Independent accountability research
What happened, and why it matters.
Delayed payments can strain providers. Inaccurate cost reporting can divert public resources. Barriers to timely appointments can keep people from receiving needed care. Understanding the record requires looking beyond headlines and reading the underlying documents.
This first report focuses on Centene. It is an initial research collection covering 2020–2026, not a complete audit of every subsidiary or government contract.
New developments.
Centene / New Hampshire / Medicaid qualityPublished 2026-10-08 · Added 2026-10-10
Event date: 2026-10-08
NH Healthy Families announces a four-star 2026 NCQA Medicaid rating
Centene subsidiary NH Healthy Families announced a 4.0 out of 5 rating in NCQA’s 2026 Medicaid health plan ratings, describing this as its eighth consecutive year at that rating.
Why it matters: This is a company report of an NCQA Medicaid rating, not a CMS Medicare Advantage star rating. The programs and methods differ and should not be combined in a ranking. The NCQA record was not independently retrieved, and the aggregate rating does not resolve individual care-denial concerns.
Company-reported NCQA rating; independent NCQA record pending
NH Healthy Families / Centene: source
Centene findings Centene / Ambetter / Primary carePublished 2026-10-07 · Added 2026-10-08
Event date: 2026-10-07
Ambetter announces 2027 primary care partnership in Indiana and Missouri
Centene announced a Marathon Health collaboration for eligible Ambetter Health Solutions members in selected Indiana and Missouri counties. Beginning in 2027, the arrangement is intended to offer $0 primary care visits and lab services, plus virtual primary care, through employer-supported individual coverage arrangements.
Why it matters: Eligibility and geography are limited. This concerns off-Exchange individual coverage, not a Medicaid or Medicare procurement award. Company statements do not establish timely appointments, reduced authorization barriers or improved outcomes for these members.
Company announcement; prospective 2027 services
Centene / Ambetter Health Solutions: source
Centene findings Centene / WellcarePublished 2026-10-01 · Added 2026-10-07
Event date: 2026-10-01
Wellcare announces its 2027 Medicare offerings
Wellcare announced Medicare Advantage and prescription drug offerings for 2027, including benefit-card features, dental options and transportation benefits. The release describes two stand-alone prescription drug plan options. Benefits and eligibility vary by plan.
Why it matters: Members should check the actual local plan documents, drug formulary and provider/pharmacy networks. Advertised benefits are company statements, not verified evidence of timely care or improved outcomes.
Company announcement; 2027 offerings
Centene / Wellcare: source
Centene findings Florida / Centene / Molina / Contract transitionPublished Not stated · Added 2026-10-09
Event date: 2026-10-01
Florida Children’s Medical Services Plan moved from Sunshine Health to Molina on October 1
Sunshine Health’s current member page confirms that the Children’s Medical Services Health Plan is now operated by Molina Healthcare and members transferred automatically October 1. AHCA identifies Molina as the selected statewide operator. The source pages do not state their publication dates; this is a newly verified historical transition, not a new October 9 award.
Why it matters: AHCA says existing appointments, prescriptions and authorizations will be honored. Those commitments require monitoring for actual continuity. The transition concerns this specialized plan, not all Sunshine Medicaid business. No contract value or member harm is inferred.
Transition confirmed by outgoing operator; state continuity commitments; publication dates unstated
Sunshine Health / AHCA: source
Additional primary source
Centene findings Molina findings Review completed October 13, 2026. Added Humana's announced CenterWell clinic joint venture with BlackRock. The transaction is pending regulatory approval and the stated $2.8 billion is the value of WCAS's equity stake, not proceeds to Humana or a fine.
CMS and managed care news archive01 / Financial accountability
Large settlements.
Recurring operational concerns.
The records include allegations about pharmacy billing, provider-payment problems, cybersecurity compliance and Medicare contract administration. A settlement does not automatically establish a finding of liability.
Settlement / allegations only$215.4MCalifornia pharmacy costs
California announced a $215,392,758 settlement involving alleged inflated Medi-Cal prescription-drug cost reporting by Health Net and California Health & Wellness. There was no determination of liability.
California DOJ · February 2023Payment confirmed by DOJ$97.2MVeterans’ care billings
Health Net Federal Services paid $97,237,391 to resolve duplicate and inflated VA claims. The amount included repayment and interest. DOJ stated there was no determination of liability.
U.S. DOJ · April 2021Administrative fines$1.3MProvider payment disputes
California fined two Health Net plans in February 2026 for delayed acknowledgment and resolution of provider payment disputes. The plans took corrective action, including staffing improvements.
California DMHC · February 2026 “Assessed,” “agreed to pay,” and “paid” mean different things.
This page does not present every announced amount as a completed cash payment. The workbook tracks payment confirmation, evidence quality and unresolved questions separately.
Primary-source financial records
Open a record to see the conduct, legal status and payment evidence. Other imported records and research leads are identified separately in the downloadable workbook.
Mississippi · 2021-06-14Centene / EnvolvePBM settlement$55,500,000
Alleged Medicaid pharmacy overbilling / cost reporting.
- Authority
- Mississippi authorities
- Legal status
- Allegations resolved; no admission / review agreement
- Payment status
- Payment not independently confirmed
- Amount precision
- Rounded / inherited
Imported from existing research; previous verified labels not assumed reliable.
Read the sourceIllinois · 2021-09-30Centene / state plan / Envolve entitiesPBM settlement$56,717,652
Alleged Medicaid pharmacy overbilling / cost reporting.
- Authority
- Illinois authorities
- Legal status
- Allegations resolved; no admission / review agreement
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Imported from existing research; previous verified labels not assumed reliable.
Read the sourceMassachusetts · 2022-09-29Centene / state plan / Envolve entitiesPBM settlement$14,200,000
Alleged Medicaid pharmacy overbilling / cost reporting.
- Authority
- Massachusetts Attorney General
- Legal status
- Allegations resolved; no admission / review agreement
- Payment status
- Payment not independently confirmed
- Amount precision
- Rounded / inherited
Primary says more than $14M; $14.2M reported by KFF. Exact agreement amount pending.
Read the sourceCalifornia · 2023-02-08Centene / California Health & Wellness / Health NetPBM settlement$215,392,758
Alleged Medicaid pharmacy overbilling / cost reporting.
- Authority
- California authorities
- Legal status
- Allegations only; no determination of liability
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Total settlement; do not add restitution component again.
Read the sourceFederal / contract-specific · 2023-11-02Centene CorporationCivil money penalty$49,764
Contract administration deficiencies.
- Authority
- CMS
- Legal status
- Administrative penalty
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
CMS listing confirms assessment, not payment. Organization-specific notice abstraction pending.
Read the sourceSouth Carolina · 2023-12-29Centene / state plan / Envolve entitiesPBM settlement$25,898,071
Alleged Medicaid pharmacy overbilling / cost reporting.
- Authority
- South Carolina Attorney General
- Legal status
- Allegations resolved; no admission / review agreement
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Imported from existing research; previous verified labels not assumed reliable.
Read the sourceFederal / contract-specific · 2025-01-17Centene CorporationCivil money penalty$2,000,000
Contract administration deficiencies.
- Authority
- CMS
- Legal status
- Administrative penalty
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
CMS listing confirms assessment, not payment. Organization-specific notice abstraction pending.
Read the sourceFederal / contract-specific · 2025-04-01Centene CorporationCivil money penalty$20,648
Contract administration deficiencies.
- Authority
- CMS
- Legal status
- Administrative penalty
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
CMS listing confirms assessment, not payment. Organization-specific notice abstraction pending.
Read the sourceFederal / contract-specific · 2026-05-01Centene CorporationCivil money penalty$380,785
Contract administration deficiencies.
- Authority
- CMS
- Legal status
- Administrative penalty
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
CMS listing confirms assessment, not payment. Organization-specific notice abstraction pending.
Read the sourceFederal / VA · 2021-04-06Health Net Federal ServicesRepayment with interest$97,237,391
Duplicate / inflated VA claims.
- Authority
- U.S. DOJ / VA
- Legal status
- Administrative penalty / review order
- Payment status
- Confirmed paid by primary source
- Amount precision
- Exact
Includes $93,682,428 overpayments and $3,554,963 interest. DOJ says allegations only; no determination of liability.
Read the sourceFederal / TRICARE · 2025-02-18Centene / Health Net Federal ServicesFalse Claims Act settlement$11,253,400
Alleged false cybersecurity compliance certifications.
- Authority
- U.S. DOJ
- Legal status
- Allegations resolved
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Single joint settlement; do not count both entities as separate $11.2534M payments.
Read the sourceFlorida · 2024-09-27Centene / Sunshine / Celtic / Envolve entitiesPBM settlement$67,000,000
Pharmacy overpayment settlement.
- Authority
- Florida AHCA
- Legal status
- Allegations resolved
- Payment status
- Payment not independently confirmed
- Amount precision
- Rounded; final exact total pending
Reported rounded final total: $57M AHCA + $10M Hope Florida. Do not add $10M again. Drafts show $67,048,611; executed agreement exact amount requires review.
Read the sourceCalifornia · 2023-03-27Health Net of CaliforniaAdministrative fine$225,000
Inaccurate provider claims reimbursement.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Also remediated $1.2M provider claims; ordinary claims payments excluded from fine total.
Read the sourceCalifornia · 2025-12-15Health Net of CaliforniaAdministrative fine$1,200,000
Failure to report minimum timely-access compliance rates.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Entity share of $1.7M total. Parent announcement is not an extra penalty.
Read the sourceCalifornia · 2025-12-15Human Affairs International of CaliforniaAdministrative fine$300,000
Failure to report minimum timely-access compliance rates.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Entity share of $1.7M total. Parent announcement is not an extra penalty.
Read the sourceCalifornia · 2025-12-15Health Net Community SolutionsAdministrative fine$200,000
Failure to report minimum timely-access compliance rates.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Entity share of $1.7M total. Parent announcement is not an extra penalty.
Read the sourceCalifornia · 2026-02-04Health Net Community SolutionsAdministrative fine$850,000
Delayed acknowledgment / resolution of provider payment disputes.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Entity share of $1.3M total; corrective action includes staffing improvements.
Read the sourceCalifornia · 2026-02-04Health Net of CaliforniaAdministrative fine$450,000
Delayed acknowledgment / resolution of provider payment disputes.
- Authority
- California DMHC
- Legal status
- Administrative penalty / review order
- Payment status
- Payment not independently confirmed
- Amount precision
- Exact
Entity share of $1.3M total; corrective action includes staffing improvements.
Read the source02 / Government contracts
A penalty does not always end the relationship.
Centene subsidiaries have received new awards and renewals, lost contracts and challenged procurement results. These outcomes need to be read program by program.
Documented example: Ohio. Ohio announced an $88.3 million pharmacy settlement in June 2021. Buckeye announced a Medicaid contract award in August 2021. The sequence shows that business continued; it does not establish why the state awarded the contract.
Ohio settlement · Buckeye award
Losses, disputed results and canceled awards
Confirmed contract endNew Mexico · Medicaid
Western Sky Community Care. Unsuccessful renewal.
Nonrenewal confirmed; source does not establish that settlement caused loss.
Review the recordConfirmed replacementFederal / West region · TRICARE T-5
Health Net Federal Services. New regional procurement.
No causal claim linking cybersecurity settlement to loss.
Review the recordConfirmed transitionFlorida · Children’s Medical Services
Sunshine Health. Not selected to continue.
Separate from Sunshine SMMC award.
Review the recordProtest pending in latest reviewed filingGeorgia · Medicaid reprocurement
Peach State Health Plan. Unsuccessful procurement; disputed.
Do not label final terminated business; latest docket/agency check outstanding.
Review the recordProtest pending; final implementation unverifiedTexas · STAR / CHIP service areas
Superior HealthPlan. Scoring / proposed award contested.
Reported proposal: nine existing areas to three awarded. Not a loss of all Texas programs.
Review the recordConfirmed unsuccessful bidIndiana · Managed long-term services and supports
Centene bidder; exact legal entity pending. Did not win new program.
Not a lost incumbent contract; exclude from final-loss count.
Review the recordOriginal award canceled; rebid reportedArizona · ALTCS E/PD
Arizona Complete Health. Prolonged procurement protest.
Same event as W002; do not count twice. Not loss of an operating ALTCS contract.
Review the record Award and renewal register
These are recorded procurement events, not a win-rate calculation. An announced selection may later be delayed, challenged or canceled. Company announcements are identified as such.
| State | Subsidiary | Program | Announcement | Status | Evidence |
|---|
| Illinois | Meridian Health Plan of Illinois | HealthChoice Illinois | 2026-07-09 | Selected; future commencement | Source |
| Arizona | Arizona Complete Health | ALTCS E/PD | 2025-05-02 | Original award canceled / rebid reported in 2025 10-K | Source |
| Nevada | SilverSummit Healthplan | Medicaid managed care | 2025-04-10 | Commenced per annual report | Source |
| Illinois | Meridian Health Plan of Illinois | FIDE SNP / dual eligible | 2025-03-17 | Commenced per annual report | Source |
| California | Health Net Community Solutions | Medi-Cal dental: LA / Sacramento | 2024-09-23 | Commenced per annual report | Source |
| Florida | Sunshine Health | SMMC integrated / specialty programs | 2024-04-12 | Commenced per annual report | Source |
| Iowa | Iowa Total Care | Iowa Health Link | 2024-09-04 | Commenced per annual report | Source |
| Kansas | Sunflower Health Plan | KanCare Medicaid / CHIP | 2024-05-14 | Commenced per annual report | Source |
| Michigan | Meridian Michigan | HIDE SNP / dual eligible | 2024-10-14 | Commenced per annual report | Source |
| Michigan | Meridian Michigan | Comprehensive Health Care Program | 2024-04-09 | Commenced per annual report | Source |
| New Hampshire | NH Healthy Families | Medicaid Care Management | 2024-01-18 | Commenced per annual report | Source |
| Ohio | Buckeye Health Plan | FIDE SNP / dual eligible | 2024-11-01 | Commenced per annual report | Source |
| Pennsylvania | PA Health and Wellness | Community HealthChoices | 2024-08-22 | Selected for negotiations; protest pending per annual report | Source |
| Oklahoma | Oklahoma Complete Health | SoonerSelect medical | 2023-06-08 | Commenced per annual report | Source |
| Oklahoma | Oklahoma Complete Health | SoonerSelect Children’s Specialty Plan | 2023-06-08 | Commenced per annual report | Source |
| California | Health Net of California | Medi-Cal direct county contracts | 2023-01-03 | Award announced; implementation not independently checked | Source |
| Delaware | Delaware First Health | Statewide Medicaid | 2022-07-12 | Intent to contract announced | Source |
| Louisiana | Louisiana Healthcare Connections | Statewide Medicaid | 2022-02-14 | Award announced; implementation not independently checked | Source |
| Ohio | Buckeye Health Plan | Medicaid managed care | 2021-08-17 | Award announced; implementation not independently checked | Source |
| Missouri | Home State Health | MO HealthNet General Plan | 2022-05-06 | Commenced per July 2022 company filing | Source |
| Missouri | Home State Health | MO HealthNet Foster Care Specialty Plan | 2022-05-06 | Commenced per July 2022 company filing | Source |
| Nebraska | Nebraska Total Care | Statewide Medicaid | 2022-09-26 | Award announced; implementation not independently checked | Source |
| Texas | Superior HealthPlan | STAR Health foster care | 2022-09 | Award announced; implementation not independently checked | Source |
| Texas | Superior HealthPlan | STAR+PLUS | 2023 / start 2024 | Commenced per annual report | Source |
| Mississippi | Magnolia Health Plan | MississippiCAN / CHIP | 2022 / start 2025 | Commenced per annual report | Source |
| Idaho | Magellan Health | Idaho Behavioral Health Plan | Start 2024 | Commenced per annual report | Source |
| Nevada | Ambetter from SilverSummit | Battle Born State Plan public option | 2025-04-10 | Selected; expected start stated | Source |
Additional Medicare Advantage market exits are classified separately in the workbook. A voluntary product exit is not an RFP loss.
04 / Executive leadership
Pay, benefits and leadership changes.
The same 2020–2026 research window, viewed through company compensation disclosures and leadership announcements. Annual pay is available through 2025; 2026 entries describe announced terms and events through October 6.
What “total compensation” measures.Reported totals combine salary, incentives, grant-date stock and option values, and other compensation. Equity values are not cash received and may never be realized. Benefits shown below are already included in the totals. SEC “Compensation Actually Paid” is also an adjusted accounting measure, not a bank-payment total.
Coverage is Centene’s publicly disclosed named executive officers and selected leadership events. This does not establish the pay or turnover of every subsidiary executive. Missing disclosure does not mean zero pay.
CEO compensation by fiscal year
| Year | CEO | Salary | Stock + option grant values | Other compensation included | Reported total | Source |
|---|
| 2020 | Michael F. Neidorff | $1,800,000 | $17,874,000 | $517,277 | $24,956,777 | Proxy filing |
| 2021 | Michael F. Neidorff | $1,800,000 | $15,000,004 | $399,986 | $20,637,990 | Proxy filing |
| 2022 | Sarah M. London | $1,359,038 | $7,624,974 | $220,569 | $13,246,447 | Proxy filing |
| 2023 | Sarah M. London | $1,400,000 | $13,573,031 | $285,335 | $18,556,966 | Proxy filing |
| 2024 | Sarah M. London | $1,400,000 | $14,630,132 | $282,891 | $20,602,148 | Proxy filing |
| 2025 | Sarah M. London | $1,473,077 | $15,537,733 | $386,042 | $19,506,298 | Proxy filing |
2022 was a succession year. London’s $13,246,447 and former CEO Neidorff’s $7,599,513 are separate annual records; the latter is retained in the workbook. A single CEO row does not capture both.
2025 named executive compensation
| Executive / role | Salary | Stock grant value | Non-equity incentives | Other included | Reported total |
|---|
Sarah M. London
Vice Chairman in 2021; CEO from March 2022 | $1,473,077 | $15,537,733 | $2,109,446 | $386,042 | $19,506,298 |
Andrew L. Asher
CFO | $1,152,885 | $13,362,923 | $1,238,198 | $318,874 | $16,072,880 |
Christopher A. Koster
General Counsel / Secretary | $768,269 | $5,111,079 | $550,081 | $79,364 | $6,508,793 |
Tanya McNally
Chief People Officer | $654,808 | $1,967,756 | $468,843 | $80,949 | $3,172,356 |
Susan R. Smith
COO | $718,269 | $3,577,782 | $514,281 | $76,751 | $4,887,083 |
2026 definitive proxy · Summary Compensation Table, pp. 95–96
Benefits and other compensation
2025 disclosures itemize retirement-plan matches, life insurance, security, personal aircraft costs and other items. The workbook also records earlier disclosed benefits, relocation and departure payments.
2025 benefit componentsIncluded in reported compensation; not additional pay
| Executive | Component | Disclosed value |
|---|
| Sarah M. London | 401(k)Match($) | $9,692 |
| Sarah M. London | Non-qualifiedDeferredCompensationMatch($) | $150,630 |
| Sarah M. London | LifeInsurance($) | $25,000 |
| Sarah M. London | PersonalSecurity ($)a | $49,510 |
| Sarah M. London | PersonalAircraft Usage($)b | $147,343 |
| Sarah M. London | Other($)c | $3,867 |
| Andrew L. Asher | 401(k)Match($) | $10,500 |
| Andrew L. Asher | Non-qualifiedDeferredCompensationMatch($) | $100,962 |
| Andrew L. Asher | LifeInsurance($) | $15,000 |
| Andrew L. Asher | PersonalSecurity ($)a | $177,526 |
| Andrew L. Asher | PersonalAircraft Usage($)b | $11,883 |
| Andrew L. Asher | Other($)c | $3,003 |
| Christopher A. Koster | 401(k)Match($) | $6,125 |
| Christopher A. Koster | Non-qualifiedDeferredCompensationMatch($) | $52,473 |
| Christopher A. Koster | LifeInsurance($) | $15,000 |
| Christopher A. Koster | Other($)c | $5,766 |
| Tanya M. McNally | 401(k)Match($) | $8,577 |
| Tanya M. McNally | Non-qualifiedDeferredCompensationMatch($) | $34,540 |
| Tanya M. McNally | LifeInsurance($) | $15,000 |
| Tanya M. McNally | PersonalSecurity ($)a | $19,829 |
| Tanya M. McNally | Other($)c | $3,003 |
| Susan R. Smith | 401(k)Match($) | $10,500 |
| Susan R. Smith | Non-qualifiedDeferredCompensationMatch($) | $44,046 |
| Susan R. Smith | LifeInsurance($) | $15,000 |
| Susan R. Smith | PersonalSecurity ($)a | $4,167 |
| Susan R. Smith | Other($)c | $3,038 |
Aircraft and security amounts represent incremental costs to the company. “Other” includes liability insurance; London and Koster also had personal event-ticket use, and Smith had an employee health-insurance incentive.
Contractual protection
Current agreements and the executive severance plan provide qualifying salary/bonus payments, medical coverage and equity treatment. These are contingent benefits, not proof of a payment. The workbook identifies current provisions and disclosed historical separation arrangements.
Benefits changed over time
Tax preparation and financial advice benefits ended in 2023. The current proxy reports no defined-benefit pension or retiree medical program for named executives. Neidorff’s historical agreement and death benefits had different terms and are treated separately.
2023 proxy · historical benefits and estate provisions · 2026 proxy · current benefits and severance
2026 CFO succession: disclosed hiring terms.Centene announced that Drew Asher plans to retire as CFO on December 31, 2026 and remain an advisor through 2027. Christopher Neczypor is expected to become CFO January 1, 2027, after joining as EVP around September 1, 2026.
The agreement provides a $1.1M annual salary, a 150% target cash bonus, $10M of make-whole restricted stock vesting over three years, and a $2M make-whole cash sign-on bonus with repayment conditions. Target 2027 annual equity is $5.25M at committee discretion. These are disclosed terms, not verified cash receipts or a completed 2026 annual pay total.
August 17, 2026 SEC filing Leadership change register
Appointments and internal rotations are distinguished from departures. Announced future retirements are flagged. Disappearance from the named executive table alone does not prove that an employee left.
View leadership events, 2020–2026Dates, event types, status and primary sources
2020-09Sarah London
AppointmentJoined as SVP, Technology Innovation and Modernization in September 2020; proxy biography gives month precision.
Company announcement / filing · Disclosed event
2020-09-01Jonathan Dinesman / Shannon Bagley / H. Robert Sanders
Internal promotionsPromoted to EVP roles in government relations and human resources.
Company announcement / filing · Disclosed event
2021-02-21Kenneth Burdick
Retirement / consulting transition2023 proxy biography reports retirement February 21, 2021. Earlier announcement anticipated January 23; retain final biography date. Later joined Board in January 2022.
Company announcement / filing · Disclosed event
2021-03-01Sarah London
Internal promotionPresident, Healthcare Enterprises and EVP, Advanced Technology; Vice Chairman from September 2021.
Company announcement / filing · Disclosed event
2021-05-07Drew Asher / Jeffrey Schwaneke
Internal rotationAsher became CFO; Schwaneke moved to Healthcare Enterprises. Rotation itself was not an exit.
Company announcement / filing · Disclosed event
2021-09-22Jeffrey Schwaneke
ResignationResigned; separation agreement provided salary continuation and $3M lump sum in exchange for relinquishing equity vesting. Definitive proxy reports $3.95M severance included in 2021 other compensation; do not add these overlapping descriptions.
Company announcement / filing · Disclosed event
2021-11-05Jesse Hunter
DepartureDeparted; agreement described $1,556,250 lump sum plus benefit/vesting provisions. Definitive proxy reports $2,053,358 severance in 2021 other compensation and $8,242,598 equity modification fair value. Different disclosures overlap and are not additive.
Company announcement / filing · Disclosed event
2022-03-21Sarah London / Michael Neidorff
CEO successionLondon appointed CEO, succeeding Neidorff. Neidorff died April 7, 2022; death is distinct from CEO succession.
Company announcement / filing · Disclosed event
2022-12-05Brian LeClaire
AppointmentNew CIO, as announced December 14, 2022. Predecessor exit date/cause not verified.
Company announcement / filing · Disclosed event
2022-12-14Brent Layton / Dave Thomas
Role transitionsLayton became Senior Advisor to CEO toward retirement; Thomas became CEO of Markets and Medicaid. Both remained employed, not confirmed departures.
Company announcement / filing · Disclosed event
2023-05-19Jim Murray
Planned retirement / advisory transitionNotified plans to retire in 2024; moved from COO to advisory role. Exact completed retirement date not verified.
Company announcement / filing · Announced plan; completion date unverified
2024-01-01Dave Thomas
Executive-officer designation changeNo longer an executive officer but remained CEO of Markets and Medicaid. Not a company exit.
Company announcement / filing · Disclosed event
2025-01-01 / 2025-07-01Ken Fasola
Advisor transition / planned retirementNovember 2024 filing announced transition to Strategic Advisor from January and intended retirement July 1, 2025. Completed exit date needs confirmation.
Company announcement / filing · Announced plan; completion date unverified
2026-03-18Theodore Pienkos / Kate Casso
Internal promotions / rotationPienkos became Controller and Chief Accounting Officer; Casso moved to SVP, Finance Operations and Innovation. Pienkos disclosed $440K annual base and 60% target bonus, not actual full-year earnings.
Company announcement / filing · Disclosed event
2026-04-06Daniel Finke / Michael Carson
External hire / internal promotionFinke hired as Group President, Markets and Commercial; Carson promoted to Group President, Medicare and Specialty. May filing uses Medicaid and Marketplace title for Finke.
Company announcement / filing · Disclosed event
2026-05-12Tanya McNally
Executive-officer designation changeExcluded from updated SEC executive-officer roster but continues as Chief People Officer. Not a departure.
Company announcement / filing · Disclosed event
2026-08-17Drew Asher / Christopher Neczypor
Announced CFO successionAsher plans to retire as CFO December 31, 2026 and serve as advisor through 2027. Neczypor expected to join as EVP around September 1, 2026 and become CFO January 1, 2027. These future CFO changes had not occurred at cutoff.
Company announcement / filing · Announced; future CFO effective dates
What the evidence supports
Compensation alongside workforce cuts
The annual disclosures provide a basis for comparing executive compensation with workforce reductions in the same years. That timing alone does not establish that cuts funded executive pay, or that any executive ordered particular layoffs. Layoffs and advertised replacement roles still require role-level evidence.
Measure pay consistently
London’s reported 2025 total was $19.51M, versus $20.60M in 2024. The company reported 2025 SEC Compensation Actually Paid of $4.65M and a CEO-to-median-employee pay ratio of 206:1. The ratio uses compensation including up to $10,000 of medical premiums. Each measure answers a different question; none should be substituted for cash take-home pay.
2026 proxy · pay versus performance and pay ratio, pp. 105–108
The expanded workbook contains 37 annual executive pay records, disclosed benefit components, leadership events, agreement terms and annual comparison totals. The SEC named executive roster changes each year, so its aggregate is not a constant-group turnover or pay trend.