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Press Release

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Universal American Corp. Reports First Quarter 2009 Results, Reaffirms 2009 EPS Guidance and Announces Closing of Its Life & Annuity Reinsurance Transaction

RYE BROOK, N.Y., April 29, 2009 (GLOBE NEWSWIRE) -- Universal American Corp. (NYSE:UAM) today announced financial results for the quarter ended March 31, 2009.

First Quarter 2009 Highlights

  • Net loss was $13.1 million, or $0.16 per share, including after-tax net realized losses of $4.7 million, or $0.06 per share.
  • Revenues increased 11% to $1.4 billion.

Reaffirm 2009 EPS Guidance

  • Earnings per share of $1.47 to $1.57, excluding realized gains and losses.

First Quarter 2009 Compared to First Quarter 2008

Universal American's net loss for the first quarter of 2009, excluding net realized losses, was $8.4 million, or $0.10 per share, compared to a net loss of $16.7 million or $0.18 per share, excluding net realized losses, in the first quarter of 2008. Reported net loss was $13.1 million, or $0.16 per share, which includes $4.7 million, or $0.06 per share, after-tax, of net realized losses. This compares to a reported net loss of $46.0 million, or $0.50 per share, in the first quarter of 2008, which included net realized losses of $29.3 million after-tax, or $0.32 per share.

Total revenues for the first quarter of 2009 increased 11.2% to $1.4 billion, as compared to the first quarter of 2008.

Management Comments

Richard A. Barasch, Chairman and CEO, commented: "We are pleased with our performance in the first quarter of 2009 especially in our core Medicare Advantage and Part D businesses. Our value proposition to members combined with operational improvements gives us confidence that we are well positioned to prosper in the new legislative and regulatory environment.

"We continued to show growth in membership and profitability in our network Medicare Advantage products, further demonstrating the success of our Healthy Collaboration(sm) model in which we work closely with physicians and members to promote better health outcomes and control medical costs. Despite slightly lower than expected membership in our Private Fee for Service plans, our results improved due to lower benefit ratios and lower expenses. We continue to implement our plans to prepare for the changes that we know about and those that we anticipate. We enter the 2010 bidding season with favorable risk management results and we are continuing to build our network footprint through the filing of PPO and HMO products in many of our core markets for 2010.

"Our Part D business also performed well in the first quarter on a seasonally adjusted basis, validating that we have put the issues of 2008 behind us. We showed notable improvements in all relevant financial metrics, giving us confidence in our forecast for 2009 and a sound basis for our 2010 bids.

"The closing of the life and annuity reinsurance transaction, which bolsters our already strong capital base, allows us to focus on our core businesses and absorb the capital losses that we have sustained. As a result of this transaction and the need to stay competitive in our core business, we have begun an enterprise-wide effort to reduce our overall operating costs.

"We are also pleased to have earned a place, for the first time, on the Fortune 500 list of America's largest corporations. Over the past several years, Universal American has achieved rapid and profitable growth as a result of its dedication to provide valuable healthcare coverage to our nation's older and disabled citizens."

Medicare Advantage

Our Medicare Advantage segment revenue increased 14% to $646.2 million and pre-tax income increased to $46.2 million in the first quarter of 2009 compared to $0.4 million in the first quarter of 2008. The improved results are due to higher membership revenue, better benefit ratios, and lower administrative costs. Our reported overall Medicare Advantage benefit ratio in the first quarter of 2009 was 80.8%. Excluding items that relate to prior periods, such as prior period development and true-up of 2008 revenues, our benefit ratio was 83.0%.

Membership in our network based plans increased 16.8% year-over-year to approximately 62,500 as of March 31, 2009, including growth of 82.9% in the HMO expansion markets in Oklahoma, Wisconsin, and Dallas, TX. As of March 31, 2009 our PFFS membership was approximately 173,000, a decline of 2.6% year-over-year as a result of higher than expected lapsation.

Medicare Part D

The results in our Part D business are predictive of favorable results for the year even though our pre-tax loss in Part D increased to $35.9 million in the first quarter of 2009 from the pre-tax loss of $29.6 million in the first quarter of 2008. Compared to last year, our revenues are 10% higher, which increases the loss in the first quarter but implies higher profits for the year, and our benefit and expense ratios are lower. In addition, we recorded $4 million of amortization in the first quarter of 2009 with the corresponding expense in 2008 not recorded until the second quarter. Our Part D results have become more seasonal as a result of the elimination of the other income that we generated from our interest in PDMS Management, our strategic joint venture with CVS/Caremark that was terminated at the end of 2008. Nevertheless, it is our expectation that the improvements in revenue, benefit ratio and expenses should offset the elimination of this income for the year 2009. As of March 31, 2009, Universal American had approximately 1,280,000 members in the Community CCRx(sm) PDPs and 420,000 members in the Prescriba Rx(sm) PDPs for a total of 1,700,000 Part D members.

Traditional Insurance

Traditional Insurance reported a larger than expected pre-tax loss of $15.5 million on $104.3 million of revenues. This compares to pre-tax income of $1.0 million on $122.0 million of revenues in the first quarter of 2008. The pre-tax loss is due to a decrease of $7.1 million of net investment income and an increase in the benefit ratio to 83.0% in the first quarter of 2009 from 77.1% in the first quarter of 2008.

Restructuring

On April 27, 2009, the Company closed the transaction to reinsure substantially all of its in-force life insurance and annuity business with Commonwealth Annuity and Life Insurance Company, a Goldman Sachs Group, Inc. (NYSE:GS) subsidiary. The transaction generated an increase in statutory capital of approximately $60 million in Universal American's insurance company entities and also reduced required capital by approximately $10 million.

As a result of this reinsurance transaction and our efforts to reduce costs throughout the enterprise, the Company expects to incur after-tax costs of approximately $5 million to $10 million during 2009.

Balance Sheet and Liquidity

Total assets were $3.6 billion as of March 31, 2009, compared with $3.9 billion at December 31, 2008. Total cash and investments were $1.5 billion at March 31, 2009, compared to $1.6 billion at December 31, 2008. Total reserves for policyholder liabilities were $1.6 billion at March 31, 2009, down from $1.8 billion at December 31, 2008. Stockholders' equity as of March 31, 2009 was essentially unchanged at $1.3 billion. Book value per share increased slightly to $15.66 per common share from $15.58 per common share, at December 31, 2008. The decreases in total assets and total cash and investments were primarily due to the net unrealized losses in the Company's investments, share repurchases and the seasonal nature of our Part D plans.

As of March 31, 2009, our parent company had unregulated cash of $137 million and access to $150 million under our revolving credit agreement, which expires in September 2012. The ratio of debt to total capitalization, excluding the effect of Accumulated Other Comprehensive Income (Loss) and including Universal American's trust preferreds as debt, increased to 24.5% at March 31, 2009 from 24.1% at December 31, 2008 as a result of our seasonal operating results. For more information, please see the discussion of Non-GAAP Financial Measures contained in the Supplemental Financial Information at the end of this press release.

Investment Portfolio

Universal American's $1.5 billion portfolio of cash and invested assets is highly liquid, with $968 million, or 66%, invested in U.S. Government and agency securities. The Company's $471 million of cash and cash equivalents is primarily invested in U.S. Government money market funds. The fixed-income portfolio of $1.0 billion is characterized by strong credit quality with over 56% of the portfolio in securities rated AA or higher. Approximately 98% of the portfolio is in investment grade securities. A complete listing of our investment portfolio is available for review in the financial supplement located in the Investors - Financial Reports section of our website, www.UniversalAmerican.com.

In the first quarter of 2009, Universal American recognized pre-tax losses and impairments of $8.1 million on its investments, or 0.8% of the fixed-income investment portfolio, partially offset by $0.9 million of realized gains on normal course of business sales of investments. The write-downs consisted of other than temporary impairments of $4.4 million on subprime investments and $3.7 million on other structured securities. These holdings had a carrying value as of March 31, 2009 of $4.0 million, after impairments. The majority of the Company's subprime holdings are in senior or senior-mezzanine level tranches, which have preferential liquidation characteristics and still have an average S&P equivalent rating of AA-.

At the closing of the life and annuity reinsurance transaction in April 2009, Universal American transferred approximately $456 million of short-term assets to the reinsurer.

Share Repurchase Program

Pursuant to share repurchase plans that have authorized the Company to repurchase up to $100 million of its stock, Universal American has repurchased 9.8 million shares of its stock at a total cost of $97.6 million as of April 28, 2009. This includes 3.1 million shares repurchased for $25.8 million during 2009. The Company is not obligated to repurchase any specific number of shares under the program or to make repurchases at any specific time or price.

2009 Guidance

Universal American expects to earn approximately $1.47 to $1.57 per diluted share for 2009, excluding realized gains and losses on investments and certain one-time expenses and charges that we will incur as a result of the reinsurance of the life and annuity business and the rationalization of expenses throughout the enterprise. The table below provides additional information relating to our guidance.




                                    Reported
                                 Quarter Ended      Guidance Range
                                   March 31,   -----------------------
                                     2009              FY 2009
                                  ----------   -----------------------
 Diluted EPS (1)

 EPS before net realized losses      ($0.10)       $1.47        $1.57
 Net realized losses, after-tax       (0.06)       (0.06)       (0.06)
                                     ------       ------       ------
 Reported EPS                        ($0.16)       $1.41        $1.51
                                     ======       ======       ======

 Revenues ($ in millions) (2)

 Medicare Advantage                    $646       $2,625       $2,675
 Medicare Part D                        616        1,940        2,040
 Traditional Insurance                  104          350          375
 Other (3)                                3           10           15
                                     ------       ------       ------
 Total Revenues                      $1,369       $4,925       $5,105
                                     ======       ======       ======
                                  ----------   -----------------------

 End of Period Membership

 Medicare Advantage                 235,500      235,000      255,000
 Medicare Part D                  1,700,000    1,600,000    1,700,000
                                  ---------    ---------    ---------
      Total                       1,935,500    1,835,000    1,955,000
                                  =========    =========    =========

                                  ----------   -----------------------
 Medicare Advantage Benefit Ratio     80.8%        82.5%         85.0%
                                  ----------   -----------------------


 Notes:
 -----
 (1) Reflects actual weighted average diluted shares outstanding of
     83.0 million for the quarter ended March 31, 2009. Guidance
     range assumes weighted average diluted shares outstanding of
     82.0 million for full year 2009 and no additional share
     repurchases.
 (2) Excluding realized gains and losses.
 (3) Other reflects Senior Administrative Services, Corporate and
     eliminations.

Conference Call

Universal American will host a conference call at 9:00 a.m. Eastern Time on Thursday, April 30, 2009, to discuss financial results and other corporate developments. Interested parties may participate in the call by dialing 706-679-0770. Please call in 10 minutes before the scheduled time and ask for the Universal American call. This conference call will also be available live over the Internet and can be accessed at Universal American's website at www.UniversalAmerican.com, and clicking on the "Investors" link in the upper right. To listen to the live call on the website, please go to the website at least 15 minutes early to download and install any necessary audio software. We will archive the conference call; if you are unable to listen live, you can access it from the investor relations area of the Company's website for approximately 60 days.

Prior to the conference call, Universal American will make available on its website supplemental financial data in connection with its quarterly earnings release. You can access this supplemental financial data at www.UniversalAmerican.com under the heading "Investor Relations; Financial Reports."

About Universal American Corp.

Universal American, through our family of healthcare companies, offers benefit plans designed to promote collaboration among our members and their healthcare professionals. This Healthy Collaboration improves, each day, the health and well-being of more than two million older and disabled Americans. For more information on Universal American, please visit our website at www.UniversalAmerican.com.

Matters discussed in this news release and oral statements made from time to time by representatives of Universal American may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and the Federal securities laws. Although Universal American believes that the expectations reflected in any forward-looking statements are based upon reasonable assumptions, it can give no assurance that its expectations will be achieved. Forward-looking information is subject to risks, trends and uncertainties that could cause actual results to differ materially from those projected. Many of these factors are beyond Universal American's ability to control or predict. You will find important factors that may cause actual results to differ materially and could impact Universal American and the statements contained in this news release, in Universal American's quarterly reports on Form 10-Q, current reports on Form 8-K and annual reports on Form 10-K filed with the Securities and Exchange Commission, with particular reference to the information under the heading Risk Factors in these documents. For forward-looking statements in this news release, Universal American claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. Universal American assumes no obligation to update or supplement any forward-looking statements, whether as a result of new information, future events or otherwise.



                    UNIVERSAL AMERICAN CORP. AND SUBSIDIARIES
                      SELECTED CONSOLIDATED FINANCIAL DATA
                      In millions, except per share amounts
                                   (Unaudited)

                                                Three Months Ended
                                                    March 31,
 Consolidated Results                            2009        2008
 --------------------                            ----        ----

 Direct and assumed premiums                 $  1,386.4  $  1,444.3
                                             ==========  ==========

 Net premiums and policyholder fees          $  1,349.1  $  1,217.6
 Net investment income                             15.8        24.3
 Other income                                       4.1        11.9
 Net realized losses                               (7.2)      (29.0)
                                             ----------  ----------
  Total revenues                                1,361.8     1,224.8
                                             ----------  ----------

 Policyholder benefits                          1,189.3     1,115.9
 Interest credited to policyholders                 4.3         4.1
 Change in deferred acquisition costs               7.7         7.5
 Amortization of present value of future
  profits                                           5.9         1.9
 Commissions and general expenses, net of
  allowances                                      175.2       166.8
                                             ----------  ----------
  Total benefits and expenses                   1,382.4     1,296.2
                                             ----------  ----------

 Loss before equity in earnings of
  unconsolidated subsidiary                       (20.6)      (71.4)
 Equity in earnings of unconsolidated
  subsidiary                                        0.1        16.1
                                             ----------  ----------

  Loss before income taxes                        (20.5)      (55.3)

 Provision for income taxes (1)                     7.4         9.3
                                             ----------  ----------

 Net loss                                    $    (13.1) $    (46.0)
                                             ==========  ==========
 Per Share Data (Diluted)
 ------------------------                    ----------  ----------
       Net loss                              $    (0.16) $    (0.50)
                                             ==========  ==========

 Weighted Average Shares Outstanding               83.0        92.2
                                             ==========  ==========

 See following page for explanation of footnotes.

                  UNIVERSAL AMERICAN CORP. AND SUBSIDIARIES
                    SELECTED CONSOLIDATED FINANCIAL DATA
                    In millions, except per share amounts
                                (Unaudited)

                                                 Three Months Ended
                                                     March 31,
                                                --------------------
 Income (Loss) before Taxes by Segment             2009       2008
 -------------------------------------             ----       ----

 Medicare Advantage                             $    46.2  $     0.4
 Medicare Part D                                    (35.9)     (29.6)
 Traditional Insurance                              (15.5)       1.0
 Senior Administrative Services                       3.4        6.0

 Corporate/Eliminations                             (11.5)      (4.1)

 Net realized losses                                 (7.2)     (29.0)
                                                ---------  ---------

  Loss before income taxes                      $   (20.5) $   (55.3)
                                                =========  =========


 Balance Sheet Data               March 31, 2009  December 31, 2008
 -------------------------------  --------------  -----------------
 Total cash and investments         $  1,461.9       $  1,567.3
 Total assets                       $  3,564.9       $  3,870.7
 Total policyholder related
  liabilities                       $  1,552.1       $  1,760.9
 Outstanding bank debt              $    319.8       $    320.6
 Other long term debt               $    110.0       $    110.0
 Total stockholders' equity         $  1,286.1       $  1,316.1
 Book value per common share        $    15.66       $    15.58
 Diluted weighted average shares
  outstanding-year to date                83.0             87.9

 Non-GAAP Financial Measures *
 -------------------------------
 Total stockholders' equity
  (excluding AOCI) *                $  1,325.3       $  1,352.5
 Diluted book value per common
  share (excluding AOCI) * (2)      $    15.96       $    15.83
 Debt to total capital ratio
  (excluding AOCI) * (3)                  24.5%            24.1%

                                                    Three Months
                                                   Ended March 31,
                                                 -------------------
                                                   2009        2008
                                                   -----       ----
 Loss, excluding net realized losses * (4)        $  (8.4)   $ (16.7)
 Per share (diluted) - Income, excluding net
  realized losses * (4)                           $ (0.10)   $ (0.18)

  *  Non-GAAP Financial Measures - See supplemental tables on the
     following pages of this release for a reconciliation of these
     items to financial measures calculated under U.S. generally
     accepted accounting principles (GAAP).
 (1) The effective tax rate for the quarter ended March 31, 2009 was
     36.0% and was 16.8% for the same quarter of 2008. The effective
     tax rate for first quarter of 2008 includes establishment of a
     tax valuation allowance relating to net deferred tax assets of
     $10.4 million for subprime impairment. Excluding this valuation
     allowance, the effective tax rate was 35.7%. The valuation
     allowance was released in the second quarter of 2008.
 (2) Diluted book value per common share (excluding AOCI) represents
     Total Stockholders' Equity, excluding accumulated other
     comprehensive income (loss) ("AOCI"), plus assumed proceeds from
     the exercise of vested options, divided by the total shares
     outstanding plus the shares assumed issued from the exercise of
     vested options.
 (3) The Debt to Total Capital Ratio (excluding AOCI) is calculated
     as the ratio of the sum of the Outstanding Bank Debt and Other
     Long Term Debt to the sum of Stockholders' Equity (excluding
     AOCI) plus Outstanding Bank Debt plus Other Long Term Debt.
 (4) Income, excluding net realized losses is calculated as net
     income plus net realized losses (after-tax).

               UNIVERSAL AMERICAN CORP. AND SUBSIDIARIES
                 SUPPLEMENTAL FINANCIAL INFORMATION
                     NON-GAAP FINANCIAL MEASURES
               In millions, except per share amounts
                             (Unaudited)

Universal American uses both GAAP and non-GAAP financial measures to evaluate the Company's performance for the periods presented in this press release. You should not consider non-GAAP measures to be an alternative to measurements required by GAAP. Because Universal American's calculation of these measures may differ from the calculation of similar measures used by other companies, investors should be careful when comparing Universal American's non-GAAP financial measures to those of other companies. The key non-GAAP measures presented in our press release, including reconciliation to GAAP measures, are set forth below.



 Total Stockholders' Equity                March 31,   December 31,
  (excluding AOCI)                           2009          2008
                                         ------------  ------------
 Total stockholders' equity              $    1,286.1  $    1,316.1
 Plus:  Accumulated other comprehensive
  loss                                           39.2          36.4
                                         ------------  ------------

  Total stockholders' equity (excluding
   AOCI)                                 $    1,325.3  $    1,352.5
                                         ============  ============

Universal American uses total stockholders' equity (excluding AOCI), as a basis for evaluating growth in equity on both an absolute dollar basis and on a per share basis, as well as in evaluating the ratio of debt to total capitalization. We believe that fluctuations in stockholders' equity that arise from changes in unrealized appreciation or depreciation on investments, as well as changes in the other components of accumulated other comprehensive loss, do not relate to the performance of Universal American's core business operations.



Diluted Book Value per Common Share       March 31,   December 31,
                                             2009          2008
                                         ------------  ------------
 Total stockholders' equity              $    1,286.1  $    1,316.1
 Proceeds from assumed exercises of
  vested options                                  5.6           8.7
                                         ------------  ------------
                                         $    1,291.7  $    1,324.8
                                         ============  ============
  Diluted common shares outstanding              83.4          86.0
                                         ============  ============

   Diluted book value per common share   $      15.49  $      15.40
                                         ============  ============

 Total stockholders' equity (excluding
  AOCI)                                  $    1,325.3  $    1,352.5
 Proceeds from assumed exercises of
  vested options                                  5.6           8.7
                                         ------------  ------------
                                         $    1,330.9  $    1,361.2
                                         ============  ============
   Diluted common shares outstanding             83.4          86.0
                                         ============  ============

   Diluted book value per common share
    (excluding AOCI)                     $      15.96  $      15.83
                                         ============  ============

As noted above, Universal American uses total stockholders' equity (excluding AOCI), as a basis for evaluating growth in equity on a per share basis. We believe that fluctuations in stockholders' equity that arise from changes in unrealized appreciation or depreciation on investments, as well as changes in the other components of accumulated other comprehensive loss, do not relate to the performance of Universal American's core business operations.



                    UNIVERSAL AMERICAN CORP. AND SUBSIDIARIES
                        SUPPLEMENTAL FINANCIAL INFORMATION
                           NON-GAAP FINANCIAL MEASURES
                                   In millions
                                   (Unaudited)

                                            March 31,   December 31,
                                              2009          2008
 Debt to Total Capital Ratio              ------------  ------------

 Outstanding bank debt                    $      319.8  $     320.6
 Other long term debt                            110.0        110.0
                                          ------------  ------------
 Total outstanding debt                   $      429.8  $     430.6
                                          ============  ============

 Total stockholders' equity               $    1,286.1  $    1,316.1
 Outstanding bank debt                           319.8         320.6
 Other long term debt                            110.0         110.0
                                          ------------  ------------
   Total Capital                          $    1,715.9  $    1,746.7
                                          ============  ============

    Debt to total capital ratio                   25.0%         24.7%
                                          ============  ============

 Total stockholders' equity (excluding
  AOCI)                                   $    1,325.3  $    1,352.5
 Total outstanding bank debt                     319.8         320.6
 Total outstanding trust preferred
  securities                                     110.0         110.0
                                          ------------  ------------
   Total Capital                          $    1,755.1  $    1,783.1
                                          ============  ============

    Debt to total capital ratio
    (excluding AOCI)                              24.5%          24.1%
                                          ============  ============

As noted above, Universal American uses total stockholders' equity (excluding AOCI), as a basis for evaluating the ratio of debt to total capital. We believe that fluctuations in stockholders' equity that arise from changes in unrealized appreciation or depreciation on investments, as well as changes in the other components of accumulated other comprehensive income, do not relate to the performance of Universal American's core business operations.


 Loss, excluding net realized losses           Three Months Ended
 -----------------------------------               March 31,
                                            -----------------------
                                                2009         2008
                                                ----         ----
 Net loss                                   $    (13.1)  $    (46.0)
 Net realized losses, after-tax                   (4.7)       (29.3)
                                            ----------   ----------
  Loss, excluding net realized losses       $     (8.4)  $    (16.7)
                                            ==========   ==========

 Per share (diluted)
 Net loss                                   $    (0.16)  $    (0.50)
 Net realized losses, after-tax                  (0.06)       (0.32)
                                            ----------   ----------
  Loss, excluding net realized losses       $    (0.10)  $    (0.18)
                                            ==========   ==========

Universal American uses income, excluding net realized losses as a basis for evaluating operating results. We believe that realized gains and losses in our investment portfolio do not relate to the performance of Universal American's core business operations.

CONTACT: Universal American Corp.
Robert A. Waegelein, Executive Vice President &
Chief Financial Officer
(914) 934-8820

The Equity Group Inc.
Linda Latman
(212) 836-9609
www.theequitygroup.com



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