019 U.S. Political Contributions and Related Activity Report, we provide insight into our advocacy efforts and participation in the political process. UnitedHealth Group’s Political Action Committee – the UnitedHealth Group PAC – and political contributions generally are one component of our multi-faceted approach to engaging elected officials and candidates for public office. The UnitedHealth Group PAC is bipartisan and funded entirely by voluntary contributions from eligible employees and stakeholders. Political contributions support Federal and State candidates, political parties, and other political action committees in alignment with our goals to modernize the health care system. All political contributions are made in compliance with applicable election laws, overseen by the UnitedHealth Group Board of Directors’ Public Policy Strategy and Responsibility Committee, and guided by our mission and values. UnitedHealth Group remains committed to working with Federal and State policy-makers to advance forward-thinking solutions in pursuit of our mission of helping people live healthier lives and helping make the health system work better for everyone. Sincerely, Stephen Heyman 2019 UnitedHealth Group PAC Chair Senior Vice President, UnitedHealth Group External Affairs 2019 U.S. POLITICAL CONTRIBUTIONS & RELATED ACTIVITY REPORT 2 POLITICAL CONTRIBUTIONS AND RELATED ACTIVITY UnitedHealth Group engages in efforts to help shape and inform public policy decisions that have the potential to improve the quality and delivery of health care and that affect our customers, employees, consumers, and the communities in which we operate. We have a corporate responsibility to our customers, our employees, our shareholders, and the people we serve across the health care community to continue to: n Lead in the development of innovative solutions that produce consistent, high-quality health care at a lower cost and improve experiences for patients and providers to make health care simpler, more transparent, and more engaging; n Ensure all Americans have access to quality, affordable health care coverage; and n Support and develop proven best practices and apply data and information, technology, and clinical insights to improve health care in a socially conscious way. ADVOCACY ACTIVITIES POLICIES, PRACTICES, AND PRIORITIES UnitedHealth Group participates in activities to advocate for our positions on public policy issues with elected officials and other stakeholders at the International, Federal, State, and Local levels – issues that affect our company, shareholders, employees, and customers. Our goal is to help shape and inform public policy decisions that have the potential to affect our business, customers, employees, consumers, and the communities in which we operate as we fulfill our mission of helping people live healthier lives and helping make the health system work better for everyone. Our legislative and advocacy priorities at the Federal and State levels are set forth in The Path Forward: A Modern, High-Performing, Simpler Health Care System, which outlines actionable policy solutions to most effectively expand access to coverage, lower health care costs, improve health outcomes, and create better experiences, and is available on our website. Our lobbying disclosure reports filed with the U.S. Congress are available at http://disclosures.house.gov/ld/ldsearch.aspx. PROCEDURES AND BOARD AND MANAGEMENT OVERSIGHT Advocacy activities are led by UHG External Affairs with participation throughout our businesses, and are subject to oversight by senior UHG management and the Public Policy Strategies and Responsibility Committee of our Board of Directors. In addition to overseeing our advocacy efforts, the Public Policy Strategies and Responsibility Committee assists the Board of Directors in fulfilling its responsibilities relating to our public policy, health care reform and modernization activities, political contributions, government affairs, community and charitable activities, third party activities (including trade associations and industry groups), and corporate social responsibility, and is responsible for overseeing the risks associated with these activities. The Committee receives regular reports from our leadership on these matters, oversees our policies, and reviews the purposes and benefits of these activities at each meeting. The Committee provides reports of its activities to our Board of Directors at each in-person meeting. Our activities include the work of educational outreach and promotion, campaign contributions, and, in certain instances, lobbying and other related activities. These activities are reviewed by legal counsel in addition to the Public Policy Strategies and Responsibility Committee and are included in the total annual fiscal budget, which is subject to the approval and oversight of our Board of Directors. UnitedHealth Group made no independent expenditures in 2019. All UnitedHealth Group PAC and corporate political contributions are made in accordance with applicable election laws. The Public Policy Strategies and Responsibility Committee adopted a political contributions policy which we have made available on our website at www.unitedhealthgroup.com/About/ CorporateGovernance.aspx. The political contributions policy summarizes the policies and procedures that we follow with respect to political contributions. 2019 U.S. POLITICAL CONTRIBUTIONS & RELATED ACTIVITY REPORT 3 NON-DEDUCTIBLE TRADE ASSOCIATION DUES The portion of dues allocated to non-deductible political activities in 2019 by trade associations to which UnitedHealth Group paid dues of $50,000 or more is listed below: 2019 Trade Association Dues of $50,000 or More and Attributed Political Expenses Portion of Dues Attributed to Entity Amount of Dues Paid Non-Deductible Lobbying American Academy of Actuaries $247,360 $2,463 American Academy of Family Physicians $181,513 $22,817 American Academy of Professional Coders $132,695 $1,290 American Association of Nurse Practitioners $161,882 $15,828 American College of Physicians $71,132 $5,731 America's Physician Groups $289,604 $101,094 Association for Behavioral Health and Wellness $161,100 $26,743 California Association of Health Plans $110,879 $16,632 Florida Association of Health Plans $140,000 $36,000 Greater Houston Partnership $60,000 $9,000 Insurance Federation of Pennsylvania $56,000 $11,200 Louisiana Association of Health Plans $50,534 $10,107 Medicaid Health Plans of America $125,000 $17,013 Metro Hartford Alliance $108,000 $1,296 Michigan Association of Health Plans $71,550 $31,053 National Association of Health Underwriters $57,916 $10,779 National Association of Manufacturers $170,000 $34,000 National Association of Vision Care Plans $213,405 $49,405 New Jersey Association of Health Plans $73,500 $9,555 Ohio Association of Health Plans $63,988 $44,472 Ohio Business Roundtable $50,000 $10,000 Ohio Chamber of Commerce $50,000 $15,000 Pennsylvania Medicaid Managed Care Organizations, Inc. $51,000 $10,114 Pharmaceutical Care Management Association $3,112,750 $388,418 Special Needs Plan Alliance, Inc. $276,009 $212,007 Texas Association of Health Plans $100,000 $47,500 Texas Medical Association $58,422 $8,573 U.S. Chamber of Commerce $275,000 $55,000 Total $6,519,238 $1,203,088 2019 U.S. POLITICAL CONTRIBUTIONS & RELATED ACTIVITY REPORT 4 U.S. FEDERAL CONTRIBUTIONS U.S. SENATE CANDIDATES Roy Blunt (R-MO) $2,500 Mike Lee (R-UT) $2,500 Shelley Moore Capito (R-WV) $2,000 Martha McSally (R-AZ) $5,000 Thomas Carper (D-DE) $1,000 Lisa Murkowski (R-AK) $2,500 Robert Casey (D-PA) $2,000 David Perdue (R-GA) $2,500 William Cassidy (R-LA) $2,500 Rob Portman (R-OH) $2,500 Susan Collins (R-ME) $1,500 Jack Reed (D-RI) $2,500 John Cornyn (R-TX) $5,000 James Risch (R-ID) $2,500 Catherine Cortez Masto (D-NV) $2,500 Jacky Rosen (D-NV) $2,500 Thomas Cotton (R-AR) $2,500 Charles Schumer (D-NY) $2,500 Mike Crapo (R-ID) $2,500 Rick Scott (R-FL) $5,000 Steve Daines (R-MT) $2,500 Jeanne Shaheen (D-NH) $5,000 Joni Ernst (R-IA) $5,000 Kyrsten Sinema (D-AZ) $2,000 Lindsey Graham (R-SC) $2,500 Tina Smith (D-MN) $3,500 John Hoeven (R-ND) $2,500 Daniel Sullivan (R-AK) $2,500 James Inhofe (R-OK) $5,000 Thom Tillis (R-NC) $5,000 Doug Jones (D-AL) $2,500 Mark Warner (D-VA) $2,500 John Kennedy (R-LA) $2,500 Todd Young (R-IN) $2,500 James Lankford (R-OK) $1,000 U.S. SENATE PACs 21st Century Majority Fund (R-Isakson) $5,000 Heartland Values PAC (R-Thune) $2,500 A New Direction PAC (D-Shaheen) $2,500 Idaho Conservative Growth Fund $5,000 (R-Crapo) All For Our Country Leadership PAC $5,000 (D-Cortez Masto) Impact (D-Schumer) $5,000 Badlands PAC (R-Cramer) $2,500 Narragansett Bay PAC (D-Reed) $2,500 Bluegrass Committee (R-McConnell) $5,000 Next Century Fund (R-Burr) $2,500 Citizens for Prosperity in $3,000 Oorah! PAC (R-Young) $5,000 America Today PAC (R-Toomey) Perimeter PAC (D-Duckworth) $2,500 Common Values PAC (R-Barrasso) $5,000 The Peter Norbeck Leadership PAC $5,000 Country Roads PAC (D-Manchin) $5,000 (R-Rounds) First State PAC (D-Carper) $2,000 Project West PAC (R-Gardner) $5,000 Forward Together PAC (D-Warner) $2,500 Promoting Our Republican Team PAC $5,000 (R-Portman) Getting Stuff Done PAC (D-Sinema) $5,000 Rely On Your Beliefs Fund (R-Blunt) $5,000 Granite Values PAC (D-Hassan) $5,000 2019 U.S.