EX-21.1 4 a2213380zex-21_1.htm EX-21.1
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Exhibit 21.1

List of Subsidiaries

Name
  State of
Incorporation 		  Percentage
Owned 		 

Accountable Care Coalition HEB Mid-Cities, LLC

   (Texas)     100 %

Accountable Care Coalition of Caldwell County, LLC

   (North Carolina)     51 %

Accountable Care Coalition of California, LLC

   (California)     100 %

Accountable Care Coalition of Cedar Rapids, LLC

   (Iowa)     100 %

Accountable Care Coalition of Central Georgia, LLC

   (Georgia)     51 %

Accountable Care Coalition of Central Pennsylvania, LLC

   (Pennsylvania)     100 %

Accountable Care Coalition of Coastal Georgia, LLC

   (Georgia)     51 %

Accountable Care Coalition of Connecticut, LLC

   (Connecticut)     100 %

Accountable Care Coalition of DeKalb, LLC

   (Georgia)     80 %

Accountable Care Coalition of Eastern North Carolina, LLC

   (North Carolina)     51 %

Accountable Care Coalition of Georgia, LLC

   (Georgia)     51 %

Accountable Care Coalition of Greater Athens Georgia II, LLC

   (Georgia)     51 %

Accountable Care Coalition of Greater Athens Georgia, LLC

   (Georgia)     51 %

Accountable Care Coalition of Greater Augusta & Statesboro, LLC

   (Georgia)     51 %

Accountable Care Coalition of Hawaii, LLC

   (Hawaii)     100 %

Accountable Care Coalition of Kentucky, LLC

   (Kentucky)     100 %

Accountable Care Coalition of Lancaster County, LLC

   (Pennsylvania)     100 %

Accountable Care Coalition of Maryland, LLC

   (Maryland)     51 %

Accountable Care Coalition of Mount Kisco, LLC

   (New York)     51 %

Accountable Care Coalition of NE TN & SW VA, LLC

   (Tennessee)     100 %

Accountable Care Coalition of New Mexico, LLC

   (New Mexico)     51 %

Accountable Care Coalition of North Central Florida—South, LLC

   (Florida)     100 %

Accountable Care Coalition of North Central Florida, LLC

   (Florida)     51 %

Accountable Care Coalition of North Houston, LLC

   (Texas)     100 %

Accountable Care Coalition of North Texas, LLC

   (Texas)     51 %

Accountable Care Coalition of Northwest Florida, LLC

   (Florida)     51 %

Accountable Care Coalition of Oklahoma, LLC

   (Oklahoma)     100 %

Accountable Care Coalition of Puerto Rico, LLC

   (New York)     100 %

Accountable Care Coalition of Sheboygan, LLC

   (Wisconsin)     100 %

Accountable Care Coalition of South Georgia, LLC

   (Georgia)     51 %

Accountable Care Coalition of Southeast Wisconsin

   (Wisconsin)     51 %

Accountable Care Coalition of Southern Georgia, LLC

   (Georgia)     100 %

Accountable Care Coalition of Syracuse, LLC

   (New York)     51 %

Accountable Care Coalition of Texas, Inc. 

   (Texas)     100 %

Accountable Care Coalition of the Green Mountains, LLC

   (Vermont)     51 %

Accountable Care Coalition of the Mississippi Gulf Coast, LLC

   (Mississippi)     51 %

Accountable Care Coalition of the North Country, LLC

   (New York)     51 %

Accountable Care Coalition of the Tri-Counties, LLC

   (South Carolina)     51 %

Accountable Care Coalition of Western Georgia, LLC

   (Georgia)     51 %

American Pioneer Life Insurance Company

   (Florida)     100 %

American Progressive Life & Health Insurance Company of New York

   (New York)     100 %

Ameri-Plus Preferred Care, Inc. 

   (Florida)     100 %

APS Clinics of Puerto Rico, Inc. 

   (Puerto Rico)     100 %

APS Healthcare Bethesda, Inc. 

   (Iowa)     100 %

APS Healthcare Holdings, Inc. 

   (Delaware)     100 %

APS Healthcare Puerto Rico, Inc. 

   (Puerto Rico)     100 %

APS Healthcare, Inc. 

   (Delaware)     100 %

APS Parent, Inc. 

   (Delaware)     100 %

CNR Partners, Inc. 

   (Texas)     100 %

Collaborative Health Systems, LLC

   (New York)     100 %

Constitution Life Insurance Company

   (Texas)     100 %

Name
  State of
Incorporation 		  Percentage
Owned 		 

DC Collaborative Care, LLC

   (Maryland)     100 %

Empire Gate Accountable Care Coalition, LLC

   (New York)     100 %

Essential Care Partners II, LLC

   (Texas)     51 %

Essential Care Partners, LLC

   (Texas)     51 %

Golden Triangle Physician Alliance

   (Texas)     100 %

Harmony Health, Inc. 

   (Oklahoma)     100 %

Heritage Health Systems of Texas, Inc. 

   (Texas)     100 %

Heritage Health Systems, Inc. 

   (Texas)     100 %

Heritage Physician Networks

   (Texas)     100 %

HHS Texas Management, Inc. 

   (Texas)     100 %

HHS Texas Management, LP

   (Texas)     100 %

Innovative Resource Group, LLC

   (Wisconsin)     100 %

Maine Community Accountable Care Organization, LLC

   (Maine)     49.5 %

Maine Primary Care Holdings, LLC

   (Maine)     97 %

Marquette National Life Insurance Company

   (Texas)     100 %

Maryland Collaborative Care, LLC

   (Maryland)     51 %

NaviHealth Group Holdings, LP

   (Delaware)     14 %

Northern Maryland Collaborative Care, LLC

   (Maryland)     51 %

Penn Marketing America, LLC

   (Delaware)     100 %

Premier Marketing Group, LLC

   (Delaware)     100 %

Prestige Accountable Care Coalition, LLC

   (Florida)     100 %

Pyramid Marketing Services, Inc. 

   (Colorado)     100 %

Quincy Coverage Corporation

   (New York)     100 %

SelectCare Health Plans, Inc. 

   (Texas)     100 %

SelectCare of Maine, Inc. 

   (Maine)     100 %

SelectCare of Oklahoma, Inc. 

   (Oklahoma)     100 %

SelectCare of Texas, Inc. 

   (Texas)     100 %

Senior Life Resource Center, Inc. 

   (Florida)     100 %

Senior Resource Services, LLC

   (Florida)     100 %

Southern Maryland Collaborative Care, LLC

   (Maryland)     51 %

TACHC ACO Holdings, LLC

   (Texas)     100 %

TexanPlus Health Centers, LLC

   (Texas)     100 %

The Pyramid Life Insurance Company

   (Kansas)     100 %

Today's Options Health Plans of Wisconsin, Inc. 

   (Wisconsin)     100 %

Today's Options of Arkansas, Inc. 

   (Arkansas)     100 %

Today's Options of Georgia, Inc. 

   (Georgia)     100 %

Today's Options of Kansas, Inc. 

   (Kansas)     100 %

Today's Options of Missouri, Inc. 

   (Missouri)     100 %

Today's Options of Nebraska, Inc. 

   (Nebraska)     100 %

Today's Options of New York, Inc. 

   (New York)     100 %

Today's Options of Oklahoma, Inc. 

   (Oklahoma)     100 %

Today's Options of Pennsylvania, Inc. 

   (Pennsylvania)     100 %

Today's Options of South Carolina, Inc. 

   (South Carolina)     100 %

Today's Options of Texas, Inc. 

   (Texas)     100 %

Today's Options of Virginia, Inc. 

   (Virginia)     100 %

UAM Agent Services Corp. 

   (Iowa)     100 %

UAM/APS Holding Corp. 

   (Delaware)     100 %

Union Bankers Insurance Company

   (Texas)     100 %

Universal American Financial Services, Inc. 

   (Delaware)     100 %

Universal American Holdings, LLC

   (Delaware)     100 %

Virginia Collaborative Care, LLC

   (Virginia)     51 %

Worlco Management Services, a Pennsylvania Corporation

   (Pennsylvania)     100 %

Worlco Management Services, Inc. a New York Corporation

   (New York)     100 %

Worldnet Services Corp. 

   (Florida)     100 %



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List of Subsidiaries