public accounting firm for the Company for the year ending December 31, 2017. Audit and Non-Audit Services Approval Policy. Proposal 4 Firm...... - Proposal 5 - 77 70 Disclosure of Fees Paid to Independent Registered Public Accounting Firm .. 70 Audit Committee's Consideration of Independence of Independent Registered Public Accounting Firm….... 70 71 - Shareholder Proposal Regarding Lobbying Disclosure ..... Questions and Answers About the Annual Meeting and Voting .. Security Ownership of Certain Beneficial Owners and Management Householding Notice ...... Other Matters at Meeting.. Certain Relationships and Transactions Section 16(a) Beneficial Ownership Reporting Compliance...... Appendix A Reconciliation of Non-GAAP Financial Measures. Ratification of Independent Registered Public Accounting 72 87 Audit Committee Report - 58 59 60 64 66 Proposal 3 - Advisory Approval Regarding the Frequency of Holding Future Say-on-Pay Votes.. 68 67 Page 4 Audit Committee Matters 5 Annual Meeting 6 Other Information ¡ Potential Payments Upon Termination or Change in Control Proposal 2 - Advisory Approval of the Company's Executive Compensation. 76 86 • . Operating earnings increased 17.3% year-over-year to $12.9 billion, and net earnings attributable to UnitedHealth Group common shareholders increased to over $7 billion and were supported by cash flows from operations of $9.8 billion; Adjusted earnings per share¹ increased 24.8% to $8.05 per share from $6.45 per share in 2015; Return on equity exceeded 19% in 2016; Total shareholder return, which is defined as the increase in stock price, together with dividends paid, was 38% in 2016 and 120% over the 2014-2016 time period; Our annual cash dividend rate increased to $2.50 per share, paid quarterly, representing a 25% increase over the annual cash dividend rate of $2.00 per share paid quarterly since the second quarter of 2015; UnitedHealth Group was the top ranking company in the insurance and managed care sector on Fortune's 2017 "World's Most Admired Companies" list, based on 2016 results. This is the seventh consecutive year UnitedHealth Group has ranked No. 1 overall in its sector; • UnitedHealth Group was named to both the Dow Jones Sustainability World and North America Indices for the 18th consecutive year; Ms. Hooper was included in Savoy magazine's 2016 Most Influential Black Corporate Directors and Dr. Wilensky was included in the 2016 NACD Director 100 list of the most influential people in the boardroom; and UnitedHealth Group was recognized for 2016 as a "Winning 'W' Company" by 2020 Women on Boards for having 20% of our Board seats held by women. Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. 1 Corporate Governance UnitedHealth Group is committed to meeting high standards of ethical behavior, corporate governance and business conduct in everything we do, every day. This commitment has led us to implement many governance best practices, including the following: In 2016, three UnitedHealth Group directors were included in the list of top ten directors in The Street article, "Here Are the 10 Directors You Want on Your Company's Board;" 84 . • 86 87 880 90 91 == Proxy Summary • This summary highlights information contained elsewhere in this proxy statement. We encourage you to review the entire proxy statement. This proxy statement and our Annual Report for the year ended December 31, 2016 are first being mailed to the Company's shareholders and made available on the Internet at www.unitedhealthgroup.com/proxymaterials on or about April 21, 2017. Website addresses included throughout this proxy statement are for reference only. The information contained on our website is not incorporated by reference into this proxy statement. We are a diversified health and well-being company whose mission is to help people live healthier lives and to help make the health system work better for everyone. We achieved strong business results in 2016, including: 1 • Revenues increased 17.7% to $184.8 billion from $157.1 billion in 2015; • • • Business Results Board Structure and Composition Executive Employment Agreements...... 2016 Pension Benefits Equity-Based Compensation Stock Ownership Guidelines.. Director Deferral Plan..... Other Compensation.. 1 6 6 Cash Compensation 9 13 14 14 14 15 2016 Director Compensation Table 16 13 Overview........ 2017 Director Nominees. Director Compensation. Proposal 1 - Election Of Directors. To transact other business that properly may come before the Annual Meeting or any adjournments or postponements of the meeting. To attend the Annual Meeting, you will need to bring an admission ticket and valid photo identification. You may attend the Annual Meeting by following the procedures described under Question 7 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. Important. Even if you plan to attend the Annual Meeting, we still encourage you to submit your proxy by Internet, telephone or mail prior to the meeting. If you later choose to revoke your proxy or change your vote, you may do so by following the procedures described under Question 13 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. You can listen to the live webcast of the Annual Meeting by logging on to our website at www.unitedhealthgroup.com and clicking on "Investors" and then on the link to the webcast. See Question 10 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. By Order of the Board of Directors, Dannett L. Smitt Dannette L. Smith Director Nomination Process Secretary to the Board of Directors IMPORTANT NOTICE REGARDING AVAILABILITY OF PROXY MATERIALS FOR THE ANNUAL MEETING OF SHAREHOLDERS TO BE HELD ON JUNE 5, 2017: The Notice of Internet Availability of Proxy Materials, Notice of Annual Meeting of Shareholders, Proxy Statement and Annual Report are available at www.unitedhealthgroup.com/proxymaterials. Table of Contents Page Proxy Summary... 1 Board of Directors April 21, 2017 2016 Non-Qualified Deferred Compensation 18 2 Compensation Discussion and Analysis 30 Compensation Committee Report......... 48 Compensation Committee Interlocks and Insider Participation.. 48 3 28 2016 Summary Compensation Table. 2016 Grants of Plan-Based Awards.... 52 Outstanding Equity Awards at 2016 Fiscal Year-End.. 55 2016 Option Exercises and Stock Vested.. 56 Executive Compensation 49 Principles of Governance... Executive Summary .. Communication with the Board of Directors Corporate Governance Code of Conduct: Our Principles of Ethics & Integrity. Compliance and Ethics.... Director Independence. Independent Board Leadership. Risk Oversight …... Board Meetings and Annual Meeting Attendance... 27 2222222 20 20 21 23 24 Board Committees.. 24 20 Our directors are elected annually by a majority vote of our • • Ratification of Independent Registered Public FOR Accounting Firm Based on the Audit Committee's assessment of Deloitte & Touche's qualifications and performance, it believes their retention for fiscal year 2017 is in the best interests of the Company. Page 71 4 Ratification of Independent Registered Public Accounting Firm 4 Board Recommendation 5 Shareholder Proposal AGAINST Regarding Lobbying Disclosure The Board does not believe the proposal is in the best interests of the Company or our shareholders and is redundant to existing comprehensive state and federal public disclosure requirements. Page 72 FOR 5 EVERY YEAR Advisory Approval of Frequency of Future Say-on-Pay Votes For Each Candidate FOR Advisory Approval of Executive Compensation Our executive compensation program is designed to attract and retain highly qualified executives and to maintain a strong link between pay and the achievement of enterprise-wide goals. We emphasize and reward teamwork and collaboration among executive officers, which we believe fosters Company growth and performance, optimizes the use of enterprise-wide capabilities, drives efficiencies and integrates products and services for the benefit of our customers and other stakeholders. Board Recommendation FOR More Information Board Recommendation Page 6 3 Advisory Vote Regarding EVERY YEAR the Frequency of Holding Future Say-on-Pay Votes The Board believes holding an annual advisory Say-on-Pay vote is a best practice, consistent with our current practice and consistent with our policy of seeking regular input from shareholders on corporate governance and executive compensation matters. Page 67 3 Page 66 Board Recommendation Shareholder Proposal Regarding 6 Director Nomination Process Proposal 1 - Election of Directors BOARD OF DIRECTORS Other Information Meeting 5 4 Committee Matters Criteria for Nomination to the Board Annual 3 Corporate Governance 2 Board of Directors Audit 5 LO Executive Compensation Board Recommendation The Nominating Committee analyzes, on an annual basis, director skills and attributes, and recommends to the Board of Directors appropriate individuals for nomination as Board members. The skills matrix has two sections CO Each of our director nominees has satisfied all the core director criteria set forth in the skills matrix, except that Mr. Hemsley is not an independent director because he is our CEO. Ability to work collegially and collaboratively with other directors and management. Understanding of and experience with complex public companies or like organizations; and • Risk oversight ability with respect to the particular skills of the individual director; • The Nominating Committee developed and maintains a skills matrix to assist it in considering the appropriate balance of experience, skills and attributes required of a director and to be represented on the Board as a whole. The skills matrix is based on the Company's strategic plan and is regularly reviewed and updated by the Nominating Committee. The key features of the skills matrix are also discussed with members of our Nominating Advisory Committee and their feedback is considered by the Nominating Committee when it updates the skills matrix. The Nominating Committee evaluates Board candidates against the skills matrix when determining whether to recommend candidates for initial election to the Board and when determining whether to recommend currently serving directors for reelection to the Board. Standing and reputation in the individual's field; High integrity and ethical standards; • Service on no more than three public company boards other than the Company; Independence under the Company's Standards for Director Independence and New York Stock Exchange ("NYSE") listing requirements, subject to waiver by the Nominating Committee; • a list of core criteria that every member of the Board should meet and a list of skills and attributes to be represented collectively on the Board. The following are core director criteria that should be satisfied by each director or nominee: ― • Reasons for Recommendation The Board and Nominating Committee believe that the nine Board candidates possess the experience, skills, attributes and diversity to effectively monitor performance, provide oversight and advise management on the Company's strategy. 2 "Say-on-Pay" vote) Executive Compensation Our executive compensation program uses a mix of base salary, annual and long-term cash incentives, equity awards and broad-based benefits to attract and retain highly qualified executives and maintain a strong relationship between executive pay and Company performance. Shareholders expressed strong support for our executive compensation program at our 2016 Annual Meeting of Shareholders, with more than 96% of the votes cast in favor of our Say-on-Pay proposal. Our Overall Compensation Program Principles • . Pay-for-performance · A substantial portion of the total compensation of our executive officers is earned based on achievement of enterprise-wide goals that drive shareholder value. • Our Board of Directors, assisted by its committees, oversees management's enterprise-wide risk management activities. Risk management activities include assessing and taking actions necessary to mitigate and manage risk incurred in connection with the long-term strategic direction and operation of our business. Enhance the value of the business · longer-term value of the Company and avoid excessive risk-taking. Reward long-term growth and focus management on sustained success and shareholder value creation Compensation of our executive officers is weighted toward equity awards that encourage sustained performance and drive shareholder returns. Standard benefits and very limited perquisites perquisites to our executive officers. - - We provide standard employee benefits and very limited Summary of Compensation Paid to Stephen Hemsley, our CEO, in 2016 • Incentive compensation is designed to grow and sustain the Base salary $1.3 million, which is unchanged since 2006. Enterprise-Wide Risk Oversight See the "Corporate Governance" portion of this proxy statement for further information on our governance practices. • • • shareholders. We have an independent Chair of our Board of Directors, and nine of our ten directors are independent. Nominating Advisory Committee - Our Nominating Advisory Committee, comprised of long-term shareholders of the Company and a member of the medical community, provides our Nominating and Corporate Governance Committee (the "Nominating Committee”) with additional input regarding desirable characteristics of director candidates and the composition of our Board. - Proxy Access A shareholder or group of shareholders who have owned at least 3% of our common stock for at least three years, and who complies with specified procedural and disclosure requirements, may include in our proxy materials shareholder-nominated director candidates for up to 20% of the Board. Chief Executive Officer ("CEO") Succession Planning · - Our succession plan, which is reviewed annually by our Board of Directors, addresses both an unexpected loss of our CEO and longer-term succession. Stock Ownership Guidelines · - Each of our executive officers and directors were in compliance with our stock ownership guidelines as of March 14, 2017. Mr. Hemsley, our CEO, owned shares equal to 424 times his base salary as of March 14, 2017. 2 — Clawback Policy - We have adopted a clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. Independent Compensation Consultant Our Compensation and Human Resources Committee (the "Compensation Committee”) uses an independent compensation consultant that performs no consulting or other services for the Company. Political Contributions Disclosure We publicly disclose our political contributions and public advocacy efforts and the contributions of our federal and state political action committees. Environmental Policy - We seek to minimize our environmental impact and to heighten our employees' awareness of the importance of the environment. Short Selling and Hedging Transactions in Company Securities · Our insider trading policy prohibits all directors, executive officers and employees from engaging in short sales and hedging transactions relating to our common stock, and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. Absence of Rights Plan - We do not have a shareholder rights plan, commonly referred to as a "poison pill." Stock Retention Policy We generally require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. Our directors are required to hold all equity awards granted until completion of service on the Board, or until they have met our stock ownership requirements. • - Cash incentive awards · Annual cash incentive award of $4 million and long-term cash incentive award of $908,500, which reflect the Company's performance against pre-set goals and continued strong leadership by Mr. Hemsley. • A stock retention policy requiring executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. A clawback policy entitling the Board of Directors to seek reimbursement from senior executives if they are involved in fraud or misconduct that causes a material restatement or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. Voting Matters and Vote Recommendations Board Recommendation Proposal 1 Stock ownership guidelines requiring executive officers to beneficially own specified amounts of the Company's common stock within five years of their appointment as an executive officer. Election of nine directors 1 Election of Directors 2 Advisory Approval of the FOR Company's Executive Compensation (a FOR Annual advisory shareholder votes to approve the Company's executive compensation. • . • Equity awards Performance shares with a target grant date fair value of $4.675 million, restricted stock units with a grant date fair value of $2.337 million and stock options with a grant date fair value of $2.337 million. Company matching contributions - $133,425 under our 401(k) and executive savings plan. Information regarding compensation paid to each of our named executive officers in 2016 is described in the "Compensation Discussion and Analysis" section. 3 Strong Governance Standards in Oversight of Executive Compensation Policies We maintain strong governance standards in the oversight of our executive compensation policies and practices, including: • • • • No excise tax gross-ups and very limited perquisites. Performance-based compensation arrangements, including performance-based equity awards, that use a variety of performance measures, with different measures used for annual and long-term plans. Double-trigger change control arrangements for equity grants. Our 2011 Stock Incentive Plan prohibits the repricing of stock options and stock appreciation rights without shareholder approval. To consider a shareholder proposal set forth in the attached proxy statement, if properly presented at the Annual Meeting. AGAINST Lobbying Disclosure An advisory vote regarding the frequency of holding future Say-on-Pay votes. Notice of 2017 Annual Meeting of Shareholders UNITEDHEALTH GROUP Richard T. Burke Chair of the Board Stephen J. Hemsley Chief Executive Officer ем Sincerely, Every shareholder vote is important, and we encourage you to vote as promptly as possible. If you cannot attend the meeting in person, you may listen to the meeting via webcast. Instructions on how to access the live webcast are included in the proxy statement. Different methods you can use to vote your proxy, including by Internet, telephone and mail. • How to obtain admission to the meeting if you plan to attend; and • Attached you will find a notice of meeting and proxy statement that contain further information about the items upon which you will be asked to vote and the meeting itself, including: As a shareholder of UnitedHealth Group, you play an important role in our company by considering and taking action on the matters set forth in the attached proxy statement. We appreciate the time and attention you invest in making thoughtful decisions. Dear Shareholder: UNITEDHEALTH GROUP 9900 Bren Road East, Minnetonka, Minnesota 55343 April 21, 2017 To ratify the appointment of Deloitte Touche LLP as the independent registered Date Time We cordially invite you to attend our 2017 Annual Meeting of Shareholders. We will hold our meeting on Monday, June 5, 2017, at 10:00 a.m. Central Time in the lower level conference center at 300 North LaSalle, Chicago, Illinois 60654. Record Date Location To elect the nine nominees set forth in the attached proxy statement to the Company's Board of Directors. • An advisory vote to approve the compensation paid to the Company's named executive officers as disclosed in the attached proxy statement (a "Say-on-Pay" vote). • • • • April 11, 2017. Only shareholders of record of the Company's common stock at the close of business on the record date are entitled to receive notice of, and to vote at, the Annual Meeting and any adjournments or postponements of the meeting. • 300 North LaSalle Lower Level Conference Center 10:00 a.m. Central Time June 5, 2017 Webcast Proxy Voting Admission to the Annual Meeting Chicago, Illinois 60654 Items of Business 88 Hospital Investments. Dr. Bueno indirectly owned a majority interest in seven hospitals located in Rio de Janeiro, São Paulo and Brasilia that provide medical services to Amil plan members. Services to Amil plan members represent approximately 26% of the aggregate revenue of these hospitals during the period from January 1, 2016 through December 31, 2016. The services are provided pursuant to contracts between Amil and each individual hospital. The contracts will expire in 2022. From January 1, 2016 to December 31, 2016, Amil paid these hospitals $202.7 million for services to Amil plan members. Amil also has a right of first offer and a right of first refusal to purchase interests in these hospitals had Dr. Bueno or his affiliates determined to transfer their interests to third parties within ten years from the date of the closing, or October 26, 2022. Diagnosticos da America S.A. ("DASA"). As of December 31, 2016, Dr. Bueno owned directly and through an affiliated entity a minority interest in DASA and had voting control over a majority of DASA's shares. Dr. Bueno's son is the president of DASA. DASA provides vaccinations, diagnostic services and laboratory and pathology tests to many customers in Brazil, including Amil plan members. Services outside of São Paulo, Brazil are provided pursuant to a contract which automatically renews for successive 36-month terms. Services in São Paulo are provided pursuant to a contract with a term ending in 2026 (which is renewable for successive 15-year terms). Amil generally receives a discount on services provided to its members ranging from 2% to 12.5%, depending on volume. Amil has granted DASA the exclusive right to provide laboratory and pathology testing services at approximately 64 locations in São Paulo during the term of the contract and receives a discount on services ranging from 4% to 15%, depending on volume. From January 1, 2016 to December 31, 2016, Amil paid DASA $171.2 million, which reflects discounts over market rates in part due to exclusivity arrangements. The Nominating Committee of the Board of Directors has ratified the relationships set forth below. U.S. dollar amounts have been converted into U.S. dollars based on an exchange rate of R$3.2551 to US$1.00, the average exchange rate for the year ended December 31, 2016. These exchange rates are the same exchange rates used for financial reporting purposes. Set forth below is information regarding certain business relationships between Amil and related persons, most of which existed prior to the closing of the acquisition of a majority interest in Amil by the Company in October 2012. At the time of the Amil acquisition, we reviewed the various business relationships then in effect and determined it was in the best interest of Amil and the Company that they be preserved. We also believed that Dr. Bueno's experience and knowledge of international health care and integrated care systems, and training and experience as a physician and entrepreneur with deep expertise across the continuum of care, made him a valuable member of our Board. Dr. Bueno passed away in February 2017. At that time, Dr. Bueno and his business partner, Dr. Dulce Pugliese, continued to own approximately 10% of Amil's outstanding common shares and had committed to retain such shares for at least five years from the date of the Company's acquisition of Amil, or October 26, 2017, subject to certain exceptions. Dr. Bueno had the right to put the shares to the Company and the Company had the right to call the Amil shares upon expiration of the five-year term, unless accelerated upon certain events, at a fair market value to be determined by appraisal firms selected by the Company and Dr. Bueno. Transactions with our Former Director, Edson Bueno Other Information As required under SEC rules, transactions in which the Company was or is to be a participant and the amount involved exceeds $120,000, and in which any related person had or will have a direct or indirect material interest, are disclosed below. Meeting 5 4 Committee Matters Annual Related-Person Transactions Audit Other Information 2 Executive Compensation Employment of Family Members of Executive Officer Property Leases. Dr. Bueno had an indirect majority ownership interest in entities from which Amil leases medical facilities and office space. Amil paid approximately $11.9 million for property leases to the entities in 2016. Medical Supplies Providers. Dr. Bueno had an indirect majority ownership interest in entities from which Amil purchases medical supplies. Amil paid approximately $25.7 million for medical supplies to the entities in 2016. Federação Nacional de Saúde Suplementar. Dr. Bueno was a vice president of Federação Nacional de Saúde Suplementar, a consortium of major health care providers in Brazil that partner together to exchange experiences, promote organized debates about major challenges of the sector, and strengthen institutional representation before society and government. In 2016, Amil paid Federação Nacional de Saúde Suplementar approximately $638,700 in membership and related fees. LAVE BRAS Gestão de Têxteis S.A. ("LAVE BRAS"). Dr. Bueno had an indirect minority interest in LAVE BRAS, a privately-held Brazilian company that provides industrial laundry services to hospitals. In 2016, Amil paid LAVE BRAS and its subsidiaries $4.7 million for industrial laundry services provided to Amil's hospitals. Board of Directors Aeromil Táxi Aéreo Limitada ("Aeromil”). In connection with the Company's acquisition of Amil, Amil sold 80% of Aeromil, an air taxi business, to Dr. Bueno to comply with Brazilian restrictions on foreign ownership of such businesses. Aeromil provides on-demand emergency medical transport services to Amil. The cost to Amil for such services is based on the operating costs (including utilization and maintenance) of the relevant aircraft. From January 1, 2016 to December 31, 2016, Amil paid Aeromil $10.8 million for emergency medical transport services. Amil is entitled to receive dividends equaling 99.9% of the profits of Aeromil and has an irrevocable option to purchase all of Dr. Bueno's shares in Aeromil at a price of approximately $15 million, the price paid by Dr. Bueno for his stake in Aeromil. Amil's call option has an indefinite term so long as each party holds stock in Aeromil. Dr. Bueno was restricted from selling his shares in Aeromil except pursuant to Amil's call option. 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance Meeting 3 OTHER INFORMATION 2 Audit Board of 1 2 Directors Corporate Governance Executive 3 Compensation 4 Committee Matters 5 Annual Meeting Other Information Matt Renfro, Larry Renfro's son, and Paul Leary, Larry Renfro's brother-in-law, are employed at Optum. The compensation paid to each of these employees is consistent with the Company's overall compensation principles based on the employees' years of experience, performance and positions within the Company. Certain Relationships and Transactions Approval or Ratification of Related-Person Transactions The Board of Directors has adopted a written Related-Person Transactions Approval Policy, which is administered by the Nominating Committee. A copy of the policy is available on our website at www.unitedhealthgroup.com. Under the policy, "related-person" transactions are prohibited unless approved or ratified by the Nominating Committee. In general, a related-person transaction is any transaction or series of transactions (or amendments thereto) directly or indirectly involving: Board of Directors Audit 87 80 Any member of the Nominating Committee who has an interest in the transaction under discussion will abstain from voting on the approval of the related-person transaction, but may, if so requested by the Chair of the Nominating Committee, participate in some or all of the Nominating Committee's discussions of the related-person transaction. Any related-person transaction that is not approved or ratified, as the case may be, will be voided, terminated or amended, or other actions will be taken in each case as determined by the Nominating Committee so as to avoid or otherwise address any resulting conflict of interest. Under the policy, the Company determines whether a transaction falls under the definition of a related-person transaction requiring review by the Nominating Committee. In determining whether to approve or ratify a related- person transaction, the Nominating Committee will consider, among other things, whether the terms of the related- person transaction are fair to the Company and on terms at least as favorable as would apply if the other party was not an affiliate; the business reasons for the transaction; whether the transaction could impair the independence of a director under the Company's Standards for Director Independence; and whether the transaction would present an improper conflict of interest for any director or executive officer of the Company. Corporate Governance Any transaction that involves the providing of compensation to a director or executive officer in connection with his or her duties to the Company or any of its subsidiaries, including the reimbursement of business expenses incurred in the ordinary course. Indemnification and advancement of expenses made pursuant to the Company's Certificate of Incorporation or Bylaws or pursuant to any agreement or instrument. • • Related-person transactions under the policy do not include: A director, executive officer or shareholder beneficially owning more than 5% of our common stock, or any of their respective immediate family members, in which the Company or its subsidiaries is directly or indirectly a participant and the amount involved exceeds $120,000; provided that if a director is an executive officer of an entity that is a party to a transaction with the Company or its subsidiaries, and the director was actively involved in the transaction, then the amount shall be $1.00. A director or an immediate family member of a director in which an executive officer of the Company is directly or indirectly a participant and the amount involved exceeds $1.00; or Interests arising solely from the ownership of a class of the Company's equity securities if all holders of that class of equity securities receive the same benefit on a pro rata basis. Transactions with 5% Shareholders • FMR LLC beneficially owned approximately 5.94% of our common stock as of December 31, 2016. The Company and its employees paid Fidelity Management & Research Company ("Fidelity"), a wholly owned subsidiary of FMR LLC, $5.8 million in investment and benefits management fees in 2016. Fidelity maintains a self-funded health insurance plan through the Company and paid the Company $17.5 million for administrative services, approximately $2.8 million for in-house fitness service management fees and approximately $782,300 for software products in 2016. December 31, 2016 Year Ended December 31, 2015 $ 7,017 $ 5,813 882 650 350 (454) (227) $ 7,795 6,236 $ 7.25 $ BlackRock Inc. beneficially owned approximately 7.3% of our common stock as of December 31, 2016. The Company paid BlackRock $3.1 million for investment management fees in 2016. BlackRock maintains a self-funded health insurance plan through the Company and paid the Company $1.8 million for administrative services in 2016. 91 GAAP and adjusted net earnings are attributable to UnitedHealth Group common shareholders. 1 6.45 $ Year Ended 8.05 (0.23) (0.47) 0.36 0.67 0.91 6.01 $ Adjusted diluted earnings per share $ Penn Treaty impact per share Information Meeting 5 4 Committee Matters Other Executive Compensation Section 16(a) Beneficial Ownership Reporting Compliance 3 Directors 2 1 Board of Audit Tax effect per share Corporate Governance Section 16(a) of the Exchange Act requires our executive officers and directors, and persons who beneficially own more than 10% of our common stock, to file initial reports of ownership and reports of changes in ownership with the SEC and the NYSE. Executive officers, directors and greater-than-10% beneficial owners are required by SEC rules to furnish us with copies of all Section 16(a) reports they file. Based solely on our review of these reports and written representations from our executive officers and directors, we believe that all of our executive officers and directors complied with all Section 16(a) filing requirements during 2016. Annual 89 90 GAAP diluted earnings per share Adjusted net earnings Penn Treaty impact Tax effect GAAP net earnings Intangible amortization (unaudited) RECONCILIATION OF NON-GAAP FINANCIAL MEASURES ADJUSTED NET EARNINGS AND EARNINGS PER SHARE¹ (in millions, except per share data) Intangible amortization per share Adjusted net earnings per share is a non-GAAP financial measure. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Management believes that the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization and the earnings impact of the recognition of the Company's estimated share of guaranty association assessments resulting from the liquidation of Penn Treaty. Use of Non-GAAP Financial Measures - - Appendix A Reconciliation of Non-GAAP Financial Measures 90 UNITEDHEALTH GROUP Name ($)(1) Stock Awards ($)(2) Option Awards ($)(3) Deferred Compensation Earnings ($)(4) All Other Compensation William C. Ballard, Jr. ($)(5) ($) 125,000 175,142 18,000 Cash Total or Paid in Board of Directors Value and Non-Qualified 318,142 2 Corporate Governance 3 Executive Compensation Annual Fees Earned Other 5 Meeting Information 2016 Director Compensation Table The following table provides summary information for the year ended December 31, 2016 relating to compensation paid to or accrued by us on behalf of our non-employee directors who served in this capacity during 2016. Mr. Hemsley is an employee director and does not receive additional compensation for serving as a director. Dr. Bueno, an employee director who passed away in February 2017, also did not receive compensation in 2016. Mr. Flynn did not serve as a director until January 2017. Change in Pension 4 Committee Matters Richard T. Burke 16 175,142 325,189 18,000 343,189 175,142 18,000 318,142 - 175,280 333,280 125,000 140,000 (1) Mr. Darretta converted his $125,000 cash compensation into 957 DSUs, and Mr. Renwick converted his $150,000 cash compensation into 1,148 DSUs. (2) The amounts reported reflect the aggregate grant date fair value of the stock awards granted in 2016 computed in accordance with FASB ASC Topic 718, based on the closing stock price on the grant date. The amounts reported include for each director the aggregate grant date fair value of the annual equity award of DSUS granted in quarterly installments. The amounts reflect the value of fractional shares issued with the quarterly installments as we round equity grants up to the nearest whole share. For Messrs. Darretta and Renwick, we combined the cash compensation they elected to convert into DSUs on a quarterly basis and the value of the quarterly DSU grant prior to determining the number of DSUs to be granted each quarter. For 2016, Dr. Shine elected that all of his, and Dr. Wilensky elected that a portion of her, annual DSU awards be granted in shares of common stock. Audit 3 18,000 Gail R. Wilensky, Ph.D. Glenn M. Renwick 344,784 24,632 624,774 Robert J. Darretta - 300,234 300,234 Michele J. Hooper Rodger A. Lawson 140,000 145,000 175,142 18,490 333,632 175,142 24,642 425,000 15 Meeting The Company maintains a program through which it will match up to $15,000 of charitable donations made by each director for each calendar year. The directors do not receive any financial benefit from this program because the charitable income tax deductions accrue solely to the Company. Donations under the program may not be made to family trusts, partnerships or similar organizations. $ 25,000 $ 20,000 $ 20,000* $ 20,000* $300,000 $175,000 aggregate fair value of deferred stock units At the director's election, cash compensation may be converted into DSUs, or if the director has met the stock ownership guidelines, into common stock * Effective October 1, 2016, the annual retainer was increased from $15,000 to $20,000. $125,000 Cash Compensation 13 Audit Board of Directors 2 Corporate Governance 3 Cash retainers are payable on a quarterly basis in arrears on the first business day following the end of each fiscal quarter, and subject to pro rata adjustment if the director did not serve the entire quarter. Directors may elect to receive deferred stock units ("DSUS") or common stock (if the director has met the stock ownership guidelines) in lieu of their cash compensation or may defer receipt of their cash compensation to a later date pursuant to the Directors' Compensation Deferral Plan ("Director Deferral Plan"). Executive Compensation Compensation Value Annual Equity Award Annual Other 4 Committee Matters 5 Meeting Information Equity Conversion Program Director Compensation The following table highlights the material elements of our director compensation program: Compensation Element Annual Cash Retainer Annual Audit Committee Chair Cash Retainer Annual Compensation Committee Chair Cash Retainer Annual Nominating Committee Chair Cash Retainer Annual Public Policy Committee Chair Cash Retainer Annual Board Chair Cash Retainer Our director compensation and benefit program is designed to compensate our non-employee directors fairly for work required for a company of our size and scope and to align their interests with the long-term interests of our shareholders. Director compensation reflects our desire to attract, retain and use the expertise of highly qualified people serving on the Company's Board of Directors. The Compensation Committee reviews the compensation level of our non-employee directors on an annual basis and makes recommendations to the Board of Directors. In August 2016, the Compensation Committee, with the advice of its independent compensation consultant, undertook an annual review of the structure and philosophy of the director compensation program. This review analyzed the structure and the overall level and mix of compensation delivered by the Company's director compensation program as compared to the Company's general industry peer group and also the four large publicly traded managed health care companies. Following this review, the Compensation Committee recommended, and the Board approved, an increase effective as of October 1, 2016 to the annual cash retainer paid to the chairs of the Nominating Committee and Public Policy Committee from $15,000 to $20,000. The Compensation Committee's recommendations, and the Board's subsequent approval, were made after considering the results of the market practices review and the complexity of the Company's structure and operations. Our corporate aircraft use policy prohibits personal use of corporate aircraft by any director. Because there is essentially no incremental cost to the Company, however, the policy does permit a director's family member to accompany the director on a business flight on Company aircraft provided a seat is available. Annual 4 Committee Matters 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Corporate Governance Other Information • for cash deferrals, an immediate lump sum upon the completion of his or her service on the Board of Directors; or pre-selected amounts to be distributed on pre-selected dates while the director remains a member of the Board of Directors. The Director Deferral Plan does not provide for matching contributions by the Company. Other Compensation We reimburse directors for any out-of-pocket expenses incurred in connection with service as a director. We also provide health care coverage to directors but only if the director is not eligible for coverage under another group health care benefit program. Health care coverage is provided generally on the same terms and conditions as current employees. Upon retirement from the Board of Directors, directors may continue to obtain health care coverage under benefit continuation coverage, and after the lapse of such coverage, under the Company's post-employment medical plan for up to a total of 96 months if they are otherwise eligible. a delayed lump sum following either the fifth or tenth anniversary of the completion of his or her service on the Board of Directors; Other 2 Audit 5 Information Equity-Based Compensation Non-employee directors receive annual grants of DSUS under the 2011 Stock Incentive Plan having an annual aggregate fair value of $175,000, subject to rounding adjustments described below. The grants are in consideration of general service and responsibilities and required meeting preparation. The grants are issued quarterly in arrears on the first business day following the end of each fiscal quarter and prorated if the director did not serve the entire quarter. The number of DSUs granted is determined by dividing $43,750 (the quarterly value of the annual equity award) by the closing stock price on the grant date, rounded up to the nearest share. The DSUS immediately vest upon grant and must be retained until completion of the director's service on the Board of Directors. Upon completion of service, the DSUs convert into an equal number of shares of the Company's common stock. A director may defer receipt of the shares for up to ten years after completion of service pursuant to the Director Deferral Plan. Non-employee directors who have met their stock ownership requirement may elect to receive common stock in lieu of DSUs and/or in-service distributions on pre-selected dates. If a director elects to convert his or her cash compensation into common stock or DSUs, such conversion grants are made on the day the eligible cash compensation becomes payable to the director. The director receives the number of shares of common stock or DSUs, as applicable, equal to the cash compensation foregone, divided by the closing price of our common stock on the date of grant, rounded up to the nearest share. The DSUS immediately vest upon grant. A director may only elect to receive common stock if he or she has met the stock ownership guidelines. Board of Directors The Company pays dividend equivalents in the form of additional DSUs on all outstanding DSUs. Dividend equivalents are paid at the same rate and at the same time that dividends are paid to Company shareholders and are subject to the same vesting conditions as the underlying grant. Under our stock ownership guidelines, we require non-employee directors to achieve ownership of shares of the Company's common stock (excluding stock options, but including vested DSUs and vested restricted stock units) having a fair market value equal to five times the directors' annual base cash retainer. Non-employee directors must comply with the stock ownership guidelines within five years of their appointment to the Board of Directors. All of our non-employee directors have met the stock ownership requirement or have served as a director for less than five years. Director Deferral Plan Under the Director Deferral Plan, subject to compliance with applicable laws, non-employee directors may elect annually to defer receipt of all or a percentage of their compensation. Amounts deferred are credited to a bookkeeping account maintained for each director participant that uses a collection of unaffiliated mutual funds as measuring investments. Subject to certain additional rules set forth in the Director Deferral Plan, a participating director may elect to receive the distribution in one of the following ways: • a series of five or ten annual installments following the completion of his or her service on the Board of Directors; 14 Stock Ownership Guidelines Executive Compensation Kenneth I. Shine, M.D. Board Diversity 2009 73 1993 The director nominees, if elected, will serve until the 2018 Annual Meeting or until their successors are elected and qualified. Following is a brief biographical description of each director nominee. A table listing the areas of expertise in the skills matrix that are held by each director and that, in part, led the Board to conclude that each respective director should continue to serve as a member of the Board is included on page 7. William C. Ballard, Jr. Director since 1993 Mr. Ballard served as Of Counsel to Bingham Greenebaum Doll LLP (formerly Greenebaum Doll & McDonald PLLC), a law firm in Louisville, Kentucky, from 1992 until 2008. In 1992, Mr. Ballard retired from Humana, Inc., a company operating managed health care facilities, after serving with Humana in various roles for 22 years, including as the Chief Financial Officer ("CFO") and a director. In the past five years, he also served as a director of Welltower, Inc. (formerly Health Care REIT, Inc.). Richard T. Burke 82 Director since 1977 10 10 Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Mr. Burke is Chair of the Board of Directors of UnitedHealth Group, has been a member of our Board since 1977, and was CEO of UnitedHealthcare, Inc., our predecessor corporation, until 1988. From 1995 until 2001, Mr. Burke was the owner, CEO and Governor of the Phoenix Coyotes, a National Hockey League team. Mr. Burke currently serves as a director of Meritage Homes Corporation. Annual 2008 2011 Audit Rodger A. Lawson Glenn M. Renwick Kenneth I. Shine, M.D. Gail R. Wilensky, Ph.D. Age Director Since 76 61 1993 1977 60 2017 64 2000 65 2007 70 73 Board of Directors 4 Committee Matters 6 4 Committee Matters 5 6 Meeting Other Information Glenn M. Renwick Director since 2008 Mr. Renwick is Executive Chair of the Board of Directors of The Progressive Corporation, an auto insurance holding company, and has served in that capacity since July 2016. Mr. Renwick previously served as Chair of the Board of Progressive from 2013 to 2016 and as President and CEO of Progressive from 2001 to 2016. Before being named President and CEO in 2001, Mr. Renwick served as CEO-Insurance Operations and Business Technology Process Leader at Progressive from 1998 to 2000. Prior to that, he led Progressive's Consumer Marketing group and served as President of various divisions within Progressive. Mr. Renwick joined Progressive in 1986 as Auto Product Manager for Florida. Mr. Renwick also currently serves as a director of Fiserv, Inc. Annual Kenneth | Shine, M.D. Dr. Shine has been Professor of Medicine at the Dell Medical School within the University of Texas System (the "UT System"), which consists of nine academic campuses and six health institutions, since June 2015. He served as the Special Advisor to the Chancellor for Health Affairs of the UT System from September 2013 to June 2015, as Executive Vice Chancellor for Health Affairs of the UT System from 2003 to September 2013, and as interim Chancellor of the UT System from 2008 to February 2009. Dr. Shine served as President of the Institute of Medicine at the National Academy of Sciences from 1992 until 2002. From 1993 until 2003, Dr. Shine served as a Clinical Professor of Medicine at the Georgetown University School of Medicine. From 1971 until 1992, Dr. Shine served in several positions at the University of California at Los Angeles School of Medicine, with his final position being Dean and Provost, Medical Sciences, and he continues to hold the position of Professor of Medicine Emeritus. Dr. Shine also served as Chair of the Council of Deans of the Association of American Medical Colleges from 1991 until 1992 and as President of the American Heart Association from 1985 until 1986. He is a nationally recognized cardiologist. Gail R. Wilensky, Ph.D. Director since 1993 Dr. Wilensky has been a senior fellow at Project HOPE, an international health foundation, since 1993. From 2008 to 2009, Dr. Wilensky was President of the Department of Defense Health Board and chaired its sub-committee on health care delivery. From 2006 to 2008, Dr. Wilensky co-chaired the Department of Defense Task Force on the Future of Military Health Care. During 2007 she also served as a commissioner on the President's Commission on Care for America's Returning Wounded Warriors. From 2001 to 2003, she was the Co-Chair of the President's Task Force to Improve Health Care for our Nation's Veterans. From 1997 to 2001, she was also Chair of the Medicare Payment Advisory Commission. From 1992 to 1993, Dr. Wilensky served as the Deputy Assistant to President George H. W. Bush for policy development, and from 1990 to 1992, she was the Administrator of the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services) directing the Medicaid and Medicare programs for the United States. Dr. Wilensky is a nationally recognized health care economist. Dr. Wilensky currently serves as a director of Quest Diagnostics Incorporated. 12 12 Audit Board of Directors Director since 1993 5 Executive Compensation Corporate Governance Meeting Other Information Timothy P. Flynn Director since 2017 Mr. Flynn was the Chairman of KPMG International (“KPMG”), a global professional services organization that provides audit, tax, and advisory services, from 2007 until his retirement in October 2011. From 2005 until 2010, he served as Chairman and from 2005 to 2008 as Chief Executive Officer of KPMG LLP in the U.S., the largest individual member firm of KPMG. Prior to serving as Chairman and CEO of KPMG LLP, Mr. Flynn was Vice Chairman, Audit and Risk Advisory Services, with operating responsibility for Audit, Risk Advisory and Financial Advisory Services practices. He has been a director of the International Integrated Reporting Council since September 2015, and he previously served as a trustee of the Financial Accounting Standards Board, a member of the World Economic Forum's International Business Council, and was a founding member of The Prince of Wales' International Integrated Reporting Committee. Mr. Flynn currently serves as a director of Alcoa, JPMorgan Chase & Co. and Wal-Mart Stores, Inc. He served as a member of the board of directors of The Chubb Corporation from September 2013 until its acquisition in January 2016. Stephen J. Hemsley Director since 2000 Mr. Hemsley is CEO of UnitedHealth Group and has served in that capacity since 2006. He has been a member of the Board of Directors since 2000. Mr. Hemsley joined the Company in 1997 as Senior Executive Vice President and became Chief Operating Officer in 1998. Mr. Hemsley served as President and Chief Operating Officer from 1999 to 2006 and as President and CEO from 2006 to November 2014. Mr. Hemsley currently serves as a director of Cargill, Inc. 3 Michele J. Hooper Ms. Hooper is President and CEO of The Directors' Council, a private company she co-founded in 2003 that works with corporate boards to increase their independence, effectiveness and diversity. She was President and CEO of Voyager Expanded Learning, a developer and provider of learning programs and teacher training for public schools, from 1999 until 2000. Prior to that, she was President and CEO of Stadtlander Drug Company, Inc., a provider of disease-specific pharmaceutical care, from 1998 until Stadtlander was acquired in 1999. Ms. Hooper is a nationally recognized corporate governance expert. Ms. Hooper currently serves as a director of PPG Industries, Inc. Rodger A. Lawson Director since 2011 Mr. Lawson currently serves as Executive Chair of the Board of Directors of E*TRADE Financial Corporation, a financial services company, and has served in that capacity since September 2016. Mr. Lawson previously served as Chair of the Board of E*TRADE from May 2014 to September 2016. Prior to joining E*TRADE, Mr. Lawson was President of Fidelity, a mutual fund and financial services company, from 2007 to 2010. Prior to joining Fidelity, Mr. Lawson was Vice Chairman of Prudential Financial from 2002 to 2007 where he was responsible for the International Operating Division and for Global Marketing Communications. Mr. Lawson served as Executive Vice President of Prudential from 1996 to 2002. Prior to joining Prudential, Mr. Lawson was President and CEO of VanEck Global from 1994 to 1996. Mr. Lawson was Managing Director and Partner-in-Charge of Private Global Banking and Mutual Funds at Bankers Trust from 1992 to 1994. Mr. Lawson was a Managing Director and CEO at Fidelity Investments-Retail from 1985 to 1991, and President and CEO at Dreyfus Service Corporation from 1982 to 1985. 11 Audit Board of Directors 2 Director since 2007 2 Corporate Governance 3 Our Bylaws provide a shareholder or group of shareholders (of up to 20) who have owned at least 3% of our common stock for at least three years the ability to include in our proxy statement shareholder-nominated director candidates for up to 20% of the Board. To be eligible to use this right, the shareholder(s) and the candidate(s) must satisfy the requirements specified in our Bylaws. Our Bylaws are available at www.unitedhealthgroup.com/About/Corporate Governance.aspx. For the 2018 Annual Meeting, director nominations submitted under these Bylaw provisions must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than November 22, 2017 and no later than December 22, 2017. Shareholder Director Candidates for Inclusion in our Proxy Statement (Proxy Access) for a new director to possess. The Nominating Committee has an outside firm on retainer to assist in identifying and evaluating director candidates. The Nominating Committee will also consider recommendations submitted by shareholders for director candidates. Recommendations should be directed to the Secretary to the Board of Directors. None of the Company's shareholders recommended candidates for the Board of Directors in connection with the 2017 Annual Meeting. Other Information Meeting 5 4 Committee Matters Annual Shareholder Nominations of Director Candidates at a Meeting Executive Compensation Corporate Governance 2 Board of Directors Audit 8 In assessing current directors for potential re-nomination, the Nominating Committee reviews the directors' overall performance on the Board of Directors and other relevant factors, including the factors listed above under "Criteria for Nomination to the Board." All of the director nominees were elected by our shareholders at the 2016 Annual Meeting except for Mr. Flynn, who was appointed unanimously by the Board in January 2017. With respect to that appointment, the Nominating Committee considered a number of potential candidates and Mr. Flynn emerged as the finalist due to his overall skill set and experience. Prior to his appointment, Mr. Flynn's profile was discussed with the members of our shareholder Nominating Advisory Committee, which was uniformly supportive and positive. In considering potential candidates for election to the Board, the Nominating Committee, with input from the full Board of Directors, assesses the potential candidate's qualifications and how these qualifications fit with the desired composition of the Board of Directors as a whole. The Nominating Committee considers views expressed by members of the Nominating Advisory Committee and other shareholders regarding skill sets that would be valuable Process for Identifying and Evaluating Nominees; Shareholder Recommendations for Director Candidates The Board of Directors formed the Nominating Advisory Committee in 2006 to provide the Nominating Committee with additional input from shareholders and others regarding desirable characteristics of director candidates and the composition of the Board of Directors. The Nominating Committee considers, but is not bound by, input provided by the Nominating Advisory Committee. The Nominating Advisory Committee currently includes four individuals affiliated with long-term shareholders of the Company and one individual who is a member of the medical community. Members of the Nominating Advisory Committee do not receive any compensation from the Company for serving on the Nominating Advisory Committee. The Nominating Advisory Committee met twice in 2016. A description of the Nominating Advisory Committee, including a description of how the members of the committee are nominated and selected, can be found on our website at www.unitedhealthgroup.com. 3 Nominating Advisory Committee Our shareholders may also nominate candidates for election to the Board of Directors from the floor of our Annual Meeting of Shareholders, instead of including the director candidate in our proxy statement, only by submitting timely written notice to the Secretary to the Board in accordance with our Bylaws. The notice must include the information required by our Bylaws, which are available at www.unitedhealthgroup.com/About/Corporate Governance.aspx. For the 2018 Annual Meeting, this notice must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than February 5, 2018 and no later than March 7, 2018. Our Certificate of Incorporation and Bylaws provide that each member of our Board of Directors is elected annually by a majority of votes cast if the election is uncontested. The Board of Directors has nominated the nine directors set forth below for election by the shareholders at the 2017 Annual Meeting. All of the director nominees were elected by our shareholders at the 2016 Annual Meeting except for Mr. Flynn, who was appointed unanimously by the Board in January 2017. All of the nominees have informed the Board that they are willing to serve as directors if elected. If any nominee should decline or become unable to serve as a director for any reason, the persons named as proxies will elect a replacement. After ten years of exceptional service, Mr. Darretta is not standing for election at the 2017 Annual Meeting. Richard T. Burke William C. Ballard, Jr. Name The Board of Directors recommends that you vote FOR the election of each of the nominees. Executed proxies will be voted FOR the election of each nominee unless you specify otherwise. Information Meeting 6 5 2017 Director Nominees 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors Audit 9 Other Our Board assesses its overall effectiveness through an annual evaluation process. This evaluation includes, among other things, an assessment of the overall composition of the Board, including the diversity of its members. Although the Board does not establish specific goals with respect to diversity, the Board's overall diversity is a consideration in the director nomination process. For this year's election, the Board has nominated nine individuals; all are incumbent nominees who collectively bring tremendous diversity to the Board. Each nominee is a strategic thinker and has varying, specialized experience in the areas that are relevant to the Company and its businesses. Moreover, their collective experience covers a wide range of geographies and industries, including health care, insurance, consumer products, technology and financial services, including roles in academia and government. The nine director nominees range in age from 60 to 82 and two of the nine director nominees are women; one is African American; and two are citizens of other countries, specifically New Zealand and the United Kingdom. UnitedHealth Group embraces and encourages a culture of diversity and inclusion. We believe that valuing diversity makes good business sense and helps to ensure our future success. Diversity is included as one of the collective attributes in our director skills matrix. Our Board has not adopted a formal definition of diversity. Michele J. Hooper Clinical Practice Technology/Business Processes Organizations Experience with Large Complex Diversity Social Media/Marketing Direct Consumer Markets Health Care Industry Political/Health Care Policy/Regulatory Finance Ballard Burke Flynn Hemsley Hooper Lawson Renwick Shine Wilensky The skills matrix provides further that the Board as a whole should represent a diverse group and have expertise in the substantive areas included in the following table, which also indicates the director nominees with expertise in each area. Other Information Meeting 5 4 Committee Matters Annual Executive Compensation Corporate Governance Capital Markets The lack of a ⚫ for a particular area does not mean that the director does not possess that qualification, skill or experience. We look to each director to be knowledgeable in these areas; however, the indicates that the area is a specific qualification, skill or experience that the director brings to the Board. Our Nominating Committee strives to maintain a balance of tenure on the Board. Long-serving directors bring valuable experience with our Company and familiarity with the successes achieved and challenges it has faced over the years, while newer directors bring fresh perspectives and ideas. Tenure of the nine director nominees is as follows: Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors Audit ■ More Than 10 Years 6-10 Years ■ 0 - 5 Years Years of Service on the Board 7 2016 Number of Director Nominees 2 Timothy P. Flynn Stephen J. Hemsley Corporate Governance Other Our Board of Directors has developed a CEO succession plan with input from our CEO and reviews the plan annually. The CEO succession plan has two components: one addressing an emergency or unanticipated loss of our CEO and one addressing longer-term succession. Material features of this plan include identification of Board members to lead the succession process, identification and development of internal candidates and identification of external resources necessary to ensure a successful transition. We maintain stock ownership and retention guidelines for directors and executive officers. See "Compensation Discussion and Analysis. - Elements of Our Compensation Program Other Compensation Practices Executive Stock Ownership Guidelines and Stock Retention Policy," "Director Compensation Equity-Based Compensation" and "Director Compensation Stock Ownership Guidelines" for further information. - - - - We have a related-person transactions approval policy regarding the review, approval and ratification by our Nominating Committee of all related-person transactions. See "Certain Relationships and Transactions." We have a clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement or, in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. See "Compensation Discussion and Analysis Elements of Our Compensation Program Other Compensation Practices - Potential Impact on Compensation from Executive Misconduct/Compensation Clawbacks." We have a political contributions policy that is overseen by our Public Policy Strategies and Responsibility Committee (the "Public Policy Committee”). The Company's political contributions and public advocacy efforts and the contributions of our federal and state political action committees are disclosed on our website. We have an environmental policy that outlines our focus on minimizing our impact on the environment and creating a Company culture that heightens our employees' awareness of the importance of preserving the environment and conserving energy and natural resources. 19 Audit Board of 1 2 Directors Corporate Governance • Guidelines and Board Policies All directors are required to complete a specified level of director training. Our Board of Directors and Board committees conduct performance reviews annually. 4 Committee Matters 5 Meeting Information Board and Board Committee Composition and Performance • • All members of our Audit Committee are "audit committee financial experts" as defined by the Securities and Exchange Commission (“SEC”). A non-management director may not serve on more than three public company boards of directors other than the Company. • Our directors are required to offer their resignations upon a change in their primary careers. • • • • Our Board of Directors and each Board committee regularly conduct executive sessions of non-management directors. Our Chair of the Board presides over each executive session of non-management directors. Committee Chairs preside over executive sessions of their respective committees. Our Board of Directors and Board committees have the authority to retain independent advisors. 3 Executive Compensation Annual Other Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 Meeting Information Director Independence Our Board of Directors has adopted the Company's Standards for Director Independence, which are available on our website at www.unitedhealthgroup.com. The Standards for Director Independence requirements exceed the independence standards set by the NYSE. Kenneth I. Shine, M.D. Our Board of Directors has determined that William C. Ballard, Jr., Richard T. Burke, Robert J. Darretta, Timothy P. Flynn, Michele J. Hooper, Rodger A. Lawson, Glenn M. Renwick, Kenneth I. Shine, M.D. and Gail R. Wilensky, Ph.D. are each “independent" under the NYSE rules and the Company's Standards for Director Independence and have no material relationships with the Company that would prevent the directors from being considered independent. Stephen J. Hemsley, the Company's CEO, is not an independent director. In determining independence, the Board of Directors considered, among other factors, the business relationships between the Company and our directors and nominees, their immediate family members (as defined by the NYSE) and their affiliated companies. The Board of Directors considered whether any director or any nominee was a director, partner, significant shareholder or executive officer of an organization that has a relationship with the Company, and also considered charitable contributions that the Company or its affiliates made to organizations with which such directors or nominees are or have been associated. In particular, the Board of Directors evaluated the following relationships and determined that such relationships were in the normal course of business and did not impair the directors' ability to exercise independent judgment: • • Mr. Burke is an owner of Rainy Partners, LLC. Rainy Partners is a customer of the Company and paid the Company premiums for health insurance of approximately $214,000 in 2016. These premiums were determined on the same terms and conditions as premiums for other comparable customers. 2 Other Board of Directors Audit 4 Committee Matters 5 Meeting Information . Our insider trading policy prohibits all directors, executive officers and employees from engaging in short sales and hedging transactions relating to our common stock, and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. Our Board of Directors believes that effective Board-shareholder communication strengthens the Board of Directors' role as an active, informed and engaged fiduciary, so we have a communication policy that outlines how shareholders and other interested parties may communicate with the Board of Directors. See "Corporate Governance Communication with the Board of Directors." - A Nominating Advisory Committee comprised of representatives from the shareholder and medical communities provides input into the composition of our Board of Directors. Principles of Governance Our Certificate of Incorporation and Bylaws, together with Delaware law and NYSE and SEC rules, govern the Company. Our Board has also adopted "Principles of Governance," which set forth many of the practices, policies and procedures that provide the foundation for our commitment to strong corporate governance. The policies and practices covered in our Principles of Governance include shareholder rights and proxy voting; structure, composition and performance of the Board of Directors; stock ownership and retention requirements; Board of Directors operation; individual director responsibilities; and Board committees. Our Principles of Governance are reviewed at least annually by our Nominating Committee and are revised as necessary. Code of Conduct: Our Principles of Ethics & Integrity The Code of Conduct: Our Principles of Ethics & Integrity is posted on our website and covers our principles and policies related to business conduct, conflicts of interest, public disclosure, legal compliance, reporting and accountability, corporate opportunities, confidentiality, fair dealing and protection and proper use of Company assets. Any waiver of the Code of Conduct for the Company's executive officers, senior financial officers or directors may be made only by the Board of Directors or a committee of the Board. We will publish any amendments to the Code of Conduct and waivers of the Code of Conduct for an executive officer or director on our website. Compliance and Ethics We strongly encourage employees to raise ethics and compliance concerns, including concerns about accounting, internal controls or auditing matters. We offer several channels for employees and third parties to report ethics and compliance concerns or incidents, including by telephone or online, and individuals may choose to remain anonymous in jurisdictions where anonymous reporting is permissible. We prohibit retaliatory action against any individual who in good faith raises concerns or questions regarding ethics and compliance matters or reports suspected violations. We train all employees and periodically advise them regarding the means by which they may report possible ethics or compliance issues and their affirmative responsibility to report any possible issues. In our 2016 employee survey, 97% of employees said they knew what to do if they believed unethical behavior or misconduct occurred in their work area. 20 20 1 Annual Executive Compensation 3 38,683 27,300 19,271 39,750 28,422 20,075 (3) The Company did not grant stock option awards to directors in 2016. As of December 31, 2016, our non-employee directors held outstanding (and unexercised) stock option awards as follows: Mr. Ballard - 50,000 stock options; Mr. Burke 60,750 stock options; Mr. Darretta - 56,621 stock options; Ms. Hooper - 35,000 stock options; Mr. Renwick - 33,929 stock options; and Dr. Wilensky — 56,240 stock options. (4) The Director Deferral Plan does not credit above-market earnings or preferential earnings to the amounts deferred. There are no measuring investments tied to Company stock performance. The measuring investments are a collection of unaffiliated mutual funds identified by the Company. Gail R. Wilensky, Ph.D. 17 Audit 1 Board of Directors Corporate 2 3 Governance 20,820 Executive Compensation 20,820 Gail R. Wilensky, Ph.D. 2016 2016 2016 ($) ($) ($) 43,789 43,783 43,807 43,789 43,783 43,807 75,000 75,094 75,078 75,062 43,789 43,783 43,807 43,763 43,789 43,783 43,807 43,763 81,289 81,330 81,276 81,294 43,789 43,783 43,807 43,763 43,789 43,783 43,807 43,901 43,763 43,763 Includes the value of DSUs issued upon conversion of annual cash retainers as described in footnote 1 above of $125,000 for Mr. Darretta and $150,000 for Mr. Renwick. As of December 31, 2016, our non-employee directors held outstanding DSU awards as follows: Name William C. Ballard, Jr. Richard T. Burke Robert J. Darretta Michele J. Hooper Rodger A. Lawson Glenn M. Renwick Kenneth I. Shine, M.D. Deferred Stock Units Dr. Wilensky is a Senior Fellow of Project HOPE. In 2016, Project HOPE paid the Company approximately $1.3 million for premiums for health insurance. These premiums were determined on the same terms and conditions as premiums and fees for other comparable customers. The Company paid Project HOPE approximately $354,000 for network provider services and approximately $150,000 in sponsorship fees for a workforce health and productivity project in 2016. The United Health Foundation donated approximately $190,000 to Project HOPE in 2016 in support of disaster relief in Haiti and its annual fundraising gala. Total fees paid by the Company and the United Health Foundation to Project HOPE during 2016 were less than 1% of Project HOPE's total revenues for 2016. Dr. Wilensky is neither directly nor indirectly involved in these relationships. Annual 4 Committee Matters Board Structure and Shareholder Rights • All members of our Board of Directors are elected annually by our shareholders. • • • Our Certificate of Incorporation provides that, in an uncontested election, each director must be elected by a majority vote. To address a provision Delaware law that allows a director who has not been re-elected to remain in office until a successor is elected and qualified, we have a policy requiring any director who does not receive a greater number of votes “for” than “against” his or her election in an uncontested election to tender his or her resignation from the Board of Directors following certification of the shareholder vote. Our Bylaws provide eligible shareholders the right to include shareholder director nominees representing up to 20% of the Board in our proxy statement. Our Certificate of Incorporation and Bylaws do not have any supermajority shareholder approval provisions. We have a non-executive, independent Chair of the Board. If a future Chair of the Board is not independent, a Lead Independent Director will be appointed by a majority vote of the independent directors. 18 Audit 1 Board of Directors 2 Corporate Governance You can access these documents at www.unitedhealthgroup.com to learn more about our corporate governance practices. We will also provide copies of any of these documents without charge upon written request to the Company's Secretary to the Board of Directors. Our key corporate governance practices are highlighted below. Other Corporate Environmental Policy Board of Directors Communication Policy Political Contributions Policy 5 Meeting Information CORPORATE GOVERNANCE Overview UnitedHealth Group is committed to high standards of corporate governance and ethical business conduct. Important documents reflecting this commitment are listed below. Corporate Governance Documents ✓ Certificate of Incorporation ✓ Bylaws Principles of Governance ✓ Board of Directors Committee Charters ✓ Standards for Director Independence ✓ Code of Conduct: Our Principles of Ethics & Integrity Related-Person Transactions Approval Policy ✓ Annual The Board of Directors also considered relationships between the Company and organizations on which our non-employee directors or their immediate family members serve only as directors and determined that such relationships did not impair the directors' exercise of independent judgment. 21 * 23 23 Our Compensation Committee requested that management conduct a risk assessment of the Company's enterprise-wide compensation programs. The risk assessment reviewed both cash incentive compensation plans and individual cash incentive awards paid in 2016 for the presence of potential design elements that could incent employees to incur excessive risk, the ratio and level of incentive to fixed compensation, the amount of manager discretion, the level of compensation expense relative to the business units' revenues, and the presence of other design features that serve to mitigate excessive risk-taking, such as the Company's clawback policy, stock ownership guidelines, multiple performance measures and similar features. The Compensation Committee also receives an annual report on the Company's compliance with its equity award program controls. Enterprise-Wide Incentive Compensation Risk Assessment Our Board of Directors maintains overall responsibility for oversight of the work of its various committees by receiving regular reports from the Committee Chairs regarding their work. In addition, discussions about the Company's strategic plan, consolidated business results, capital structure, merger and acquisition-related activities and other business discussed with the Board of Directors include a discussion of the risks associated with the particular item under consideration. Our current Board of Directors' leadership structure separates the positions of CEO and Chair of the Board. The Board believes that this separation is appropriate for the Company at this time because it allows for a division of responsibilities and a sharing of ideas between individuals having different perspectives. The Public Policy Committee oversees risk associated with the public policy arena, including health care reform and modernization activities, political contributions, government relations, community and charitable activities and corporate social responsibility. The Nominating Committee oversees Board processes and corporate governance-related risk; and The Compensation Committee oversees risk associated with our compensation practices and plans; The Audit Committee oversees management's internal controls and compliance activities. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The enterprise risk management function assists the Company in identifying and assessing the Company's material risks. The Company's General Auditor, who reports to the Audit Committee, assists the Company in evaluating risk management controls and methodologies. The Audit Committee receives periodic reports on the enterprise risk management function. In connection with its risk oversight role, the Audit Committee regularly meets privately with representatives from the Company's independent registered public accounting firm and the Company's CFO, General Auditor and Chief Legal Officer; - • • • Our Board of Directors oversees management's enterprise-wide risk management activities. Risk management activities include assessing and taking actions necessary to manage risk incurred in connection with the long-term strategic direction and operation of our business. Each director on our Board is required to have risk oversight ability for each skill and attribute the director possesses that is reflected in the collective skills section of our director skills matrix described in "Proposal 1 · Election of Directors Director Nomination Process Criteria for Nomination to the Board" above. Collectively, our Board of Directors uses its committees to assist in its risk oversight function as follows: Enterprise-Wide Risk Oversight Risk Oversight Audit Information 1 2 Richard T. Burke* Executive Compensation Director The following table identifies the members of each committee as of March 14, 2017: The Board of Directors has established four standing committees: the Audit Committee, the Compensation Committee, the Nominating Committee and the Public Policy Committee. These committees help the Board fulfill its responsibilities and assist the Board in making informed decisions. Each committee operates under a written charter, and evaluates its charter and conducts a committee performance evaluation annually. Board Committees Directors are expected to attend Board meetings, meetings of committees on which they serve and the Annual Meeting of Shareholders. All then-current directors attended the 2016 Annual Meeting. During the year ended December 31, 2016, the Board of Directors held ten meetings. All then current directors attended at least 75% of the meetings of the Board and any Board committees of which they were members in 2016. Board Meetings and Annual Meeting Attendance After considering the results of the risk assessment, management concluded that the level of risk associated with the Company's enterprise-wide compensation programs is not reasonably likely to have a material adverse effect on the Company. The results of the risk assessment were reviewed with the Compensation Committee at its February 2017 meeting. Please see "Compensation Discussion and Analysis" for a discussion of compensation design elements intended to mitigate excessive risk-taking by our executive officers. Other Information Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance Board of Directors Robert J. Darretta Meeting 4 Committee Matters Coordinating the preparation of agendas and materials for executive sessions of the Board's non-management directors; Working with the CEO on the scheduling of Board meetings and the preparation of agendas and materials for Board meetings; Chairing all meetings of the Board at which the Chair is present (Chair of the Board duty only); • • . • • • • • Our Board of Directors believes that having independent Board leadership is an important component of our governance structure. As such, our Bylaws require the Company to have either an independent Chair of the Board or a Lead Independent Director. Richard T. Burke serves as our independent Chair. The Company believes the current leadership structure delineates the separate roles of managers and directors. Our CEO sets the strategic direction for the Company, working with the Board, and provides day-to-day leadership; our independent Chair of the Board leads the Board in the performance of its duties and serves as the principal liaison between the independent directors and the CEO. In addition to these overall differences in duties, our Principles of Governance outline the specific duties of the Chair of the Board or a Lead Independent Director, including: Independent Board Leadership Information Meeting 5 4 Committee Matters Scheduling and leading the executive sessions of the Board's non-management directors; 5 Defining the scope, quality, quantity and timeliness of the flow of information between Company management and the Board that is necessary to effectively and responsibly perform their duties; Leading the Board process for hiring, terminating and evaluating the performance of the Company's CEO and working with the Chair of the Compensation Committee on the process for compensating and evaluating the CEO; Serving as an ex-officio member of each committee and working with the Board Committee Chairs on the performance of their designated roles and responsibilities; Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 22 Being available for communications with shareholders, as needed. • Working with the Nominating Committee on the membership of Board committees; and . Coordinating the performance evaluations of the Board and the Board committees in conjunction with the Committee Chairs and the Nominating Committee; Assisting the Board and the Company in assuring compliance with and implementation of the Company's Principles of Governance; Interviewing, along with the Chair of the Nominating Committee, all Board candidates and making director candidate recommendations to the Nominating Committee; Recommending outside advisors and consultants, as necessary, who report directly to the Board on Board- related issues; Timothy P. Flynn Stephen J. Hemsley Michele J. Hooper Nominating Committee Information Other Annual Meeting 5 4 Committee Matters Executive Compensation 3 Corporate Governance Directors 2 1 Board of Audit Meetings Held in 2016: 3 25 25 Committee Members: Each of the Compensation Committee members is an independent director under the NYSE listing standards and the SEC rules, a non-employee director under the SEC rules and an outside director under the Internal Revenue Code of 1986 (the "Internal Revenue Code"). Michele J. Hooper (Chair), William C. Ballard, Jr. and Richard T. Burke Primary Responsibilities: Independence: Audit 1 Board of Directors 2 Corporate Governance 3 46 26 Dr. Wilensky and Dr. Shine are each independent directors under the NYSE listing standards. Independence: The Public Policy Committee is responsible for assisting the Board of Directors in fulfilling its responsibilities relating to the Company's public policy, health care reform and modernization activities, political contributions, government relations, community and charitable activities and corporate social responsibility. The Public Policy Committee is also responsible for overseeing the risks associated with these activities. Edson Bueno, M.D. served on the Public Policy Committee until his passing in February 2017. Primary Responsibilities: Meetings Held in 2016: 4 Gail R. Wilensky, Ph.D. (Chair) and Kenneth I. Shine, M.D. Committee Members: Public Policy Committee Each of the Nominating Committee members is an independent director under the NYSE listing standards. The Nominating Committee's duties include identifying and nominating individuals to be proposed as nominees for election as directors at each Annual Meeting or to fill Board vacancies, conducting the Board evaluation process, evaluating the categorical standards which the Board of Directors uses to determine director independence, and monitoring and evaluating corporate governance. The Nominating Committee also oversees Board processes and corporate governance-related risk. Independence: The Compensation Committee is responsible for overseeing our policies and practices related to total compensation for executive officers, the administration of our incentive and equity-based plans and the risk associated with our compensation practices and plans. The Compensation Committee also establishes our employment arrangements with our CEO and other executive officers, conducts an annual performance review of the CEO, and reviews and monitors director compensation programs and the Company's stock ownership guidelines. Meetings Held in 2016: 5 Board of Audit Meetings Held in 2016: 9 24 Mr. Burke is the Chair of the Board and an ex-officio member of the Compensation Committee and Public Policy Committee. As an ex-officio member, Mr. Burke has a standing invitation to attend each committee meeting, but does not count for quorum purposes or vote on committee matters. Financial Expert Chairperson Member ဝိ Public Policy Nominating Compensation Audit Do Gail R. Wilensky, Ph.D. Kenneth I. Shine, M.D. Glenn M. Renwick Rodger A. Lawson Corporate 1 2 3 Rodger A. Lawson (Chair), William C. Ballard, Jr. and Gail R. Wilensky, Ph.D. Primary Responsibilities: Committee Members: Compensation Committee Each of the Audit Committee members is an independent director under the NYSE listing standards and the SEC rules. The Board of Directors has determined that Messrs. Renwick, Burke and Darretta and Ms. Hooper are "audit committee financial experts" as defined by the SEC rules. Independence: The Audit Committee has responsibility for the selection and retention of the independent registered public accounting firm and assists the Board of Directors by overseeing financial reporting and internal controls and public disclosure. The Audit Committee reviews and assesses the effectiveness of the Company's policies, procedures and resource commitment in the areas of compliance, ethics, privacy and data security, by interacting with personnel responsible for these functions. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company. The Audit Committee establishes procedures concerning the receipt, retention and treatment of complaints regarding accounting, internal accounting controls and auditing matters. The Audit Committee operates as a direct line of communication between the Board of Directors and our independent registered public accounting firm, as well as our internal audit, compliance and legal personnel. Primary Responsibilities: Glenn M. Renwick (Chair), Richard T. Burke, Robert J. Darretta and Michele J. Hooper 21 Committee Members: Information Other Annual Meeting 5 4 Committee Matters Executive Compensation Governance Directors Audit Committee William C. Ballard, Jr. (5) In 2016, the Company matched $15,000 in charitable contributions made by the following directors to charitable organizations selected by the directors pursuant to the Company's Board Matching Program and also made $3,000 contributions to charitable organizations selected by the following directors in lieu of 2015 holiday gifts: Messrs. Ballard, Burke, Lawson and Renwick; Ms. Hooper; Dr. Shine and Dr. Wilensky. In 2016, the Company also paid $6,632, $490 and $6,642 in health care premiums on behalf of Mr. Burke, Ms. Hooper and Mr. Lawson, respectively. Glenn M. Renwick* 2016 ($) Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Committee Matters January 4, April 1, July 1, October 3, Meeting Other Information The aggregate grant date fair values of the stock awards granted in 2016, computed in accordance with FASB ASC Topic 718 based on the closing stock price on the grant date, are as follows: Name William C. Ballard, Jr. Richard T. Burke Robert J. Darretta* Michele J. Hooper 5 Rodger A. Lawson Employee benefits encourage sustained stock price appreciation To promote health, well-being and financial security of employees, including executive officers; =4 Annual indirect compensation, not variable 34 Non-qualified stock options to Audit constitutes the smallest part of total remuneration Long-term performance compensation, variable officers and build stock Annual performance compensation, variable Type of Compensation Annual compensation, not variable ownership positions Board of Directors RSUS to retain executive Performance shares to motivate sustained performance and growth and potentially assist executives in building ownership in the Company • To motivate and retain executive officers and align their interests with shareholders through the use of: To encourage and reward executive officers for achieving three-year corporate performance goals To provide a base level of cash compensation for executive officers To encourage and reward executive officers for achieving annual corporate performance goals and individual performance results Long-term performance compensation, variable 2 Annual 3 Restricted 17% incentive award Annual cash 19% stock options Non-qualified stock options Base salary Non-qualified 17% 9% 18% Other NEOS Compensation Mix CEO Compensation Mix As reflected in the charts below, the mix of total target compensation granted in 2016 to our named executive officers was heavily weighted towards performance-based and long-term incentive compensation, with long-term incentive awards making up approximately 70% of total target compensation for our named executive officers. Information Other Meeting 5 4 Committee Matters Objective Executive Compensation Corporate Governance performance shares) Annual cash incentive awards Long-term cash incentive awards (no new awards after 2017 replaced with long-term Other Information Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors Audit 32 32 The companies that were included in the 2016 peer group and the four managed care companies are listed at the end of this Compensation Discussion and Analysis. At the first quarter meeting, the Compensation Committee determines pay opportunities for each officer using the market competitiveness assessment from the previous fourth quarter as a reference point. In addition, the Compensation Committee takes into consideration the Company's performance against previously established performance goals, each officer's individual performance, internal equity, the CEO's recommendations, and other relevant business performance that may not be adequately captured by the Company and individual officer goals. At the fourth quarter Compensation Committee meeting, Pay Governance presents an annual review of the market competitiveness of the Company's executive compensation program for the Company's executive officers. The review compares the compensation opportunities provided to the Company's executive officers to peer group companies on a position-by-position basis and on an aggregate basis. • • Once the process is concluded and peer group companies are selected, the Compensation Committee generally uses the data as follows: The Compensation Committee also considers market data from the four largest publicly traded managed care companies with which we compete for business, three of which are in the 52-company peer group described above. However, the Compensation Committee does not use this group of managed care companies as a primary reference point for benchmarking compensation practices because the Company is substantially larger, more complex and more diverse than these companies, and because we believe that the Company competes primarily for talent and capital with other successful large companies across a broader group of industries. Approximately at the 75th percentile in number of employees. Role of Management and CEO in Determining Executive Compensation Equity awards The Compensation Committee has the responsibility to approve and monitor all compensation for our executive officers. Management recommends appropriate enterprise-wide financial and non-financial performance goals for use in incentive compensation. Our CEO assists the Compensation Committee by evaluating the performance of the executive officers that report directly to him and recommending compensation levels for these executive officers. When approving compensation decisions, the Compensation Committee reviews comprehensive tally sheet information for each of our executive officers. These tally sheets are prepared by management and quantify the elements of each executive officer's total compensation. The tally sheets include a summary of all equity awards previously granted to each executive officer, the gain realized from past vesting or exercise of equity awards, the projected value of accumulated equity awards based upon various stock price scenarios, and compensation to be paid under various potential employment termination scenarios. This is done to effectively analyze the compensation each executive officer has accumulated to date and to fully understand the amount the executive officer could potentially accumulate in the future. - stock units Base salary Compensation Element The compensation program for our named executive officers consists of the following elements: Overview Other Information Elements of our Compensation Program Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 33 33 Use of Tally Sheets and Wealth Accumulation Analysis 18% Restricted Long-term 5% Threshold Performance $172.425 billion $11.241 billion $8.075 billion Cash Flows from 1/3 Operating Income* Weight 1/3 Revenue* Measure 2016 Performance The following table sets forth the performance measures and goals established, as well as actual 2016 performance results: Annual cash incentive awards may be paid our Company meets or exceeds annual performance goals for that year as determined by the Compensation Committee. In establishing the performance measures for the 2016 annual cash incentive awards, the Compensation Committee sought to align broadly the compensation of our executive officers with key elements of the Company's 2016 business plan. Development of the Company's 2016 business plan was a robust process that involved input from all of the Company's business units and was reviewed with the Company's Board of Directors in the fourth quarter of 2015 and the first quarter of 2016. These performance measures are based on enterprise-wide measures because the Compensation Committee believes that the named executive officers share the responsibility to support the goals and performance of the Company as key members of the Company's leadership team. 2016 Annual Incentive Plan Performance Goals Annual Cash Incentive Awards Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance Target Performance $181.5 billion $13.225 billion $9.5 billion Operations* Stewardship: 66 36 The Company's annual incentive plan allows for adjustments to the Company's reported results for the impact of changes in accounting principles, extraordinary items and unusual or non-recurring gains or losses, including significant differences from the assumptions contained in the financial plan upon which the incentive targets were established. Adjustments to reported results are intended to better reflect executives' line of sight/ability to affect payouts, align award payments with growth of the Company's business, avoid artificial inflation or deflation of awards due to unusual or non-recurring items in the applicable period and emphasize the Company's preference for long-term and sustainable growth. We adjusted 2016 operating income to exclude the impact of our estimated share of guaranty association assessments resulting from the liquidation of Penn Treaty Network America Insurance Company and its subsidiary (Penn Treaty) of $350 million. Penn Treaty is completely unaffiliated with, is not owned by, and does not share any executive officers or directors with, UnitedHealth Group. Under state guaranty association laws, we and other insurance companies are required to cover a portion of Penn Treaty's obligations to its policyholders when it became insolvent. The Committee felt it was appropriate to exclude the impact of the Penn Treaty charge since management had no control over this matter and there was no consideration for Penn Treaty included in the 2016 performance measure and goal setting process. engagement and teamwork target for employee At threshold for customer and physician satisfaction; at Actual 2016 Performance $184.828 billion $13.280 billion $9.795 billion 2 points above 2015 results for teamwork and employee engagement 4 points above 2015 results for customer and physician satisfaction; Maximum Performance $190.575 billion $15.209 billion $10.925 billion Directors 1 point above 2015 results for teamwork and employee engagement engagement; employee 2015 results for customer and physician satisfaction, teamwork, and * Employee Teamwork Employee Engagement ⋅ Physician Satisfaction Customer and 1/3 2 points above 2015 results for customer and physician satisfaction; stock units 2 Board of Stephen J. Hemsley Name The Compensation Committee generally determines base salary levels for our named executive officers early in the fiscal year. In June 2016, the Compensation Committee approved an increase in the base salary for Mr. Rex upon his promotion to Chief Financial Officer, which was effective June 7, 2016. There were no other changes to the base salaries of the other named executive officers: Long-term Incentives 70% cash incentive award Long-term 5% Annual cash incentive award 18% 12% Base salary Base Salary Annual Compensation Long-term Incentives 72% Performance shares Performance shares 33% 29% cash incentive award • John F. Rex David S. Wichmann 2016 Base Salary 2015 Base Salary ($) Increase From 2015 to 2016 Audit 35 55 0% 800,000 800,000 Marianne D. Short 0% 1,100,000 1,100,000 1 Larry C. Renfro 1,100,000 1,100,000 28% 625,000 800,000 0% 1,300,000 1,300,000 (%) ($) 0% Approximately at the 70th percentile in earnings from operations; and Approximately at the 95th percentile on a revenue basis; Approximately at the 70th percentile on a market cap basis; 3 Corporate Governance 2 Board of Directors Audit 28 Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. 1 UnitedHealth Group was named to both the Dow Jones Sustainability World and North America Indices for the 18th consecutive year. UnitedHealth Group was the top ranking company in the insurance and managed care sector on Fortune's 2017 "World's Most Admired Companies" list, based on 2016 results. This is the seventh consecutive year UnitedHealth Group has ranked No. 1 overall in its sector; and We repurchased $1.28 billion in stock at an average price of $128.97 per share; Our annual cash dividend rate increased to $2.50 per share, paid quarterly, representing a 25% increase over the annual cash dividend rate of $2.00 per share paid quarterly since the second quarter of 2015; Total shareholder return, which is defined as the increase in stock price, together with dividends paid, was 38% in 2016 and 120% over the 2014-2016 time period; • • • • • Return on equity exceeded 19% in 2016; • Adjusted earnings per share¹ increased 24.8% to $8.05 per share from $6.45 per share in 2015; Executive Compensation Operating earnings increased 17.3% year-over-year to $12.9 billion, and net earnings attributable to UnitedHealth Group common shareholders increased to over $7 billion and were supported by cash flows from operations of $9.8 billion; Annual 4 Committee Matters As discussed in detail below and reflected in the 2016 Summary Compensation Table, in 2016, the Compensation Committee determined that our CEO, Mr. Hemsley, should receive the following compensation: For 2017, we eliminated our long-term performance cash plan so that going forward all long-term incentive awards will be delivered in equity. The direct retention by the Compensation Committee of its independent compensation consultant, Pay Governance LLC, which performs no other consulting or other services for the Company. Annual advisory shareholder vote to approve the Company's executive compensation. Prohibition on repricing of stock options and stock appreciation rights without shareholder approval. Stock ownership guidelines for our executive officers, each of whom complied with the applicable ownership guidelines as of March 14, 2017. Mr. Hemsley, our CEO, owned shares equal to 424 times his base salary as of March 14, 2017. A stock retention policy that generally requires executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. A compensation clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement, or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. No excise tax gross-ups or executive-only perquisites such as company cars, security systems or financial planning. Performance-based compensation arrangements, including performance-based equity awards, that use a variety of performance measures, with different measures used for annual and long-term plans. Double-trigger accelerated vesting of time-based equity awards, requiring both a change in control and a qualifying employment termination, which is our only change in control consideration. ⋅ • • • • • We endeavor to maintain strong governance standards in the oversight of our executive compensation programs, including the following policies and practices that were in effect during 2016: The Compensation Committee believes that total compensation for the executive officers listed in the 2016 Summary Compensation Table (the "named executive officers" or "NEOS") should be heavily weighted toward long-term performance-based compensation. In 2016, long-term compensation represented approximately 70% of the total mix of compensation granted to our named executive officers. The elements of compensation for our named executive officers were unchanged from 2015. Information Meeting 5 Other • • Revenues increased 17.7% to $184.8 billion from $157.1 billion in 2015; • • • Board succession planning process; • Appropriate matters to raise in communications to the Board include: The Secretary to the Board of Directors will not forward to the directors communications received which are of a personal nature or not related to the duties and responsibilities of the Board of Directors, including, without limitation, junk mail, mass mailings, business solicitations, routine customer service complaints, new product or service suggestions, and opinion survey polls. The Secretary to the Board of Directors will forward such complaints and suggestions received to the appropriate members of the Company's management. The Board of Directors values the input and insights of our shareholders and other interested parties and believes that effective communication strengthens the Board of Directors' role as an active, informed and engaged fiduciary. The Board of Directors has adopted a Board of Directors Communication Policy to facilitate communication between shareholders and other interested parties and the Board. Under this policy, the Board of Directors has designated the Company's Secretary to the Board of Directors as its agent to receive and review communications. Communication with the Board of Directors Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors Audit ⋅ CEO succession planning process; Executive compensation; Use of capital; • In determining 2016 executive compensation, the Compensation Committee considered the Company's strong growth, operating performance and financial results, all of which were achieved in an uncertain environment, as well as individual executive performance. Some of our key business results for 2016 were: UnitedHealth Group's compensation program is designed to attract and retain highly qualified executives and to maintain a strong link between pay and the achievement of enterprise-wide goals. We emphasize and reward teamwork and collaboration among executive officers, which we believe fosters Company growth and performance, optimizes the use of enterprise-wide capabilities, drives efficiencies and integrates products and services for the benefit of our customers and other stakeholders. Executive Summary EXECUTIVE COMPENSATION Other Information Meeting 5 4 Committee Matters Annual Base salary of $1.3 million, which is unchanged since 2006; Executive Compensation Corporate Governance 2 Board of Directors 1 Audit 27 27 The policy, including information on how to contact the Board of Directors, may be found in the corporate governance section of our website, www.unitedhealthgroup.com. General Board oversight, including accounting, internal controls, auditing and other related matters. Corporate governance; and 3 • • . Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 31 At the request of the Compensation Committee, Pay Governance conducts an annual review of the Company's compensation peer group. This review ensures that the peer group companies remain appropriate from a business and talent perspective and occurs at the second quarter Compensation Committee meeting because recent financial and compensation data are generally available. In general, the Compensation Committee's goal is to achieve total compensation for the named executive officers as a group that falls within a range of the 50th to 75th percentiles of the market data for our peer group (as discussed below) if paid at target. Target total compensation of our named executive officers as a group in 2016, consisting of base salary, target annual cash incentive award, target long-term cash incentive award and the grant date fair value of equity awards (including performance shares at target), resulted in a target compensation opportunity for our named executive officers in the aggregate between the 50th and the 75th percentiles of the market data for our peer group. The Compensation Committee believes this range is an appropriate reflection of the Company's size, complexity and relative performance over the past several years. The following briefly summarizes the processes followed by the Compensation Committee to select competitive compensation benchmark data and how the Compensation Committee uses this data. The Compensation Committee believes that total compensation for the named executive officers should be heavily weighted toward long-term performance-based compensation, but it does not target a specific mix of annual and long-term compensation or cash and equity compensation and does not formulaically set compensation amounts. Competitive Positioning The Compensation Committee retains a separate independent compensation consultant, Jon Weinstein of Pay Governance LLC, to advise the Compensation Committee on executive and director compensation matters, assess total compensation program levels and program elements for executive officers and evaluate competitive compensation trends. Pay Governance does not provide any other services to the Company and does not perform any work for management. The Compensation Committee has assessed the independence of Mr. Weinstein and of Pay Governance, specifically considering, in accordance with SEC rules, whether Mr. Weinstein and Pay Governance had any relationships with the Company, our officers or our Board members that would impair their independence. Based on this evaluation, the Compensation Committee concluded that Mr. Weinstein's and Pay Governance's work for the Compensation Committee does not raise any conflict of interest. The Compensation Committee's Use of an Independent Compensation Consultant In addition, in making compensation decisions, the Compensation Committee considers the results of the Company's annual shareholder advisory votes approving the Company's executive compensation. Since our inaugural vote in 2011, more than 95% of the votes cast have been in favor of the Company's executive compensation at each of our annual meetings. The Compensation Committee believes these shareholder votes indicate strong support for the Company's executive compensation program. Other Information Meeting 5 4 Committee Matters Annual Executive Compensation Annual 3 Other 5 • • This screening process resulted in the 52 companies set forth under "Peer Group and Managed Care Companies" below. As compared to the peer group, the Company is: Add major companies located near UnitedHealth Group's headquarters and primary operating locations to reflect relevant geographic markets for talent. Limit the list to the largest companies by revenue and market cap to avoid companies of significantly smaller scope; and • • Technology • Financial Services • Insurance Pharma/Biotech/Life Sciences • Health care • All U.S. publicly traded companies in the following industries as the starting point: The Compensation Committee uses the following methodology, which formulates a peer group focused on the industries reflected in the prior career experience of approximately 250 of the Company's senior leaders: • Information Meeting 4 Committee Matters Corporate Governance 2 Board of Directors Philosophy and Objectives of our Compensation Program Compensation Discussion and Analysis Matters Other Information Meeting 5 4 Committee Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 29 29 Company matching contributions of $133,425 made under the Company's 401(k) plan and Executive Savings Plan. A performance-based restricted stock unit opportunity ("performance shares") with a target grant date fair value of $4.675 million, restricted stock units ("RSUS") with a grant date fair value of $2.337 million, and non-qualified stock options with a grant date fair value of $2.337 million; and Long-term cash incentive award of $908,500 for the 2014-2016 performance period, which represents above target performance by the Company against pre-set 2014-2016 long-term incentive plan performance goals; • We seek to attract and retain highly qualified executives and establish a strong pay-for-performance alignment by linking senior management compensation to enterprise and individual performance goals. The primary objectives of our executive compensation program are to: • Align the economic interests of our executive officers with those of our shareholders. Reward performance that advances our mission of helping people live healthier lives and helping to make the health system work better for everyone. Audit 30 The Compensation Committee oversees the Company's policies and philosophy related to total compensation for executive officers. The Compensation Committee approves the compensation for the named executive officers based on its own evaluation, input from our CEO (for all executive officers except himself), internal pay equity considerations, the tenure, role and performance of each named executive officer, input from its independent consultant and market data. Role of the Compensation Committee Determination of Total Compensation Provide standard benefits and very limited perquisites. We provide standard employee benefits and very limited perquisites to our executive officers. We generally do not have any "executive-only" benefits or perquisites, which we believe is appropriate in our culture and does not impact our ability to attract and retain top executive talent. Reward long-term growth, and focus management on sustained success and shareholder value creation. Compensation of our executive officers is heavily weighted toward long-term equity awards. These awards encourage sustained performance and positive shareholder returns. Enhance the long-term value of the business. Our incentive compensation design and the performance measures we select encourage executive officers to focus on enhancing the longer-term value of the Company and avoid excessive risk-taking. Pay-for-sustainable performance. A substantial portion of the total compensation of our executive officers is earned based on achievement of enterprise-wide goals that affect shareholder value. • Annual cash incentive award of $4 million, which represents 154% of his target opportunity; • Our Compensation Committee uses the following principles to implement our compensation philosophy and achieve our executive compensation program objectives: Compensation Program Principles Foster an entrepreneurial spirit with innovative thinking and action, and effective and accountable management, and that leverages the ingenuity of our employees. Reward performance that supports the Company's values. Reward performance that emphasizes teamwork and close collaboration among executive officers while also recognizing individual performance. • • • Attract, motivate and retain highly qualified executive officers. • . Professional Services (e.g., consulting, accounting) 1 185% 2014-2016 Long-Term Cash Incentive and Performance Share Goals and Context The long-term cash incentive award and performance share programs create a financial incentive for achieving or exceeding three-year financial goals for the enterprise. The earned long-term cash incentive award and performance shares for the 2014-2016 performance period were based on achieving the following performance results versus the pre-set goals: 2014-2016 Performance Measure Cumulative Earnings Per Share Return on Equity Weight 50% 50% Threshold Target Performance Performance Performance Performance $17.24 $18.30 $19.78 $19.11 15.9% 17.9% 19.9% Maximum Actual 2014-2016 18.3% Long-Term Awards The performance measures and goals for the 2014-2016 performance period were established during the first quarter of 2014 based on the Company's long-term business plan. The first year of the long-term business plan was based on the Company's 2014 business plan. Subsequent years were based on assumptions and growth initiatives developed in conjunction with the Company's business units and reviewed by the Board of Directors. • Modest US economic growth with a gradual increase in interest rates, and a more rapidly growing economy in Brazil, with a stable Brazilian Real - U.S. Dollar exchange rate; _ 40 40 Audit Board of Directors 2 Corporate Governance 3 Other key assumptions and elements of the long-term business plan were: Long term incentive compensation, consisting of the long term cash incentive program and equity awards in 2016, represents the largest portion of executive officer compensation. This combination of long term incentives provides a compelling performance based compensation opportunity, aids in aligning and retaining the senior management team and accelerates the optimization of business unit capabilities across the enterprise. Going forward, beginning with the 2017-2019 performance period, all long-term incentives will be delivered in the form of equity, as the Committee eliminated future long-term cash awards. Long-Term Incentive Compensation The Compensation Committee did not make specific assessments of, quantify or otherwise assign relative weightings to the factors listed above as it reached its decisions with respect to any of the named executive officers. See the 2016 Summary Compensation Table and other related compensation tables below for details regarding 2016 total compensation for the named executive officers. 156% In determining the 2016 annual cash incentive award amounts, the Compensation Committee took into account the Company's performance against the 2016 annual performance goals set forth in the table above, business results described under "Context for the 2016 Annual Cash Incentive Plan Performance Goals" and a qualitative assessment of individual performance and accomplishments. Individual factors considered are as follows: • • For Mr. Hemsley, the Compensation Committee coordinates a formal performance evaluation by all non-management directors. The 2016 performance evaluation focused on the following areas: strategic focus; vision and values; corporate performance; board relations; leadership and organization effectiveness; corporate reputation and government relations. The Compensation Committee concluded that Mr. Hemsley's performance was outstanding in each category. Mr. Rex's individual performance considerations included assumption of the role of Chief Financial Officer and additional enterprise responsibilities as part of the Office of the Chief Executive; oversight of all finance, audit and financial compliance functions across the enterprise and responsibility for treasury, mergers and acquisitions and venture and private equity investment activity. Mr. Wichmann's individual performance considerations included his strong leadership as President of UnitedHealth Group and oversight leadership of UnitedHealthcare's businesses; continued growth at UnitedHealthcare; strategic leadership of the Company's significant merger and acquisition agenda; leadership in developing new business platforms addressing multibillion dollar growth opportunities; developing and implementing more modern and engaging approaches to serving care providers and consumers through intuitive technologies; enterprise wide technological advancement and simplification initiatives; and expanded development of global businesses and operations. Mr. Renfro's individual performance considerations included strong leadership as Vice Chair of UnitedHealth Group in addition to his responsibilities as CEO of Optum; significant progress towards the multi-year "One Optum" strategic direction, related development of large scale business partnerships and continued growth; related organizational and operational simplification initiatives; recruitment of high level senior talent from nontraditional sources to strengthen and diversify the Optum leadership team; and successful acquisition and integration activities focused on the care delivery business. 39 Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information • Ms. Short's individual performance considerations included her strong leadership as a UnitedHealth Group executive in general; additional enterprise responsibilities as part of the Office of the Chief Executive; leadership of the legal department; oversight of enterprise wide compliance and privacy matters; participation in cost management initiatives; and distinctive leadership and judgment in ongoing litigation and business matters. Executive Compensation 1,250,000 4 Committee Matters Meeting Significant unexpected losses in individual health insurance exchange products in 2015 and 2016; . Charges taken in 2015 to establish reserves for anticipated future losses for a new state Medicaid managed care contract; • Acquisition of Catamaran in mid-2015; • • Challenging Brazilian economy and significant devaluation of the Brazilian Real against the U.S. Dollar; and Greater than anticipated downward rate pressure in Medicare Advantage payment rates received from the federal government. 41 • Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information 1 Continued relatively favorable medical cost trend experience over the three-year period; • Greater than anticipated enrollment of individuals who became eligible with the expansion of Medicaid in 2014; Other Information • • • • • • • • • Medicaid, Medicare Supplement, Part D and international enrollment growth in all years, including significant growth in 2014 from Medicaid expansion; Commercial risk-based and fee-based enrollment declines in 2014, followed by modest increases thereafter from expansion into exchanges and growth in existing markets, leveraging enhanced products, services and distribution; Medicare Advantage declines in 2014 and 2015 due to funding level pressures, followed by modest increases thereafter; Continued funding pressure in government businesses; An expectation that medical cost trends would be consistent with historical levels and that there would not be net favorable development in previously reported medical cost payable estimates; Delivery of more effective and comprehensive clinical management; Continue to enhance the quality and operations of our government businesses to compensate for continued expected funding pressures; Continued growth and alignment of the Optum businesses, driving distinctive revenue, margin and earnings performance; Development and expansion of the Optum Local Care Delivery platform and capabilities; Ongoing improvements to our consolidated operating cost ratio on a comparable business mix basis; and Effective cross-enterprise collaboration among various business units for the benefit of customers and our overall reputation and performance. To achieve maximum performance for both the long-term cash incentive plan and the performance share plan, the Company would have to achieve cumulative three-year earnings per share ("EPS”) performance of $19.78 and an average return on equity ("ROE") of 19.9%. These maximum performance levels corresponded to a compound annual growth rate in EPS of 11.9% over the three-year period. For long-term compensation purposes (see adjustments described below), the Company generated cumulative EPS of $19.11 with accompanying ROE of 18.3%, which were both between the target and maximum performance levels. This represented a compound annual EPS growth rate of 10.4% over the three-year performance period. Factors that positively or negatively influenced our results subsequent to the approval of the long-term business plan in early 2014 included: • 5 Similar to the annual incentive plan, the Company's long-term incentive plan allows for adjustments to the Company's reported results in determining long-term incentive plan awards, namely adjustments that account for the impact of changes in accounting principles, extraordinary items and unusual or non-recurring gains or losses. Three adjustments were made in determining 2014-2016 performance: 800,000 184% • Increase the Company's net promoter score and enhance customer service; • . • Execute on Optum's growth and alignment initiatives, with major focus areas including care delivery, technology-enabled services and pharmacy care services; Realize planned synergies from integration and alignment of the Catamaran acquisition with OptumRx; and Further improve our consolidated operating cost ratio after considering the impact of changes in business mix. 37 37 Deliver more effective and comprehensive clinical management, and continue expanding the proportion of our network operating with value-based contracts; Audit 1 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee 5 Meeting Board of Evaluate appropriate level of future participation in the public health insurance exchanges, and minimize the disruption of any reduction in participation; . Continue to innovate in commercial products, service and distribution; Board of Directors Audit 2 Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 Meeting Information Context for the 2016 Annual Cash Incentive Plan Performance Goals The 2016 financial performance measures at target level represented year-over-year growth in revenues of $24.4 billion, or 15.5%; year-over-year growth in operating income of $2.2 billion, or 20.0%; and year-over-year decrease in operating cash flows of $240 million due to unusually strong operating cash flows in 2015. These targets reflected a full-year of Catamaran results following its acquisition in mid-2015 and the view that there would be a continued challenging business environment in 2016, including the following expectations: Continued marketplace disruption and financial uncertainty related to certain elements of the public health insurance exchanges, including the level of enrollment growth and enrollee health status, risk-adjustment payments, the transitional reinsurance program, and the availability of funds to support the risk-corridor provision; There would not be net favorable development in previously reported medical costs payable estimates; and There would be continued funding pressures in government programs. The 2016 non-financial performance measures were based on survey data results and, at target levels, represented increases over 2015 performance in all categories. These measures were viewed to be important to longer-term financial success, customer satisfaction, and employee welfare that might not be immediately reflected in annual financial results. The Compensation Committee was of the view that the breadth of financial and non-financial performance measures for the 2016 annual cash incentive award would motivate executive officers to achieve results that contribute to value creation for our shareholders on a long-term basis and avoid excessive risks. At the beginning of 2016, the Compensation Committee believed that achievement of the annual incentive goals required substantial performance on a broad range of initiatives contained in the 2016 business plan. These initiatives included the following: • • Grow medical enrollment in UnitedHealthcare by approximately 1,850,000 people; Continue to enhance the quality and operations of our government businesses to compensate for continued expected funding pressures; • Matters 100% Other Information Revenues were significantly above target levels. Operating income for 2016 was above target after excluding the $350 million pre-tax impact to earnings during the fourth quarter of 2016 for the Penn Treaty matter that was not contemplated when the targets were established. This above target performance was achieved despite significantly higher than expected losses related to the Company's individual health insurance exchange products. Cash flows from operations for 2016 were also above target. David S. Wichmann Larry C. Renfro Marianne D. Short Percentage (% of Salary) Target Award Value ($) Actual Award Paid ($) (% of Target) 200% 2,600,000 John F. Rex 4,000,000 115% 920,000 1,400,000 152% 185% 2,035,000 3,750,000 184% 2,035,000 3,750,000 154% Stephen J. Hemsley Name Award Non-financial performance measures were at target levels except for customer and physician satisfaction, which was between threshold and target performance levels. Adjusted earnings per share increased 25% in 2016, and the Company's total shareholder return was 38%, reflecting continued successful performance in an uncertain environment. While the Company uses defined performance measures and weightings to determine an overall funding level for the Company's bonus pool, individual annual cash incentive awards are not purely formulaic. In determining the amount of the actual annual incentive award to be paid, the Compensation Committee considers the CEO's recommendations for executive officers, the business performance underlying each of the performance measures, macroeconomic factors disproportionately impacting business performance, individual executive performance, market positioning, teamwork and related matters. The Compensation Committee retains discretion to pay an annual incentive award that is higher or lower than the performance level achieved based on these considerations if threshold performance is achieved on any performance measure. However, the overall pool cannot be exceeded. Determination of 2016 Annual Cash Incentive Award Opportunities At the beginning of each year, the Compensation Committee approves an "annual cash incentive target opportunity" for each executive officer as a percentage of the executive officer's base salary. The target opportunities established for the named executive officers are intended to increase collaboration, teamwork and accountability across the enterprise, to recognize the skills and versatility of each executive officer and to reflect relative contributions to the success of the overall enterprise. At the end of the fiscal year, the Compensation Committee reviews the Company's achievement of the performance goals set at the beginning of the year and determines annual cash incentive awards based on such performance. In determining these awards, the Compensation Committee has the ability to use its discretion to increase or decrease the actual awards made in view of actual performance, individual contributions and overall business and market conditions. 38 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information The Compensation Committee evaluated the Company's 2016 performance against the performance goals, overall business results, economic conditions, and individual performance objectives, and exercised its discretion to adjust the 2016 annual cash incentive awards such that they represented between 152% and 184% of the targets set at the beginning of 2016 for named executive officers. The target percentages for annual cash incentive awards to our named executive officers and the actual 2016 annual cash incentive awards paid are set forth in the table below. An explanation of how the individual amounts were determined follows the table. 2016 Annual Cash Incentive Awards Target Paid With respect to these initiatives, the Company significantly exceeded its enrollment targets, adding nearly 2.2 million new members, and improved net promoter scores in many, but not all, of its businesses. UnitedHealthcare further improved its Medicare Star ratings and Optum achieved its combined revenue and earnings growth projections, exceeding targeted synergies from the Catamaran acquisition. In addition, the amount of medical spend covered under value-based arrangements increased to nearly $53 billion, the consolidated operating cost ratio decreased to 15.4%. which includes the impact of Penn Treaty, and the Company achieved or made substantial progress on all of the other initiatives listed above. • Annual Excluded from 2016 results was the recognition of the $350 million negative impact ($0.23 decrease per share) for our estimated share of guaranty association assessments resulting from the liquidation of Penn Treaty. Penn Treaty is completely unaffiliated with, is not owned by, and does not share any executive officers or directors with, UnitedHealth Group. Under state guaranty association laws, we and other insurance companies, are required to cover a portion of the Penn Treaty's obligations to policyholders when it became insolvent. This charge will be funded over several years; Annual Stock Option Award (#) (#) (#) 42,057 21,029 118,270 11,246 5,623 31,623 Award 29,687 83,485 29,687 14,844 83,485 13,944 6,972 39,213 The grant date fair values and terms of these equity awards are discussed in the 2016 Grants of Plan-Based Awards table. 44 14,844 Annual RSU Marianne D. Short Larry C. Renfro 2 Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 Meeting Information Equity Awards Equity Award Practices Awards of equity-based compensation to our executive officers serve the purposes described above under "Long-Term Incentive Compensation." The Compensation Committee determined that equity-based compensation for 2016 should include grants of performance shares, RSUs and non-qualified stock options to achieve balance and effectiveness in our equity-based compensation and to align the interests of our executive officers and our shareholders. The mix of equity-based compensation granted in February 2016 was as follows, based on the grant date fair value of the total award: 50% performance shares, 25% RSUs and 25% non-qualified stock options. Performance share grants were selected to ensure a strong pay-for-performance alignment of the Company's compensation program with drivers of shareholder value. The Compensation Committee's decision to grant performance shares was informed, in part, by past discussions held between the Company and certain of its shareholders regarding the merits of performance shares in a pay-for-performance executive compensation program. RSU grants were selected because they are full value shares with time vesting and, as such, provide added retention value. Non-qualified stock options were selected because they have value only if the Company's stock price increases and, as such, provide incentives for sustained long-term stock appreciation. The Compensation Committee's equity award policy requires that all grants of equity be made at set times. We do not have a specific program, plan or practice to time equity compensation awards to named executive officers in coordination with our release of material information. The Company does not pay dividend equivalents on performance shares granted to employees. Unvested shares of RSUs receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. The determination to pay dividend equivalents on RSUs was made after considering market practices. The aggregate number of shares subject to equity awards made in 2016 for all employees was approximately 1% of the Company's shares outstanding at the end of 2016. Equity Awards - 2016 In February 2016, the Compensation Committee granted the following target number of performance shares, RSUs and stock options to our named executive officers: Target Number of Performance Shares Name Stephen J. Hemsley John F. Rex David S. Wichmann Audit Board of Directors • 2 4 Committee 5 Meeting Other Information Matters Other Compensation Practices Executive Stock Ownership Guidelines and Stock Retention Policy The Compensation Committee believes that executive stock ownership aligns management's interests with those of shareholders and fosters a long-term outlook, while also mitigating compensation risk. Under our stock ownership guidelines, each executive officer must beneficially own at least the following amounts of the Company's common stock within five years of the executive officer's election or appointment as an executive officer: • for the CEO, eight times base salary; Annual • • for other executive officers who are not direct reports of the CEO, two times base salary. Stock options and stock appreciation rights ("SARS") do not count towards satisfying the ownership requirements under the guidelines, regardless of their vesting status, and performance shares do not count towards satisfying the ownership requirements until they are vested. Time-based RSUs and restricted stock awards are counted toward the satisfaction of the ownership requirements. The Compensation Committee periodically reviews compliance with the ownership requirements. As of March 14, 2017, all of our named executive officers were in compliance with the ownership requirements, including Mr. Hemsley, who owned shares with a value equal to 424 times his base salary. The Board has established a stock retention policy for executive officers that are subject to Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), which includes our named executive officers. Under this policy, Section 16 officers are required to retain for at least one year one-third of the net shares acquired upon the vesting or exercise of any equity awards. Transactions in Company Securities; Prohibition on Hedging and Short Sales In general, SEC rules prohibit uncovered short sales of our common stock by our executive officers, including the named executive officers. Accordingly, our insider trading policy prohibits short sales of our common stock by all employees and directors. Our insider trading policy prohibits hedging transactions by all directors, executive officers and employees and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. Pledges that existed prior to the policy's adoption in November 2012 have been grandfathered. In 2016, no executive officer or director sought or received advance approval from the Compensation Committee regarding pledging transactions, and no executive officer had any pledges outstanding. Potential Impact on Compensation from Executive Misconduct/Compensation Clawbacks If the Board of Directors determines that an executive officer has engaged in fraud or misconduct, the Board of Directors may take a range of actions to remedy the misconduct, prevent its recurrence and impose such discipline as would be appropriate, including, without limit: (i) terminating employment and (ii) initiating legal action against the executive officer. In addition, with respect to our senior executives, including our named executive officers, if the fraud or misconduct causes, in whole or in part, a material restatement of the Company's financial statements, action may include (a) seeking reimbursement of the entire amount of cash incentive compensation awarded to the 46 46 for executive officers who are direct reports of the CEO, three times base salary; and Executive Compensation 3 Corporate Governance Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 Meeting Information Other Compensation Supplemental Retirement Benefits In 2006, the accrued value of the benefit payable under Mr. Hemsley's individual supplemental executive retirement plan agreement (the "SERP") was frozen based on his then-current age and average base salary and converted into a lump sum cash benefit of $10,703,229. On June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the $10,703,229 cash benefit into deferred stock units ("DSUs"). The Compensation Committee decided the SERP amendment was appropriate to further align Mr. Hemsley's interests with those of shareholders, allow Mr. Hemsley to earn a return on the SERP balance that will be tied to the Company's stock price performance, and provide the opportunity for Mr. Hemsley to receive deferred dividend equivalents on the SERP balance. Pursuant to the amended SERP, the number of DSUs issued was based on the amount of the cash benefit divided by the average closing price of the Company's common stock over the preceding five trading days from the date of conversion of the cash balance, which resulted in 78,789 DSUs issued. Upon conversion of the cash balance into DSUs on June 7, 2016, Mr. Hemsley was eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. During 2016, Mr. Hemsley received dividend equivalents in the form of an additional 1,024 DSUs that were added to the SERP balance. Upon termination of Mr. Hemsley's employment for any reason, the DSUs held in the SERP will be converted into shares of common stock and will be paid six months and one day after his termination. Benefits In addition to generally available benefits, our executive officers are eligible to receive supplemental long-term disability coverage equal to 60% of base salary, and all of our named executive officers, other than Mr. Hemsley, receive supplemental group term life insurance coverage of $2 million. Executive officers are also eligible to participate in our non-qualified Executive Savings Plan. See the 2016 Non-Qualified Deferred Compensation table for additional information regarding contributions, earnings and distributions for each named executive officer under the Executive Savings Plan. Our Executive Savings Plan does not provide for guaranteed or above-market interest. Perquisites We do not believe that providing generous executive perquisites is either necessary to attract and retain executive talent or consistent with our pay-for-performance philosophy. Therefore, other than the benefits described above, we do not provide perquisites such as excise tax gross-ups, company automobiles, security services, private jet services, financial planning services, club memberships or apartments to our executive officers. We prohibit personal use of corporate aircraft by any executive officer unless the Company is reimbursed for the full incremental cost to the Company of such use. Because there is essentially no incremental cost to the Company, we permit an executive officer's family member to accompany the executive officer on a business flight on Company aircraft provided a seat is available. Employment Agreements and Post-Employment Payments and Benefits The Company has a policy of entering into employment agreements with each of our named executive officers. These employment agreements are described in greater detail in "Executive Employment Agreements." 45 Audit 1 Board of Directors 2 Board of Directors Audit 1 43 Marianne D. Short Target Percentage Threshold Target Maximum Actual Paid (% of 3-Year Award Award Award Award Award Average Value Value Value Paid (% of Base Salary) ($) ($) David S. Wichmann ($) Stephen J. Hemsley Long-Term Cash Incentive Award Excluded from 2016 results was the income tax benefit (approximately $0.15 increase per share) from adoption of ASU 2016-09, which modifies several aspects of the accounting for share-based payment awards, including income tax consequences; and Excluded from 2016 results was the estimated impact of federally mandated one year moratorium in 2017 for the collection of the health insurance industry tax. This moratorium was a provision included in the 2016 federal government budget. The unfavorable impact results from commercial price reductions taken in 2016 for policies that span into 2017. 43 It was not possible to predict the occurrence, or impact to the Company, of any of these three adjustments when the goals for the 2014-2016 long-term plans were set. Since all of these events were outside of the control of management, the Committee felt it was appropriate to exclude them from final results. 2014-2016 Long-Term Cash Incentive Awards At the beginning of each three-year performance period, the Compensation Committee approves a "long-term cash incentive target opportunity" for each executive officer as a percentage of the executive officer's average base salary over the performance period. At the end of a performance period, the Compensation Committee reviews the Company's achievement of the performance goals set at the beginning of the performance period and determines long-term cash incentive awards based on such performance. In determining these awards, the Compensation Committee has the ability to use its discretion to increase or decrease the actual awards in view of actual performance, individual contributions and overall business and market conditions. For the 2014-2016 performance period, the target opportunity for each executive officer was 50% of base salary, and the maximum cash incentive award that an executive officer could earn was set by the Compensation Committee to be equal to two times the applicable long-term cash incentive target opportunity. In choosing this target opportunity, the Compensation Committee believed it was important to provide the same relative target opportunity to all of the named executive officers to increase collaboration, teamwork and accountability across the enterprise and to recognize the skills and versatility of each executive officer. 42 42 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information The target percentages for long-term cash incentive awards to our named executive officers and the actual long-term cash incentive awards paid for the 2014-2016 performance period are set forth in the table below: Name ($) Larry C. Renfro Target) Award (% of Target) 252 53,389 106,778 73,677 138% 157 32,034 64,068 138% (#) 157 64,068 44,207 138% 101 21,356 42,712 29,472 138% officer at that time. Mr. Rex did not receive performance shares as part of his 2014 equity grant because he was not an executive 32,034 (#) 44,207 1,873 Actual Shares Paid 2,476 50% 2,476 50% 658,333 1,316,666 908,500 525,000 1,050,000 525,000 1,050,000 724,500 138% 397,116 794,232 548,100 138% 138% 724,500 138% 3,105 2014-2016 Performance Share Awards The primary factor considered by the Compensation Committee in the determination of the long-term cash incentive award amounts was achievement of 2014-2016 long-term incentive plan EPS and ROE between target and maximum goals. Because the Long-Term Cash Incentive Award program is being phased out, with no new participants added after 2016, Mr. Rex was not added as a participant upon his promotion to Chief Financial Officer in June 2016. The use of performance shares as a component of the overall equity awards granted was based upon the Compensation Committee's desire to encourage superior performance and build executive ownership; consideration of competitive market data; the value of utilizing a balanced system to facilitate prudent decision-making and mitigate risk; and conversations with shareholders about the desirability of this type of equity award as a component of a pay-for-performance program. The actual shares that were earned for the 2014-2016 performance period were above target due to the Company's strong ROE and earnings growth performance and are set forth in the table below as well as reflected in the 2016 Option Exercises and Stock Vested table: Name Stephen J. Hemsley David S. Wichmann Larry C. Renfro Marianne D. Short Long-Term Performance Shares Paid (#) Threshold Target Maximum Shares Shares (#) Shares 50% 50% 2016 $11,925 $123,000 $123,000 John F. Rex $11,925 $ 57,750 $15,840 $30,480 $11,925 As permitted by SEC rules, we have omitted perquisites and other personal benefits that we provided to certain named executive officers in 2016 if the aggregate amount of such compensation to each of such named executive officers was less than $10,000. The Company provides each of Messrs. Rex, Wichmann and Renfro and Ms. Short a $2 million face value term life insurance policy. The 2016 annual premiums paid by the Company on behalf of Messrs. Rex and Wichmann were each less than $10,000. 2016 2016 Marianne D. Short Contributions Under Executive Savings Plan $121,500 $ 47,158 $ 8,519 2016 $11,925 2016 Company Matching Company Matching Year Larry C. Renfro David S. Wichmann (7) As described in the Compensation Discussion and Analysis section of this proxy statement, on June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the $10,703,229 cash benefit into DSUs. The DSUS held in the SERP are eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. During 2016, Mr. Hemsley received dividend equivalents equal to 1,024 DSUs, which were added to the SERP. The amount reported in the table reflects stock price appreciation for the DSUS of $1,921,701 between the date of conversion and December 31, 2016 as well as $148,398 in dividend equivalents. Insurance Premiums 51 All Other Stock Awards: Number 1 Stephen J. Hemsley of Stock or Units Exercise or Grant Price of Option All Other Option Awards: Number of Securities Underlying of Shares Estimated Future Payouts Under Equity Incentive Plan Awards Threshold Target Maximum (#) (#) (#) Maximum ($) Target ($) Threshold ($) Grant Date Estimated Future Payouts Under Non-Equity Incentive Plan Awards Audit The following table presents information regarding each grant of an award under our compensation plans made during 2016 to our named executive officers for fiscal year 2016. Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2016 Grants of Plan-Based Awards* Name Stephen J. Hemsley (5) Named executive officers participate in our Executive Savings Plan, which is a non-qualified deferred compensation plan. The Executive Savings Plan does not credit above-market earnings or preferential earnings to the amounts deferred, and accordingly, no non-qualified deferred compensation earnings have been reported. Under the Executive Savings Plan, there are no measuring investments tied to Company stock performance. The measuring investments are a collection of unaffiliated mutual funds identified by the Company. Stephen J. Hemsley Name Amount of Long-Term Cash Incentive Award Deferred Total Amount of Long-Term Cash Incentive Award The long-term cash incentive awards for the 2014-2016 incentive period under our 2008 Executive Incentive Plan, including amounts deferred by the named executive officers, were the following: $ 75,000 $225,000 $240,000 $ 84,000 $225,000 Amount of Annual Cash Incentive Award Deferred $1,250,000 $3,750,000 Period 2014-2016 $3,750,000 $4,000,000 Total Amount of Annual Cash Incentive Award Marianne D. Short Larry C. Renfro David S. Wichmann John F. Rex Name (4) Amounts reported include both annual and long-term cash incentive awards to our named executive officers under our 2008 Executive Incentive Plan. The 2016 annual incentive awards, including amounts deferred by the named executive officers, were the following: The amounts reported in this column for 2016 reflect the aggregate grant date fair value of stock options granted in 2016 computed in accordance with FASB ASC Topic 718. For a description of the assumptions used in computing the aggregate grant date fair value, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2016. These same assumptions have been used in computing aggregate grant date fair values since fiscal year 2009. Options Company's stock and the length of time the award is held. No value will be realized with respect to any award if the Company's stock price does not increase following the award's grant date or if the executive officer does not satisfy the vesting criteria. $1,400,000 $908,500 John F. Rex 2014-2016 Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance Directors 2 1 Board of Audit 50 $548,100 2014-2016 Marianne D. Short $724,500 2014-2016 Larry C. Renfro $43,470 $724,500 2014-2016 David S. Wichmann (6) All other compensation includes the following: Awards 111.16 (#) 59,374 29,687 | | ཅེ| | | |ཡཽ། | |Š| | 2/9/2016 Stock Option Award (4) 2/9/2016 RSU Award (4) 107 2/9/2016 | | │༄། Performance Share Award (4)(5) 2,035,000 4,070,000 550,000 1,831,500 1,978 2016-18 Long-Term Incentive Award (3) Annual Cash Incentive Award (2) Larry C. Renfro 2/9/2016 Stock Option Award (4) 2/9/2016 RSU Award (4) 107 2/9/2016 1,100,000 ། །༄|| = 14,844 83,485 111.16 3,300,007 1,650,059 1,649,664 See the 2016 Grants of Plan-Based Awards table for more information on stock awards granted in 2016. (3) The actual value to be realized by a named executive officer depends upon the performance of the 775,008 6,972 39,213 1,550,015 27,888 2/9/2016 2/9/2016 Stock Option Award(4) RSU Award(4) | | ཙྪཱ 13,944 50 2/9/2016 Performance Share Award (4)(5) 800,000 800,000 1,600,000 1,439 400,000 2016-18 Long-Term Incentive Award (3) 720,000 Annual Cash Incentive Award(2) Marianne D. Short 3,300,007 1,650,059 1,649,664 111.16 === 14,844 83.485 111 59,374 29,687 ☐ Performance Share Award (4)(5) (#) 550,000 1,100,000 2,035,000 111.16 118,270 = 151 42,057 84,114 21,029 - - 2,337,584 21 | | |g | 2,340,000 2,600,000 5,200,000 650,000 1,300,000 | |༞ | 」 2/9/2016 Stock Option Award (4) 2/9/2016 RSU Award(4) 2,337,015 2/9/2016 2,338 2016-18 Long-Term Incentive Award (3) Annual Cash Incentive Award (2) Stephen J. Hemsley Name ($)(1) or Option Awards of Stock Fair Value Grant Date ($/Sh) Performance Share Award(4)(5) John F. Rex Annual Cash Incentive Award (2) 828,000 1,831,500 1,978 2016-18 Long-Term Incentive Award (3) Annual Cash Incentive Award (2) David S. Wichmann 1,250,105 625,053 1,250,125 624,870 1,250,179 136.94 56,416 | | | | = = = 9,129 31,623 111.16 5,623 「「g|||| 6/7/2016 Stock Option Award (4)(6) 40 11.246 22.492 ||||| 2/9/2016 Stock Option Award (4) 6/7/2016 RSU Award(4)(6) 2/9/2016 RSU Award (4) 2/9/2016 Performance Share Award (4)(5) 2016-18 Long-Term Incentive Award (3) 920,000 1,840,000 4,070,000 $3,100,030 • $ 775,008 Humana Inc. CIGNA Corp. Anthem Inc. Aetna Inc. Managed Care Companies Compensation Committee Report Walgreens Boots Alliance, Inc. Wells Fargo & Company United Parcel Service, Inc. Visa, Inc. U.S. Bancorp The Goldman Sachs Group, Inc. The Travelers Companies, Inc. The Allstate Corporation The Compensation Committee has reviewed and discussed the above Compensation Discussion and Analysis with management. Based on its review and discussions, the Compensation Committee recommended to the Board of Directors that the Compensation Discussion and Analysis be included in the proxy statement and incorporated by reference into the Company's Annual Report on Form 10-K for the year ended December 31, 2016. This report was provided by the following independent directors who comprise the Compensation Committee: Target Corp. Procter & Gamble Co. Pfizer Inc. Johnson & Johnson JPMorgan Chase & Co. MasterCard Incorporated McKesson Corporation Medtronic plc Merck & Co. Inc. MetLife, Inc. Microsoft Corporation Morgan Stanley Oracle Corporation International Business Machines Corp. Humana Inc. Hewlett-Packard Company Gilead Sciences Inc. Peer Group General Mills, Inc. General Electric Company FedEx Corporation Prudential Financial, Inc. Express Scripts Holding Company Rodger A. Lawson (Chair) Gail R. Wilensky, Ph.D. Bonus Salary and Non-Qualified Deferred Non-Equity Change in Pension Value The following table provides certain summary information for the years ended December 31, 2016, 2015 and 2014 relating to compensation paid or granted to, or accrued by us on behalf of, our named executive officers. 2016 Summary Compensation Table* Information Meeting 5 4 Committee Matters William C. Ballard, Jr. Other Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 42 48 During fiscal 2016, Messrs. Ballard and Lawson and Dr. Wilensky served on the Compensation Committee. None of these persons has ever been an officer or employee of the Company or any of its subsidiaries. Furthermore, during 2016, none of these persons served as a member of the compensation committee (or other board committee performing equivalent functions) or as a director of another entity where an executive officer of such entity served on our Compensation Committee or Board. Compensation Committee Interlocks and Insider Participation Annual Eli Lilly and Company Citigroup, Inc. CVS Health Corporation Accounting and Tax Considerations In addition, our Compensation Committee retains discretion to adjust compensation for quality of performance, adherence to Company values and other factors. We have a clawback policy that entitles the Board of Directors to seek reimbursement from any executive involved in fraud or misconduct causing a restatement of financials, or violation of certain employment agreement provisions, including any non-compete, non-solicit or confidentiality provisions. The executive would be required to reimburse the Company the entire amount of a bonus paid, not just the amount that would not have been earned had the executive received a lower award based on the restated earnings. We generally require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award granted; and We have stock ownership guidelines for our executive officers; Our equity awards are delivered through a balanced mix of performance shares, RSUs and stock options to encourage sustained performance over time; Our annual cash bonus program includes a variety of financial and non-financial measures that require substantial performance on a broad range of initiatives; • • Our compensation programs are balanced, focused on long-term pay-for-performance, allow for discretion, and are overseen by an independent Compensation Committee. The Compensation Committee believes that the design of the compensation program for our executive officers does not encourage excessive or unnecessary risk-taking, as illustrated by the following list of features: Consideration of Risk in Named Executive Officer Compensation Internal Revenue Code Section 162(m) imposes a $1 million corporate deduction limit for compensation to the Company's CEO and its three other highest-paid executive officers (other than the CFO) employed at the end of the year, unless the compensation is "performance-based," as defined in Section 162(m), and provided under a plan that has been approved by shareholders. As part of the federal health care reform legislation enacted in 2010, Section 162(m) was revised with respect to health insurers, including the Company. Starting in 2013, an annual tax deduction limit of $500,000 per person applies to compensation that we pay to any of our employees and certain service providers, regardless of whether such compensation is deemed performance-based under Section 162(m) or is provided pursuant to a shareholder-approved plan. Any outstanding stock options and SARS that were granted prior to 2010 are not subject to the tax deduction limitation. executive officer, if the executive officer would have received a lower (or no) cash incentive award if calculated based on the restated financial results; (b) canceling all outstanding vested and unvested equity awards subject to the clawback policy and requiring the executive officer to return to the Company all gains from equity awards realized during the 12-month period following the filing of the incorrect financial statements; and (c) seeking reimbursement of the entire amount of any bonus paid. Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit Other Information 47 Board of Directors Peer Group and Managed Care Companies Cisco Systems, Inc. Cargill, Incorporated Cardinal Health, Inc. Bristol-Myers Squibb Company Biogen Inc. Bank of America Corporation Berkshire Hathaway Inc. Best Buy Co., Inc. Anthem Inc. American International Group, Inc. Ameriprise Financial, Inc. AmerisourceBergen Corporation Amgen Inc. American Express Company Aetna Inc. Accenture, plc AbbVie Inc. Abbott Laboratories 3M Company Information Meeting 5 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance 2 Audit Name and Principal Position Year ($)(1) ($) Stephen J. Hemsley Executive Compensation 3 Corporate Governance Directors 2 1 Board of Audit $48,000 $66,000 $66,000 Annual $43,315 Deferred Amount 49 49 Amounts reported for 2015 reflect one additional pay period. Marianne D. Short Larry C. Renfro David S. Wichmann John F. Rex Stephen J. Hemsley Name $78,000 4 Committee Matters 5 Meeting $6,600,014 $3,300,007 $1,650,059 $6,600,014 $3,300,007 $1,650,059 $2,500,210 $1,250,105 $1,875,178 $9,350,112 $4,675,056 $2,337,584 Maximum Target Restricted Stock Units Marianne D. Short Larry C. Renfro David S. Wichmann John F. Rex Stephen J. Hemsley Name Performance Shares Topic 718, based on the closing stock price on the grant date. The grant date fair value of RSUs granted in 2016 and the grant date fair value of performance shares granted in 2016 if target performance and maximum performance is achieved are as follows: (2) The amounts reported in this column reflect the aggregate grant date fair value of the RSUs and performance shares (at target) granted in 2016, 2015 and 2014 and are computed in accordance with FASB ASC Other Information (1) Amounts reported reflect the base salary earned by named executive officers in the years ended December 31, 2016, 2015 and 2014. Amounts reported for 2016 include the following amounts deferred by the named executive officers under our Executive Savings Plan: $1,550,015 Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. Please see "Executive Employment Agreements" below for a description of the material terms of each named executive officer's employment agreement. 100,691 2016 1,100,000 David S. Wichmann President Executive Vice President and CFO 7,185,223 62,968 1,400,000 3,125,283 1,875,049 2016 721,923 John F. Rex 14,856,321 107,479 2015 1,150,000 14,518,164 137,358 145,679 2,070,099(7) ($) Total Compensation ($)(6) Earnings ($)(5) Stock Option Incentive Plan Compensation All Other Awards Awards Compensation ($)(2) ($)(3) ($)(4) 7,012,640 2,337,015 4,908,500 7,012,546 2,337,939 3,672,000 7,625,114 1,874,728 3,949,000 2014 1,300,000 2015 1,350,000 CEO 2016 1,300,000 17,765,612 2014 900,000 4,950,066 1,649,664 4,950,071 1,650,322 3,686,700 6,375,123 1,124,841 3,643,102 4,474,500 5,682,147 86,496 12,097,606 5,798,127 100,155 54,540 11,589,358 152,265 12,324,995 150,765 12,142,565 99,499 11,581,817 144,724 12,316,446 142,216 1,662,600 1,482,981 1,798,100 | | | | | | 4,950,066 1,649,664 4,474,500 4,950,071 1,650,322 3,686,700 6,375,123 1,124,841 3,643,102 2,325,023 774,849 2,325,202 775,156 3,250,075 749,909 2015 1,150,000 2014 900,000 2016 800,000 2015 832,693 2014 750,000 and Chief Legal Officer Marianne D. Short Executive Vice President Vice Chairman and CEO, Optum 2016 1,100,000 Larry C. Renfro 6,333,656 774,849 Contributions Under 401(k) Savings Plan Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. 6/5/2018 33.94 6/5/2008 203,642 29,687(6) 4,751,107 7,474(4) 1,196,139 12,706(5) 2,033,468 6,828(4) 1,092,753 4,648(4) 743,866 15,096(4) 2,415,964 2/9/2016 2/9/2016 2/10/2015 11,732(4) 1,877,589 2/10/2015 2/12/2014 2/12/2014 2/6/2013 2/9/2026 108.97 2/10/2025 70.24 2/12/2024 57.38 2/6/2023 33.00 2/9/2020 2/23/2019 113,122 2/23/2009 76,024 2/9/2010 83,485(3) 111.16 54,889(3) 25,176(3) 14,897(3) 44,690 29.74 2/6/2013 30,284(6) 4,846,651 44,842(5) 7,176,514 5,229(4) 836,849 2/9/2026 2/10/2025 2/12/2024 2/6/2023 5/28/2017 5/28/2017 54.41 83,485(3) 111.16 54,889(3) 108.97 25,176(3) 70.24 14,897(3) 57.38 44,690 25,175 2/12/2014 2/6/2013 8,409(4) 1,345,776 18,296 Larry C. Renfro 150,000 5/28/2007 54.41 25,000 5/28/2007 2/9/2016 2/10/2015 18,296 25,175 2/12/2014 2/9/2016 2/10/2015 2/12/2014 2/10/2025 108.97 19,128(3) 6,376 2/10/2015 22,378 5,718(4) 915,109 9,248(4) 1,480,050 6/7/2016 6/7/2026 2/9/2026 136.94 111.16 31,623(3) 2/9/2016 2/9/2016 22,379(3) 70.24 2/6/2013 David S. Wichmann 2/6/2013 1,689,062 10,554(6) 4,089(4) 654,404 1,799,810 11,246(6) 2/9/2016 2/10/2015 2/10/2015 2/12/2014 2/12/2014 6/4/2013 2/12/2024 2/6/2023 6/5/2022 56.04 80,000 6/5/2012 57.38 13,243(3) 39,729 2/9/2016 15,096(4) 2,415,964 2/9/2016 2/10/2015 2/10/2015 2/12/2014 56,416(3) 29,687(6) 4,751,107 30,284(6) Exercise ($)(1) (#) Exercise Stock Awards Number of Shares Acquired on Value Realized on Shares Acquired on Vesting (#) Marianne D. Short David S. Wichmann John F. Rex Stephen J. Hemsley Name Option Awards Number of The following table presents information regarding the exercise of stock options during fiscal year 2016 by our named executive officers and vesting of restricted stock awards held by our named executive officers for fiscal year 2016. Larry C. Renfro 2016 Option Exercises and Stock Vested 200,000 94,564 | | | 99 56 (1) Computed by determining the market value per share of the shares acquired based on the difference between: (a) the per share market value of our common stock at exercise, defined as the closing price on the date of exercise, or the weighted average selling price if same-day sales occurred, and (b) the exercise price of the stock options. 9,163,600(3)(4)(5) 6,249,716(3)(4) 61,197 10,776,000(2) 8,545,101(3)(4) 10,963,500(2) 150,000 2,646,940(3) 21,090 14,176,695(3)(4)(5) Value Realized on Vesting ($) 57,328 (6) Vest 100% at the end of the three-year performance period. The number of performance shares that the executive officer will receive is dependent upon the achievement of a cumulative EPS measure and an average ROE measure approved by the Compensation Committee. The number of performance shares reported above for grants made in 2016 and 2015 is at the target number established by the Compensation Committee because we currently believe that is the probable outcome of the performance conditions based on the Company's performance through December 31, 2016. (2) Based on the per share closing market price of our common stock on December 31, 2016 of $160.04. (3) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date. (4) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date, other than for retirement eligible executive officers. A portion of a retirement eligible executive officer's award that otherwise would have vested on the next specified vesting date is cancelled to pay applicable FICA taxes owed by the executive officer. The cancellation occurs in the year of grant if the executive officer is retirement eligible during that year or in the first year the executive officer becomes retirement eligible. The remainder of the award vests proportionally over the remaining vesting period. Messrs. Hemsley and Renfro are retirement eligible. These RSUs are eligible to and did receive dividend equivalents converted into additional shares; accordingly, the number of shares shown has been rounded up to the nearest whole share. For more information on RSUs cancelled in 2016, please see the 2016 Option Exercises and Stock Vested table. (5) Vest 100% on February 12, 2017. These RSUs are eligible to and did receive dividend equivalents converted into additional shares; accordingly, the number of shares shown has been rounded up to the nearest whole share. Other Information 13.944(6) 5,229(4) 836,849 7,090(4) 1,134,684 2/9/2016 2/9/2016 2/10/2015 2/9/2026 2/10/2025 2/12/2024 2/6/2023 111.16 108.97 70.24 57.38 16,784 (3) 13,242(3) 2,231,598 25,782(3) 39,213 (3) 2/9/2016 2/10/2015 2/12/2014 2/6/2013 Marianne D. Short 2/6/2013 8,409(4) 1,345,776 2/12/2014 44,842(5) 7,176,514 4,846,651 8,593 16,784 39,725 5,511(4) 881,980 14,225(6) 2,276,569 Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 1 Audit 55 55 (1) The expiration date shown is the latest date that stock options/SARs may be exercised. Stock options/SARS may terminate earlier in certain circumstances, such as in connection with the named executive officer's termination of employment. 2/10/2015 2/12/2014 5,605(4) 897,024 2/12/2014 14,947(5) 2,392,118 2/6/2013 9,296(4) 1,487,732 11,732(4) 1,877,589 6/7/2016 43,175 1,394,749 (6) Amounts represent grants made to Mr. Rex in connection with his appointment as CFO of the Company. (5) Amounts represent the estimated future number of performance shares that may be earned under our 2011 Stock Incentive Plan at each of the threshold, target and maximum levels. The performance share award will be paid out in shares of Company common stock. The number of performance shares that the executive officer will receive will be determined at the conclusion of the 2016-2018 performance period and will be dependent upon the Company's achievement of a cumulative EPS measure and an average ROE measure approved by the Compensation Committee. The Compensation Committee has the discretion to reduce the number of performance shares an executive officer is entitled to receive. The estimated threshold award represents the number of performance shares that may be awarded if threshold performance is achieved on one of the performance measures. Except as provided in footnote 4 to the Outstanding Equity Awards at 2016 Fiscal Year-End table with respect to Mr. Hemsley and Mr. Renfro. Unvested award will vest in full upon death or disability. Unvested award will vest in full if, within two years of a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., “double trigger” vesting), as these terms are defined in the award agreement. Unless the executive officer is retirement-eligible, award is subject to earlier termination upon certain events related to termination of employment. If the executive officer is retirement-eligible, upon retirement, the number of performance shares that are earned at the end of the performance period based on actual performance, if any, will vest as if the executive officer had been continuously employed throughout the entire performance period, provided the executive officer had served for at least one year of the performance period. Upon death, disability or termination of employment for Good Reason or other than for Cause (as these terms are defined in the award agreement), the executive officer will receive at the end of the applicable performance period, a pro rata number of performance shares that are earned, if any, based on the number of full months employed plus, if applicable, the number of months for any severance period. 54 a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., “double trigger" vesting). The number of performance awards that vest will be dependent upon the performance vesting criteria that have been satisfied. Termination Provisions • • • (4-year ratable vesting) Stock Option Award Unvested performance share awards will vest if, within two years of and 4 1 Stock Awards Option/SAR Awards The following table presents information regarding outstanding equity awards held at the end of fiscal year 2016 by our named executive officers. Outstanding Equity Awards at 2016 Fiscal Year-End Other Information Meeting Audit 5 Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 4 Committee Matters (4-year ratable vesting*) RSU Award (3-year performance periodwith cliff vesting) Other Information Meeting 5 4 Committee Matters Annual Executive Compensation (2) Amounts represent estimated payouts of annual cash incentive awards granted under our Executive Incentive Plan in 2016. The Executive Incentive Plan permits a maximum annual bonus pool for executive officers equal to 2% of the Company's net income (as defined in the plan) and no executive officer may receive more than 25% of such annual bonus pool. The Compensation Committee has generally limited annual cash incentive payouts to not more than two times the target amount, and the maximum amounts shown for each named executive officer equal two times each executive officer's target amount. In order for any amount to be paid, the Company must achieve approved performance measures of (i) revenue, (ii) operating income, (iii) cash flow, (iv) consumer, customer and physician satisfaction, (v) employee engagement and (vi) employee teamwork. The estimated threshold award represents the amount that may be paid if threshold performance is achieved on each of the performance measures. Once threshold performance is achieved, the Compensation Committee has the discretion to pay an award. The actual annual cash incentive amounts earned in connection with the 2016 awards are reported in the 2016 Summary Compensation Table. 3 2 Board of Directors 62 52 John F. Rex (1) The actual value to be realized by a named executive officer depends upon the appreciation in value of the Company's stock and the length of time the award is held. No value will be realized with respect to any stock option award if the Company's stock price does not increase following the grant date. For a description of the assumptions used in computing grant date fair value for stock option awards pursuant to FASB ASC Topic 718, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2016. The grant date fair value of each RSU award and targeted grant date value of each performance share award was computed in accordance with FASB ASC Topic 718 based on the closing stock price on the grant date. Corporate Governance (3) Amounts represent estimated future payouts of long-term cash incentive awards granted under our Executive Incentive Plan in 2016 for the 2016-2018 performance period to be paid in 2019. The Executive Incentive Plan permits a maximum long-term bonus pool for executive officers equal to 2% of the Company's average net income (as defined in the plan) during the performance period and no executive officer may receive more than 25% of such long-term bonus pool. The Compensation Committee has limited the long-term cash incentive payout maximum amount to not more than two times each named executive officer's target amount, which is reflected in the maximum payout column. In 2016, upon recommendation by management, the Compensation Committee approved a cumulative EPS measure and an average ROE measure for the 2016-2018 incentive period, either one of which must be achieved before the threshold amount shown above becomes earned and payable. Each measure is weighted equally. The Compensation Committee will determine whether the goals have been achieved at the end of the performance period. The estimated threshold award represents the amount that may be paid if threshold performance on one of the performance measures is exceeded. Once threshold performance is achieved, the Compensation Committee has the discretion to pay an award ranging from 0% up to a maximum of 200% of target. The estimated threshold, target and maximum awards listed in the table were computed based on participants' estimated average salary over the 2016-2018 performance period. This three-year average salary was determined using participants' actual 2016 salaries earned and estimates of salaries for 2017 and 2018. 53 33 Performance Share Award Award Type and Vesting Terms * (4) Amounts represent grants under the 2011 Stock Incentive Plan with the terms set forth below. In addition, the RSUs are eligible to receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. No dividend equivalents are paid on performance shares. Other Information Meeting 5 4 Committee Matters Annual Executive Compensation 3 Corporate Governance 2 Board of Directors Audit Number of Number of Audit Securities 2/9/2010 114,036 2/23/2009 24,828(3) 74,484 2/6/2013 41,959(3) 41,959 169,683 2/12/2014 42,057(6) 2/9/2016 Vested ($)(2) Awards: Market Value of Unearned Shares or Units That Have Not Plan Incentive 6,730,802 Equity 57.38 33.00 29.74 2/10/2015 Number of 8,715(4) - 28,538(5) 2/12/2014 2,242,801 70.24 2/12/2024 2/6/2023 14,014 (4) 2/9/2020 2/23/2019 6,866,036 42,902(6) 2/10/2015 2,659,865 16,620(4) 2/12/2014 Units That 4,567,222 Plan Awards: Shares or Units of Stock Option/ Option/ SAR Unexercised Options/ SARS (#) Options/ SARS (#) Exercisable Grant Name SAR Option/ Unexercised Date of Underlying Number of Unearned Shares or Underlying Securities Unexercisable Exercise/ Grant Price ($) 2/6/2013 Stock Award Grant Date SAR Expiration Date(1) Market Value of Shares or Units of Stock That Have Not Vested Have Not Vested (#) ($)(2) 3,422,615 21,386(4) 2/9/2016 2/9/2026 2/10/2025 Equity Incentive 77,759(3) 25,919 2/9/2016 2/10/2015 Stephen J. Hemsley 118,270(3) That Have Not Vested (#) 111.16 108.97 Renfro Larry C. David S. Wichmann John F. Rex Information Summary of Compensation Components Meeting 5 4 Committee Matters Other Annual Compensation Component Marianne D. Short Participation in incentive compensation plans (1) ✓ (2) Benefit provided at the Company's expense. (1) Any adjustments to base salary, actual bonuses payable and stock-based awards are at the discretion of the Compensation Committee. Generally available employee benefit programs ✓ Reasonable non-business use of corporate aircraft (5) Additional service credit (4) ✓ One-time sign-on / promotion equity award and / or bonus ✓ Long-term disability policy (2)(3) $2 million term life insurance policy (2) Executive Compensation Stock-based awards (1) ✓ ✓ Base salary(1) ✓ Messrs. Rex, Wichmann and Renfro and Ms. Short have entered into employment agreements with the Company. Under those agreements, they each report to the CEO of the Company. The table below and the narrative that follows summarize the material terms of their respective employment agreements. Corporate Governance 3 Corporate Governance 2 Board of Directors Audit 60 Executive Compensation If Mr. Hemsley's employment is terminated because of his death or permanent disability, the Company will pay him or his beneficiaries a lump sum in an amount equal to two years total compensation of base salary plus the average bonus for the last two calendar years, excluding any special or one-time bonus or incentive compensation payments. Upon termination of Mr. Hemsley's employment for any reason, he is entitled to a supplemental retirement benefit in the amount of $12,773,328, payable in DSUs, which will be paid six months and one day after his termination. Under his employment agreement, Mr. Hemsley receives a base salary of $1,300,000, with any increases at the sole discretion of the Compensation Committee and ultimately the independent members of the Board of Directors. Mr. Hemsley's employment agreement does not set any minimum or target level for any bonus or other incentive compensation. All bonus and incentive compensation awards are solely at the discretion of the Compensation Committee. Mr. Hemsley is eligible to participate in the Company's generally available employee benefit programs. Termination Provisions Summary of Compensation Components (3) Annual benefit covers 60% of eligible base salary in the event of a qualifying long-term disability, subject to the terms of the policy. On November 7, 2006, the Board of Directors entered into an employment agreement with Mr. Hemsley to serve as CEO. On December 14, 2010, the employment agreement was amended to extend the employment period to December 1, 2014. The employment agreement extends automatically for additional one-year periods after December 1, 2014 unless sooner terminated in accordance with its terms. During the period of his employment, the Board of Directors will nominate Mr. Hemsley for election to the Board of Directors by the shareholders of the Company. Stephen J. Hemsley If Mr. Hemsley's employment is terminated by the Company without Cause, other than upon expiration of the term of the employment agreement, or by Mr. Hemsley for Good Reason, the Company will pay Mr. Hemsley a lump sum in an amount equal to his annual base salary for 12 months. 3 Annual 4 Committee Matters 2 Board of Directors 1 Audit 61 John F. Rex, David S. Wichmann, Larry C. Renfro and Marianne D. Short Other Pursuant to the employment agreement, Mr. Hemsley is subject to provisions prohibiting his solicitation of the Company's employees and customers or competing with the Company during the term of the employment agreement and the longer of two years following termination or the period that severance payments are made to him under the employment agreement. In addition, he is prohibited at all times from disclosing confidential information related to the Company. As defined in the employment agreement, “Good Reason" generally means (a) an assignment of duties inconsistent with his position or duties or other diminution of duties, (b) a relocation of primary work location by more than 25 miles, (c) failure by the Board of Directors to elect Mr. Hemsley as CEO, (d) failure by the Board of Directors to nominate Mr. Hemsley to serve on the Board of Directors, (e) the Company's failure to pay or provide Mr. Hemsley's base salary, incentive compensation or other benefits, or (f) any other material breach of Mr. Hemsley's employment agreement that is not remedied. As defined in the employment agreement, "Cause" generally means (a) willful and continued failure to perform his duties after written notice and a failure to remedy the deficiency, (b) a violation of the Company's Code of Conduct that is materially detrimental to the Company and is not remedied after written notice, (c) engaging in fraud, material dishonesty or gross misconduct in connection with the Company's business, (d) conviction of a felony, or (e) willful and material breach of the employment agreement that is not remedied after written notice. Material Definitions If Mr. Hemsley's employment is terminated by the Company for Cause, by Mr. Hemsley without Good Reason or because of his retirement or upon expiration of the term of the employment agreement, he will not be entitled to any further compensation from the Company other than earned but unpaid salary and benefits. Information 5 Non-Solicitation, Non-Competition and Confidentiality Provisions Meeting Makes changes that substantially diminish the executive officer's duties or responsibilities*; (5) Required to reimburse the Company for full incremental costs associated with such use. Pursuant to their respective employment agreements, each executive officer is subject to provisions prohibiting his or her solicitation of the Company's employees or competing with the Company during the term of the employment agreement and for two years following termination for any reason. In addition, each executive officer is prohibited at all times from disclosing confidential information related to the Company. 63 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information Potential Payments Upon Termination or Change in Control The following table describes the potential payments to named executive officers upon termination of employment or a change in control of the Company as of December 31, 2016. Amounts are calculated based on the benefits available to the named executive officers under existing plans and arrangements, including each of their employment agreements described under "Executive Employment Agreements." Acceleration of Equity(3) We have entered into an employment agreement with each of the named executive officers. The following is a summary of the material terms of those agreements. Insurance Benefits DSUS in the SERP Long-Term Cash Incentive (2) Annual Cash Incentive (1) Non-Solicitation, Non-Competition and Confidentiality Provisions Stephen J. Hemsley In Control ($) Disability Retirement ($) ($) Death ($) Change For Good Reason or Not For Cause ($) Name Cash Payments For Mr. Rex, "Good Reason" also exists if the Company makes a change so that he no longer serves as both CFO of the Company and a member of the Office of the CEO of the Company. For Mr. Renfro, "Good Reason" also exists if the Company makes a change so that he no longer holds the positions of Vice Chairman of the Company and CEO of Optum, Inc. or other equivalent positions. The executive officer must give the Company written notice of the circumstances constituting Good Reason within 120 days of becoming aware of the circumstances, and the Company will I have 60 days to remedy the circumstances. Changes the executive officer's reporting relationship. 4 Committee Matters Other Annual Executive Compensation 3 Corporate Governance 5 2 1 Audit 62 62 Each employment agreement and each executive officer's employment may be terminated (a) by mutual agreement (b) by the Company with or without Cause, (c) by the executive officer and (d) upon the executive officer's death or disability that renders him or her incapable of performing the essential functions of his or her job, with or without reasonable accommodation. Each executive officer may also terminate his or her employment agreement and employment at any time for Good Reason. If the executive officer's employment is terminated by the Company without Cause or by the executive officer for Good Reason, the Company will provide the executive officer with outplacement services consistent with those provided to similarly situated executives and pay the executive officer severance compensation equal to the sum of (a) 200% of his or her annualized base salary as of his or her termination date, (b) 200% of the average of his or her last two calendar year bonuses, excluding any equity awards and any special or one-time bonus or incentive compensation payments, and (c) $12,000 to offset the costs of benefit continuation coverage. The severance compensation will be payable over a 24-month period for Messrs. Rex and Wichmann and Ms. Short and will be payable over a 12-month period for Mr. Renfro. In addition, if the Company terminates Mr. Rex's employment without Cause or if Mr. Rex terminates employment for Good Reason, Mr. Rex has the option to remain employed in an advisory capacity for one year (at his then-current annual base salary and target bonus) following notification of termination. Termination Provisions and Material Definitions Board of Directors (4) Mr. Renfro's employment agreement (a) states that for purposes of determining his eligibility for retirement, he will receive two years of service credit for each year he remains employed with the Company after age 59 and (b) clarifies that he will be deemed eligible for retirement if, prior to otherwise becoming eligible for retirement, his employment is terminated by the Company without Cause or he resigns for Good Reason. Meeting Applicable definitions for the employment agreements follow. or Moves the executive officer's primary work location more than 50 miles; Reduces the executive officer's base salary or long- or short-term target bonus percentage other than in connection with a general reduction affecting a group of similarly situated employees; Exists if the Company: The Company must provide the executive officer with written notice of Cause within 120 days of discovery, and the executive officer will have 60 days to remedy the conduct, if the conduct is reasonably capable of being remedied. Material breach of the employment agreement. Information Conviction of any felony, commission of any criminal, fraudulent or dishonest act, or any conduct that is materially detrimental to the Company's interests; or Material failure to follow the Company's reasonable direction or to perform any duties reasonably required on material matters; • Good Reason Definition Means: Term Cause A material violation of, or failure to act upon known or suspected violations of, the Company's Code of Conduct; Executive Employment Agreements Audit $ 927,537 121,500 243,000 (e) ($)(5) ($)(4) (d) Distributions Aggregate Withdrawals/ Aggregate Earnings in Last FY Registrant Contributions in Last FY ($)(1)(3) (c) ($)(1)(2) (b) Executive Contributions in Last FY Marianne D. Short Larry C. Renfro David S. Wichmann John F. Rex Stephen J. Hemsley 2 Directors Corporate Governance 3 Executive Compensation Annual 1,240,744 Other 5 Meeting Information 2016 Non-Qualified Deferred Compensation The following table presents information as of the end of 2016 regarding the non-qualified deferred compensation arrangements for our named executive officers for fiscal year 2016. Name (a) 4 Committee Matters 94,315 47,158 61,929 (4) Amounts deferred are credited with earnings from measuring investments selected by the employee from a collection of unaffiliated mutual funds identified by the Company. The Executive Savings Plan does not credit above-market earnings or preferential earnings to amounts deferred. The returns on the mutual funds available to employees during 2016 ranged from 0.28% to 23.53%, with a median return of 7.75% for the year ended December 31, 2016. Employees may change their selection of measuring investments on a daily basis. (5) Under our Executive Savings Plan, unless an employee in the plan elects to receive distributions during the term of his or her employment with the Company, benefits will be paid no earlier than at the beginning of the year following the employee's termination. However, upon a showing of severe financial hardship, an employee may be allowed to access funds in his or her deferred compensation account earlier. Benefits can be received either as a lump sum payment, in five or ten annual installments, in pre-selected amounts and on pre-selected dates, or a combination thereof. An employee may change his or her election with respect to the timing and form of distribution for such deferrals under certain conditions. However, for deferrals relating to services performed on or after January 1, 2004, employees may not accelerate the timing of the distributions. 59 59 Audit 1 Board of Directors (3) For the first 6% of the employee's base salary and annual incentive award deferrals under our Executive Savings Plan, the Company provides a matching credit of up to 50% of amounts deferred at the time of each deferral. This matching credit does not apply to deferrals of long-term cash incentive awards or other special incentive awards. 2 3 Executive Compensation Annual Other 4 Committee Matters Total(4) Corporate Governance 1 (2) Named executive officers are eligible to participate in our Executive Savings Plan, which is a non-qualified deferred compensation plan. Under the plan, employees may generally defer up to 80% of their eligible annual base salary (100% prior to January 1, 2007) and up to 100% of their annual and long-term cash incentive awards. Amounts deferred, including Company credits, are credited to a bookkeeping account maintained for each participant, and are distributable pursuant to an election made by the participant as to time and form of payment that is made prior to the time of deferral. The Company maintains a Rabbi Trust for the plan. The Company's practice is to set aside amounts in the Rabbi Trust to be used to pay for all benefits under the plan, but the Company is under no obligation to do so except in the event of a change in control. 1,008,504 287,202 123,000 627,460 246,000 123,000 53,749 (1) All amounts in these columns have been reported as compensation in the 2016 Summary Compensation Table. 115,500 40,242 Aggregate Balance at Last FYE ($)(6) (f) 11,553,210 472,388 5,788,606 1,213,930 57,750 $ 868,062 Board of 58 Audit 40 57 109,504 159.86 685 85,046 159.86 532 325,155 159.86 2,034 60,907 159.86 381 37,887 159.86 $2,288,150 $7,716,976 Previously Reported Amount John F. Rex David S. Wichmann Larry C Renfro Marianne D. Short Stephen J. Hemsley Board of Directors Name Information 970 159.86 155,064 2/6/2013 12/14/2016 2/12/2014 12/14/2016 2/12/2014 12/14/2016 2/10/2015 12/14/2016 2/9/2016 12/14/2016 237 (6) This column includes the amounts shown in columns (b) and (c) as well as the following amounts reported in the summary compensation table for prior years: 2 Corporate Governance 3 Present Value of Accumulated Benefit ($) Payments During Last Fiscal Year ($) _ (1) 12,773,328(1) Supplemental Executive (#) Retirement Pay N/A N/A N/A Marianne D. Short (1) In 2006, the amount of Mr. Hemsley's supplemental retirement benefit was frozen based on his age and average base salary at the time and converted into a lump sum of $10,703,229. As described in the Compensation Discussion and Analysis section of this proxy statement, on June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the $10,703,229 cash benefit into a number of DSUs based on the average closing price of the Company's common stock over the preceding five trading days from the date of conversion ($135.846), which resulted in 78,789 DSUs issued on June 7, 2016. The DSUS held in the SERP are eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. During 2016, Mr. Hemsley received dividend equivalents equal to 1,024 DSUs, which were added to the SERP. As of December 31, 2016, upon termination of Mr. Hemsley's employment for any reason, the amount of the benefit to which Mr. Hemsley is entitled is 79,813 DSUs, which had a value of $12,773,328 as of December 31, 2016. The SERP balance will be paid six months and one day after his termination. N/A 59 Plan Name Individual Agreement for Larry C. Renfro Executive Compensation Annual Other 4 Committee Matters 5 Meeting Service Information The following table presents information regarding the present value of accumulated benefits payable under our non-qualified defined-benefit pension plans covering our named executive officers for fiscal year 2016. Number of Years Credited Name Stephen J. Hemsley John F. Rex David S. Wichmann 2016 Pension Benefits John F. Rex 44,207 12,773,328 2/10/2015 2/10/2016 462,264 111.82 4,134 2/12/2016 2/12/2014 574,464 111.72 5,142 2/6/2016 2/6/2013 Larry C. Renfro 433,485 112.74 3,845 2/10/2016 2/10/2015 1,340 112.74 151,072 David S. Wichmann 2/6/2013 2/6/2016 3,845 5,142 574,464 2/12/2014 2/12/2016 4,134 111.82 462,264 111.72 2/10/2016 112.74 Marianne D. Short 12/31/2016 2/12/2014 David S. Wichmann 11,791,267 160.04 73,677 12/31/2016 2/12/2014 Stephen J. Hemsley Value Realized on Vesting Period on Vesting Market Price at End of Performance Number of Shares Acquired Performance Period Completion Date Date of Award Name 2/6/2013 2/12/2014 2/12/2016 2/10/2015 2/10/2016 2/6/2016 9,141 111.72 1,021,233 2,756 433,485 111.82 1,806 112.74 203,608 (4) Also reflects the performance shares earned for the 2014-2016 performance period that ended on December 31, 2016 because performance targets were met. The value shown as realized on December 31, 2016 is based on the number of shares earned for the 2014-2016 performance period using the per share closing market price of our common stock on December 31, 2016, although shares were not issued until the Compensation Committee certified the performance results on February 8, 2017: 308,176 2/10/2015 410,827 111.82 Number of Shares Acquired Vesting Date Date of Award Name (3) Reflects the vesting of a portion of the RSUs granted. The value realized on vesting was computed based on the following: 1/29/2016 3/2/2016 1/31/2006 5/2/2006 59.42 48.58 113.30 121.67 200,000 150,000 Exercise Price Market Price at Exercise Number of Options Exercised Exercise Date Date of Award David S. Wichmann Stephen J. Hemsley Audit 1 Board of Directors 2 Corporate Governance 3 on Vesting Executive Compensation 4 Committee Matters 5 Meeting (2) The value was computed as described in footnote 1 above and was based on the following: Other Information Name Annual Market Price at Vesting Value Realized on Vesting Stephen J. Hemsley 652,179 2/6/2013 2/6/2016 4,570 111.72 510,560 136.84 6/4/2013 6,740 136.84 922,302 2/12/2014 2/12/2016 3,674 6/4/2016 5 4,766 6/5/2012 2/6/2013 2/12/2014 2/6/2016 2/12/2016 8,569 111.72 957,329 6/5/2016 6,890 770,440 2/10/2015 2/10/2016 4,458 112.74 502,595 John F. Rex 111.82 160.04 7,074,888 Larry S. Renfro 37,327,893 36,322,749 34,982,749 5,181,111 35,035,545 Larry C. Renfro Cash Payments 8,212,000 Annual Cash Incentive (1) Long-Term Cash Incentive (2) 4,070,000 4,070,000 4,070,000 1,111,111 1,111,111 1,111,111 1,111,111 Insurance Benefits Acceleration of Equity(3) 33,924,434 Total(4) 42,136,434 2,000,000 660,000 29,141,638 29,141,638 33,924,434 33,924,434 36,322,749 34,982,749 39,105,545 35,035,545 Marianne D. Short 15,143,288 19,005,288 807,265 807,265 807,265 480,000 807,265 2,000,000 Total(4) Total(4) Acceleration of Equity (3) 1,600,000 1,600,000 1,600,000 3,862,000 Long-Term Cash Incentive (2) Annual Cash Incentive (1) Cash Payments Insurance Benefits 33,924,434 660,000 29,141,638 29,141,638 Insurance Benefits Long-Term Cash Incentive (2) 1,840,000 1,840,000 1,840,000 Annual Cash Incentive (1) 3,212,000 Cash Payments Acceleration of Equity (3) 12,773,328 1,311,111 1,311,111 5,200,000 8,350,000 8,350,000 5,200,000 5,200,000 1,311,111 1,311,111 12,773,328 12,773,328 420,000 37,177,341 37,177,341 43,953,115 43,953,115 64,811,780 65,231,780 63,237,554 58,037,554 58,026,443 43,953,115 12,773,328 15,155,402 15,155,402 13,487,185 18,799,547 29,115,893 Acceleration of Equity(3) 2,000,000 Insurance Benefits 1,111,111 1,111,111 4,070,000 4,070,000 4,070,000 1,111,111 1,111,111 2,000,000 480,000 17,036,707 17,036,707 Long-Term Cash Incentive (2) 8,212,000 Cash Payments David S. Wichmann 20,876,707 19,356,707 1,840,000 18,799,547 16,699,185 Total(4) Annual Cash Incentive (1) 1,300,000 17,401,884 18,209,149 Proposal 2 - Advisory Approval of the Company's Executive Compensation The Board of Directors recognizes the significant interest of shareholders in executive compensation matters. As required by the Exchange Act, we are seeking shareholders' views on our executive compensation philosophy and practices through an advisory vote on the following resolution at the Annual Meeting: "Resolved, that the shareholders approve, on an advisory basis, the compensation of the named executive officers, as disclosed in this proxy statement pursuant to the compensation disclosure rules of the SEC, including the Compensation Discussion and Analysis, the compensation tables and the related narrative disclosures." The Compensation Discussion and Analysis, the compensation tables and the related narrative disclosures appear on pages 30-65 of this proxy statement. As discussed in the Compensation Discussion and Analysis, the Board of Directors believes that our executive compensation program attracts and retains highly qualified executives while linking executive compensation directly to Company-wide performance and long-term shareholder interests. In deciding how to vote on this proposal, the Board of Directors asks you to consider the key points with regard to our executive compensation program included in the Compensation Discussion and Analysis and in the "Executive Summary" section on pages 28-65 of this proxy statement. This advisory proposal, commonly referred to as a "Say-on-Pay" proposal, is not binding on the Board of Directors. Although the voting results are not binding, the Board and the Compensation Committee will review and consider them when evaluating our executive compensation program. More than 95% of the votes cast were in favor of our executive compensation program at each of our annual meetings since our inaugural vote in 2011. An advisory vote regarding the frequency of future Say-on-Pay votes is included as Proposal 3 for this Annual Meeting. In addition to our annual advisory vote to approve the Company's executive compensation, we are committed to ongoing engagement with our shareholders on executive compensation and corporate governance issues. These engagement efforts take place throughout the year where appropriate through meetings, telephone calls and correspondence involving our senior management, directors and representatives of our shareholders. For these reasons, the Board of Directors recommends that you vote FOR approval of the compensation of the named executive officers, as disclosed in this proxy statement. Executed proxies will be voted FOR approval of the compensation of the named executive officers unless you specify otherwise. 66 99 2/9/2016 12/14/2016 Stephen J. Hemsley Larry C. Renfro Value Realized on Vesting Market Price at Vesting Shares Acquired on Vesting Vesting Date Date of Award 2/12/2014 12/31/2016 44,207 160.04 7,074,888 Marianne D. Short Information 2/12/2014 29,472 160.04 4,716,699 (5) Reflects the cancellation on December 14, 2016 of RSUs for the payment of FICA tax liability. The value realized was computed based on a closing stock price of $159.86 on December 14, 2016. Number of Name 12/31/2016 Meeting 5 4 Committee Matters Meeting 5 4 Committee Matters Other Annual Executive Compensation Information 3 2 Board of Directors 1 Audit 64 (1) Represents the maximum amount the Compensation Committee may in its discretion determine, but is not required, to pay the executive officer (or the executive officer's estate, if applicable) based upon a prorated portion of the award that the executive officer would have received but for his or her death, disability or retirement, calculated at the achievement of the maximum performance target, as more fully described in footnote 2 to the 2016 Grants of Plan-Based Awards table. For the purposes of this table, the potential amounts have not been prorated because the table assumes a death, disability or retirement as of December 31, 2016. Corporate Governance 19,562,667 18,042,667 2,407,265 (2) With respect to "Death,” “Disability” and “Retirement,” represents the maximum amount the Compensation Committee may in its discretion determine, but is not required, to pay the executive officer (or the executive officer's estate, if applicable) based upon the portion of the incentive periods the executive officer served prior to death, disability or retirement and measurement of Company and executive performance based on performance through the end of the fiscal year of the Company which ends closest to the executive officer's date of death, disability or retirement, calculated at the achievement of the maximum performance target, as more fully described in footnote 3 to the 2016 Grants of Plan-Based Awards table. With respect to "Change in Control," represents the amount payable by the Company or its successor to each executive officer (or to be credited to the named executive officer's account in the Company's Executive Savings Plan if a timely deferral election is in effect), which is a prorated portion of the maximum long-term cash incentive award for which the executive officer is eligible for the 2015-2017 and 2016-2018 performance periods. (ii) intrinsic value of the unvested stock options, which is calculated based on the difference between the closing price of our stock on December 31, 2016 ($160.04) and the exercise or grant price of the unvested stock options as of that date, and (iii) the number of performance shares earned if target performance is achieved multiplied by the closing stock price on December 31, 2016 ($160.04). If maximum performance is achieved for the performance shares, the amounts for Acceleration of Equity would be (a) for "For Good Reason or Not for Cause," $57,549,953 for Mr. Hemsley; $16,976,057 for Mr. Rex, $38,713,652 for Mr. Wichmann; $43,522,192 for Mr. Renfro; and $19,651,455 for Ms. Short; (b) for "Death” and “Disability," $43,998,406 for Mr. Hemsley; $18,762,738 for Mr. Rex, $33,956,602 each for Messrs. Wichmann and Renfro; and $17,417,087 for Ms. Short; (c) for "Retirement," $57,549,953 for Mr. Hemsley; and $43,522,192 for Mr. Renfro; and (d) for "Change in Control," $57,549,953 for Mr. Hemsley; $22,288,419 for Mr. Rex; $43,522,192 each for Messrs. Wichmann and Renfro; and $21,910,050 for Ms. Short. Other Annual Executive Compensation 3 Corporate Governance Directors (3) Represents the (i) unvested RSUs multiplied by the closing stock price on December 31, 2016 ($160.04), 2 Board of Audit 65 99 (4) Does not include value of benefits, plans or arrangements that would be paid or available following termination of employment that do not discriminate in scope, terms or operation in favor of our executive officers and that are generally available to all salaried employees or accrued balances under any non-qualified deferred compensation plan that is described above. For "For Good Reason or Not for Cause," the amount includes the value of unvested equity awards held by the named executive officer that will not immediately vest upon termination but will continue to vest through any applicable severance. For "Retirement," the amount includes the value of certain unvested equity awards granted in 2013, 2014, 2015 and 2016 that will continue to vest and be exercisable for a period of five years (but not after the award's expiration date). The value of the awards that will not immediately vest is based on their intrinsic values on December 31, 2016. However, because these awards would continue to vest after termination of employment or retirement, the actual value the named executive officer would receive is not determinable. At December 31, 2016, Messrs. Hemsley and Renfro had met the retirement eligibility provisions. 1 Meeting Information Board of Supporting Statement We encourage transparency in the use of corporate funds to influence legislation and regulation. UnitedHealth spent $5.25 million in 2014 and 2015 on federal lobbying. This figure does not include lobbying expenditures to influence legislation in states, where UnitedHealth also lobbies in 43 states ("Amid Federal Gridlock, Lobbying Rises in the States," Center for Public Integrity, February 11, 2016), but disclosure is uneven or absent. UnitedHealth also lobbies abroad, and its lobbying in England has attracted media scrutiny ("Calls for Greater Disclosure on NHS Chiefs' Meetings with Private US Health Insurer," The Guardian, August 30, 2014). Unlike its peers Aetna, Anthem, CIGNA and Humana, UnitedHealth does not disclose its memberships in, or payments to, trade associations, or the amounts used for lobbying. United Health will disclose its nondeductible trade association payments used for political contributions, but this does not include payments used for lobbying. This leaves a serious disclosure gap, as trade associations generally spend far more on lobbying than on political contributions. Absent a system of accountability and disclosure, corporate assets may be used for objectives that pose risks to the company. For example, UnitedHealth has previously made undisclosed trade association payments that were used for lobbying ("Insurers Gave U.S. Chamber $86 Million Used to Oppose Obama's Health Law," Bloomberg, November 17, 2010). Transparent reporting would reveal whether company assets are being used for objectives contrary to UnitedHealth's long-term interests. Board of Directors' Recommendation The Board of Directors unanimously recommends a vote AGAINST the foregoing proposal for the following reasons: We have carefully considered this proposal and have concluded that it is not in the best interests of the Company and our shareholders and is redundant with existing comprehensive state and federal public disclosure requirements. Background We have, as a company, an obligation to our customers, the care providers with whom we partner and our shareholders to engage with policymakers. In this regard, we undertake efforts to inform public policymakers at the international, federal and state levels in an effort to improve the quality, sustainability, and delivery of health care, the outcomes of which affect our customers, care providers, employees, and the communities in which we operate. We engage people across the political spectrum through our activities, including advocacy efforts and thought leadership activities, educational outreach and campaign contributions. This shareholder proposal relates to three components of the Company's activities: transparency of the Company's positions on public policy, and related policies and procedures; advocacy efforts including membership in different groups; and lobbying costs, both direct and indirect. As detailed below, our positions and advocacy efforts are 73 Audit The report shall be presented to the Audit Committee or other relevant oversight committees and posted on UnitedHealth's website. Board of 2 Directors Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 6 Meeting Information already well disclosed, and our disclosures regarding our expenditures which are far below material financial levels exceed applicable state and federal requirements. - 1 Advocacy Activities Other Information 5 Meeting Information ANNUAL MEETING Proposal 5 Disclosure - Shareholder Proposal Regarding Lobbying We have been informed that the Comptroller of the State of New York intends to introduce the proposal set forth below at the Annual Meeting. In accordance with SEC rules, the text of the proposal is printed verbatim from the submission. The Company will provide to shareholders the address and reported holdings of the Company's common stock for the proposal sponsor promptly upon receiving an oral or written request. The Board of Directors has recommended a vote against this proposal for the reasons set forth following the proposal. Shareholder Proposal - Lobbying Disclosure Whereas, we believe full disclosure of UnitedHealth's direct and indirect lobbying activities and expenditures is required to assess whether UnitedHealth's lobbying is consistent with its expressed goals and in the best interests of shareholders. Resolved, the shareholders of UnitedHealth Group Incorporated ("UnitedHealth") request the preparation of a report, updated annually, disclosing: 1. Company policy and procedures governing lobbying, both direct and indirect, and grassroots lobbying communications. 2. Payments by UnitedHealth used for (a) direct or indirect lobbying or (b) grassroots lobbying communications, in each case including the amount of the payment and the recipient. Meeting 3. UnitedHealth's membership in and payments to any tax-exempt organization that writes and endorses model legislation. Description of the decision making process and oversight by management and the Board for making payments described in section 2 and 3 above. For purposes of this proposal, a "grassroots lobbying communication" is a communication directed to the general public that (a) refers to specific legislation or regulation, (b) reflects a view on the legislation or regulation and (c) encourages the recipient of the communication to take action with respect to the legislation or regulation. "Indirect lobbying" is lobbying engaged in by a trade association or other organization of which UnitedHealth is a member. Both "direct and indirect lobbying" and "grassroots lobbying communications" include efforts at the local, state and federal levels. 72 Audit 1 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 4. Lobbying activities are led by our Government Affairs group and subject to oversight by senior management. In addition, the Public Policy Committee of our Board of Directors oversees this function, including our health care reform and modernization activities, political contributions, government relations, community and charitable activities, third-party activities such as trade associations and industry group involvement, corporate social responsibility, as well as overseeing the risks associated with these activities. The Public Policy Committee of the Board of Directors receives, at each meeting, regular reports from management on these matters and reviews the purpose and results of the activities. The Committee then provides detailed reports to the full Board of Directors at each in-person meeting. We comply fully with all state and federal laws concerning the disclosure of our lobbying activities and expenses including disclosures that are publicly available and which provide extensive detail regarding expenses and the nature of our lobbying activities. All proposed political contributions go through a legal and business approval process designed to ensure compliance with applicable federal and state campaign finance requirements, internal policies and, in the case of contributions from our PACs, applicable PAC's bylaws. All contributions must reflect the Company's interests and not those of its individual officers or directors. No campaign contributions are given in anticipation of, in recognition of, or in return for, an official act. Legislative and Regulatory Priorities 5 6 Meeting Information Questions and Answers About the Annual Meeting and Voting 1. What is the purpose of the Annual Meeting? At the Annual Meeting, shareholders will act upon the matters outlined in the Notice of Annual Meeting of Shareholders. These include: • election of directors; • an advisory vote to approve our executive compensation (a "Say-on-Pay" vote); • an advisory vote regarding the frequency of holding future Say-on-Pay votes; 4 Committee Matters • • if properly presented, one shareholder proposal. Also, once the business of the Annual Meeting is concluded, management of the Company will give a business update. Management, Chairs of each standing Board committee and representatives of Deloitte & Touche LLP will be available to respond to questions from shareholders. 2. What is a proxy? It is your legal designation of another person to vote the stock you own in the manner you direct. That other person is called a proxy. If you designate someone as your proxy in a written document, that document also is called a proxy or a proxy card. We have designated Dannette L. Smith and Amy L. Schneider to serve as proxies for the Annual Meeting. The Board of Directors will use the proxies at the 2017 Annual Meeting of Shareholders. The proxies also may be voted at any adjournments or postponements of the meeting. 3. What is a proxy statement? The Company's Board of Directors is soliciting proxies for use at the 2017 Annual Meeting of Shareholders. A proxy statement is a document we give you when we are soliciting your vote pursuant to SEC regulations. 4. What is the difference between a shareholder of record and a shareholder who holds stock in street name? Shareholders of Record. If your shares are registered in your name with our transfer agent, Wells Fargo Shareowner Services, you are a shareholder of record with respect to those shares and the Notice of Internet Availability of Proxy Materials ("Notice") or the proxy materials were sent directly to you by Broadridge Financial Solutions. Street Name Holders. If you hold your shares in an account at a bank or broker, then you are the beneficial owner of shares held in “street name.” The Notice or proxy materials were forwarded to you by your bank or broker, who is considered the shareholder of record for purposes of voting at the Annual Meeting. As a beneficial owner, you have the right to direct your bank or broker on how to vote the shares held in your account. Audit 76 ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm; and Other Annual Executive Compensation Our advocacy and legislative priorities at the federal and state levels are publicly available in our "Modern, High-Performing, Simpler Health Care System," including detailed information about our positions on health care reform and other public policy issues. It is all available on our website. In 2009, the Company formed the Center for Health Reform & Modernization to facilitate communication of new ideas to contain health care costs and improve quality and care. Drawing on the Company's expertise, data and extensive external experience and partnerships, the Center for Health Reform & Modernization analyzes key health care issues, develops and offers innovative policies and practical solutions for the health care challenges facing our nation. We share this information freely and openly in the U.S. and internationally with the public, policymakers, academics, researchers, care providers, health plans, employers and other key health care stakeholders. All such information is also publicly available on our website at www.unitedhealthgroup.com/About/Modernization.aspx. Trade Association Activity We believe that it is in the best interests of our Company and our shareholders to belong to certain selected trade associations, industry coalitions, and other such groups when it will benefit the business. We have stated publicly that, in the normal course of business, we do not always agree with all positions taken by these groups. We offer a Political Contributions report on our website and, for those trade associations to which we paid dues in excess of $50,000, our 2016 report includes the amounts that are not deductible under Section 162(e) of the Internal Revenue Code. 74 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 6 Meeting 3 Corporate Governance 2 1 Board of Audit 5 75 For these reasons, the Board of Directors recommends that you vote AGAINST this proposal. Executed proxies will be voted AGAINST this proposal unless you specify otherwise. Our shareholders were presented with substantially similar proposals at our 2014, 2013 and 2012 annual meetings. Over these three years, the highest proportion of favorable votes was 23.49%, and, accordingly, none of the proposals passed. In the shareholder supporting statement for this Annual Meeting, the proponent provides no new compelling arguments in support of a substantially similar proposal. Shareholders did not Approve Similar Proposals in Prior Years Our expenses related to political and lobbying activities are not financially significant. In 2016, our total expenditures for all such activities, even using an overly broad definition, were significantly less than one tenth of one percent of our total operating costs. Therefore, we do not believe that an additional line-item disclosure of such amounts would be beneficial to our investors, and the cost of doing so would far exceed any perceived advantage. Accordingly, the Board does not believe that implementing this proposal is in the best interests of the Company or our shareholders. Our Lobbying-Related Expenditures are not Financially Material Other Information 15 4 Committee Matters Directors 3 The Audit Committee has responsibility for selecting and evaluating the independent registered public accounting firm, which reports directly to the Audit Committee, overseeing the performance of the Company's internal audit function, and assisting the Board of Directors in its oversight of enterprise risk management including privacy and data security. Management has primary responsibility for the Company's consolidated financial statements and the overall reporting process, for maintaining adequate internal control over financial reporting and, with the assistance of the Company's internal auditors, for assessing the effectiveness of the Company's internal control over financial reporting. Deloitte & Touche LLP ("Deloitte") has served as the Company's independent registered public accounting firm since 2002. While it is not the duty of the Audit Committee to plan or conduct audits, the Audit Committee engages with the Company's independent registered public accounting firm and the internal auditors regarding the overall scope and plans for their respective audits. The Company's independent registered public accounting firm is responsible for performing an independent audit of the Company's consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States), expressing an opinion as to the conformity of the consolidated financial statements with generally accepted accounting principles in the United States of America, and auditing management's assessment of the effectiveness of internal control over financial reporting. The Audit Committee's responsibility is to monitor and oversee these processes. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The Audit Committee meets regularly with the internal auditors and independent registered public accounting firm, with and without management present, to discuss the results of their examinations, the evaluation of the Company's internal control over financial reporting and the overall quality of the Company's accounting. The Audit Committee has adopted a Policy for Approval of Independent Auditor Services (the "Policy") outlining the scope of services that the independent registered public accounting firm may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining the independent registered public accounting firm to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services that may not be performed by the independent registered public accounting firm under any circumstances. Pursuant to these guidelines, the Audit Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. 68 Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 The Audit Committee of our Board of Directors is comprised of three non-employee directors, all of whom are audit committee financial experts, as defined by the SEC. The Board of Directors has determined that all of the members of the Audit Committee are independent within the meaning of the listing standards of the NYSE, the rules of the SEC and the Company's Standards for Director Independence. The Audit Committee operates under a written charter adopted by the Board of Directors which you may access in the corporate governance section of our website at www.unitedhealthgroup.com/About/Corporate Governance.aspx. Meeting Management represented to the Audit Committee that the Company's consolidated financial statements were prepared in accordance with generally accepted accounting principles. The Audit Committee has reviewed and discussed with management and Deloitte in separate sessions the Company's consolidated financial statements for the years ended December 31, 2016, December 31, 2015 and December 31, 2014, management's annual report on the Company's internal control over financial reporting and Deloitte's attestation. The Audit Committee also discussed with management and Deloitte the process used to support certifications by the Company's CEO and CFO that are required by the SEC and the Sarbanes-Oxley Act of 2002 to accompany the Company's periodic filings with the SEC and the process used to support management's annual report on the Company's internal controls over financial reporting. The Audit Committee discussed with Deloitte matters required to be discussed by the applicable Public Company Accounting Oversight Board standards and Rule 2-07 of Regulation S-X. Deloitte also provided to the Audit Committee the written disclosures and the letter required by applicable requirements of the Public Company Accounting Oversight Board regarding Deloitte's communications with the Audit Committee concerning independence, and the Audit Committee discussed with Deloitte the accounting firm's independence. In considering the independence of Deloitte, the Audit Committee took into consideration whether the provision of non-audit services is compatible with maintaining the independence of Deloitte. In connection with its selection of Deloitte as the Company's independent registered public accounting firm for the year ending December 31, 2017, the Audit Committee conducted a performance evaluation of Deloitte's services. Based upon the Audit Committee's review of the financial statements, independent discussions with management and Deloitte, and the Audit Committee's review of the representation of management and the report of the independent registered public accounting firm to the Audit Committee, and subject to the limitations of the Audit Committee's role, the Audit Committee recommended to the Board of Directors that the audited consolidated financial statements for the years ended December 31, 2016, December 31, 2015 and December 31, 2014 be included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2016 filed with the SEC. Members of the Audit Committee* Glenn M. Renwick, Chair Robert J. Darretta Michele J. Hooper This report was approved by the Audit Committee prior to Mr. Burke becoming a member of the Audit Committee. 69 69 Audit Board of 1 2 Information Directors Audit Committee Report Other Information 1 2 Compensation Directors Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 Meeting - Proposal 3 Advisory Approval Regarding the Frequency of Holding Future Say-on-Pay Votes AUDIT COMMITTEE MATTERS As part of its commitment to understanding shareholder sentiment on the Company's executive compensation philosophy and practices, the Board of Directors is seeking shareholders' views on how frequently the Company should submit executive compensation for consideration by shareholders. Currently our shareholders vote on the Company's executive compensation every year. Shareholders may cast an advisory vote on whether to hold future advisory votes on executive compensation every one, two or three years or abstain. After careful consideration, the Board of Directors is recommending that shareholders approve continuing to hold a Say-on-Pay vote EVERY YEAR. The Board of Directors recommends that you vote to hold future Say-on-Pay votes EVERY YEAR. Proxies will be voted to hold future Say-on-Pay votes EVERY YEAR unless you specify otherwise. 20 67 1 Board of Directors 2 Corporate Governance Executive Annual 3 Compensation 4 Committee Matters 5 Meeting The Board of Directors believes holding an annual advisory vote on executive compensation is a best practice and is consistent with its policy of seeking regular input from shareholders on corporate governance matters and the Company's executive compensation philosophy and practices. This vote is not binding but rather will provide the Compensation Committee with shareholders' views on how frequently they desire to consider executive compensation. Although the vote is advisory, the Compensation Committee will take into account the outcome of the vote when considering how frequently the Company will submit executive compensation to a shareholder vote. Notwithstanding the outcome of the shareholder vote, the Board may in the future decide to conduct advisory votes on a more or less frequent basis and may vary its practice based on factors such as discussions with shareholders or the adoption of material changes to compensation programs. Corporate Governance Audit Annual 70 Audit Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information has delegated authority to the Chair of the Audit Committee to pre-approve permitted audit and non-audit services between regularly scheduled quarterly Audit Committee meetings, provided that such pre-approvals are presented to the Audit Committee at its next scheduled meeting. All fees reported above were approved pursuant to the Policy. The services provided by our independent registered public accounting firm and related fees are discussed with the Audit Committee, and the Policy is evaluated and updated periodically by the Audit Committee. - 10 Ratification of Independent Registered Public The Audit Committee is directly responsible for the appointment, evaluation, compensation, retention and oversight of the independent registered public accounting firm retained to audit the Company's financial statements. The Audit Committee has appointed Deloitte & Touche LLP ("Deloitte”) as our independent registered public accounting firm for the year ending December 31, 2017. Deloitte has been retained as our independent registered public accounting firm since 2002. The Audit Committee is responsible for approving audit fees associated with the retention of Deloitte. In order to assure continuing auditor independence, the Audit Committee periodically considers whether there should be a regular rotation of our independent registered public accounting firm. Further, as part of the Audit Committee's assessment of Deloitte and in conjunction with the mandated rotation of the audit firm's lead engagement partner, in November 2015, the Audit Committee interviewed candidates to become Deloitte's new lead engagement partner and following those interviews, selected the individual who will become the new lead engagement partner in 2017. The Board of Directors has proposed that shareholders ratify the appointment of Deloitte at the Annual Meeting. If shareholders do not ratify the appointment of Deloitte, the Audit Committee will reconsider the appointment but is not obligated to appoint another independent registered public accounting firm. The Audit Committee evaluates, at least every three years, whether to rotate our independent registered public accounting firm. Annual The Board of Directors recommends that you vote FOR ratification of the appointment of Deloitte as our independent registered public accounting firm for the year ending December 31, 2017. Executed proxies will be voted FOR ratification of this appointment unless you specify otherwise. 71 Audit Board of 1 2 Directors Corporate Governance Executive Executive Other Proposal 4 Accounting Firm The Audit Committee has adopted a Policy for Approval of Independent Auditor Services (the "Policy") outlining the scope of services that Deloitte & Touche may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining Deloitte & Touche to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services that may not be performed by Deloitte & Touche under any circumstances. Pursuant to these guidelines, the Audit Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. The Audit Committee Representatives of Deloitte are expected to be present at the meeting, will have an opportunity to make a statement and will be available to respond to questions from shareholders. The Audit Committee has reviewed the nature of non-audit services provided by Deloitte & Touche and has concluded that these services are compatible with maintaining the firm's ability to serve as our independent registered public accounting firm. 2015 2016 $19,691,000 Year Total Audit and Audit-Related Fees Audit-Related Fees (1) Fee Category Audit Fees $17,576,000 Disclosure of Fees Paid to Independent Registered Public Accounting Firm Meeting 5 3 Audit and Non-Audit Services Approval Policy Compensation 4 Committee Matters Other Information 4,037,000 Aggregate fees billed to the Company for the fiscal years ended December 31, 2016 and 2015 represent fees billed by the Company's principal independent registered public accounting firm, Deloitte & Touche LLP, the member firms of Deloitte Touche Tohmatsu, and their respective affiliates, which includes Deloitte Consulting (collectively, "Deloitte & Touche"). The Audit Committee pre-approved the audit and non-audit services provided in the years ended December 31, 2016 and 2015 by Deloitte & Touche, as reflected in the table below. $23,728,000 Audit Committee's Consideration of Independence of Independent Registered Public Accounting Firm (2) Tax Fees include tax compliance, planning and support services. In 2016 and 2015 approximately $285,000 and $439,000, respectively, of Tax Fees were related to international tax services, and in 2016 approximately $4,447,000 of Tax Fees were for business model operating design services. In 2016 and 2015 approximately $109,000 and $148,000, respectively, of Tax Fees were related to tax compliance (review and preparation of corporate and expatriate tax returns, review of the tax treatment for certain expenses and claims for refunds). (3) All Other Fees include consulting fees and fees relating to communications training. 4,501,000 $29,373,000 $23,542,000 Total All Other Fees (3) Tax Fees (2) (1) Audit-Related Fees for 2016 and 2015 include benefit plan and other required audits, an audit of one of our subsidiaries, certain AICPA agreed-upon procedures and due diligence services. 623,000 204,000 842,000 5,441,000 $22,077,000 vote against a nominee; or • abstain from voting with respect to a nominee. A director nominee will be elected if the number of votes cast "for" the nominee exceeds the number of votes cast "against" the nominee. To address a provision in Delaware law that allows a director who has not been re-elected to remain in office until a successor is elected and qualified, we have a policy requiring any director who does not receive a greater number of votes “for” than “against” his or her election in an uncontested election to tender his or her resignation from the Board of Directors following certification of the shareholder vote. Under this policy, the Board of Directors will determine whether to accept or reject the offer to resign within 90 days of certification of the shareholder vote. The text of this policy appears in our Principles of Governance, which is available on our website at www.unitedhealthgroup.com. 80 60 Audit Board of Directors Information Meeting • Corporate Governance 3 Executive Compensation 6 Annual Other 4 Committee Matters 5 2 vote in favor of a nominee; We hold the votes of all shareholders in confidence from directors, officers and employees except: In the vote on the election of director nominees, shareholders may: Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 6 Meeting Information • 14. Are votes confidential? Who counts the votes? ⋅ as necessary to meet applicable legal requirements and to assert or defend claims for or against the Company; in the case of a contested proxy solicitation; if a shareholder makes a written comment on the proxy card or otherwise communicates his or her vote to management; or • to allow the independent inspectors of the election to certify the results of the vote. We have retained Broadridge Financial Solutions to tabulate the votes. We have retained Carl T. Hagberg & Associates to act as independent inspector of the election. 15. How may I confirm my vote was counted? We are offering our shareholders the opportunity to confirm their votes were cast in accordance with their instructions. Vote confirmation is consistent with our commitment to sound corporate governance standards and an important means to increase transparency. Beginning May 22, 2017 and for up to two months after the Annual Meeting, you may confirm your vote beginning 24 hours after your vote is received, whether it was cast by proxy card, electronically or telephonically. To obtain vote confirmation, log onto www.proxyvote.com using your control number (located on your Notice or proxy card) and receive confirmation on how your vote was cast. If you hold your shares through a bank or brokerage account, the ability to confirm your vote may be affected by the rules of your bank or broker and the confirmation will not confirm whether your bank or broker allocated the correct number of shares to you. 16. What are my choices when voting for director nominees and what vote is needed to elect directors? • 17. What are my choices when voting on each of the other proposals considered at the Annual Meeting? Board of Directors • Audit 1 2 Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 6 Meeting Information 20. What if I do not specify a choice for a matter when returning a proxy? Shareholders should specify their choice for each matter in the manner described in the Notice or on their proxy card. If no specific instructions are given, proxies that are signed and returned will be voted: • FOR the election of all director nominees; • FOR the advisory approval of our executive compensation; 2 • 81 The Board of Directors recommends a vote AGAINST the shareholder proposal regarding lobbying disclosure. • The Board of Directors recommends a vote FOR ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm. vote for the proposal; • vote against the proposal; or • abstain from voting on the proposal. For the proposal regarding the frequency of holding future Say-on-Pay votes, shareholders may: • vote for every year; vote for every two years; • For each of the other proposals, other than the proposal regarding the frequency of holding future Say-on-Pay votes, shareholders may: vote for every three years; or abstain from voting on the proposal. 18. What vote is needed to approve each of the other proposals? The proposal to ratify the appointment of Deloitte & Touche LLP as our independent registered public accounting firm and the shareholder proposal must be approved by the holders of a majority of the shares of common stock present and entitled to vote in person or by proxy at the Annual Meeting in order to pass. For the advisory vote to approve our executive compensation and the advisory vote regarding the frequency of future Say-on-Pay votes, there is no minimum approval necessary for either proposal since these are advisory votes; however, the Board of Directors will consider the results of the advisory votes when considering future decisions related to such proposals. 19. What is the Board's recommendation with regard to each proposal? The Board of Directors makes the following recommendation with regard to each proposal: • • The Board of Directors recommends a vote FOR each of the director nominees. The Board of Directors recommends a vote FOR advisory approval of the Company's executive compensation. The Board of Directors recommends a vote to hold the Say-on-Pay vote EVERY YEAR (vote for "One Year"). • Board of Directors Annual 79 77 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation 4 Committee Matters 5 Meeting Other Information Please note that use of cameras, phones or other similar electronic devices and the bringing of large bags, packages or sound or video recording equipment will not be permitted in the meeting room. Attendees will also be required to comply with meeting guidelines and procedures that will be available at the meeting. A copy of the meeting guidelines and procedures is also available on our website at www.unitedhealthgroup.com/Investors/Annual Meeting.aspx. 8. How can I vote at the Annual Meeting if I own shares in street name? If you are a street name holder, you may not vote your shares at the Annual Meeting unless you obtain a legal proxy from your bank or broker. A legal proxy is a bank's or broker's authorization for you to vote the shares it holds in its name on your behalf. To obtain a legal proxy, please contact your bank or broker for further information. 9. What shares are included on the Notice, proxy card or voting instruction form? If you are a shareholder of record, you will receive only one Notice or proxy card for all the shares of common stock you hold: Street Name Holders. If you hold your shares in street name, bring with you to the Annual Meeting valid photo identification and your most recent brokerage statement or a letter from your broker or other nominee indicating that you hold our shares. We will use that statement or letter to verify your ownership of common stock and admit you to the Annual Meeting; however, you will not be able to vote your shares at the Annual Meeting without a legal proxy, as described in Question 8. Shareholders of Record. If you are a shareholder of record and received a Notice, the Notice is your admission ticket. If you are a shareholder of record and received proxy materials by mail, your admission ticket is attached to your proxy card. You will need to bring the Notice or the admission ticket and valid photo identification with you to the Annual Meeting in order to be admitted to the meeting. Only our shareholders are entitled to attend the meeting. The procedure you must follow in order to attend the meeting depends on whether you are a shareholder of record or a street name holder of our common stock. To attend the Annual Meeting, you will need to bring an admission ticket and valid photo identification. • 2 Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 6 in certificate form; Meeting 5. How many shares must be present to hold the Annual Meeting? In order to conduct the Annual Meeting, holders of a majority of the shares entitled to vote as of the close of business on the record date must be present in person or by proxy. This constitutes a quorum. Your shares are counted as present if you attend the Annual Meeting and vote in person, if you vote your proxy over the Internet or by telephone, or by mail. Abstentions and broker non-votes will be counted as present for purposes of establishing a quorum. If a quorum is not present, we will adjourn the Annual Meeting until a quorum is obtained. 6. How can I access the proxy materials for the Annual Meeting? Shareholders may access the proxy materials, which include the Notice of Annual Meeting of Shareholders, Proxy Statement (including a form of proxy card) and Annual Report for the year ended December 31, 2016 on the Internet at www.unitedhealthgroup.com/proxymaterials. We will also provide a hard copy of any of these documents free of charge upon request to: UnitedHealth Group Incorporated, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. Instead of receiving future copies of our proxy materials by mail, you can elect to receive an e-mail that will provide electronic links to these documents. Opting to receive your proxy materials online will save the cost of producing and mailing documents to your home or business, will give you an electronic link to the proxy voting site and will also help preserve environmental resources. Shareholders of Record. If you vote on the Internet at www.proxyvote.com, simply follow the prompts for enrolling in the electronic proxy delivery service. You also may enroll in the electronic proxy delivery service at any time by going directly to www.unitedhealthgroup.com and following the enrollment instructions. Street Name Holders. If you hold your shares in a bank or brokerage account, you also may have the opportunity to receive the proxy materials electronically. Please check the information provided in the proxy materials you receive from your bank or broker regarding the availability of this service. 7. How do I attend the Annual Meeting? What do I need to bring? Information Audit • • The record date for the Annual Meeting is April 11, 2017. Only owners of record of shares of common stock of the Company at the close of business on the record date are entitled to notice of and to vote at the Annual Meeting, or at any adjournments or postponements of the Annual Meeting. On April 11, 2017, there were 964,110,164 shares of common stock issued, outstanding and entitled to vote. Each owner of record on the record date is entitled to one vote for each share of common stock held. The record date was established by our Board of Directors as required by the Delaware General Corporation Law. Owners of record of common stock at the close of business on the record date are entitled to: • receive notice of the Annual Meeting; and • vote at the Annual Meeting and any adjournments or postponements of the Annual Meeting. 13. If I submit a proxy, may I later revoke it and/or change my vote? Shareholders of record may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: • ⋅ signing another proxy card with a later date and delivering it to an officer of the Company before the Annual Meeting; voting again over the Internet or by telephone prior to 11:59 p.m., Eastern Time, on June 4, 2017; • voting at the Annual Meeting; or notifying the Secretary to the Board of Directors in writing before the Annual Meeting. Street name holders may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: • • submitting new voting instructions in the manner provided by your bank or broker; or contacting your bank or broker to request a legal proxy in order to vote your shares in person at the Annual Meeting. 12 12. What is the record date and what does it mean? The Notice is not a proxy card and it cannot be used to vote your shares. In Person. All shareholders of record may vote in person at the Annual Meeting. Street name holders may vote in person at the Annual Meeting if they have a legal proxy, as described in Question 8. By Telephone or Internet. All shareholders of record can vote by telephone from the United States and Canada, using the toll-free telephone number on the proxy card, or through the Internet using the procedures and instructions described on the Notice or proxy card. Street name holders may vote by Internet or telephone if their bank or broker makes those methods available, in which case the bank or broker will enclose the instructions with the proxy materials. The Internet and telephone voting procedures are designed to authenticate shareholders' identities, allow shareholders to vote their shares and to confirm that their instructions have been properly recorded. in any Company benefit plan. If you hold your shares in street name, you will receive one Notice or voting instruction form for each account you have with a bank or broker. If you hold shares in multiple accounts, you may need to provide voting instructions for each account. If you hold shares in our 401(k) savings plan and do not vote your shares or specify your voting instructions on your proxy card, the administrators of the 401(k) savings plan will vote your 401(k) plan shares in the same proportion as the shares for which they have received voting instructions. To allow sufficient time for voting by the 401(k) administrators, your voting instructions must be received by 11:59 p.m. Eastern Time on May 31, 2017. 10. How can I listen to the live webcast of the Annual Meeting? You can listen to the live webcast of the Annual Meeting by logging on to our website at www.unitedhealthgroup.com and clicking on "Investors" and then on the link to the webcast. An archived copy of the webcast will also be available on our website for 14 days following the Annual Meeting. 11. What different methods can I use to vote? By Written Proxy. All shareholders of record who received proxy materials by mail can vote by written proxy card. If you received a Notice or the proxy materials electronically, you may request a proxy card at any time by following the instructions on the Notice or on the voting website. If you are a street name holder, you will receive instructions on how you may vote from your bank or broker, unless you previously enrolled in electronic delivery. 78 Audit in book-entry form; and Board of 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information 1 • Gail R. Wilensky, Ph.D. FOR the ratification of the appointment of Deloitte & Touche LLP as the Company's independent registered public accounting firm; and 0 28,995 * Board of Directors 55,175(2) 50,930 106,105 Stephen J. Hemsley 3,209,326(5)(6) 527,375 3,736,701 * John F. Rex David S. Wichmann Larry C. Renfro 32,378 187,196 * 219,574 615,431(5) 722,601 28,995(2) Kenneth I. Shine, M.D. * 76,223 42,488(2)(4) 56,621 2,107,051 99,109 * 0 0 0 * Michele J. Hooper 1,338,032 30,941(2) 65,941 * Rodger A. Lawson 26,542(2) 0 * 26,542 Glenn M. Renwick 42,294(2) 33,929 35,000 Timothy P. Flynn * 154,813 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information and other members of management. Pledges that existed prior to the policy's adoption in November 2012 have been grandfathered. Mr. Darretta continues to satisfy our stock ownership guidelines when pledged shares are excluded from his individual holdings. The three-month average trading volume for the Company's common stock was 3,510,000 as of March 14, 2017. Mr. Darretta will cease serving on the Company's Board as of the date of the 2017 Annual Meeting. (5) Includes the following number of shares held in trust for the individuals pursuant to our 401(k) plan: Mr. Hemsley - 308.3995 shares; and Mr. Wichmann - 231.1102 shares. Pursuant to the terms of the 401(k) plan, a participant has sole voting power over his or her shares; however, the plan trustee votes all unvoted shares in the same proportions as the actual proxy votes submitted by plan participants. (6) Includes 79,813 DSUS, 24,000 shares held in a charitable foundation and 2,079,952 shares held in grantor retained annuity trusts, all of which are beneficially owned by Mr. Hemsley. (7) Includes the indirect holdings included in footnotes 3, 5 and 6. Householding Notice We have adopted "householding" procedures that allow us to deliver one Notice or single copies of proxy statements and annual reports to any household at which two or more shareholders reside who share the same last name or whom we believe to be members of the same family. Each registered shareholder living in that household will receive a separate proxy card if the householded proxy materials are received by mail. If you participate in householding but wish to receive a separate copy of the Notice, this proxy statement or our 2016 Annual Report to Shareholders, please notify us at: Secretary to the Board of Directors, UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, telephone (877) 536-3550. You may opt-in or opt-out of householding at any time by contacting our transfer agent, Wells Fargo Shareowner Services, at P.O. Box 64854, St. Paul, Minnesota 55164-0854, telephone (800) 468-9716. Your householding election will apply to all materials mailed more than 30 days after your request is received. Your participation in the householding program is encouraged. As an alternative to householding, you may choose to receive documents electronically. Instructions for electing electronic delivery are described in Question 6 of the "Questions and Answers About the Annual Meeting and Voting" section of this proxy statement. We have been notified that some banks and brokers will household proxy materials. If your shares are held in "street name" by a bank or broker, you may request information about householding from your bank or broker. Other Matters at Meeting In accordance with the requirements of advance notice described in our Bylaws, no shareholder nominations or shareholder proposals other than those included in this proxy statement will be presented at the 2017 Annual Meeting. We know of no other matters that may come before the Annual Meeting. However, if any matters calling for a vote of the shareholders, other than those referred to in this proxy statement, should properly come before the meeting, the persons named as proxies will vote on such matters according to their individual judgment. 98 86 3 Corporate Governance Directors 2 * 364,699 Marianne D. Short 64,017 105,133 169,150 All current directors, executive officers and director nominees as a group (16 individuals) 6,417,813 (7) 2,082,245 8,500,058 209,886 0.89% Less than 1%. (1) Unless otherwise noted, each person and group identified possesses sole voting and dispositive power with respect to the shares shown opposite such person's or group's name. Shares not outstanding but deemed beneficially owned by virtue of the right of an individual to acquire them within 60 days of March 14, 2017 are treated as outstanding only when determining the amount and percent owned by such individual or group. (2) Includes the following number of vested DSUs which are considered owned under the Company's stock ownership guidelines for directors: Mr. Ballard 21,091 DSUS; Mr. Burke 21,091 DSUS; Mr. Darretta 39,148 DSUS; Ms. Hooper - 27,571 DSUS; Mr. Lawson 19,542 DSUS; Mr. Renwick - 40,254 DSUs; Dr. Shine -28,422 DSUs; and Dr. Wilensky - 20,346 DSUs. ― (3) Includes 86,000 shares held in trust for the benefit of Mr. Burke's children. Mr. Burke does not have voting or dispositive power over these shares and disclaims beneficial ownership of these shares. (4) Includes 3,340 shares held by Mr. Darretta in a margin account for which no loans are outstanding. To discourage pledging shares of the Company's common stock, our insider trading policy requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers 85 95 Audit Board of 1 * Robert J. Darretta 59,860 1,957,191(2)(3) Other Shareholder Proposals for Presentation at the 2018 Annual Meeting (Advance Notice Provision). A shareholder proposal that is not submitted for inclusion in our proxy statement for our 2018 Annual Meeting pursuant to Section 3.04 of our Bylaws or SEC Rule 14a-8 and is sought to be presented at the 2018 Annual Meeting must comply with the "advance notice" deadlines in our Bylaws. As such, these shareholder proposals must be received no earlier than February 5, 2018, and no later than the close of business on March 7, 2018. These shareholder proposals must be in writing and received within the "advance notice" deadlines described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. These shareholder proposals must be in the form provided in our Bylaws and must include the information set forth in the Bylaws. If we do not receive a shareholder proposal and the required information by the "advance notice" deadlines described above, the proposal may be excluded from consideration at the 2018 Annual Meeting. The "advance notice" requirement described above supersedes the notice period in SEC Rule 14a-4(c)(1) of the federal proxy rules regarding the discretionary proxy voting authority with respect to such shareholder business. 25. How are proxies solicited and what is the cost? We bear all expenses incurred in connection with the solicitation of proxies. We have engaged D.F. King & Co., Inc., to assist with the solicitation of proxies for a base fee of $23,000 plus expenses. We will reimburse brokers, fiduciaries and custodians for their costs in forwarding proxy materials to beneficial owners of common stock. Our directors, officers and employees may also solicit proxies by mail, telephone and personal contact. They will not receive any additional compensation for these activities. 26. Where can I find more information about my voting rights as a shareholder? The SEC has an informational website that provides shareholders with general information about how to cast their vote and why voting should be an important consideration for shareholders. You may access that information at www.sec.gov/spotlight/proxymatters.shtml or at www.investor.gov. 83 Audit Board of 1 2 Directors Corporate Governance 3 Executive Compensation Annual Other 4 Committee Matters 5 6 Other Shareholder Proposals to Be Considered for Inclusion in the Company's Proxy Materials (SEC Rule 14a-8). To be considered for inclusion our proxy statement for our 2018 Annual Meeting, shareholder proposals submitted pursuant to SEC Rule 14a-8 must be received no later than December 22, 2017 and be submitted in accordance with Rule 14a-8. These shareholder proposals must be in writing and received by the deadline described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. If we do not receive a shareholder proposal by the deadline described above, the proposal may be excluded from our proxy statement for our 2018 Annual Meeting. Shareholder Director Nominations for Inclusion in the Company's Proxy Materials (Proxy Access). To be considered for inclusion in our proxy statement for our 2018 Annual Meeting, director nominations submitted pursuant to Section 3.04 of our Bylaws must be received at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors, no earlier than November 22, 2017 and no later than December 22, 2017, and must be submitted in accordance with Section 3.04 of our Bylaws. If we do not receive the information required by our Bylaws by the deadline described above, the director nominee will be excluded from our proxy statement for our 2018 Annual Meeting. 24. What are the deadlines for submitting director nominees and other shareholder proposals for the 2018 Annual Meeting? Other Information AGAINST the shareholder proposal regarding lobbying disclosure. 21. Are my shares voted if I do not provide a proxy? If you are a shareholder of record and do not provide a proxy, you must attend the Annual Meeting in order to vote. If you hold shares through an account with a bank or broker, your shares may be voted by the bank or broker on some matters if you do not provide voting instructions. Banks and brokers have the authority under NYSE rules to vote shares for which their customers do not provide voting instructions on routine matters. The ratification of Deloitte & Touche LLP as our independent registered public accounting firm is considered a routine matter. The other matters being voted on at the Annual Meeting are not considered routine and banks and brokers cannot vote shares without instruction on those matters. Shares that banks and brokers are not authorized to vote are counted as "broker non-votes." 22. How are abstentions and broker non-votes counted? Abstentions have no effect on the election of directors or the advisory vote regarding the frequency of holding future Say-on-Pay votes. Abstentions have the effect of an "AGAINST" vote on the advisory vote to approve our executive compensation, the ratification of the appointment of the Company's independent registered public accounting firm and the shareholder proposal. Broker non-votes have no effect on the vote for any matter at the meeting. 23. Does the Company have a policy about directors' attendance at the Annual Meeting of Shareholders? The Company expects directors to attend the Annual Meeting, absent a compelling reason. All of our directors attended the 2016 Annual Meeting. 88 82 Audit Meeting Board of 2 Directors Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 6 Meeting 1 Information Security Ownership of Certain Beneficial Owners and Management The following table provides information about shareholders known to us to beneficially own more than 5% of the outstanding shares of our common stock, based solely on the information filed by such shareholders in 2017 for the year ended December 31, 2016 on Schedule 13G under the Exchange Act. Corporate Governance 3 Executive Compensation Annual 4 Committee Matters 5 Meeting Other Information The following table provides information about the beneficial ownership of our common stock as of March 14, 2017 by each director and nominee for director, each named executive officer, and by all of our current directors, executive officers and director nominees as a group. As of March 14, 2017, there were 953,931,448 shares of our common stock issued, outstanding and entitled to vote. Name of Beneficial Owner or Directors Ownership of Common Stock Number of Shares Deemed Beneficially Owned as a Result of Equity Awards Exercisable or Vesting Within 60 Days of March 14, 2017 William C. Ballard, Jr. 70,391(2) 45,000 Percent of Common Total(1) Stock Outstanding 115,391 Richard T. Burke Identity of Group to hold the Say-on-Pay vote EVERY YEAR (for "One Year"); 2 Board of Amount and Nature of Percent of Beneficial Ownership 69,264,228 Class 7.30% Name and Address of Beneficial Owner BlackRock, Inc. (1) 55 East 52nd Street New York, New York 10055 The Vanguard Group (2) 100 Vanguard Boulevard Malvern, Pennsylvania 19355 1 FMR LLC (3) Boston, Massachusetts 02210 60,211,766 6.32% 56,567,442 5.94% (1) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by BlackRock, Inc. on January 27, 2017. BlackRock, Inc. reported having sole voting power over 59,468,643 shares and sole dispositive power over 69,264,228 shares. (2) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by The Vanguard Group on February 10, 2017. The Vanguard Group reported having sole voting power over 1,488,160 shares, shared voting power over 181,207 shares, sole dispositive power over 58,583,686 shares and shared dispositive power over 1,628,080 shares. (3) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by FMR LLC on February 14, 2017. FMR LLC reported having sole voting power over 6,186,045 shares and sole dispositive power over 56,567,442 shares. 84 Audit 245 Summer Street Audit • Corporate Governance Potential Payments Upon Termination or Change in Control CEO Pay Ratio - - Advisory Approval of the Company's Executive Proposal 2 Compensation 60 65 66 68 Executive Employment Agreements..... 88 Page Audit Committee Report Disclosure of Fees Paid to Independent Registered Public Accounting Firm .. 69 71 4 Audit Committee's Consideration of Independence of Independent Registered Public Accounting Firm ………...... 71 Audit and Non-Audit Services Approval Policy.. ¡ 59 2018 Non-Qualified Deferred Compensation 58 Communication with the Board of Directors 27 Executive Summary . 28 Compensation Discussion and Analysis 30 Compensation Committee Report.. 48 Compensation Committee Interlocks and Insider Participation.. 48 3 2018 Summary Compensation Table ….... 49 2018 Grants of Plan-Based Awards... 52 Outstanding Equity Awards at 2018 Fiscal Year-End... 55 2018 Option Exercises and Stock Vested. 56 Executive Compensation 2018 Pension Benefits 71 24 Audit 72 • Revenues increased 12% to $226.2 billion from $201.2 billion in 2017; 1 • • • • • • We are a diversified health care company whose mission is to help people live healthier lives and to help make the health system work better for everyone. UnitedHealth Group, Optum and UnitedHealthcare are actively engaged in helping to achieve the Triple Aim better health outcomes, lower costs and a better consumer experience. We put the needs of others first, one person at a time. In turn, we grow and earn the opportunity to serve more people in more ways, delivering exceptional returns for society and for our shareholders. We again achieved strong business results in 2018, including: • • Operating earnings increased 14% year-over-year to $17.3 billion; net earnings to UnitedHealth Group common shareholders increased to $12 billion; and cash flows from operations grew 16% year-over-year to $15.7 billion; Diluted earnings per share increased 14% to $12.19 per share from $10.72 in 2017. Adjusted earnings per share increased 28% to $12.88 per share from $10.07 per share in 2017; Return on equity was consistent with the prior year at 24.4% in 2018; Cumulative shareholder return for UnitedHealth Group, which is defined as the increase in stock price, together with dividends reinvested when paid, was 122% over the 2016-2018 time period and 258% over the 2014-2018 time period. Cumulative shareholder return for the S&P 500 Index was 30% over the 2016-2018 time period and 50% over the 2014-2018 time period; Our annual cash dividend rate increased to $3.60 per share, paid quarterly, representing a 20% increase over the annual cash dividend rate of $3.00 per share paid quarterly since the second quarter of 2017; UnitedHealth Group was the top ranked company in the insurance and managed care sector on Fortune's 2019 "World's Most Admired Companies" list. This is the ninth consecutive year UnitedHealth Group has ranked No. 1 overall in its sector. The Company ranked No. 1 on all nine key attributes of reputation innovation, people management, use of corporate assets, social responsibility, quality of management, financial soundness, long-term investment, quality of products and services and global competitiveness. The Company was rated No. 1 in innovation for the tenth consecutive year. UnitedHealth Group was named to both the Dow Jones Sustainability World and North America Indices for the 20th consecutive year; UnitedHealth Group was included among the 2018 Best Employers for Diversity by Forbes; UnitedHealth Group was named one of America's Most JUST Companies by JUST Capital and Forbes in 2018. The JUST 100 rankings measure how U.S. companies perform on issues Americans care about most, including worker pay and treatment, customer respect, product quality and environmental impact; and • ― Business Results This summary highlights information contained elsewhere in this proxy statement. We encourage you to review the entire proxy statement. Proposal 4- Shareholder Proposal Regarding Amendment to Proxy Access Bylaw....... 73 5 Annual Meeting 6 Other Information Questions and Answers About the Annual Meeting and Voting.. Security Ownership of Certain Beneficial Owners and Management Householding Notice ...... Other Matters at Meeting... Certain Relationships and Transactions Section 16(a) Beneficial Ownership Reporting Compliance…..... Appendix A - Reconciliation of Non-GAAP Financial Measures.. == 80% 0 0 0 2 2 88 87 86 86 76 84 89 Proxy Summary Proposal 3 Ratification of Independent Registered Public Accounting Firm... In the 2017-2018 Newsweek Green Rankings, created in partnership with Corporate Knights Capital and HIP Investor, UnitedHealth Group ranked in the top 10% out of the largest 500 U.S. companies in corporate sustainability and environmental impact. Board Committees.. Board Meetings and Annual Meeting Attendance.... Admission to the Annual Meeting Proxy Voting Webcast June 3, 2019 10:00 a.m. Central Time Lower Level Conference Center 300 North LaSalle Chicago, Illinois 60654 April 9, 2019. Only shareholders of record of the Company's common stock at the close of business on the record date are entitled to receive notice of, and to vote at the Annual Meeting and any adjournments or postponements of the meeting. Items of Business • • • Elect the eleven nominees set forth in the attached proxy statement to the Company's Board of Directors. Conduct an advisory vote to approve the compensation paid to the Company's named executive officers as disclosed in the attached proxy statement (a "Say-on-Pay" vote). Ratify the appointment of Deloitte & Touche LLP as the independent registered public accounting firm for the Company for the year ending December 31, 2019. Consider a shareholder proposal set forth in the attached proxy statement, if properly presented at the Annual Meeting. Transact other business that properly may come before the Annual Meeting or any adjournments or postponements of the meeting. To attend the Annual Meeting in person, you will need to bring an admission ticket and valid photo identification. You may attend the Annual Meeting by following the procedures described under Question 7 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. Important. Even if you plan to attend the Annual Meeting, we still encourage you to submit your proxy by Internet, telephone or mail prior to the meeting. If you later choose to revoke your proxy or change your vote, you may do so by following the procedures described under Question 13 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. You can listen to the live webcast of the Annual Meeting by visiting our website at www.unitedhealthgroup.com and clicking on "Investors" and then on the link to the webcast. See Question 10 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. • Record Date Location Time 1 April 19, 2019 UNITEDHEALTH GROUP 9900 Bren Road East, Minnetonka, Minnesota 55343 Dear Shareholder: We cordially invite you to attend our 2019 Annual Meeting of Shareholders. We will hold our meeting on Monday, June 3, 2019, at 10:00 a.m. Central Time in the lower level conference center at 300 North LaSalle, Chicago, Illinois 60654. As a shareholder of UnitedHealth Group, you play an important role in our company by considering and taking action on the matters set forth in the attached proxy statement. We appreciate the time and attention you invest in making thoughtful decisions. Attached you will find a notice of meeting and proxy statement containing further information about the items upon which you will be asked to vote and the meeting itself, including: • How to obtain admission to the meeting if you plan to attend; and • Different methods you can use to vote your proxy, including by Internet, telephone and mail. Every shareholder vote is important, and we encourage you to vote as promptly as possible. If you cannot attend the meeting in person, you may listen to the meeting via webcast. Instructions on how to access the live webcast are included in the proxy statement. Sincerely, David S. Wichmann Chief Executive Officer A eu Stephen J. Hemsley Executive Chairman of the Board UNITEDHEALTH GROUP Notice of 2019 Annual Meeting of Shareholders Date By Order of the Board of Directors, 24 Dannett L. Smitt Secretary to the Board of Directors Other Compensation 15 2018 Director Compensation Table Overview...... 16 18 Principles of Governance... 20 Compliance and Ethics... 14 Director Independence 2 Corporate Governance Code of Conduct: Our Principles of Ethics & Integrity. 20 20 21 Board Leadership Structure... 21 23 Risk Oversight...... 14 13 13 April 19, 2019 The Notice of Internet Availability of Proxy Materials, Notice of Annual Meeting of Shareholders, Proxy Statement and Annual Report are available at www.unitedhealthgroup.com/proxymaterials. Table of Contents Page Proxy Summary... Proposal 1 ― 1 Board of Directors Election Of Directors.. Director Nomination Process 2019 Director Nominees Director Compensation. Cash Compensation Equity-Based Compensation Stock Ownership and Retention Guidelines Director Deferral Plan...... 1 6 6 13 Dannette L. Smith Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. IMPORTANT NOTICE REGARDING AVAILABILITY OF PROXY MATERIALS FOR THE ANNUAL MEETING OF SHAREHOLDERS TO BE HELD ON JUNE 3, 2019: • - Cash incentive awards • Base salary $1.3 million. • Summary of Compensation Paid to CEO David S. Wichmann in 2018 We provide standard employee benefits and very limited - Standard benefits and very limited perquisites perquisites to our executive officers. Reward long-term growth and focus management on sustained success and shareholder value creation Compensation of our executive officers is weighted toward equity awards that encourage sustained performance and drive shareholder returns over time. Annual cash incentive award of $4.5 million and long-term cash incentive award of $890,600, which reflect the Company's performance against pre-set goals and continued strong leadership by Mr. Wichmann. Enhance the value of the business Incentive compensation is designed to grow and sustain the longer-term value of the Company and avoid excessive risk-taking. Pay-for-performance • • Our Overall Compensation Program Principles Our executive compensation program uses a mix of base salary, annual and long-term cash incentives, equity awards and broad-based benefits to attract and retain highly qualified executives and maintain a strong relationship between executive pay and Company performance. Shareholders again expressed strong support for our executive compensation program at our 2018 Annual Meeting of Shareholders, with more than 95% of the votes cast in favor of our Say-on-Pay proposal. Executive Compensation Our Board of Directors, assisted by its committees, oversees management's enterprise-wide risk management activities. Risk management activities include assessing and taking actions necessary to mitigate and manage risk incurred in connection with the long-term strategic direction and operation of our business. Enterprise-Wide Risk Oversight See the "Corporate Governance" portion of this proxy statement for further information on our governance practices. Absence of Rights Plan — We do not have a shareholder rights plan, commonly referred to as a "poison pill.” A substantial portion of the total compensation of our executive officers is earned based on achievement of enterprise-wide goals that drive long-term performance, including growth and shareholder value. Equity awards ― Performance shares with a target grant date fair value of $5.55 million, restricted stock units with a grant date fair value of $2.775 million and stock options with a grant date fair value of $2.775 million. This proxy statement and our Annual Report for the year ended December 31, 2018, are first being mailed to the Company's shareholders and made available on the Internet at www.unitedhealthgroup.com/investors/annual-reports.html on or about April 19, 2019. Website addresses included throughout this proxy statement are for reference only. The information contained on our website is not incorporated by reference into this proxy statement. A clawback policy entitling the Board of Directors to seek reimbursement from senior executives if they are involved in fraud or misconduct that causes a material restatement or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. A stock retention policy generally requiring executive officers to hold, for at least one year, one third of the net shares acquired upon vesting or exercise of any equity award. • • Stock ownership guidelines requiring executive officers to beneficially own specified amounts of the Company's common stock within five years of their appointment as an executive officer. • Annual advisory shareholder votes to approve the Company's executive compensation. Our 2011 Stock Incentive Plan prohibits the repricing of stock options and stock appreciation rights without shareholder approval. No excise tax gross ups in the event of a change in control. . • • Double trigger change in control arrangements for equity grants. • Performance based compensation arrangements, including performance based equity awards, that use a variety of performance measures, with different measures used for annual and long term plans. • We maintain strong governance standards in the oversight of our executive compensation policies and practices, including: Strong Governance Standards in Oversight of Executive Compensation Policies 3 Information regarding compensation paid to each of our named executive officers in 2018 is described in the "Compensation Discussion and Analysis" section. Company matching contributions - $178,875 under our 401(k) and executive savings plan. • to our common stock, and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. 2 • Environmental Policy - We seek to minimize our environmental impact and to heighten our employees' awareness of the importance of the environment. Short Selling and Hedging Transactions in Company Securities - Our insider trading policy prohibits all directors, executive officers and employees from engaging in short sales and hedging transactions relating • • • Board Structure and Composition - Our directors are elected annually by a majority vote of our shareholders. We have an Executive Chairman of our Board of Directors and an Independent Lead Director, and nine of our eleven directors are independent. Chief Executive Officer ("CEO") Succession Planning - Our succession plan, which is reviewed annually by our Board of Directors, addresses both an unexpected loss of our CEO and longer-term succession. Board Refreshment and Tenure Since January 2017, we have appointed five new directors to the Board who are standing for election this year, four of whom are independent, advancing both the skill and experience profile of the Board as well as its diversity. - — Our Nominating Advisory Committee, comprised of long-term shareholders of the Company and a member of the medical community, provides our Nominating and Corporate Governance Committee (the "Nominating Committee”) with additional input regarding desirable characteristics of director candidates and the composition of our Board. Proxy Access - _ Nominating Advisory Committee A shareholder or group of shareholders who have owned at least 3% of our common stock for at least three years, and who comply with specified procedural and disclosure requirements, may include in our proxy materials shareholder-nominated director candidates representing up to 20% of the Board. Political Contributions Disclosure We publicly disclose our political contributions and public advocacy efforts and the contributions of our federal and state political action committees. Independent Compensation Consultant Clawback Policy — We have adopted a clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. - Our Compensation and Human Resources Committee (the "Compensation Committee”) uses an independent compensation consultant that performs no other consulting or services for the Company. - Stock Ownership Guidelines - Each of our executive officers and directors were in compliance with our stock ownership guidelines as of April 9, 2019. Mr. Wichmann, our CEO, is required to own shares equal to eight times his base salary by the fifth anniversary of his appointment as CEO. As of April 9, 2019, Mr. Wichmann owned shares equal to 169 times his base salary. ― Stock Retention Policy - We generally require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. Our directors are generally required to hold all equity awards granted until completion of service on the Board, or until they have met our stock ownership requirements. UnitedHealth Group is committed to meeting high standards of ethical behavior, corporate governance and business conduct. Our company and our people are committed to the shared cultural values of integrity, compassion, innovation, relationships and performance. This commitment has led us to implement many governance best practices, including the following: 2 As required under SEC rules, transactions in which the Company was or is to be a participant and the amount involved exceeds $120,000, and in which any related person had or will have a direct or indirect material interest, are disclosed below. Adjusted diluted earnings per share Other Information Meeting 5 4 Audit Annual Executive Compensation Corporate Governance Directors • Board of 2 87 Any member of the Nominating Committee who has an interest in the transaction under discussion will abstain from voting on the approval of the related-person transaction, but may, if so requested by the Chair of the Nominating Committee, participate in some or all of the Nominating Committee's discussions of the related-person transaction. Any related-person transaction that is not approved or ratified, as the case may be, will be voided, terminated or amended, or other actions will be taken in each case as determined by the Nominating Committee so as to avoid or otherwise address any resulting conflict of interest. Under the policy, the Company determines whether a transaction falls under the definition of a related-person transaction requiring review by the Nominating Committee. In determining whether to approve or ratify a related- person transaction, the Nominating Committee will consider, among other things, whether the terms of the related- person transaction are fair to the Company and on terms at least as favorable as would apply if the other party was not an affiliate; the business reasons for the transaction; whether the transaction could impair the independence of a director under the Company's Standards for Director Independence; and whether the transaction would present an improper conflict of interest for any director or executive officer of the Company. Any transaction that involves the providing of compensation to a director or executive officer in connection with his or her duties to the Company or any of its subsidiaries, including the reimbursement of business expenses incurred in the ordinary course. Interests arising solely from the ownership of a class of the Company's equity securities, if all holders of that class of equity securities receive the same benefit on a pro rata basis. Indemnification and advancement of expenses made pursuant to the Company's Certificate of Incorporation or Bylaws or pursuant to any agreement or instrument. Tax effect per share of intangible amortization • Related-person transactions under the policy do not include: 1 Intangible amortization per share Adjusted net earnings per share is a non-GAAP financial measure. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. GAAP diluted earnings per share A director, executive officer or shareholder beneficially owning more than 5% of our common stock, or any of their respective immediate family members, in which the Company or its subsidiaries is directly or indirectly a participant and the amount involved exceeds $120,000; provided that if a director is an executive officer of an entity that is a party to a transaction with the Company or its subsidiaries, and the director was actively involved in the transaction, then the amount shall be $1.00. Related-Person Transactions Fees Paid to Family Member of Executive Officer Brent Asplund, Mr. Hemsley's son-in-law, is a contractor providing technology services to Optum. The compensation paid to Mr. Asplund is consistent with the Company's overall compensation principles based on the contractor's years of experience, performance and comparable positions within the Company. Transactions with 5% Shareholders BlackRock, Inc. beneficially owned approximately 7.30% of our common stock as of December 31, 2018. The Company paid BlackRock $5.4 million for investment management fees in 2018. BlackRock maintains a self-funded health insurance plan through the Company and paid the Company $2.4 million for administrative services, $1.1 million for biometric screenings and lab tests and $467,800 for an employee assistance program in 2018. FMR LLC beneficially owned approximately 6.78% of our common stock as of December 31, 2018. The Company and its employees paid Fidelity Management & Research Company ("Fidelity"), a wholly owned subsidiary of FMR LLC, $43.1 million in benefits management fees in 2018. Fidelity maintains a self-funded health insurance plan through the Company and paid the Company $22.6 million for administrative services, $73.1 million for premium payments on behalf of affiliated entities, $6.5 million for prescription drug payments and $1.2 million for an employee assistance program and wellness services in 2018. Section 16(a) Beneficial Ownership Reporting Compliance was filed Section 16(a) of the Exchange Act requires our executive officers and directors, and persons who beneficially own more than 10% of our common stock, to file initial reports of ownership and reports of changes in ownership with the SEC and the NYSE. Executive officers, directors and greater-than-10% beneficial owners are required by SEC rules to furnish us with copies of all Section 16(a) reports they file. Due to a clerical error, one Form one day late on behalf of the Company's Chief Accounting Officer in 2018. Except for the foregoing, based solely on our review of these reports and written representations from our executive officers and directors, we believe that all of our executive officers and directors complied with all Section 16(a) filing requirements during 2018. 80 88 Appendix A - Reconciliation of Non-GAAP Financial Measures Use of Non-GAAP Financial Measures Adjusted net earnings per share excludes from GAAP net earnings per share, intangible amortization and other items, if any, that do not reflect the Company's underlying business performance. Management believes the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization. In addition, adjusted net earnings per share excludes the earnings impact of the deferred tax revaluation recognized after The Tax Cuts and Jobs Act of 2017 was enacted in December 2017. Management believes the exclusion of these items provides a more useful comparison of the Company's underlying business performance from period to period. UNITEDHEALTH GROUP RECONCILIATION OF NON-GAAP FINANCIAL MEASURES ADJUSTED NET EARNINGS AND EARNINGS PER SHARE (in millions, except per share data) (unaudited) GAAP net earnings attributable to UnitedHealth Group common shareholders Revaluation of U.S. net deferred tax liabilities due to tax reform Intangible amortization Tax effect of intangible amortization Adjusted net earnings attributable to UnitedHealth Group common shareholders Revaluation of U.S. net deferred tax liabilities due to tax reform per share A director or an immediate family member of a director in which an executive officer of the Company is directly or indirectly a participant and the amount involved exceeds $1.00; or • The Board of Directors has adopted a written Related-Person Transactions Approval Policy, which is administered by the Nominating Committee. A copy of the policy is available on our website at www.unitedhealthgroup.com. Under the policy, "related-person" transactions are prohibited unless approved or ratified by the Nominating Committee. In general, a related-person transaction is any transaction or series of transactions (or amendments thereto) directly or indirectly involving: Percent of Common Total(1) Stock Outstanding 5,000 77,993 5,000 * 1,767,163 3,169 * 33,754 33,754(2) 1,449(2) Number of Shares Deemed Beneficially Owned as a Result of Equity Awards Exercisable or Vesting Within 60 Days of April 9, 2019 1,449 180(2) 1,315 * 180 81,031(2) 81,031 * 62,941(2) 5,000 67,941 3,083,204(4)(5) 551,259 3,634,463 1,315 3,169 72,933(2) 1,762,163(2)(3) Less than 1%. Board of 1 2 Directors Corporate Governance Executive Compensation 4 Audit Annual Meeting Other Information The following table provides information about the beneficial ownership of our common stock as of April 9, 2019, by each director and nominee for director, each named executive officer, and by all of our current directors, executive officers and director nominees as a group. As of April 9, 2019, there were 952,244,528 shares of our common stock issued, outstanding and entitled to vote. Name of Beneficial Owner or Identity of Group Ownership of Common Stock William C. Ballard, Jr. Richard T. Burke Timothy P. Flynn Michele J. Hooper Valerie C. Montgomery Rice, M.D. John H. Noseworthy, M.D. Glenn M. Renwick Gail R. Wilensky, Ph.D. Stephen J. Hemsley David S. Wichmann John F. Rex Andrew P. Witty Steven H. Nelson All current directors, executive officers and director nominees as a group (17 individuals) * * 89 849,523(4)(5) 1,227,009 Meeting Other Information (4) Includes the following number of shares held in trust for the individuals pursuant to our 401(k) plan: Mr. Hemsley - 316.3605; and Mr. Wichmann - 237.0823. Pursuant to the terms of the 401(k) plan, a participant has sole voting power over his or her shares; however, the plan trustee votes all unvoted shares in the same proportions as the actual proxy votes submitted by plan participants. (5) Includes 82,416.272 DSUs, 125,560 shares held in charitable foundations and 902,493 shares held in grantor retained annuity trusts, all of which are beneficially owned by Mr. Hemsley. (6) Includes the indirect holdings included in footnotes 3, 4 and 5. Householding Notice We have adopted “householding” procedures allowing us to deliver one Notice or single copies of proxy statements and annual reports to any household at which two or more shareholders reside who share the same last name or whom we believe to be members of the same family. Each registered shareholder living in that household will receive a separate proxy card if the householded proxy materials are received by mail. If you participate in householding but wish to receive a separate copy of the Notice, this proxy statement or our 2018 Annual Report for the year ended December 31, 2018, please notify us at: UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attn: Secretary to the Board of Directors, telephone (877) 536-3550. You may opt-in or opt-out of householding at any time by contacting our transfer agent, EQ Shareowner Services, at P.O. Box 64854, St. Paul, Minnesota 55164-0854, telephone (800) 468-9716. Your householding election will apply to all materials mailed more than 30 days after your request is received. Your participation in the householding program is encouraged. As an alternative to householding, you may choose to receive documents electronically. Instructions for electing electronic delivery are described in Question 6 of the "Questions and Answers About the Annual Meeting and Voting" section of this proxy statement. We have been notified that some banks and brokers will household proxy materials. If your shares are held in “street name” by a bank or broker, you may request information about householding from your bank or broker. Other Matters at Meeting In accordance with the requirements of advance notice described in our Bylaws, no shareholder nominations or shareholder proposals other than those included in this proxy statement will be presented at the 2019 Annual Meeting. We know of no other matters that may come before the Annual Meeting. However, if any matters calling for a vote of the shareholders, other than those referred to in this proxy statement, should properly come before the meeting, the persons named as proxies will vote on such matters according to their individual judgment. 98 Annual 86 Corporate 2 Governance Executive Compensation 4 Audit LO 5 Annual Meeting 6 Other Information OTHER INFORMATION Certain Relationships and Transactions Approval or Ratification of Related-Person Transactions Board of Directors 4 Audit Executive Compensation Corporate Governance 60,936 284,305 345,241 * 451 451 * 20,884 38,123 59,007 * 6,179,850 (6) 1,613,872 7,793,722 0.82% (1) Unless otherwise noted, each person and group identified possesses sole voting and dispositive power with respect to the shares shown opposite such person's or group's name. Shares not outstanding but deemed beneficially owned by virtue of the right of an individual to acquire them within 60 days of April 9, 2019, are treated as outstanding only when determining the amount and percent owned by such individual or group. (2) Includes the following number of vested DSUs which are considered owned under the Company's stock ownership guidelines for directors: Mr. Ballard - 23,693; Mr. Burke - 23,693; Mr. Flynn — 3,169; 30,384; Mr. McNabb — 1,449; Dr. Montgomery Rice - 1,315; Dr. Noseworthy — 180; 45,062; and Dr. Wilensky - 21,706. Ms. Hooper Mr. Renwick - - - - (3) Includes 86,000 shares held in trust for the benefit of Mr. Burke's children. Mr. Burke does not have voting or dispositive power over these shares and disclaims beneficial ownership of these shares. Also includes 1,488,500 shares held indirectly in a limited liability partnership. 85 55 Board of 1 2 Directors 377,486 Year Ended December 31, 2018 F. William McNabb III 11,986 Year Ended December 31, 2017 10.07 $ 12.88 $ (0.34) (0.22) 0.91 0.91 (1.22) 10.72 $ 12.19 EA $ $ SA 10,558 (1,197) 896 (225) 899 $ EA 12,660 $ 9,923 (334) The following table highlights the material elements of our director compensation program: Annual Nominating Committee Chair Cash Retainer Compensation Element Annual Cash Retainer Annual Audit Committee Chair Cash Retainer Annual Compensation Committee Chair Cash Retainer Annual Public Policy Committee Chair Cash Retainer $ 20,000 Equity Conversion Program Compensation Value $125,000 $ 25,000 $ 20,000 $ 20,000 $ 75,000 $205,000 aggregate fair value of deferred stock units* At the director's election, cash compensation may be converted into DSUs, or if the director has met the stock ownership guidelines, into common stock We seek to compensate our non-employee directors fairly for work required for a company of our size, complexity and scope and to align their interests with the long-term interests of our shareholders. Director compensation reflects our desire to attract, retain and benefit from the expertise of highly qualified people. The Compensation Committee annually reviews the compensation of our non-employee directors and makes recommendations to the Board of Directors. In August 2018, the Compensation Committee, with the advice of its independent compensation consultant, undertook a review of the structure, philosophy and overall mix of the director compensation program as compared to the Company's compensation peer group and also the four large publicly traded managed health care companies. Following this review, the Compensation Committee recommended, and the Board approved, an increase in the annual grant of deferred stock units awarded to non-employee directors from $175,000 to $205,000, effective as of October 1, 2018. No other changes were made to the compensation of non-employee directors. The Compensation Committee's recommendations, and the Board's subsequent approval, were made after considering the results of the market practices review and the complexity of the Company's structure and operations. Annual Lead Independent Director Cash Retainer Annual Equity Award Director Compensation Gail R. Wilensky, Ph.D. Meeting Glenn M. Renwick Director since 2008 Mr. Renwick has been Chairman of the Board of Fiserv, Inc. since May 2017, and has been a director of Fiserv since 2001. Mr. Renwick served as Chairman of the Board of Directors of The Progressive Corporation, an auto insurance holding company, from November 2013 to May 2018, as Executive Chairman of Progressive from July 2016 to June 2017, and as President and CEO from 2001 to 2016. Before being named President and CEO in 2001, Mr. Renwick served as CEO-Insurance Operations and Business Technology Process Leader at Progressive from 1998 to 2000. Prior to that, he led Progressive's Consumer Marketing group and served as President of various divisions within Progressive. Mr. Renwick joined Progressive in 1986 as Auto Product Manager for Florida. David S. Wichmann Director since 2017 Mr. Wichmann is Chief Executive Officer of UnitedHealth Group and a member of the Board of Directors, having served in that capacity since September 2017. Mr. Wichmann previously served as President of UnitedHealth Group from November 2014 to August 2017. Mr. Wichmann also served as Chief Financial Officer of UnitedHealth Group from January 2011 to June 2016. From April 2008 to November 2014, Mr. Wichmann served as Executive Vice President of UnitedHealth Group and President of UnitedHealth Group Operations. Mr. Wichmann serves as a director of Tennant Company. * Effective October 1, 2018, the annual deferred stock unit award was increased from $175,000 to $205,000. Director since 1993 Dr. Wilensky has been a senior fellow at Project HOPE, an international health foundation, since 1993. From 2008 to 2009, Dr. Wilensky was President of the Department of Defense Health Board and chaired its sub-committee on health care delivery. From 2006 to 2008, Dr. Wilensky co-chaired the Department of Defense Task Force on the Future of Military Health Care. During 2007, she also served as a commissioner on the President's Commission on Care for America's Returning Wounded Warriors. From 2001 to 2003, she was the Co-Chair of the President's Task Force to Improve Health Care for our Nation's Veterans. From 1997 to 2001, she was also Chair of the Medicare Payment Advisory Commission. From 1992 to 1993, Dr. Wilensky served as the Deputy Assistant to President George H. W. Bush for policy development, and from 1990 to 1992, she was the Administrator of the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services), directing the Medicaid and Medicare programs for the United States. Dr. Wilensky is a nationally recognized health care economist. Dr. Wilensky serves as a director of Quest Diagnostics Incorporated. 12 Board of Directors 2 Corporate Governance Executive Compensation Annual Other 4 Audit 5 Information Cash Compensation 5 Equity-Based Compensation Under the Director Deferral Plan, subject to compliance with applicable laws, non-employee directors may elect annually to defer receipt of all or a percentage of their compensation. Amounts deferred are credited to a bookkeeping account maintained for each director participant that uses a predetermined collection of unaffiliated mutual funds as measuring investments. Subject to certain additional rules set forth in the Director Deferral Plan, a participating director may elect to receive the distribution in one of the following ways: • • a series of five or ten annual installments following the completion of his or her service on the Board of Directors; a delayed lump sum following either the fifth or tenth anniversary of the completion of his or her service on the Board of Directors; 14 Meeting 6 5 4 Audit Other Annual Executive Compensation Corporate Governance 2 Board of Directors 9 Director Deferral Plan Under our stock ownership guidelines, we require non-employee directors to achieve ownership of shares of the Company's common stock (excluding stock options, but including vested DSUs and vested restricted stock units) having a fair market value equal to five times the directors' annual base cash retainer. Non-employee directors must comply with the stock ownership guidelines within five years of their appointment to the Board of Directors. All of our non-employee directors have met the stock ownership requirement or have served as a director for less than five years. Our directors are required to hold all equity awards granted until completion of service on the Board or until they have met our stock ownership requirements. Stock Ownership and Retention Guidelines The Company pays dividend equivalents in the form of additional DSUs on all outstanding DSUs. Dividend equivalents are paid at the same rate and at the same time that dividends are paid to Company shareholders and are subject to the same vesting conditions as the underlying grant. Non-employee directors receive annual grants of DSUs under the 2011 Stock Incentive Plan having an aggregate fair value of $205,000 effective October 1, 2018 and pro-rated for the remainder of the year. Prior to October 1, 2018, the aggregate fair value of the DSUs was $175,000. The grants are issued quarterly in arrears on 13 Board of 1 2 Directors Corporate Governance Executive Compensation Cash retainers are payable on a quarterly basis in arrears on the first business day following the end of each fiscal quarter, and are subject to pro rata adjustment if the director did not serve the entire quarter. Directors may elect to receive deferred stock units ("DSUs") or common stock (if the director has met the stock ownership guidelines) in lieu of their cash compensation or may defer receipt of their cash compensation to a later date pursuant to the Directors' Compensation Deferral Plan ("Director Deferral Plan"). The cash retainers are in consideration of general service and responsibilities and required meeting preparation. Annual 4 Audit Dr. Noseworthy is the former Chief Executive Officer and President of Mayo Clinic, a world renowned, non-profit health care organization. He retired at the end of 2018 after a 28 year career at Mayo Clinic, recognized by U.S. News and World Report as best in its honor roll of America's top providers of care for patients with serious and complex problems. Mayo Clinic cares for patients from every state and 143 countries worldwide. Dr. Noseworthy joined Mayo Clinic in 1990 and has served in various capacities since that time, including chairman of Mayo Clinic's internal Board of Governors, member of the Board of Trustees, Professor of Neurology at Mayo Clinic College of Medicine & Science, chair of Mayo's Department of Neurology, medical director of the Department of Development and Vice Chair of the Mayo Clinic Rochester Executive Board. Dr. Noseworthy also served as editor-in-chief of Neurology, the official journal of the American Academy of Neurology, from 2007 to 2009. Dr. Noseworthy was a Health Governor of the World Economic Forum from 2012 to 2018 and serves as a director of Merck & Co. 6 Meeting Information the first business day following the end of each fiscal quarter and prorated if the director did not serve the entire quarter. The number of DSUs granted is determined by dividing $51,250 (the quarterly value of the annual equity award; $43,750 prior to October 1, 2018) by the closing price of our common stock on the grant date, rounded up to the nearest share. The grants are in consideration of general service and responsibilities and required meeting preparation. The DSUS immediately vest upon grant and must be retained until completion of the director's service on the Board of Directors. Upon completion of service, the DSUs convert into an equal number of shares of the Company's common stock. A director may defer receipt of the shares for up to ten years after completion of service pursuant to the Director Deferral Plan. Non-employee directors who have met their stock ownership requirement may elect to receive common stock in lieu of DSUs and/or in-service distributions on pre-selected dates. If a director elects to convert his or her cash compensation into common stock or DSUs, such conversion grants are made on the day the eligible cash compensation becomes payable to the director. The director receives the number of shares of common stock or DSUs, as applicable, equal to the cash compensation foregone, divided by the closing price of our common stock on the date of grant, rounded up to the nearest share. The DSUs immediately vest upon grant. A director may only elect to receive common stock if he or she has met the stock ownership guidelines. Other Director since 2019 Director since 2017 Dr. Montgomery Rice is President and Dean of the Morehouse School of Medicine, a medical school in Atlanta, Georgia, and has served in that capacity since 2014. Dr. Montgomery Rice served as the Executive Vice President and Dean from 2011 to 2014. Morehouse School of Medicine is among the nation's leading educators of primary care physicians and was recently recognized as the top institution among U.S. medical schools for their social mission. Prior to joining Morehouse School of Medicine, she served as dean of the School of Medicine and Senior Vice President of health affairs at Meharry Medical College from March 2006 to June 2009, and as director of the Center for Women's Health Research, one of the nation's first research centers devoted to studying diseases that disproportionately impact women of color, from 2005 to 2011. Dr. Montgomery Rice also serves as a Council Member of the National Institute of Health and National Center for Advancing Translational Science. Other Information F. William McNabb III 61 2018 Valerie C. Montgomery Rice, M.D. 57 2017 John H. Noseworthy, M.D. 67 2019 Glenn M. Renwick 63 2008 David S. Wichmann 56 2017 Gail R. Wilensky, Ph.D. 75 2007 1993 67 2000 Our Certificate of Incorporation and Bylaws provide that each member of our Board of Directors is elected annually by a majority of votes cast if the election is uncontested. The Board of Directors has nominated the eleven directors set forth below for election by the shareholders at the 2019 Annual Meeting. All of the director nominees were elected by our shareholders at the 2018 Annual Meeting except for Dr. Noseworthy, who was appointed unanimously by the Board in February 2019. The Company and the Nominating Committee were familiar with Dr. Noseworthy and had considered him as a potential Board candidate upon his availability following retirement from the Mayo Clinic. Following Dr. Shine's retirement from the Board, the Nominating Committee was particularly interested in strengthening the depth of clinical expertise on the Board. All of the nominees have informed the Board they are willing to serve as directors if elected. If any nominee should become unable to serve as a director for any reason, the persons named as proxies will elect a replacement. Information The Board of Directors recommends that you vote FOR the election of each of the nominees. Executed proxies will be voted FOR the election of each nominee unless you specify otherwise. Name William C. Ballard, Jr. Richard T. Burke Age Director Since 78 1993 75 1977 Timothy P. Flynn Stephen J. Hemsley 62 2017 66 Michele J. Hooper John H. Noseworthy, M.D. The director nominees, if elected, will serve until the 2020 Annual Meeting or until their successors are elected and qualified. Following is a brief biographical description of each director nominee. A table listing the areas of expertise in the skills matrix held by each director and which, in part, led the Board to conclude each respective director should continue to serve as a member of the Board, is included on page 7. Director since 1993 Director since 2007 Ms. Hooper is President and CEO of The Directors' Council, a private company she co-founded in 2003 that works with corporate boards to increase their independence, effectiveness and diversity. She was President and CEO of Voyager Expanded Learning, a developer and provider of learning programs and teacher training for public schools, from 1999 until 2000. Prior to that, she was President and CEO of Stadtlander Drug Company, Inc., a provider of disease-specific pharmaceutical care, from 1998 until Stadtlander was acquired in 1999. Ms. Hooper is a nationally recognized corporate governance expert. Ms. Hooper serves as a director of PPG Industries, Inc. and United Continental Holdings, Inc. F. William McNabb III Director since 2018 Mr. McNabb served as Chairman of The Vanguard Group, Inc. from 2008 until his retirement in 2018 and served as CEO from 2008 to 2017. He joined Vanguard in 1986. In 2010, he became Chairman of the Board of Directors and the Board of Trustees of the Vanguard group of investment companies. Earlier in his career, Mr. McNabb led each of Vanguard's client facing business divisions. Mr. McNabb serves as the Vice-Chairman of the Investment Company Institute's Board of Governors and served as Chairman from 2013 to 2016. Mr. McNabb is Chairman of the Board of the Zoological Society of Philadelphia and serves on the Wharton Leadership Advisory Board and the Dartmouth Athletic Advisory Board. He is also a board member of CECP: The CEO Force for Good. Valerie C. Montgomery Rice, M.D. Dr. Montgomery Rice previously served on the National Institute of Health's Minority Health and Health Disparities and Office of Research on Women's Health advisory councils and the Association of American Medical Colleges Council of Deans' administrative board. Dr. Montgomery Rice is a member of the National Academy of Medicine and is a renowned infertility specialist and women's health researcher. 11 Board of Directors 2 Corporate Governance Executive Compensation Annual 4 Audit 5 6 Meeting Michele J. Hooper William C. Ballard, Jr. Mr. Hemsley is Executive Chairman of the Board of UnitedHealth Group and has served in that capacity since September 2017. Mr. Hemsley previously served as Chief Executive Officer from 2006 to August 2017. He has been a member of the Board of Directors since 2000. Mr. Hemsley joined the Company in 1997 as Senior Executive Vice President and became Chief Operating Officer in 1998. Mr. Hemsley served as President and Chief Operating Officer from 1999 to 2006 and as President and Chief Executive Officer from 2006 to November 2014. Mr. Hemsley serves as a director of Cargill, Inc. Stephen J. Hemsley Mr. Ballard served as Of Counsel to Bingham Greenebaum Doll LLP (formerly Greenebaum Doll & McDonald PLLC), a law firm in Louisville, Kentucky, from 1992 until 2008. In 1992, Mr. Ballard retired from Humana, Inc., a health and well being company, after serving with Humana in various roles for 22 years, including as the Chief Financial Officer ("CFO") and a director. In the past five years, he also served as a director of Welltower, Inc. (formerly Health Care REIT, Inc.). Richard T. Burke Director since 1977 Mr. Burke is Lead Independent Director of the Board of Directors of UnitedHealth Group and has served in that capacity since September 2017. Mr. Burke served as Chairman of the Board from 2006 to August 2017, has been a member of our Board since 1977, and was Chief Executive Officer of UnitedHealthcare, Inc., our predecessor corporation, until 1988. From 1995 until 2001, Mr. Burke was the owner, Chief Executive Officer and Governor of the Phoenix Coyotes, a National Hockey League team. Mr. Burke serves as a director of Meritage Homes Corporation. Timothy P. Flynn Director since 2017 Mr. Flynn was Chairman of KPMG International (“KPMG"), a global professional services organization that provides audit, tax and advisory services, from 2007 until his retirement in October 2011. From 2005 until 2010, he served as Chairman and, from 2005 to 2008, as CEO of KPMG LLP in the U.S., the largest individual member firm of KPMG. Prior to serving as Chairman and CEO of KPMG LLP, Mr. Flynn was Vice Chairman, Audit and Risk Advisory Services, with operating responsibility for Audit, Risk Advisory and Financial Advisory Services practices. He previously served as a trustee of the Financial Accounting Standards Board, a member of the World Economic Forum's International Business Council, and a director of the International Integrated Reporting Council. Mr. Flynn serves as a director of Alcoa Corporation, JPMorgan Chase & Co. and Walmart Inc. 10 Board of Directors 2 Corporate Governance Executive Compensation Annual 1 5 6 Meeting Other Information Director since 2000 2019 Director Nominees 7 Shareholder Nominations of Director Candidates at an Annual Meeting Finance Health Care Industry Direct Consumer Markets Social Media/Marketing Diversity Ballard Burke Flynn Hemsley Hooper McNabb Montgomery Noseworthy Renwick Wichmann Wilensky Rice • ...: . Experience with Large Complex Organizations Technology/Business Processes Clinical Practice Political/Health Care Policy/Regulatory Capital Markets Corporate Governance . In addition, the skills matrix provides a number of substantive areas of expertise that the Board as a whole should represent. The following table includes a list of these areas and indicates the director nominees with expertise in each area. Meeting • ⋅ Risk oversight ability with respect to the particular skills of the individual director; Understanding of and experience with complex public companies or like organizations; and Ability to work collegially and collaboratively with other directors and management. Each of our independent director nominees has satisfied all the core director criteria set forth in the skills matrix. Messrs. Hemsley and Wichmann are not independent directors because Mr. Hemsley serves as Executive Chairman of the Board and Mr. Wichmann is Chief Executive Officer. CO 6 Board of Directors 2 Corporate Governance Executive Compensation Annual Other 4 Audit 5 6 Information • Our Nominating Committee also strives to maintain a balance of tenure on the Board. Long-serving directors bring valuable experience with our Company and familiarity with the successes and challenges the enterprise has faced over the years, while newer directors contribute fresh perspectives and innovative ideas. Tenure of the eleven director nominees is as follows: Number of Director Nominees While our Board has not adopted a formal definition of diversity, and does not establish specific goals with respect to diversity, the Board's diversity is a consideration in the director nomination process and is assessed annually when the Board evaluates overall effectiveness. UnitedHealth Group embraces and encourages a culture of diversity and inclusion. Valuing diversity makes good business sense and helps to ensure our future success, because the customers, clients and consumers we serve are as diverse as the thousands of communities where we live and work across all 50 states in the U.S. and 130 other nations. UnitedHealth Group's commitment to diversity and inclusion empowers our employees to contribute their best work, collaborating to be the preeminent health and well-being business and community partner of choice. Board Diversity Information Meeting 5 4 Audit Other Annual Executive Compensation Corporate Governance 2 Board of Directors More Than 10 Years 6-10 Years 10- 5 Years Our shareholders may also nominate candidates for election to the Board of Directors from the floor of our Annual Meeting of Shareholders, instead of including the director candidate in our proxy statement, only by submitting timely written notice to the Secretary to the Board in accordance with our Bylaws. The notice must include the information required by our Bylaws, which are available at www.unitedhealthgroup.com/about/corporate-governance. For the 2020 Annual Meeting, this notice must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than February 4, 2020 and no later than March 5, 2020. For this year's election, the Board has nominated eleven individuals; all are incumbent nominees who collectively bring tremendous diversity to the Board. Each nominee is a strategic thinker and has varying, specialized experience in the areas relevant to the Company and its businesses. Moreover, their collective experience covers a wide range of geographies and industries, including health care, insurance, consumer products, technology and financial services, and roles in academia, corporate governance and government. The eleven director nominees range in age from 56 to 78; three of the eleven director nominees are women; two are African American; and one is a citizen of New Zealand. Update on Recent Changes in Board Membership Recent changes to the Board of Directors include: • 5 5 2 Board of Directors 8 Prior to the appointment of each of the new independent directors in 2017, 2018 and 2019, the Nominating Committee considered a wide slate of potential candidates, including qualified women and minority candidates. Each eventual nominee was selected due to his or her overall skills and experience. We have for several years maintained an active "Evergreen" director candidate pipeline which reflects our continuing commitment to diversity in life, cultural and business experience among director nominees. The Nominating Committee has an outside firm on retainer to assist in identifying and evaluating director candidates. The Nominating Committee will also consider recommendations submitted by shareholders for director candidates. Recommendations should be directed to the Secretary to the Board of Directors. None of the Company's shareholders recommended candidates for the Board of Directors in connection with the 2019 Annual Meeting. Kenneth I. Shine, M.D., retired from the UnitedHealth Group Board of Directors in 2018 after nearly ten years of exceptional service as an independent director. • Sir Andrew P. Witty relinquished his position on our Board in 2018 in anticipation of his appointment as Chief Executive Officer of Optum and Executive Vice President of UnitedHealth Group later the same year; and . • • F. William McNabb III, former Chairman of The Vanguard Group, Inc., joined the Board in 2018; • Valerie C. Montgomery Rice, M.D., President and Dean of the Morehouse School of Medicine, joined the Board in 2017; . Timothy P. Flynn, former Chairman of KPMG International, joined the Board in 2017; John H. Noseworthy, M.D., former Chief Executive Officer and President of Mayo Clinic, joined the Board in 2019; Standing and reputation in the individual's field; 4 Audit High integrity and ethical standards; FOR Company's Executive Compensation (a "Say-on-Pay" vote) Reasons for Recommendation The Board and Nominating Committee believe the eleven Board candidates possess the experience, skills, attributes and diversity to effectively monitor performance, provide oversight and advise management on the Company's strategy. Board Recommendation For Each Candidate FOR Our executive compensation program is designed to attract and retain highly qualified executives and to maintain a strong link between pay and the achievement of enterprise-wide goals. We emphasize and reward teamwork and collaboration among executive officers, which we believe fosters Company growth and performance, optimizes the use of enterprise-wide capabilities, drives efficiencies and integrates products and services for the benefit of our customers and other stakeholders. More Information Page 6 Page 68 2 Advisory Approval of Executive Compensation 3 Ratification of Independent Registered Public Advisory Approval of the Board Recommendation 2 1 • Shareholder Director Candidates for Inclusion in our Proxy Statement (Proxy Access) Our Bylaws provide a shareholder or group of shareholders (of up to 20) who have owned at least 3% of our common stock for at least three years the ability to include in our proxy statement shareholder-nominated director candidates for up to 20% of the Board. To be eligible to use this right, the shareholder(s) and the candidate(s) must satisfy the requirements specified in our Bylaws. Our Bylaws are available at www.unitedhealthgroup.com/about/corporate-governance. For the 2020 Annual Meeting, director nominations submitted under these Bylaw provisions must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than November 21, 2019 and no later than December 21, 2019. The Board of Directors formed the Nominating Advisory Committee in 2006 to provide the Nominating Committee with additional input from shareholders and others regarding desirable characteristics of director candidates and the composition of the Board of Directors. The key features of the skills matrix are also discussed with members of our Nominating Advisory Committee and their feedback is considered by the Nominating Committee when it updates the skills matrix. The Nominating Committee considers, but is not bound by, input provided by the Nominating Advisory Committee. The Nominating Advisory Committee currently includes four individuals affiliated with long-term shareholders of the Company and one individual who is a member of the medical community. Members of the Nominating Advisory Committee do not receive any compensation from the Company for serving on the Nominating Advisory Committee. The Nominating Advisory Committee met once in 2018. A description of the Nominating Advisory Committee, including a description of how the members of the committee are nominated and selected, can be found on our website at www.unitedhealthgroup.com/about/corporate-governance. Nominating Advisory Committee Information Meeting 5 4 Audit Other Annual Executive Compensation Corporate Governance Voting Matters and Vote Recommendations Board Recommendation Proposal 1 FOR Election of Directors FOR Election of eleven directors Accounting Firm Annual 4 Audit 5 Meeting Other Information BOARD OF DIRECTORS Proposal 1 Election of Directors Director Nomination Process Criteria for Nomination to the Board We believe that an effective Board consists of a diverse group of individuals who bring a variety of complementary skills and a range of personal and business experience to their positions on the Board. The Nominating Committee developed and maintains a skills matrix to assist in considering the appropriate balance of experience, skills and attributes required of a director and to be represented on the Board as a whole. The skills matrix is consistent with the Company's long-term strategic plan and is regularly reviewed and updated by the Nominating Committee. The Nominating Committee evaluates Board candidates against the skills matrix on an annual basis to determine whether to recommend candidates for initial election to the Board and whether to recommend currently serving directors for reelection to the Board. - The skills matrix has two sections a list of core criteria every member of the Board should meet and a list of skills and attributes to be represented collectively by the Board. The core director criteria are: • Independence under the Company's Standards for Director Independence and New York Stock Exchange ("NYSE") listing requirements, subject to waiver by the Nominating Committee; FOR • Service on no more than three other public company boards; except our Chief Executive Officer may serve on no more than one other public company board; Executive Compensation Governance - Corporate 3 2 Ratification of Independent Registered Public Accounting Firm Board Recommendation FOR 4 AGAINST The Board does not believe the proposal is in the best interests of the Company or our shareholders and is unnecessary given our current corporate governance practices and strong Board accountability. Shareholder Proposal Regarding Amendment to Proxy Access Bylaw Page 72 4 Shareholder Proposal Regarding Amendment to Proxy Access Bylaw Board Recommendation AGAINST 5 Page 73 Board of Directors Based on the Audit Committee's assessment of Deloitte & Touche's qualifications and performance, it believes their retention for fiscal year 2019 is in the best interests of the Company. Compliance and Ethics We strongly and broadly encourage employees to raise ethics and compliance concerns, including concerns about accounting, internal controls or auditing matters. We offer several channels for employees and third parties to report ethics and compliance concerns or incidents, including by telephone or online, and individuals may choose to remain anonymous in jurisdictions where anonymous reporting is permissible. We prohibit retaliatory action against any individual who in good faith raises concerns or questions regarding ethics and compliance matters or reports suspected violations. We train all employees annually and periodically advise them regarding the means by which they may report possible ethics or compliance issues and their affirmative responsibility to report any possible issues. In our 2018 employee survey, 96% of employees said they knew what to do if they believed unethical behavior or misconduct occurred in their work area. 20 Corporate Governance Board of Directors The Code of Conduct: Our Principles of Ethics & Integrity document is posted on our website and covers our principles and policies related to business conduct, conflicts of interest, public disclosure, legal compliance, reporting and accountability, corporate opportunities, confidentiality, fair dealing and protection and proper use of Company assets. Any waiver of the Code of Conduct for the Company's executive officers, senior financial officers or directors may be made only by the Board of Directors or a committee of the Board. We will publish any amendments to the Code of Conduct and waivers of the Code of Conduct for an executive officer or director on our website. 3 20 2 • Our Certificate of Incorporation and Bylaws, together with Delaware law and NYSE and SEC rules, govern the Company. Our Board has also adopted "Principles of Governance," which set forth many of our practices, policies and procedures in corporate governance. The policies and practices covered in our Principles of Governance include shareholder rights and proxy voting; structure, composition and performance of the Board of Directors; stock ownership and retention requirements; Board of Directors operation; individual director responsibilities; and Board committees. Our Principles of Governance are reviewed at least annually by our Nominating Committee and are revised as necessary. Principles of Governance A Nominating Advisory Committee comprised of representatives from the shareholder and medical communities provides input into the composition of our Board of Directors. - Our Board of Directors believes that effective Board-shareholder communication strengthens the Board of Directors' role as an active, informed and engaged fiduciary, so we have a communication policy that outlines how shareholders and other interested parties may communicate with the Board of Directors. See "Corporate Governance Communication with the Board of Directors." Our insider trading policy prohibits all directors, executive officers and employees from engaging in short sales and hedging transactions relating to our common stock, and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. Information Other Executive Compensation Meeting 5 Code of Conduct: Our Principles of Ethics & Integrity Annual Board of 4 Audit 4 Audit Executive Compensation 3 Corporate Governance Directors 2 1 24 21 Our Board of Directors believes having independent Board leadership is an important component of our governance structure. As such, our Bylaws require the Company to have either an independent Chairman of the Board or a Lead Independent Director. Our current Board of Directors' leadership structure also separates the positions of CEO and Chairman of the Board. The Board believes this separation is appropriate for the Company at this time because it allows for a division of responsibilities and a sharing of ideas between individuals having different perspectives. Board Leadership Structure Dr. Montgomery Rice is President and Dean of Morehouse School of Medicine. In 2018, Morehouse School of Medicine paid the Company approximately $175,600 for claims software and medical records review services. The Company paid Morehouse School of Medicine approximately $910,000 for services as a network care provider in 2018. Total moneys paid by the Company and the United Health Foundation to Morehouse School of Medicine during 2018 were substantially less than 1% of Morehouse School of Medicine's total revenues for 2018. Dr. Montgomery Rice was not directly involved in these relationships. The Board of Directors also considered relationships between the Company and organizations on which our non-employee directors or their immediate family members serve only as directors and determined that such relationships did not impair the directors' exercise of independent judgment. Mr. Burke is an owner of Rainy Partners, LLC. Rainy Partners is a customer of the Company and paid the Company premiums for health insurance of approximately $398,600 in 2018. These premiums were determined on the same terms and conditions as premiums for other comparable customers. • • In determining independence, the Board of Directors considered, among other factors, the business relationships between the Company and our directors and nominees, their immediate family members (as defined by the NYSE) and their affiliated companies. The Board of Directors considered whether any director or any nominee was a director, partner, significant shareholder or executive officer of an organization that has a relationship with the Company, and also considered charitable contributions that the Company or its affiliates made to organizations with which such directors or nominees are or have been associated. In particular, the Board of Directors evaluated the following relationships and determined that such relationships were in the normal course of business and did not impair the directors' ability to exercise independent judgment: Glenn M. Renwick and Gail R. Wilensky, Ph.D. are each "independent” under the NYSE rules and the Company's Standards for Director Independence, and have no material relationships with the Company that would prevent the directors from being considered independent. Stephen J. Hemsley, Executive Chairman of the Board, and David S. Wichmann, CEO, are not independent directors. Our Board of Directors has determined that William C. Ballard, Jr., Richard T. Burke, Timothy P. Flynn, Michele J. Hooper, F. William McNabb III, Valerie C. Montgomery Rice, M.D., John H. Noseworthy, M.D., Our Board of Directors has adopted the Company's Standards for Director Independence, which are available on our website at www.unitedhealthgroup.com/about/corporate-governance. The Standards for Director Independence requirements exceed the independence standards set by the NYSE. Director Independence Information Meeting 5 Other Annual Information 3 ⋅ Our directors are required to offer their resignations upon a change in their primary careers. • and our CEO may not serve on more than one other public company board of directors. A non-management director may not serve on more than three other public company boards of directors, All members of our Audit Committee are "audit committee financial experts" as defined by the Securities and Exchange Commission ("SEC"). • • Board and Board Committee Composition and Performance Annual • Meeting 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 18 We have an Executive Chairman of the Board and a Lead Independent Director. 5 Our Board of Directors and each Board committee regularly conduct executive sessions of non-management directors. Our Lead Independent Director presides over each executive session of non-management directors. Committee Chairs preside over executive sessions of their respective committees. Our Board of Directors and Board committees have the authority to retain independent advisors. Our Board of Directors and Board committees conduct performance reviews annually. Guidelines and Board Policies Corporate Governance Directors 2 1 Board of 19 19 We have an environmental policy that outlines our focus on minimizing our impact on the environment and creating a Company culture that heightens our employees' awareness of the importance of preserving the environment and conserving energy and natural resources. We have a political contributions policy that is overseen by our Public Policy Strategies and Responsibility Committee (the "Public Policy Committee”). The Company's political contributions and public advocacy efforts and the contributions of our federal and state political action committees are disclosed on our website. Potential Impact on Compensation from Executive Misconduct/Compensation Clawbacks." - We have a clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. See “Compensation Discussion and Analysis Elements of Our Compensation Program Other Compensation Practices — We have a related-person transactions approval policy regarding the review, vote and ratification by our Nominating Committee on all proposed related-person transactions. See "Certain Relationships and Transactions." - - - - Our Board of Directors has developed a CEO succession plan with input from our CEO and reviews the plan annually. The CEO succession plan has two components: one addressing an emergency or unanticipated loss of our CEO and one addressing longer-term succession. Material features of this plan include identification of Board members to lead the succession process, identification and development of internal candidates and identification of external resources necessary to ensure a successful transition. We maintain stock ownership and retention guidelines for directors and executive officers. See "Compensation Discussion and Analysis - Elements of Our Compensation Program Other Compensation Practices Executive Stock Ownership Guidelines and Stock Retention Policy," "Director Compensation. Equity-Based Compensation" and "Director Compensation Stock Ownership and Retention Guidelines" for further information. • • • • • Executive Compensation Other Governance 5 The Compensation Committee also receives an annual report on the Company's compliance with its equity award program controls. After considering the results of the risk assessment, management concluded that the level of risk associated with the Company's enterprise-wide compensation programs is not reasonably likely to have a material adverse effect on the Company. The results of the risk assessment were reviewed with the Compensation Committee at its February 2019 meeting. Please see "Compensation Discussion and Analysis" for a discussion of compensation design elements intended to mitigate excessive risk-taking by our executive officers. Information Meeting 6 5 4 Audit Other Annual Executive Compensation Board Meetings and Annual Meeting Attendance 3 Directors 2 1 Board of 23 23 Our Compensation Committee requested that management conduct an annual risk assessment of the Company's enterprise-wide compensation programs. The risk assessment reviewed both cash incentive compensation plans and individual cash incentive awards paid in 2018 for the presence of potential design elements that could motivate employees to incur excessive risk. The review included the ratio and level of incentive to fixed compensation, the amount of manager discretion, the level of compensation expense relative to the business units' revenues, and the presence of other design features that serve to mitigate excessive risk-taking, such as the Company's clawback policy, stock ownership and retention guidelines, multiple performance measures and similar features. Enterprise-Wide Incentive Compensation Risk Assessment Our Board of Directors maintains overall responsibility for oversight of the work of its various committees by receiving regular reports from the Committee Chairs regarding their work. In addition, discussions about the Company's strategic plan, consolidated business results, capital structure, merger and acquisition-related activities and other business discussed with the Board of Directors include a discussion of the risks associated with the particular item under consideration. The Public Policy Committee oversees risk associated with the public policy arena, including health care reform and modernization activities, political contributions, government relations, community and charitable activities and corporate social responsibility. Corporate Governance Directors are expected to attend Board meetings, meetings of committees on which they serve and the Annual Meeting of Shareholders. All then-current directors attended the 2018 Annual Meeting. During the year ended December 31, 2018, the Board of Directors held twelve meetings. All then-current directors attended at least 75% of the meetings of the Board and any Board committees of which they were members in 2018. Board Committees The Board of Directors has established four standing committees: Audit, Compensation, Nominating and Public Policy. These committees help the Board fulfill its responsibilities and assist the Board in making informed decisions. Each committee operates under a written charter, and evaluates its charter and conducts a committee performance evaluation annually. 61 61 Do Do Financial Expert Chairperson Member Gail R. Wilensky, Ph.D. David S. Wichmann Glenn M. Renwick John H. Noseworthy, M.D. Valerie C. Montgomery Rice, M.D. F. William McNabb III Michele J. Hooper Stephen J. Hemsley Timothy P. Flynn Richard T. Burke* Public Policy Nominating Å Compensation Audit William C. Ballard, Jr. Director * The following table identifies the members of each committee as of April 9, 2019: The Nominating Committee oversees Board processes and corporate governance-related risk; and The Compensation Committee oversees risk associated with our compensation practices and plans; The Audit Committee oversees management's internal controls and compliance activities. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The enterprise risk management function assists the Company in identifying and assessing the Company's material risks. The Company's General Auditor, who reports to the Audit Committee, assists the Company in evaluating risk management controls and methodologies. The Audit Committee receives periodic reports on the enterprise risk management function. The Audit Committee also receives periodic reports on the Company's cyber security efforts. In connection with its risk oversight role, the Audit Committee regularly meets privately with representatives from the Company's independent registered public accounting firm and the Company's CFO, General Auditor and Chief Legal Officer; • working with the Chairman to approve the agendas and meeting schedules for Board meetings; serving as an ex officio member of each Board committee of which the Lead Independent Director is not a member and working with the Board committee chairs on the performance of their designated roles and responsibilities; facilitating discussion and open dialogue among the Independent Directors during Board meetings, executive sessions and outside of Board meetings; calling meetings of the Independent Directors as appropriate and, in coordination with the Chairman, all members of the Board; presiding at all meetings of the Board at which the Chairman is not present and at executive sessions of the Board's Independent Directors; serving as the principal liaison between the Independent Directors and the Chairman; • • • • • • • • • ⋅ • • Our Principles of Governance outline the specific duties of the Lead Independent Director, including: In connection with the CEO succession that took place in 2017, our Board created the position of Executive Chairman. The Board unanimously selected Mr. Hemsley to serve as our Executive Chairman due to his vision for the Company's future and his understanding of the Company and its evolving competitive environment. Given that Mr. Hemsley is not an independent director under applicable NYSE rules, the Board determined to continue the strong voice of independent directors and created the role of Lead Independent Director. Mr. Burke was appointed to serve as Lead Independent Director. Information Meeting 6 working with the Chairman on the appropriateness (including quality and quantity) and timeliness of information provided to the Board; 4 Audit meeting individually with the Chairman after each regularly scheduled Board meeting; leading the Board's annual goal setting and evaluation process for the Chairman; • • Our Board of Directors oversees management's enterprise-wide risk management activities. Risk management activities include assessing and taking actions necessary to manage risk incurred in connection with the long-term strategic direction and operation of our business. Each director on our Board is required to have risk oversight ability for each skill and attribute the director possesses that is reflected in the collective skills section of our director skills matrix described in "Proposal 1 Election of Directors Director Nomination Process Criteria for Nomination to the Board" above. Collectively, our Board of Directors uses its committees to assist in its risk oversight function as follows: Enterprise-Wide Risk Oversight Risk Oversight Information Meeting 5 4 Audit Other Annual Executive Compensation . 3 2 Corporate Board of Directors 22 interviewing, along with the Chair of the Nominating and Corporate Governance Committee, all Board candidates and making director candidate recommendations to the Nominating and Corporate Governance Committee. where appropriate, supporting the Company in interactions with shareholders and regulators in consultation with the Chief Executive Officer and Chairman; and meeting periodically with individual Independent Directors to discuss Board and committee performance, effectiveness and composition; communicating to the Chairman any decisions reached, suggestions, views or concerns expressed by Independent Directors in executive sessions or outside of Board meetings; assisting the Chair of the Nominating and Corporate Governance Committee in reviewing and reporting on the results of the Board and committee performance self-evaluations; coordinating the preparation of agendas and materials for executive sessions of the Board's Independent Directors, if any; Each share of stock is entitled to one vote and our Certificate of Incorporation and Bylaws do not have any supermajority shareholder approval provisions. (4) The Company did not grant stock option awards to directors in 2018. As of December 31, 2018, our non-employee directors held outstanding (and unexercised) stock option awards as follows: Mr. Ballard - 10,000; Mr. Burke — - 15,000; and Dr. Wilensky - 10,860. All members of our Board of Directors are elected annually by our shareholders. 189,626 F. William McNabb III 238,610 22,350 118,599 97,990 Rodger A. Lawson 338,795 18,374 175,331 189,626 145,000 325,550 24,892 300,658 Timothy P. Flynn 406,075 30,654 175,331 200,000 Richard T. Burke 325,395 Michele J. Hooper Valerie C. Montgomery Rice, M.D. 125,000 175,331 16 (3) The amounts reported reflect the aggregate grant date fair value of the stock awards granted in 2018 computed in accordance with FASB ASC Topic 718, based on the closing price of our common stock on the grant date. For a description of the assumptions used in computing the aggregate grant date fair value, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018. For each director, the amounts reported include the aggregate grant date fair value of the annual equity award of DSUS granted in quarterly installments. The amounts reflect the value of fractional shares issued with the quarterly installments as we round equity grants up to the nearest whole share. For Messrs. Flynn, McNabb and Renwick, we combined the cash compensation they elected to convert into DSUs on a quarterly basis and the value of the quarterly DSU grant prior to determining the number of DSUs to be granted each quarter. For 2018, Dr. Shine elected that all of his, and Dr. Wilensky elected that a portion of her, annual DSU awards be granted in shares of common stock. (2) Mr. Flynn converted his $125,000 cash compensation into 530 DSUs, Mr. McNabb converted his $78,820 cash compensation into 320 DSUs and Mr. Renwick converted his $150,000 cash compensation into 635 DSUs. (1) Messrs. Hemsley and Wichmann are employee directors and do not receive additional compensation for serving as directors. Dr. Noseworthy joined the Board on February 12, 2019 and is not included in the table. Mr. McNabb joined the Board on February 13, 2018, and compensation was prorated from that date. Dr. Shine retired from the Board of Directors, effective December 31, 2018. Mr. Lawson did not stand for re-election at the 2018 Annual Meeting of Shareholders. For Mr. Witty, the amounts reported reflect compensation earned in connection with his service as a director through March 13, 2018. Compensation paid in connection with Mr. Witty's service as Chief Executive Officer of Optum, which commenced on July 1, 2018, is reported in the Summary Compensation Table and additional tabular disclosures, as appropriate. 153,226 18,000 78,976 56,250 Andrew P. Witty 338,690 18,000 145,000 175,600 Gail R. Wilensky, Ph.D. 318,421 18,000 125,000 175,331 Kenneth I. Shine, M.D. 352,715 27,189 325,526 Glenn M. Renwick 318,421 18,000 18,490 Board of 175,331 William C. Ballard, Jr. Our corporate aircraft use policy prohibits personal use of corporate aircraft by any independent director. However, because there is essentially no incremental cost to the Company, the policy permits a director's family member to accompany the director on a business flight on Company aircraft provided a seat is available. The Company maintains a program through which it will match up to $15,000 of charitable donations made by each director for each calendar year. The directors do not receive any financial benefit from this program because the charitable income tax deductions accrue solely to the Company. Donations under the program may not be made to family trusts, partnerships or similar organizations. We reimburse directors for any out-of-pocket expenses incurred in connection with service as a director. We also provide health care coverage to directors if the director is not eligible for subsidized coverage under another group health care benefit program. Health care coverage is provided generally on the same terms and conditions as current employees. Upon retirement from the Board of Directors, directors may continue to obtain health care coverage under benefit continuation coverage, and after the lapse of such coverage, under the Company's post-employment medical plan for up to a total of 96 months if they are otherwise eligible. Other Compensation The Director Deferral Plan does not provide for matching contributions by the Company. pre-selected amounts to be distributed on pre-selected dates while the director remains a member of the Board of Directors. for cash deferrals, an immediate lump sum upon the completion of his or her service on the Board of Directors; or • Information Meeting 15 6 4 Audit Other Annual Executive Compensation Corporate Governance Directors 2 1 Board of Mr. Burke is the Lead Independent Director and an ex-officio member of the Compensation Committee and Public Policy Committee. As an ex-officio member, Mr. Burke has a standing invitation to attend each committee meeting, but does not count for quorum purposes or vote on committee matters. 5 Board of 1 2 ($) ($)(6) ($)(5) Total All Other Compensation Deferred Compensation Earnings Stock Option Awards Awards ($)(3) ($)(4) ($)(2) Name(1) Fees Earned or Paid in Cash Change in Pension Value and Non-Qualified 2018 Director Compensation Table The following table provides summary information for the year ended December 31, 2018, relating to compensation paid to or accrued by us on behalf of our non-employee directors who served in this capacity during 2018. Information Meeting 6 5 4 Audit Other Annual Executive Compensation Corporate Governance Directors 131,484 1 2 Directors Other Annual Executive Compensation Governance 3 2 Corporate Board of Directors 17 (6) In 2018, the Company matched $15,000 in charitable contributions made by the following directors to charitable organizations selected by the directors pursuant to the Company's Board Matching Program: Messrs. Ballard, Burke, Flynn, Lawson, Renwick and Witty; and Drs. Montgomery Rice, Shine and Wilensky, and $14,884 in charitable contributions made by Ms. Hooper. In 2018, the Company also made $3,000 contributions to charitable organizations selected by the following directors: Messrs. Ballard, Burke, Flynn, Lawson, Renwick and Witty; Ms. Hooper; and Drs. Shine, Montgomery Rice and Wilensky. In 2018, the Company also paid $12,654, $9,189, $6,892, $4,350, $490 and $490 in health care premiums on behalf of Messrs. Burke, Renwick, Flynn, Lawson, Ballard and Ms. Hooper, respectively. 4 Audit (5) The Director Deferral Plan does not credit above-market earnings or preferential earnings to the amounts deferred. There are no measuring investments tied to Company stock performance. The measuring investments are a predetermined collection of unaffiliated mutual funds identified by the Company. Gail R. Wilensky, Ph.D. 6,351 44,179 891 770 29,858 2,484 23,191 23,191 Deferred Stock Units Kenneth I. Shine, M.D. 21,419 5 Meeting Information • • • Board Structure and Shareholder Rights You can access these documents at www.unitedhealthgroup.com/about/corporate-governance to learn more about our corporate governance practices. We will also provide copies of these documents without charge upon written request to the Company's Secretary to the Board of Directors. Our key corporate governance practices are highlighted below. Corporate Environmental Policy ✓ Political Contributions Policy Board of Directors Communication Policy Code of Conduct: Our Principles of Ethics & Integrity Related-Person Transactions Approval Policy Standards for Director Independence ✓ Board of Directors Committee Charters Principles of Governance ✓ Bylaws ✓ Certificate of Incorporation ✓ Corporate Governance Documents UnitedHealth Group is committed to high standards of corporate governance and ethical business conduct. Important documents reflecting this commitment are listed below. Overview CORPORATE GOVERNANCE Glenn M. Renwick Valerie C. Montgomery Rice, M.D. F. William McNabb III Michele J. Hooper Michele J. Hooper 43,874 43,804 43,863 43,790 43,874 43,804 43,863 43,790 2018 ($) 2018 ($) January 2, April 2, July 2, October 1, 2018 ($) ($) Timothy P. Flynn* William C. Ballard, Jr. Richard T. Burke Name 2018 The aggregate grant date fair values of the stock awards granted in 2018, computed in accordance with FASB ASC Topic 718 based on the closing price of our common stock on the grant date, are as follows: Information Meeting 6 5 4 Audit Other Annual Executive Compensation Corporate Governance Rodger A. Lawson Our Certificate of Incorporation provides, in an uncontested election, each director must be elected by a majority vote. To address a provision in Delaware law that allows a director who has not been re-elected to remain in office until a successor is elected and qualified, we have a policy requiring any director who does not receive a greater number of votes "for" than "against❞ his or her election in an uncontested election to tender his or her resignation from the Board of Directors following certification of the shareholder vote. Our Bylaws provide eligible shareholders the right to include shareholder director nominees representing up to 20% of the Board in our proxy statement. 43,790 F. William McNabb III* Timothy P. Flynn Richard T. Burke William C. Ballard, Jr. Name As of December 31, 2018, our non-employee directors held outstanding DSU awards as follows: * Includes the value of DSUs issued upon conversion of annual cash retainers as described in footnote 1 above of $125,000 for Mr. Flynn, $78,820 for Mr. McNabb and $150,000 for Mr. Renwick. 43,874 43,804 44,132 35,186 43,790 43,790 Andrew P. Witty Gail R. Wilensky, Ph.D. 43,874 43,804 43,863 43,790 Kenneth I. Shine, M.D. 81,268 81,450 81,421 81,387 Glenn M. Renwick* 43,863 43,874 43,804 43,790 Valerie C. Montgomery Rice, M.D. 75,079 39,313 75,234 43,874 30,935 75,194 75,151 75,234 75,079 43,790 43,874 43,804 43,863 24 Prohibition on repricing of stock options and stock appreciation rights without shareholder approval. Prohibition on hedging transactions and advance approval of the Compensation Committee required for pledging transactions. UnitedHealth Group was included among the 2018 Best Employers for Diversity by Forbes. 1 Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. 28 1 Board of Directors 2 Corporate Governance UnitedHealth Group was named to both the Dow Jones Sustainability World and North America Indices for the 20th consecutive year; and Executive Compensation Other 4 Audit 5 Meeting Information The Compensation Committee believes total compensation for the executive officers listed in the 2018 Summary Compensation Table (the “named executive officers" or "NEOs") should be heavily weighted toward long-term performance-based compensation. In 2018, long-term compensation represented approximately 75% of the total compensation granted to our named executive officers. The elements of compensation for our named executive officers were unchanged from 2017. We endeavor to maintain strong governance standards in the oversight of our executive compensation programs, including the following policies and practices that were in effect during 2018: • Annual . - Cumulative shareholder return for UnitedHealth Group, which is defined as the increase in stock price, together with dividends reinvested when paid was 122% over the 2016-2018 time period and 258% over the 2014-2018 time period. Cumulative shareholder return for the S&P 500 Index was 30% over the 2016-2018 time period and 50% over the 2014-2018 time period; Other 4 Audit 5 Meeting Information EXECUTIVE COMPENSATION Executive Summary UnitedHealth Group's compensation program is designed to attract and retain highly qualified executives and to maintain a strong link between pay and the achievement of enterprise-wide goals. We emphasize and reward teamwork and collaboration among executive officers, which we believe fosters Company growth and performance, optimizes the use of enterprise-wide capabilities, drives efficiencies and integrates products and services for the benefit of our customers and other stakeholders. Our annual cash dividend rate increased to $3.60 per share, paid quarterly, representing a 20% increase over the annual cash dividend rate of $3.00 per share paid quarterly since the second quarter of 2017; UnitedHealth Group was the top ranked company in the insurance and managed care sector on Fortune's 2019 "World's Most Admired Companies" list, based on 2018 results. This is the ninth consecutive year UnitedHealth Group has ranked No. 1 overall in its sector. The Company ranked No. 1 on all nine key attributes of reputation - innovation, people management, use of corporate assets, social responsibility, quality of management, financial soundness, long-term investment, quality of products and services and global competitiveness. The Company was rated No. 1 in innovation for the tenth consecutive year. In determining 2018 executive compensation, the Compensation Committee considered the Company's strong growth, operating performance and financial results, all of which were achieved in an uncertain environment, as well as individual executive performance. Some of our key business results for 2018 were: • Revenues increased 12% to $226.2 billion from $201.2 billion in 2017; • • • Operating earnings increased 14% year-over-year to $17.3 billion; net earnings to UnitedHealth Group common shareholders increased to $12 billion; and cash flows from operations grew 16% year-over-year to $15.7 billion; Diluted earnings per share increased 14% to $12.19 per share from $10.72 in 2017. Adjusted earnings per share increased 28% to $12.88 per share from $10.07 per share in 2017; Return on equity was consistent with the prior year at 24.4% in 2018; • • • • 2 Corporate Governance Executive Compensation Annual Other 4 Audit 5 Meeting Board of Directors Information Our Compensation Program Philosophy and Objectives We seek to attract and retain highly qualified executives and establish a strong pay-for-performance alignment by linking senior management compensation to enterprise and individual performance goals. The primary objectives of our executive compensation program are to: • • Align the economic interests of our executive officers with those of our shareholders. Reward performance that advances our mission of helping people live healthier lives and helping to make the health system work better for everyone. Reward performance that emphasizes teamwork and close collaboration among executive officers while also recognizing individual performance. • Compensation Discussion and Analysis 29 Company matching contributions of $178,875 made under the Company's 401(k) plan and Executive Savings Plan. A performance-based restricted stock unit opportunity ("performance shares") with a target grant date fair value of $5.55 million, restricted stock units ("RSUS") with a grant date fair value of $2.775 million, and non-qualified stock options with a grant date fair value of $2.775 million; and • • Compensation Committee consisting entirely of independent Board members. Performance-based compensation arrangements, including performance-based equity awards that use a balanced set of performance measures, with different metrics used for annual and long-term incentive plans. Double-trigger accelerated vesting of equity awards, requiring both a change in control and a qualifying employment termination, which is our only change in control consideration. No excise tax gross-ups and generally no executive-only perquisites such as company cars, security systems or financial planning. A compensation clawback policy that entitles the Board of Directors to seek reimbursement from our senior executives if they are involved in fraud or misconduct that causes a material restatement, or in the event of a senior executive's violation of non-compete, non-solicit or confidentiality provisions. A stock retention policy that generally requires executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. Each of our executive officers and directors were in compliance with our stock ownership guidelines as of April 9, 2019. Mr. Wichmann, our CEO, is required to own shares equal to eight times his base salary by the fifth anniversary of his appointment as CEO. As of April 9, 2019, Mr. Wichmann owned shares equal to 169 times his base salary. Annual advisory shareholder vote to approve the Company's executive compensation. The direct retention by the Compensation Committee of its independent compensation consultant, Pay Governance LLC, which performs no other consulting or other services for the Company. As discussed in detail below and reflected in the 2018 Summary Compensation Table, our CEO, Mr. Wichmann, received the following compensation for 2018: ⋅ Base salary of $1.3 million; • Annual cash incentive award of $4.5 million, which represents 173% of his target opportunity; • • Long-term cash incentive award of $890,600 for the 2016-2018 performance period, which represents above target performance by the Company against pre-set 2016-2018 long-term incentive plan performance goals (this cash plan has been discontinued); Annual Reward performance that supports the Company's values. Executive Compensation 2 The Compensation and Human Resources Committee (the "Compensation Committee”) is responsible for overseeing our policies and practices related to total compensation for executive officers, the administration of our incentive and equity-based plans and the risk associated with our compensation practices and plans. The Compensation Committee also establishes employment arrangements with our CEO and other executive officers, conducts an annual performance review of the CEO, and reviews and monitors director compensation programs and the Company's stock ownership guidelines. Independence: Each of the Compensation Committee members is an independent director under the NYSE listing standards and the SEC rules, a non-employee director under the SEC rules and an outside director under the Internal Revenue Code of 1986 (the "Internal Revenue Code"). 25 25 Board of Directors 2 Corporate Governance William C. Ballard, Jr. (Chair), Richard T. Burke, Timothy P. Flynn and Gail R. Wilensky, Ph.D. Primary Responsibilities: 3 4 Audit 5 Annual Meeting 6 Other Information Nominating and Corporate Governance Committee Committee Members: Michele J. Hooper (Chair), William C. Ballard, Jr. and Richard T. Burke Primary Responsibilities: Executive Compensation Meetings Held in 2018: 3 Meetings Held in 2018: 5 Compensation and Human Resources Committee Board of Directors Corporate 2 3 Governance Executive Compensation 4 Audit 5 Committee Members: Annual Meeting Other Information Audit Committee Meetings Held in 2018: 9 Committee Members: Glenn M. Renwick (Chair), Michele J. Hooper and F. William McNabb III Primary Responsibilities: The Audit Committee has responsibility for the selection and retention of the independent registered public accounting firm and oversees financial reporting, internal controls and public disclosure. The Audit Committee reviews and assesses the effectiveness of the Company's policies, procedures and resource commitments in the areas of compliance, ethics, privacy and cyber security, by interacting with personnel responsible for these functions. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company. The Audit Committee establishes procedures concerning the receipt, retention and treatment of complaints regarding accounting, internal accounting controls and auditing matters. The Audit Committee operates as a direct line of communication between the Board of Directors and our independent registered public accounting firm, as well as our internal audit, compliance and legal personnel. Independence: Each of the Audit Committee members is an independent director under the NYSE listing standards and the SEC rules. The Board of Directors has determined that Messrs. Renwick and McNabb and Ms. Hooper are "audit committee financial experts" as defined by the SEC rules. 6 The Nominating and Corporate Governance Committee's (the "Nominating Committee”) duties include identifying and nominating individuals to be proposed as nominees for election as directors at each Annual Meeting or to fill Board vacancies, conducting the Board evaluation process, evaluating the categorical standards which the Board of Directors uses to determine director independence, and monitoring and evaluating corporate governance. The Nominating Committee also oversees Board processes and corporate governance-related risk. Independence: Each of the Nominating Committee members is an independent director under the NYSE listing standards. Appropriate matters to raise in communications to the Board include: • Board composition; • Board succession planning process; • • CEO succession planning process; The Secretary to the Board of Directors will not forward to the directors communications received which are of a personal nature or not related to the duties and responsibilities of the Board of Directors, including, without limitation, junk mail, mass mailings, business solicitations, routine customer service complaints, new product or service suggestions and opinion surveys. The Secretary to the Board of Directors will forward such complaints and suggestions received to the appropriate members of the Company's management. Executive compensation; • Corporate governance; and • General Board oversight, including accounting, internal controls, auditing and other related matters. The policy, including information on how to contact the Board of Directors, may be found in the corporate governance section of our website, www.unitedhealthgroup.com/about/corporate-governance. 27 27 Board of Directors Use of capital; The Board of Directors values the input and insights of our shareholders and other interested parties and believes effective communication strengthens the Board of Directors' role as an active, informed and engaged fiduciary. The Board of Directors has adopted a Board of Directors Communication Policy to facilitate communication between shareholders and other interested parties and the Board. Under this policy, the Board of Directors has designated the Company's Secretary to the Board of Directors as its agent to receive and review communications. Communication with the Board of Directors Information Public Policy Strategies and Responsibility Committee Committee Members: Gail R. Wilensky, Ph.D. (Chair) and Valerie C. Montgomery Rice, M.D. Primary Responsibilities: Meetings Held in 2018: 4 The Public Policy Strategies and Responsibility Committee (the "Public Policy Committee”) is responsible for assisting the Board of Directors in fulfilling its responsibilities relating to the Company's public policy, health care reform and modernization activities, political contributions, government relations, community and charitable activities and corporate social responsibility. The Public Policy Committee is also responsible for overseeing the risks associated with these activities. Independence: Each of the Public Policy Committee members is an independent director under the NYSE listing standards. 26 46 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 5 Meeting Corporate Governance • 29 Compensation Program Principles Company RSUS to retain executive officers and build stock ownership positions Non-qualified stock options to encourage sustained stock price appreciation To promote the health, well-being and financial security of employees, including executive officers; constitutes the smallest part of total remuneration building ownership in the Type of Compensation Annual performance compensation, variable Long-term performance compensation, variable Annual indirect compensation, not variable 33 33 Board of 1 2 Annual compensation, not variable Directors Foster an entrepreneurial spirit with innovative thinking and action that leverages the ingenuity of our employees. Performance shares to encourage sustained Meeting Information Use of Tally Sheets and Wealth Accumulation Analysis When approving compensation decisions, the Compensation Committee reviews tally sheet information for each of our executive officers. These tally sheets are prepared by management and quantify the elements of each executive officer's total compensation. The tally sheets include a summary of all equity awards previously granted to each executive officer, the gain realized from past vesting or exercise of equity awards, and the projected value of accumulated equity awards based upon then current stock price scenarios. This is done to analyze the compensation each executive officer has accumulated to date and to fully understand the amount the executive officer could potentially accumulate in the future. Elements of our Compensation Program Overview The compensation program for our named executive officers consists of the following elements: Compensation Element performance and growth and Base salary Equity awards Employee benefits Objective To provide a base level of cash compensation for executive officers based on role, scope of responsibilities and experience To encourage and reward executive officers for achieving annual corporate performance goals and individual performance results To motivate and retain executive officers and align their interests with shareholders through the use of: • • Annual cash incentive awards Corporate Governance Executive Compensation Annual shares 75% Long-term Incentives Restricted stock units* 10% Base salary 15% Annual cash incentive award Performance 37% 75% Long-term Incentives Excludes new hire grant made to Mr. Witty in connection with his appointment as CEO, Optum. Appointment of Sir Andrew Witty as Chief Executive Officer of Optum On March 13, 2018, the Company announced that, effective July 1, 2018, Sir Andrew Witty would replace Larry Renfro as Chief Executive Officer of Optum. Sir Andrew is the former Chief Executive Officer of GlaxoSmithKline plc. (GSK), a Fortune Global 500 company and one of the largest pharmaceutical companies in the world. In light of this appointment, Sir Andrew stepped down from the UnitedHealth Group Board of Directors on March 13, 2018. Sir Andrew was selected to be Optum's CEO because of his experience leading a complex, multinational business organization, global perspective and outstanding accomplishments in health care worldwide, where he has distinguished himself as an internationally recognized business leader and drove some of the largest and most impactful decisions and innovations in health care around the globe. During his nine-year tenure as GSK's CEO (from 2008 to 2017), Sir Andrew led the delivery of substantial portfolio change and growth across GSK's three business units while remaining disciplined on costs and advancing the progression of the company's pipeline of innovative products. Sir Andrew led a number of ground breaking corporate transactions. Alongside acquisitions, the creation of important joint ventures in the fields of HIV, Vaccines and Consumer Health allowed GSK to strengthen leading positions in important fields. He also led GSK in the adoption of an equitable pricing strategy to make much needed medicines and vaccines more affordable to people in the world's poorest countries. Sir Andrew's deep experience with the use of data and analytics and new technologies to improve outcomes, better serve consumers, lower costs and drive value across the health care system further qualified him as a unique candidate for the Optum CEO role. 34 =4 Performance shares 37% 19% Annual cash incentive award Other 4 Audit 5 6 Meeting Information As reflected in the charts below, the mix of total target compensation granted in 2018 to our named executive officers was heavily weighted towards performance-based and long-term incentive compensation, with long-term incentive awards making up approximately 75% of total target compensation for our named executive officers in aggregate. CEO Compensation Mix Other NEOS Compensation Mix 19% Non-qualified stock options 19% Restricted stock units 9% 19% Base salary Non-qualified stock options 17% 5 4 Audit potentially assist executives in Annual 5 6 Meeting Information In addition, in making compensation decisions, the Compensation Committee considers the results of the Company's annual shareholder advisory votes approving the Company's executive compensation. More than 95% of the votes cast have been in favor of the Company's executive compensation at each of our annual meetings, beginning with our inaugural vote in 2011. The Compensation Committee believes these shareholder votes reflect strong support for the Company's executive compensation program. The Compensation Committee's Use of an Independent Compensation Consultant The Compensation Committee retains independent compensation consultant, Jon Weinstein of Pay Governance LLC, to advise the Compensation Committee on executive and director compensation matters, assess total compensation program levels and program elements for executive officers and evaluate competitive compensation trends. Pay Governance does not provide any other services to the Company and does not perform any work for management. The Compensation Committee has assessed the independence of Mr. Weinstein and of Pay Governance, specifically considering, in accordance with SEC rules, whether Mr. Weinstein and Pay Governance had any relationships with the Company, our officers or our Board members that would impair their independence. Based on this evaluation, the Compensation Committee concluded that Mr. Weinstein's and Pay Governance's work for the Compensation Committee does not raise any conflict of interest. Competitive Positioning 4 Audit The Compensation Committee believes total compensation for the named executive officers should be heavily weighted toward long-term performance-based compensation, but it does not target a specific mix of annual and long-term compensation or cash and equity compensation and does not formulaically set compensation targets. At the request of the Compensation Committee, Pay Governance conducts an annual review of the Company's compensation peer group. This review ensures that the peer group companies remain appropriate from a business and talent perspective and occurs at the second quarter Compensation Committee meeting, because recent financial and compensation data are generally available at that time. The Compensation Committee uses the following methodology, which formulates a peer group focused on the industries reflected in the prior career experiences of approximately 250 of the Company's senior leaders: • All U.S. publicly traded companies in the following industries as the starting point: Pharma/Biotech/Life Sciences Health Care Insurance Technology • In general, the Compensation Committee's goal is to achieve total compensation for the named executive officers as a group that falls within a range of the 50th to 75th percentiles of the market data for our peer group (as discussed below), if paid at target. The Compensation Committee believes this range is an appropriate reflection of the Company's relative size, complexity and consistently strong performance over the past several years. The following briefly summarizes the processes followed by the Compensation Committee to select competitive compensation benchmark data and how the Compensation Committee uses these data. • Other Executive Compensation Our Compensation Committee uses the following principles to implement our compensation philosophy and achieve our executive compensation program objectives: • ⋅ • Pay-for-performance. Most of the total compensation of our executive officers is at risk and only earned based on achievement of enterprise-wide goals. Enhance the long-term value of the business. Our pay system is weighted toward long-term compensation to promote long-term shareholder value creation and avoid excessive risk-taking. Reward long-term growth and focus management on sustained success and shareholder value creation. Compensation of our executive officers is heavily weighted toward equity and we require significant stock ownership by our management team. This encourages sustained performance and positive shareholder returns. Provide standard benefits. We provide standard employee benefits and generally do not have "executive-only" benefits or perquisites. Other Determination of Total Compensation The Compensation Committee oversees the Company's policies and philosophy related to total compensation for executive officers. The Compensation Committee reviews and approves the compensation for the named executive officers based on its own evaluation, input from our Executive Chairman and CEO (for all executive officers except themselves), internal pay equity considerations, the tenure, role and performance of each named executive officer, input from its independent consultant and market data. 30 50 1 Board of Directors 2 Corporate Governance 3 Role of the Compensation Committee Financial Services Professional Services Annual Add major companies located near UnitedHealth Group's headquarters and primary operating locations to reflect relevant geographic markets for talent. At the 84th percentile in number of employees. The Compensation Committee also considers market data from the four largest publicly traded managed care companies with which we compete for business. However, the Compensation Committee does not use this group as a primary reference point for benchmarking compensation practices because the Company is substantially larger, more complex and more diverse than these companies, and because we believe that the Company competes primarily for talent and capital with other successful large companies across a broader group of sectors. Once the process is concluded and peer group companies are selected, the Compensation Committee generally uses the market data as follows: • • At the fourth quarter Compensation Committee meeting, Pay Governance presents an annual review of the market competitiveness of the Company's executive compensation program for the Company's executive officers. The review compares the compensation opportunities provided to the Company's executive officers to peer group companies on a position-by-position basis and on an aggregate basis. At the first quarter Compensation Committee meeting, the Compensation Committee determines pay opportunities for each officer using the market competitiveness assessment from the previous fourth quarter as a reference point. In addition, the Compensation Committee takes into consideration the Company's performance against previously established performance goals, each officer's individual performance, internal equity, the Executive Chairman and CEO's recommendations and other relevant business performance that may not be adequately captured by the Company and individual officer goals. Target total compensation of our named executive officers as a group in 2018, consisting of base salary, target annual cash incentive award, target long-term cash incentive award and the grant date fair value of equity awards (including performance shares at target) was between the 50th and the 75th percentiles of the market data for our peer group. Role of Management and CEO in Determining Executive Compensation At the 77th percentile in earnings from operations; and The Compensation Committee has the responsibility to approve and monitor all compensation for our executive officers. Management recommends appropriate enterprise-wide financial and non-financial performance goals for use in incentive compensation. Our Executive Chairman and CEO assist the Compensation Committee by evaluating the performance of the executive officers who report directly to them and recommending compensation levels for these executive officers. 32 1 Board of Directors 2 Corporate Governance 3 Executive Compensation Limit the list to the largest companies by revenue and equity market capitalization to avoid companies of significantly smaller scope; and 32 At the 78th percentile on a market capitalization basis; The companies included in the 2018 peer group and the four managed care companies are listed at the end of this Compensation Discussion and Analysis. • 31 Board of 1 2 Directors Corporate Governance Executive Compensation Annual 4 Audit 3 Meeting Other Information This screening process resulted in the 54 companies set forth under "Peer Group and Managed Care Companies" below. As compared to the peer group, the Company is: • . • 5 At the 97th percentile on a revenue basis; The grant date fair values and terms of these equity awards are discussed in the 2018 Grants of Plan-Based 29,468 17,183 8,592 39,781 14,892 7,446 5,516 47,096 11,031 (#) 12,245 24,489 53,042 9,928 19,856 (#) (#) Annual RSU Award Awards table. 65,418 43 44 Board of Directors Steven H. Nelson 2018 Performance Measure The Company has a policy of entering into employment agreements with each of our named executive officers. These employment agreements are described in greater detail in "Executive Employment Agreements." Employment Agreements and Post-Employment Payments and Benefits We do not provide perquisites such as excise tax gross-ups, company automobiles, security services, private jet services, financial planning services or club memberships to our executive officers. We have agreed to provide Mr. Witty with tax equalization payments to ensure that, as a U.S. non-resident, his overall tax obligation is the same as if he were taxed exclusively in the United Kingdom where he resides, including assistance in tax return preparation due to the complexity of multi-jurisdictional filing requirements. We prohibit personal use of corporate aircraft by any executive officer unless the Company is reimbursed for the full incremental cost to the Company of such use. Because there is essentially no incremental cost to the Company, we permit an executive officer's family member to accompany the executive officer on a business flight on Company aircraft provided a seat is available. Perquisites In addition to generally available benefits, our executive officers are eligible to receive supplemental long-term disability coverage equal to 60% of base salary, and all of our named executive officers, other than Mr. Hemsley, receive supplemental group term life insurance coverage of $2 million. Executive officers are also eligible to participate in our non-qualified Executive Savings Plan. See the 2018 Non-Qualified Deferred Compensation table for additional information regarding contributions, earnings and distributions for each named executive officer under the Executive Savings Plan. Our Executive Savings Plan does not provide for guaranteed or above-market interest. Benefits In 2006, the accrued value of the benefit payable under Mr. Hemsley's individual supplemental executive retirement plan agreement (the "SERP") was frozen based on his then-current age and average base salary and converted into a lump sum cash benefit of $10,703,229. On June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the $10,703,229 cash benefit into deferred stock units ("DSUs") to further align Mr. Hemsley's interests with those of shareholders, allow Mr. Hemsley to earn a return on the SERP balance that will be tied to the Company's stock price performance, and provide the opportunity for Mr. Hemsley to receive deferred dividend equivalents on the SERP balance. Pursuant to the amended SERP, the number of DSUs issued was based on the amount of the cash benefit divided by the average closing price of the Company's common stock over the preceding five trading days from the date of conversion of the cash balance. Mr. Hemsley is eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. During 2018, Mr. Hemsley received dividend equivalents in the form of an additional 1,110 DSUs that were added to the SERP balance. Upon termination of Mr. Hemsley's employment for any reason, the DSUs held in the SERP will be converted into shares of common stock and will be paid six months and one day after his termination. Supplemental Retirement Benefits Other Compensation Information Meeting 5 4 Audit Other Annual Executive Compensation Corporate Governance 2 1 Andrew P. Witty Threshold David S. Wichmann Executive Compensation Annual Other 4 Audit 5 6 Meeting Information In determining the 2018 annual cash incentive award amounts for the named executive officers, the Compensation Committee took into account the Company's performance against the 2018 annual performance goals set forth in the table above, business results described under "Context for the 2018 Annual Cash Incentive Plan Performance Goals," including each executive officer's role in achieving those results, and a qualitative assessment of individual performance and accomplishments. Individual factors considered are as follows: • ⋅ Mr. Wichmann's individual performance evaluation was conducted by Mr. Hemsley with input from the independent members of the Board of Directors. Mr. Wichmann's 2018 performance evaluation reflected exceptional performance in the following areas: strategic focus; vision and values; corporate performance, Board relations; leadership and organization effectiveness; corporate reputation and government relations; and overall performance. Mr. Rex's individual performance considerations included exceptional performance as Chief Financial Officer and additional enterprise responsibilities as part of the Office of the Chief Executive; oversight of all finance, audit and financial compliance functions across the enterprise and responsibility for treasury, long-term capital allocation and financial planning, mergers and acquisitions and venture and private equity investment activity; and high regard by the Company's investors. Mr. Witty's individual performance considerations included his strategic vision for Optum, commitment to the Company's mission and culture, the strong operational performance of Optum in 2018 as described above, including strong execution and engagement of Optum leaders and its employee base. Mr. Nelson's individual performance considerations included progress in increasing the amount of medical spend covered under value-based arrangements, commitment to the Company's mission and culture, inconsistent operating performance of UnitedHealthcare, including the business results described above that met or exceeded some, but not all, of the targets set, and expansion into to new specialty business lines. The Compensation Committee did not make specific assessments of, quantify or otherwise assign relative weightings to the factors listed above as it reached its decisions with respect to any of the named executive officers. See the 2018 Summary Compensation Table and other related compensation tables below for details regarding 2018 total compensation for the named executive officers. Long-Term Incentive Compensation Long-term incentive compensation, consisting solely of equity awards in 2018, represents the largest portion of executive officer compensation. The combination of long-term incentives we employ provides a compelling performance-based compensation opportunity, aids in aligning and retaining the senior management team and accelerates the advancement of business unit capabilities across the enterprise. The Compensation Committee determined that long-term equity-based compensation for 2018 should include grants of performance shares, RSUs and non-qualified stock options to achieve balance and effectiveness in our equity-based compensation and to align the interests of our executive officers and our shareholders. The mix of equity-based compensation granted in February 2018 was as follows, based on the grant date fair value of the total award: 50% performance shares, 25% RSUs and 25% non-qualified stock options. Performance share grants were selected to ensure a strong pay-for-performance alignment of the Company's compensation program with drivers of shareholder value. RSU grants were selected because they are full value shares with time vesting and, as such, provide added retention value. Non-qualified stock options were selected because they have value only if the Company's stock price increases and, as such, provide incentives for sustained long-term stock price appreciation. 39 1 Corporate Governance Board of Directors Directors 1 2,600,000 4,500,000 173% John F. Rex 150% 1,500,000 2,500,000 167% Andrew P. Witty 200% 2,200,000 2,200,000 100% Steven H. Nelson 200% 2,000,000 2,000,000 100% 38 88 Board of 2 200% Corporate Governance • • • • • Modest US economic growth with a gradual increase in interest rates, and a more rapidly growing economy in Brazil, with a stable Brazilian Real - U.S. Dollar exchange rate; _ Medicaid, Medicare Advantage, Medicare Supplement, Part D and Global enrollment growth over the three-year period; Commercial risk-based health insurance growth from expansion into exchanges and growth in existing markets, leveraging enhanced products, services and distribution. Commercial fee-based health insurance enrollment growth in all years; Continued funding pressure in government businesses; An expectation that medical cost trends would be consistent with historical levels and that there would not be net favorable or unfavorable development in previously reported medical cost payable estimates; • Delivery of more effective and comprehensive clinical management; • . • • • Continued growth and enhancement of the quality and operations of our government businesses to compensate for continued expected funding pressures; Continued growth and alignment of the Optum businesses, including growth in technology-enabled services and specialty networks products and services, driving distinctive revenue, margin and earnings performance; Key assumptions and elements of the 2016-2018 long-term business plan were: 2 The performance measures and goals for the 2016-2018 performance period were established during the first quarter of 2016 based on the Company's long-term business plan. The first year of the long-term business plan was based on the Company's 2016 business plan. Subsequent years were based on assumptions and growth initiatives developed by the Company's business units and reviewed by the Board of Directors. 22.5% Executive Compensation Annual 4 Audit 5 Meeting Long-Term Awards Other Information 2016-2018 Long-Term Goals and Context The long-term program creates financial incentives for achieving or exceeding three-year financial goals for the enterprise as follows: 2016-2018 Performance Measure Actual Threshold Target Maximum 2016-2018 Weight Performance Performance Performance Performance Cumulative Adjusted Earnings Per Share Return on Equity 50% $25.16 $26.55 $28.48 $28.49 50% 18.5% 20.5% 20.5% David S. Wichmann (% of Target) ($) 1 point above 2017 results for NPS; 1 point below 2017 results for employee engagement and; at 2017 results for teamwork; 4 points above 2017 results for NPS; at 2017 results for employee engagement and; 1 point above 2017 results for teamwork 6 points above 2017 results for NPS; 1 point above 2017 results for employee engagement and; 2 points above 2017 results for teamwork Slightly below target for net promoter score; at target for employee engagement; and at threshold for teamwork The Company's annual incentive plan allows for adjustments to the Company's reported results for the impact of changes in accounting principles, extraordinary items and unusual or non-recurring gains or losses, including significant differences from the assumptions contained in the financial plan upon which the incentive targets were established. Adjustments to reported results are intended to better reflect executives' line of sight/ability to affect payouts, align award payments with growth of the Company's business, avoid artificial inflation or deflation of awards due to unusual or non-recurring items in the applicable period and emphasize the Company's preference for long-term and sustainable growth. No adjustments have been made to the Company's reported results for 2018. Context for the 2018 Annual Cash Incentive Plan Performance Goals The 2018 financial performance measures at target level represented year-over-year growth in revenues of $26.6 billion, or 13.2%; year-over-year growth in operating income of $2.1 billion, or 13.6%; and year-over-year increase in operating cash flows of $1.9 billion or 14.0%. These targets included expected financial results from the acquisition of Empresas Banmedica in January 2018, the impact of the return of the Health Insurance Industry Tax, the impact of the Tax Cuts and Jobs Act enacted on December 22, 2017, and the view that there would be a continued challenging business environment in 2018. The 2018 non-financial performance measures were based on survey data results and, at target levels, represented levels at or above 2017 performance in all categories. These measures were viewed to be important to longer-term financial success, customer satisfaction and employee welfare that might not be immediately reflected in annual financial results. The Compensation Committee was of the view that the breadth of financial and non-financial performance measures for the 2018 annual cash incentive award would motivate executive officers to achieve results that contribute to value creation for our shareholders on a long-term basis and avoid excessive risks. 36 46 Board of 1 2 Directors Corporate Governance Executive Compensation 1/3 Annual Net Promoter Score Employee Engagement Employee Teamwork • Weight Performance Target Performance Maximum Performance Actual 2018 Performance Revenue* 1/3 $216.4 billion $227.8 billion $239.2 billion Operating Income* 1/3 John F. Rex Cash Flows from $13.2 billion $17.3 billion $15.5 billion $19.9 billion $17.8 billion $226.2 billion $17.3 billion $15.7 billion Operations* Stewardship: • . Other 4 Audit 5 Executive Compensation Annual Other 4 Audit 5 6 Meeting Information While the Company uses defined performance measures and weightings to determine an overall funding level for the Company's bonus pool, individual annual cash incentive awards are not purely formulaic. In determining the amount of the actual annual incentive award to be paid, the Compensation Committee considers the CEO's recommendations for executive officers, the business performance underlying each of the performance measures, macroeconomic factors disproportionately impacting business performance, individual executive performance, market positioning, teamwork and related matters. The Compensation Committee retains discretion to pay an annual incentive award that is higher or lower than the performance level achieved based on these considerations if threshold performance is achieved on any performance measure. However, the overall pool cannot be exceeded. Determination of 2018 Annual Cash Incentive Award Opportunities At the beginning of each year, the Compensation Committee approves an "annual cash incentive target opportunity" for each executive officer as a percentage of the executive officer's base salary. In February 2018, the Compensation Committee approved an increase in the annual cash incentive target opportunity for Messrs. Rex and Nelson to 150% and 200%, respectively. This increase reflected strong performance and aligned their incentive opportunities to market data for leaders in their positions. The target opportunities established for the named executive officers are intended to increase collaboration, teamwork and accountability across the enterprise, to recognize the skills and versatility of each executive officer and to reflect relative contributions to the success of the overall enterprise. At the end of the fiscal year, the Compensation Committee reviews the Company's performance against the goals set at the beginning of the year and determines annual cash incentive awards. The Compensation Committee has the discretion to increase or decrease the awards made in view of actual performance, individual contributions and overall business and market conditions. The Compensation Committee evaluated the Company's 2018 performance against the performance goals, overall business results, economic conditions and individual performance objectives, and exercised its discretion to adjust the 2018 annual cash incentive awards such that they represented between 100% and 173% of the targets set for named executive officers except Mr. Hemsley who did not participate in any annual incentive opportunity. When Mr. Hemsley was appointed executive chair, the Compensation Committee determined to deliver all of Mr. Hemsley's incentive compensation in equity to foster a long-term strategic orientation, consistent with the specifications of his role. In exercising this discretion, the Compensation Committee considered the dollar amounts of the awards in addition to the percentage of target paid. The target percentages for annual cash incentive awards to our named executive officers and the actual 2018 annual cash incentive awards paid are set forth in the table below. An explanation of how the individual amounts were determined follows the table. 2018 Annual Cash Incentive Awards Target Percentage Target Award Value Actual Award Paid Paid Award Name (% of Salary) ($) Corporate Governance 2 Board of Directors 37 6 Meeting Information At the beginning of 2018, the Compensation Committee believed that achievement of the annual incentive goals required substantial performance on a broad range of initiatives contained in the 2018 business plan. These initiatives included the following: • . • • • • Development and expansion of the Optum Care Delivery platform and capabilities; • Continue to enhance the quality and operations of our government benefit businesses to compensate for continued expected funding pressures; Continue to innovate in commercial benefit products, services and distribution; Deliver more effective and comprehensive clinical management, and continue expanding the proportion of our spending with value-based elements in our network; Enhance customer service and increase the Company's net promoter score across all business platforms; Execute on Optum's growth and alignment initiatives, with major focus areas including care delivery, technology-enabled services and pharmacy care services; and Further improve our consolidated operating cost ratio after considering the impact of the return of the Health Insurance Industry Tax and changes in business mix. With respect to these initiatives, the Company met enrollment targets across all lines with the exception of Medicaid and Medicare Supplement businesses, adding a total of 2.4 million new members in health benefits (excluding the planned TRICARE exit), and improved net promoter scores in many, but not all, of its 35 businesses. UnitedHealthcare demonstrated excellence in its Medicare plans by sustaining the percentage of members in 4+ Star rated Medicare plans in the 80% range. Optum exceeded its revenue growth target and achieved double digit percentage revenue growth at its OptumHealth and OptumInsight businesses and continued strong growth at OptumRx of over 9%. Optum also exceeded earnings growth projections, consumers served growth and adjusted scripts growth targets. In addition, our contracts with value-based elements totaled $74 billion in annual spending, including $18 billion through risk-transfer agreements. The consolidated operating cost ratio decreased to 14.1% excluding the impact of the Health Insurance Industry Tax and the Company achieved or made substantial progress on all other initiatives listed above. Revenues for 2018 grew 12.5%, slightly below target, while operating income was at target. Cash flows from operations for 2018 were above target due to an improved working capital position. Non-financial performance measures were at target levels for Employee Engagement, slightly below target for Net Promoter Score (NPS) and at threshold for Teamwork. NPS improved significantly year-over-year and the Company's current employee engagement and teamwork scores were within the top quartile of companies as measured by the external vendor who calculates this measure. Diluted earnings per share increased 14% and adjusted earnings per share increased 28% in 2018. The Company's total shareholder return in 2018 was 15%, and was 119% from 2016-2018, reflecting continued strong fundamental performance. 34 Grow enrollment in UnitedHealthcare medical benefit plans by approximately 2.2 million to 2.9 million people (excluding the planned TRICARE exit); Ongoing improvements to our consolidated operating cost ratio on a comparable business mix basis; and $14.7 billion 40 N/A N/A 1,000,000 900,000 11% Annual cash incentive awards may be paid I our Company meets or exceeds annual performance goals established for the year as determined by the Compensation Committee. In establishing the performance measures for the 2018 annual cash incentive awards, the Compensation Committee sought to align broadly the compensation of our executive officers with key elements of the Company's 2018 business plan. Development of the Company's 2018 business plan was a robust process that involved input from all of the Company's business units and was reviewed with the Company's Board of Directors in the fourth quarter of 2017 and the first quarter of 2018. These performance goals are based on enterprise-wide metrics because the Compensation Committee believes that the named executive officers share responsibility to support the goals and performance of the Company as key members of the Company's leadership team. 35 555 Board of 1 2 Directors Corporate Governance Executive Annual 4 Audit 5 Compensation Meeting Other Information The following table sets forth the performance measures and goals established for 2018, as well as actual 2018 performance results: 1,100,000 John F. Rex 18% 1,000,000 Base Salary The Compensation Committee generally determines base salary levels for our named executive officers early in the fiscal year. On February 18, 2018, the Compensation Committee approved an increase in the base salary for Messrs. Rex and Nelson to $1,000,000. This increase reflected strong performance and aligned these executives' salaries to market data. Name Stephen J. Hemsley David S. Wichmann John F. Rex Andrew P. Witty Steven H. Nelson Annual Cash Incentive Awards 2018 Annual Incentive Plan Performance Goals Increase From 2018 Base Salary 2017 Base Salary ($) 2018 to 2017 ($) (%) 1,000,000 1,000,000 0% 1,300,000 1,300,000 0% 850,000 Annual Compensation (#) (#) 2 Corporate Governance Executive Compensation Annual Other 4 Audit 5 Meeting Information Equity Awards Equity Award Practices The Compensation Committee's equity award policy requires that all grants of equity be made at set times. We do not have a specific program, plan or practice to time equity compensation awards to named executive officers in coordination with our release of material information. The Company does not pay dividend equivalents on performance shares granted to employees. Unvested shares of RSUs receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. The determination to pay dividend equivalents on RSUs was made after considering market practices. The aggregate number of shares subject to equity awards made in 2018 for all employees was approximately 1% of the Company's shares outstanding at the end of 2018. 2018 In February 2018, the Compensation Committee granted the following target number of performance shares, RSUs and stock options to our named executive officers: Target Number of Performance Shares Annual Stock Option Award Name Effective cross-enterprise collaboration among various business units for the benefit of customers and our overall reputation and performance. Stephen J. Hemsley Board of Directors (#) 1 42 (#) Target) 151 42,057 84,114 63,086 150% 107 29,687 59,374 44,531 150% 40 11,246 22,492 16,869 150% Steven H. Nelson 53 14,844 29,688 22,266 150% 42 Sir Andrew's compensation is generally targeted at the 60th percentile of peer group companies. As part of his employment, he received an employment agreement with terms similar to those provided to our other named executive officers. In addition, Sir Andrew received a new hire equity award consisting of restricted stock units with five-year ratable vesting and a grant date fair value of $10 million. The vesting terms of this new hire award are one year longer than the Company's typical vesting provisions. In designing Sir Andrew's compensation package, the Compensation Committee considered Sir Andrew's compensation while serving as GSK's CEO, current market data and equity-based alternatives to attract and retain Sir Andrew over the long-term. The Compensation Committee also agreed to provide Sir Andrew with tax equalization payments to ensure that, as a U.S. non-resident, his overall tax obligation is the same as if he were taxed exclusively in the United Kingdom where he resides, including assistance in tax return preparation due to the complexity of multi-jurisdictional filing requirements. The Compensation Committee believes Sir Andrew's employment terms and compensation are appropriate due to his experience as the CEO of one of the world's largest companies and in light of his unique skill set as discussed above, and were necessary to encourage Sir Andrew to join the Company. The elements of Sir Andrew's compensation and the terms of his employment agreement are discussed in more detail below in the applicable sections of this CD&A. Equity Awards Meeting Excluded from 2016 and 2017 results was the income tax benefit from adoption of Accounting Standards Update 2016-09, which modifies several aspects of the accounting for share-based payment awards, including income tax consequences. Since these two events were outside of the control of management, resulting in a net benefit to management, they were excluded from final results. 2016-2018 Long-Term Cash Incentive Awards The Long-Term Cash Incentive program has been phased out and the 2016-2018 performance period is the last cycle of the Long-Term Cash Incentive Award program. No new participants were added to the Long-Term Cash Incentive program after 2016. At the beginning of each three-year performance period, the Compensation Committee approved a "long-term cash incentive target opportunity” for each participating executive officer as a percentage of the executive officer's average base salary over the performance period. At the end of the performance period, the Compensation Committee reviewed the Company's achievement of the performance goals set at the beginning of the performance period and determined long-term cash incentive awards based on such performance. In determining these awards, the Compensation Committee can use discretion to increase or decrease the actual awards in view of actual performance and individual contributions, but did not exercise such discretion for these awards. 41 Board of 1 2 Directors Corporate Governance Executive Compensation Annual 4 Audit 5 Meeting Other Information For the 2016-2018 performance period, the target opportunity for each participating executive officer was 50% of average base salary, and the maximum cash incentive award that an executive officer could earn was set by the Compensation Committee to be equal to two times the applicable long-term cash incentive target opportunity. In choosing this target opportunity, the Compensation Committee believed it was important to provide the same relative target opportunity to all of the named executive officers to increase collaboration, teamwork and accountability across the enterprise and to recognize the skills and versatility of each executive officer. The target percentages for long-term cash incentive awards to our named executive officers and the actual long-term cash incentive awards paid for the 2016-2018 performance period are set forth in the table below: Long-Term Cash Incentive Award Target Percentage Excluded from 2018 results was the income tax benefit as a result of the Tax Cuts and Jobs Act enacted on December 22, 2017, which lowered the federal statutory income tax rate to 21%. Threshold Similar to the annual incentive plan, the Company's long-term incentive plan allows for adjustments to the Company's reported results in determining long-term incentive plan awards, namely adjustments that account for the impact of changes in accounting principles, extraordinary items and unusual or non-recurring gains or losses. Two adjustments were made in measuring 2016-2018 performance, which resulted in lowering the payouts to the named executive officers: Significant losses from several state Medicaid managed care contracts; Board of 1 40 Other Information 2 Corporate Governance Executive Compensation Annual Other 4 Audit 5 6 Meeting Information To achieve maximum performance for both the long-term cash incentive plan and the performance share plan, the Company would have had to achieve cumulative three-year adjusted earnings per share ("AEPS") performance of $28.48 and an average return on equity ("ROE") of 22.5%. These maximum performance levels corresponded to a compound annual growth rate in AEPS of 18.1% over the three-year period. For long-term compensation purposes (see adjustments described below), the Company generated cumulative AEPS of $28.49, which was above maximum performance levels, and accompanying ROE of 20.5%, which was at target levels. This represented a compound annual AEPS growth rate of 18.8% over the three-year performance period. Factors that positively or negatively influenced our results subsequent to the approval of the long-term business plan in early 2016 included: • • . • Continued relatively favorable medical cost trend experience over the three-year period; A number of acquisitions, including Surgical Care Affiliates, Inc. in 2017 and Empresas Banmedica in 2018; Challenging Brazilian economy and significant devaluation of the Brazilian Real against the U.S. Dollar; and Greater than anticipated downward rate pressure in Medicare Advantage payment rates received from the federal government in 2017. (% of 3-Year Directors Target Award 2016-2018 Performance Share Awards The use of performance shares as a component of the overall equity awards granted was based upon the Compensation Committee's desire to encourage superior performance and build executive ownership; consideration of competitive market data; the value of utilizing a balanced system to facilitate prudent decision-making and mitigate risk; and past conversations with shareholders about the desirability of this type of equity award as a central component of a pay-for-performance program. The actual shares that were earned for the 2016-2018 performance period were above target due to the Company's strong ROE and earnings growth performance and are set forth in the table below as well as reflected in the 2018 Option Exercises and Stock Vested table: Long-Term Performance Shares Paid Threshold Target Maximum Shares Shares Shares Actual Shares Paid Award (% of 5 Name Stephen J. Hemsley David S. Wichmann 1 Board of Directors 2 Corporate Governance 4 Audit Award Annual The primary factors considered by the Compensation Committee in the determination of the long-term cash incentive award amounts were achievement of the 2016-2018 AEPS and ROE goals between target and maximum performance levels. Because the Long-Term Cash Incentive Award program is being phased out, with no new participants added after 2016, Messrs. Rex, Witty and Nelson did not participate in the program. 584,423 1,168,846 876,700 150% 593,718 1,187,436 890,600 150% Executive Compensation 50% Actual Award Award 2,136 Maximum Award Average Value Value Value Paid Paid Base Salary) ($) ($) ($) David S. Wichmann ($) (% of Target) 2,102 50% Name Stephen J. Hemsley Directors Other Executive Compensation Annual 2 Corporate Governance 1 Steven H. Nelson 49 49 $58,615 John F. Rex $78,000 David S. Wichmann 4 Audit $60,000 Stephen J. Hemsley Board of 5 Performance Shares Meeting (4) Amounts reported include both annual and long-term cash incentive awards to our named executive officers under our 2008 Executive Incentive Plan. The 2018 annual incentive awards, including amounts deferred by the named executive officers, were the following: Deferred Company's stock and the length of time the award is held. No value will be realized with respect to any award if the Company's stock price does not increase following the award's grant date or if the executive officer does not satisfy the vesting criteria. See the 2018 Grants of Plan-Based Awards table for more information on stock awards granted in 2018. (3) The actual value to be realized by a named executive officer depends upon the performance of the $ 6,750,246 $ 8,400,082 $ 5,000,132 Maximum $ 9,000,328 $11,100,374 Target $4,500,164 $5,550,187 $2,500,066 $4,200,041 $3,375,123 $ 1,687,561 $12,100,263 $ 2,250,082 $ 2,775,207 $ 1,250,146 Restricted Stock Units Steven H. Nelson John F. Rex Andrew P. Witty Stephen J. Hemsley David S. Wichmann Name (2) The amounts reported in this column reflect the aggregate grant date fair value of the RSUs and performance shares (at target) granted in 2018, 2017 and 2016 and are computed in accordance with FASB ASC Topic 718, based on the closing stock price on the grant date. The grant date fair value of RSUs granted in 2018 and the grant date fair value of performance shares granted in 2018 if target performance and maximum performance is achieved are as follows: Information 6 The amounts reported in this column for 2018 reflect the aggregate grant date fair value of stock options granted in 2018 computed in accordance with FASB ASC Topic 718. For a description of the assumptions used in computing the aggregate grant date fair value, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018. 7,930,845 Amount 142,216 4,474,500 4,950,066 1,649,664 ☐ 17,389,976 216,974 4,909,800 8,325,566 2,775,328 18,107,356 12,316,446 316,330 15,843,911 137,358 148,398 18,454,153 170,481 230,853 Name 11,352,513 194,510 8,325,394 2,775,032 5,390,600 3,750,212 1,250,033 3,750,131 1,250,201 2,000,000 3,125,283 1,875,049 1,400,000 2,500,000 110,744 December 31, 2018, 2017 and 2016. Amounts reported for 2018 include the following amounts deferred by the named executive officers under our Executive Savings Plan. Mr. Witty was ineligible to participate in the Executive Savings Plan during his tenure as a director from the beginning of the fiscal year through March 13, 2018. (1) Amounts reported reflect the base salary earned by named executive officers in the years ended Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. Please see "Executive Employment Agreements" below for a description of the material terms of each named executive officer's employment agreement. 7,580,444 22,470 = 9,763,024 28,215 5,062,684 1,687,510 2,000,000 3,150,092 1,050,190 2,500,000 2017 857,692 2018 984,615 and CEO, UnitedHealthcare Executive Vice President Steven H. Nelson 21,232,550 18,773 16,300,304 2,100,011 2,200,000 7,185,223 62,968 88,205 8,587,912 Name Stephen J. Hemsley David S. Wichmann $12,375 Andrew P. Witty 2 Board of Directors 51 (7) Mr. Witty became CEO of Optum, effective July 1, 2018. Compensation paid in connection with Mr. Witty's service as a director, from the beginning of the fiscal year through March 13, 2018, is reported in the Director Compensation Table. As permitted by SEC rules, we have omitted perquisites and other personal benefits that we provided to certain named executive officers in 2018 if the aggregate amount of such compensation to each of such named executive officers was less than $10,000. The Company provides each of Messrs. Wichmann, Rex, Witty and Nelson a $2 million face value term life insurance policy. The value of Company stock owned by Mr. Wichmann exceeded limits set forth in the Hart-Scott-Rodino (HSR) regulations and he was required to make an HSR filing in 2018 in order to maintain and increase his stock ownership levels in the Company. Due to Mr. Wichmann's position as CEO and a director of the Company, he is not able to rely on the passive investor exemption contained in the HSR regulations. Pursuant to a policy approved by the Compensation Committee, the Company made the payment of the $125,000 HSR filing fee on Mr. Wichmann's behalf. This amount was imputed as income to Mr. Wichmann, and Mr. Wichmann did not receive any tax gross-up on this amount. The employment onboarding payments for Mr. Witty were made to assist him in finding temporary housing in the United States as part of the commencement of his employment with the Company. Mr. Witty is also provided with tax equalization pursuant to the Company's tax equalization policy to ensure that as a U.S. non-resident, his overall tax obligation is the same as if he were taxed exclusively in the United Kingdom where he resides. This policy also provides assistance in preparation of tax returns due to the complexity of multi-jurisdictional filing requirements. $15,840 $12,375 2018 Steven H. Nelson $15,588 2018 Andrew P. Witty $125,000 $12,455 $12,455 $ 89,308 $ 8,981 2018 John F. Rex $166,500 Corporate Governance Executive Compensation Annual 4 Audit Options (#) 281,015 (#) or Units Underlying of Stock of Shares or Grant Price of Option Exercise $12,375 All Other Option Awards: Number of Securities Estimated Future Payouts Under Equity Incentive Plan Awards Threshold Target Maximum (#) (#) (#) Estimated Future Payouts Under Non-Equity Incentive Plan Awards Threshold Target Maximum ($) ($) ($) Grant Date Name The following table presents information regarding each grant of an award under our compensation plans made during 2018 to our named executive officers for fiscal year 2018. Other Information 2018 Grants of Plan-Based Awards* Meeting 5 All Other Stock Awards: Number 2018 David S. Wichmann $180,000 Directors 2 1 Board of $53,436 Amount of Long-Term Cash Incentive Award Deferred $876,700 $890,600 Total Amount of Long-Term Cash Incentive Award 50 Corporate Governance Period 2016-2018 2016-2018 Name The long-term cash incentive awards for the 2016-2018 incentive period under our 2008 Executive Incentive Plan, including amounts deferred by the named executive officers, are set forth below. Because the long-term cash incentive award program is being phased out, with no new participants added after 2016, Messrs. Rex, Witty and Nelson did not participate in the program. $270,000 $150,000 $2,200,000 $2,000,000 $2,500,000 $4,500,000 Amount of Annual Cash Incentive Award Deferred Total Amount of Annual Cash Incentive Award Steven H. Nelson Stephen J. Hemsley David S. Wichmann John F. Rex Executive Compensation Other 2018 Stephen J. Hemsley and Tax Equalization Employment Onboarding Hart-Scott- Rodino Filing Fee Insurance Premiums Contributions Under Executive Savings Plan Contributions Under 401(k) Savings Plan Year Annual Name Company Matching (6) All other compensation includes the following: As described in the Compensation Discussion and Analysis section of the 2017 proxy statement, on June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the cash benefit into DSUs. The DSUS held in the SERP are eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. The amounts reported in the table reflect the value of dividend equivalents granted. (5) Named executive officers participate in our Executive Savings Plan, which is a non-qualified deferred compensation plan. The Executive Savings Plan does not credit above-market earnings or preferential earnings to the amounts deferred, and accordingly, no non-qualified deferred compensation earnings have been reported. Under the Executive Savings Plan, there are no measuring investments tied to Company stock performance. The measuring investments are a predetermined collection of unaffiliated mutual funds identified by the Company. Information Meeting 6 5 4 Audit Company Matching 876,700 CIGNA Corp. 2018 976,923 2017 842,308 2016 721,923 2018 613,462 5 4 Audit Other Annual Executive Compensation Corporate Governance 2 Board of Directors 1 46 46 As discussed in "Enterprise-Wide Incentive Compensation Risk Assessment," a compensation risk assessment is performed annually and the results are reviewed with the Compensation Committee. In addition, our Compensation Committee retains discretion to adjust compensation for quality of performance, adherence to Company values and other factors. We have a clawback policy that entitles the Board of Directors to seek reimbursement from any executive involved in fraud or misconduct causing a restatement of financials, or violation of certain employment agreement provisions, including any non-compete, non-solicit or confidentiality provisions. The executive would be required to reimburse the Company the entire amount of a bonus paid, not just the amount that would not have been earned had the executive received a lower award based on the restated earnings. We generally require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award granted; and We have stock ownership guidelines for our executive officers; Our equity awards are delivered through a balanced mix of performance shares, RSUs and stock options to encourage sustained performance over time; Our annual cash bonus program includes a variety of financial and non-financial measures that require substantial performance on a broad range of initiatives; • Meeting Information Accounting and Tax Considerations Internal Revenue Code Section 162(m)(6) addresses the tax deductibility of compensation paid by health insurance providers, including the Company. Section 162(m)(6) provides an annual tax deduction limit of $500,000 per person per year for compensation that we pay to any of our employees, directors, officers and any other individuals who provide services to or on behalf of the Company. Any outstanding stock options and SARS that were granted prior to 2010 are not subject to the tax deduction limitation. While the Committee considers the impact of Section 162(m)(6), it believes that shareholder interests are best served by not restricting the Committee's discretion and flexibility in crafting the executive compensation program, even if non-deductible compensation expenses could result. The Committee also considers the accounting consequences of its compensation decisions. Cisco Systems, Inc. Cargill, Incorporated Cardinal Health, Inc. Bristol-Myers Squibb Company Biogen Inc. Berkshire Hathaway Inc. Best Buy Co., Inc. Bank of America Corporation Anthem Inc. AmerisourceBergen Corporation Amgen Inc. • American International Group, Inc. Ameriprise Financial, Inc. Aetna Inc. Accenture, plc AbbVie Inc. Abbott Laboratories 3M Company Anthem Inc. Aetna Inc. Managed Care Companies Peer Group American Express Company Citigroup, Inc. • Our compensation programs are balanced, focused on long-term pay-for-performance, allow for discretion and are overseen by an independent Compensation Committee. The Compensation Committee believes that the design of the compensation program for our executive officers does not encourage excessive or unnecessary risk-taking, as illustrated by the following list of features: • for the Executive Chairman, eight times base salary; • The Compensation Committee believes that executive stock ownership aligns management's interests with those of shareholders and fosters a long-term outlook, while also mitigating compensation risk. Under our stock ownership guidelines, each executive officer must beneficially own at least the following amounts of the Company's common stock within five years of the executive officer's election or appointment as an executive officer: Executive Stock Ownership Guidelines and Stock Retention Policy Other Compensation Practices Information Meeting 5 4 Audit Other Annual Executive Compensation Governance 2 Corporate Board of Directors 1 Awards for the CEO, eight times base salary; • • for executive officers who are direct reports of the CEO, three times base salary; and Consideration of Risk in Named Executive Officer Compensation If the Board of Directors determines that an executive officer has engaged in fraud or misconduct, the Board of Directors may take a range of actions to remedy the misconduct, prevent its recurrence and impose such discipline as would be appropriate, including, without limit: (i) terminating employment and (ii) initiating legal action against the executive officer. In addition, with respect to our senior executives, including our named executive officers, if the fraud or misconduct causes, in whole or in part, a material restatement of the Company's financial statements, action may include (a) seeking reimbursement of the entire amount of cash incentive compensation awarded to the executive officer, if the executive officer would have received a lower (or no) cash incentive award if calculated based on the restated financial results; (b) canceling all outstanding vested and unvested equity awards subject to the clawback policy and requiring the executive officer to return to the Company all gains from equity awards realized during the 12-month period following the filing of the incorrect financial statements; and (c) seeking reimbursement of the entire amount of any bonus paid. Potential Impact on Compensation from Executive Misconduct/Compensation Clawbacks Other Information Meeting 5 4 Audit Annual Executive Compensation • Corporate Governance 2 1 Board of 445 In general, SEC rules prohibit uncovered short sales of our common stock by our executive officers, including the named executive officers. Accordingly, our insider trading policy prohibits short sales of our common stock by all employees and directors. Our insider trading policy prohibits hedging transactions by all directors, executive officers and employees and requires advance approval of the Compensation Committee of any pledging of common stock by directors, executive officers and other members of management. In 2018, no executive officer or director sought or received advance approval from the Compensation Committee regarding pledging transactions, and no executive officer had any pledges outstanding. Transactions in Company Securities; Prohibition on Hedging and Short Sales The Board has established a stock retention policy for executive officers that are subject to Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), which includes our named executive officers. Under this policy, Section 16 officers are generally required to retain for at least one year one-third of the net shares acquired upon the vesting or exercise of any equity awards. Stock options and stock appreciation rights ("SARS") do not count towards satisfying the ownership requirements under the guidelines, regardless of their vesting status, and performance shares do not count towards satisfying the ownership requirements until they are vested. Time-based RSUs and restricted stock awards are counted toward the satisfaction of the ownership requirements. The Compensation Committee periodically reviews compliance with the ownership requirements. As of April 9, 2019, all of our named executive officers were in compliance with the ownership requirements, including Mr. Wichmann, who owned shares with a value equal to 169 times his base salary. for other executive officers who are not direct reports of the CEO, two times base salary. Directors CVS Health Corporation Eli Lilly and Company Express Scripts Holding Company Name and Principal Position Bonus Salary Non-Equity The following table provides certain summary information for the years ended December 31, 2018, 2017 and 2016 relating to compensation paid or granted to, or accrued by us on behalf of our named executive officers. 2018 Summary Compensation Table* Information Meeting 5 4 Audit Other Annual Executive Compensation Corporate Governance 2 Board of Directors 48 48 During fiscal 2018, Messrs. Ballard, Burke, Flynn, Witty and Dr. Wilensky served on the Compensation Committee. Mr. Witty stepped down from the Board on March 13, 2018. None of these persons had ever been an officer or employee of the Company or any of its subsidiaries while serving on the Compensation Committee. Furthermore, during 2018, none of these persons served as a member of the compensation committee (or other board committee performing equivalent functions) or as a director of another entity where an executive officer of such entity served on our Compensation Committee or Board. Stephen J. Hemsley Year ($)(1) 2018 1,000,000 ($) Stock Awards ($)(2) 2018 1,300,000 2017 1,162,308 2016 1,100,000 2016 1,300,000 and CEO, Optum (7) Executive Vice President Andrew P. Witty Executive Vice President and CFO John F. Rex CEO David S. Wichmann Compensation Committee Interlocks and Insider Participation 2017 1,206,538 ($) Total All Other Compensation ($)(6) Change in Pension Value and Non-Qualified Deferred Incentive Plan Compensation Earnings ($)(5) ($)(4) ($)(3) Compensation Awards Option Executive Chairman Gail R. Wilensky, Ph.D. Timothy P. Flynn Richard T. Burke Procter & Gamble Co. Pfizer Inc. Oracle Corporation Morgan Stanley Microsoft Corporation MetLife, Inc. Merck & Co. Inc. Medtronic plc McKesson Corporation Prudential Financial, Inc. MasterCard Incorporated Johnson & Johnson Humana Inc. Hewlett-Packard Company Gilead Sciences Inc. International Business Machines Corp. HCA Healthcare General Mills, Inc. General Electric Company FedEx Corporation JPMorgan Chase & Co. 6,750,246 2,250,042 8,325,219 2,775,462 5,745,600 7,012,640 2,337,015 4,908,500 Target Corp. The Goldman Sachs Group, Inc. The Travelers Companies, Inc. William C. Ballard, Jr. (Chair) The Compensation Committee has reviewed and discussed the above Compensation Discussion and Analysis with management. Based on its review and discussions, the Compensation Committee recommended to the Board of Directors that the Compensation Discussion and Analysis be included in the proxy statement and incorporated by reference into the Company's Annual Report on Form 10-K for the year ended December 31, 2018. This report was provided by the following independent directors who comprise the Compensation Committee: Compensation Committee Report Information Meeting 5 4 Audit Other Annual The Allstate Corporation Executive Compensation 2 Board of Directors 1 Humana Inc. CIGNA Corp. 47 Walgreens Boots Alliance, Inc. Wells Fargo & Company United Parcel Service, Inc. Visa, Inc. U.S. Bancorp Corporate Governance ($/Sh) Peer Group and Managed Care Companies Fair Value of Stock Board of Directors 2 Corporate Governance Executive Compensation Annual Other 1 4 Audit 6 Meeting Information executive officer equal two times each executive officer's target amount. In order for any amount to be paid, the Company must achieve approved performance measures of (i) revenue, (ii) operating income, (iii) cash flow, (iv) net promoter score, (v) employee engagement and (vi) employee teamwork. The estimated threshold award represents the amount that may be paid if threshold performance is achieved on each of the performance measures. Once threshold performance is achieved, the Compensation Committee has the discretion to pay an award. The actual annual cash incentive amounts earned in connection with the 2018 awards are reported in the 2018 Summary Compensation Table. (3) Amounts represent grants under the 2011 Stock Incentive Plan with the terms set forth below. In addition, the RSUs are eligible to receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. No dividend equivalents are paid on performance shares. * 5 Award Type and Vesting Terms Performance Share Award (3-year performance period with cliff vesting) 52 (2) Amounts represent estimated payouts of annual cash incentive awards granted under our Executive Incentive Plan in 2018. The Executive Incentive Plan permits a maximum annual bonus pool for executive officers equal to 2% of the Company's net income (as defined in the plan) and no executive officer may receive more than 25% of such annual bonus pool. The Compensation Committee has generally limited annual cash incentive payouts to not more than two times the target amount, and the maximum amounts shown for each named Annual Cash Incentive Award(2) Performance Share Award (3)(4) RSU Award (3) Stock Option Award (3) 1,800,000 2,000,000 4,000,000 2/13/2018 2/13/2018 2/13/2018 1.8000 20000 4000 34 14 892 259704 740 14,892 52 3,375,123 39,781 226.64 1,687,510 * Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. (1) The actual value to be realized by a named executive officer depends upon the appreciation in value of the Company's stock and the length of time the award is held. No value will be realized with respect to any stock option award if the Company's stock price does not increase following the grant date. For a description of the assumptions used in computing grant date fair value for stock option awards pursuant to FASB ASC Topic 718, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018. The grant date fair value of each RSU award and targeted grant date value of each performance share award were computed in accordance with FASB ASC Topic 718 based on the closing stock price on the grant date. Under the 2011 Stock Incentive Plan, all equity- based compensation awards are subject to one year minimum vesting and exercisability requirements, subject to an exception for a limited number of shares not to exceed 5%. 1,687,561 RSU Award (4-year ratable vesting*) and Corporate Governance Executive Compensation Annual Other 4 Audit 5 Directors 6 Information (4) Amounts represent the estimated future number of performance shares that may be earned under our 2011 Stock Incentive Plan at each of the threshold, target and maximum levels. The performance share award will be paid out in shares of Company common stock. The number of performance shares that the executive officer will receive will be determined at the conclusion of the 2018-2020 performance period and will be dependent upon the Company's achievement of a cumulative AEPS measure and an average ROE measure approved by the Compensation Committee. The Compensation Committee has the discretion to reduce the number of performance shares an executive officer is entitled to receive. The estimated threshold award represents the number of performance shares that may be awarded if threshold performance is achieved on one of the performance measures. (5) Represents a grant made to Mr. Witty in connection with his appointment as Chief Executive Officer, Optum. These RSUs vest ratably over 5 years. Compensation paid in connection with Mr. Witty's service as a director, from the beginning of the fiscal year through March 13, 2018, is reported in the Director Compensation Table. 54 54 Grant Date Meeting 2 1 Board of Stock Option Award (4-year ratable vesting) . • Termination Provisions Unvested performance share awards will vest if, within two years of a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., “double trigger" vesting). The number of performance awards that vest will be dependent upon the performance vesting criteria that have been satisfied. If the executive officer is retirement-eligible, upon retirement, the number of performance shares that are earned at the end of the performance period based on actual performance, if any, will vest as if the executive officer had been continuously employed throughout the entire performance period, provided the executive officer had served for at least one year of the performance period. Upon death, disability or termination of employment for Good Reason or other than for Cause (as these terms are defined in the award agreement), the executive officer will receive at the end of the applicable performance period, a pro rata number of performance shares that are earned, if any, based on the number of full months employed plus, if applicable, the number of months for any severance period. Unless the executive officer is retirement-eligible, award is subject to earlier termination upon certain events related to termination of employment. Unvested award will vest in full upon death or disability. Unvested award will vest in full if, within two years of a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., "double trigger" vesting), as these terms are defined in the award agreement. Outstanding Equity Awards at 2018 Fiscal Year-End table with respect to Except as provided in footnote 4 to the Messrs. Hemsley, Wichmann, and Nelson. 53 53 Steven H. Nelson 2,100,011 Andrew P. Witty 47,096 2,340,000 2,600,000 5,200,000 Performance Share Award (3)(4) 2/13/2018 RSU Award(3) 2/13/2018 Stock Option Award (3) Annual Cash Incentive Award (2) 2/13/2018 24,489 48,978 5,550,187 12,245 2,775,207 65,418 226.64 | |༢| David S. Wichmann 2,250,042 226.64 or Option Awards ($)(1) Stephen J. Hemsley Performance Share Award (3)(4) 2/13/2018 46 19,856 39,712 4,500,164 244.43 2/13/2018 --- - 9,928 Stock Option Award (3) 2/13/2018 2,250,082 53,042 2,775,032 John F. Rex RSU Award (3) Performance Share Award (3)(4) 6/5/2018 RSU Award (3) 6/5/2018 RSU Award (5) 6/5/2018 Stock Option Award (3) Performance Share Award (3)(4) 6/5/2018 | ¦ | | | 17,183 34,366 4,200,041 2,100,143 Annual Cash Incentive Award (2) 10,000,120 40 1,980,000 2,200,000 4,400,000 |ཧིཾ། Andrew P. Witty RSU Award(4) Annual Cash Incentive Award (2) 1,350,000 1,500,000 3,000,000 ---- Stock Option Award(4) 26 11,031 2/13/2018 2/13/2018 lg| | 22,062 2,500,066 = 5,516 29,468 1,250,146 1,250,033 2/13/2018 226.64 2/8/2018 2/8/2017 2/9/2018 2/10/2018 1,694 2/10/2015 $ 735,384 $225.69 3,258 2/9/2016 1,653 1,357 Name $ 374,245 $ 365,240 $ 293,830 (4) Also reflects the performance shares earned for the 2016-2018 performance period that ended on December 31, 2018 because performance targets were met. The value shown as realized on December 31, 2018 is based on the number of shares earned for the 2016-2018 performance period using the per share closing market price of our common stock on December 31, 2018, although shares were not issued until the Compensation Committee certified the performance results on February 26, 2019: Date of Award Performance Period Number of Shares Acquired Completion Date on Vesting Market Price at End of Performance Period 2/12/2018 $220.96 $220.96 $216.46 2/12/2014 2/9/2016 $ 428,250 $ 263,056 John F. Rex 2/12/2014 2/12/2018 3,794 $225.69 $ 856,281 2/10/2015 2/10/2018 1,383 $220.96 $ 305,611 Steven H. Nelson 2/9/2018 $220.96 $ 320,708 6/7/2016 6/7/2018 2,354 $248.98 $ 586,182 2/8/2017 2/8/2018 1,978 $216.46 1,451 Value Realized on Vesting $265.02 2/9/2016 Market Price at Vesting Value Realized on Vesting $265.02 $265.02 $260.61 Name Stephen J. Hemsley David S. Wichmann Steven H. Nelson 435 536 Shares Acquired on Vesting 326 $ 86,414 (6) For information regarding DSUs held by Mr. Witty in connection with this service as a director, please see the Director Compensation Table. 57 40 Board of Directors 2 Corporate Governance Executive Compensation Annual Other 4 Audit $115,218 $142,108 Stephen J. Hemsley Number of 2/13/2018 2/13/2018 2/13/2018 12/31/2018 63,086 $249.12 David S. Wichmann 2/9/2016 12/31/2018 44,531 $249.12 $15,715,984 $11,093,563 John F. Rex 2/9/2016 12/14/2018 12/14/2018 12/14/2018 12/31/2018 $249.12 $ 4,202,405 Steven H. Nelson 2/9/2016 12/31/2018 22,266 $249.12 $ 5,546,906 (5) Reflects the cancellation on December 14, 2018 of RSUs for the payment of FICA tax liability. The value realized was computed based on a closing stock price of $265.02 on December 14, 2018. Date of Award Vesting Date 16,869 1,009 2/10/2018 8/15/2017 Meeting (2) The value was computed as described in footnote 1 above and was based on the following: Name Stephen J. Hemsley Steven H. Nelson Date of Award Exercise Date Number of Options Exercised Market Price Exercise at Exercise Price 5 2/23/2009 11/30/2018 $282.55 $ 29.74 2/12/2014 9/7/2018 10,071 $270.88 $ 70.24 2/10/2015 9/7/2018 8,594 $270.80 169,683 $108.97 4 Audit Executive Compensation Vesting ($)(1) (#) 42,897,559(2) 85,279 59,439 27,830 Value Realized on Vesting ($) 20,656,413(3)(4)(5) 14,459,960(3)(4)(5) Annual Steven H. Nelson 6,087,629(2) - 30,555 6,699,437(3)(4) (1) Computed by determining the market value per share of the shares acquired based on the difference between: (a) the per share market value of our common stock at exercise, defined as the closing price on the date of exercise, or the weighted average selling price if same-day sales occurred, and (b) the exercise price of the stock options. 99 56 1 Board of Directors 2 Corporate Governance 38,249 8/15/2018 9/7/2018 9/7/2018 $111.16 3,595 $216.46 $ 778,201 David S. Wichmann 2/12/2014 2/12/2018 4,075 $225.69 $ 919,615 2/10/2015 2/10/2018 2/8/2017 2/8/2018 3,609 $ 797,400 2/9/2016 2/9/2018 3,310 $220.96 $ 731,272 2/8/2017 2/8/2018 2,370 $216.46 $ 512,946 $220.96 10,436 9,148 $1,199,120 5,427 Other Information $270.82 $270.72 $160.31 (3) Reflects the vesting of a portion of the RSUs granted. The value realized on vesting was computed based on the following: Name Date of Award Vesting Date Number of Shares Acquired on Vesting Market Price at Vesting Stephen J. Hemsley $220.96 2/12/2014 7,113 $225.69 Value Realized on Vesting $1,605,287 2/10/2015 5 5,624 $220.96 $1,242,603 2/9/2016 2/9/2018 2/12/2018 Meeting Executive Compensation 2018 Pension Benefits Meeting Information Termination Provisions If Mr. Wichmann's employment is terminated by the Company without Cause, or by Mr. Wichmann for Good Reason, the Company will provide Mr. Wichmann with outplacement services and will pay Mr. Wichmann severance compensation equal to the sum of (a) 200% of his annualized base salary as of his termination date, (b) 200% of the average of his last two calendar year bonuses, excluding any equity awards and any special or one-time bonus or incentive compensation payments, and (c) $12,000 to offset the costs of benefit continuation coverage. The severance compensation will be payable over a 24-month period. If Mr. Wichmann's employment is terminated because of his death or disability, by the Company for Cause, or by Mr. Wichmann without Good Reason, he will not be entitled to any further compensation from the Company other than earned but unpaid salary and benefits. Material Definitions As defined in the employment agreement, "Cause” means (a) material failure to follow the Company's reasonable direction, or to perform any duties reasonably required on material matters; (b) material violation of, or failure to act upon or report known or suspected violations of, the Company's Code of Conduct; (c) conviction of any felony, commission of any criminal, fraudulent or dishonest act, or any conduct that is materially detrimental to the Company's interests, or (d) material breach of the employment agreement. The Company must provide Mr. Wichmann with written notice of Cause within 120 days of discovery, and Mr. Wichmann will have 60 days to remedy the conduct, if the conduct is reasonably capable of being remedied. As defined in the employment agreement, “Good Reason" exists if the Company (a) reduces Mr. Wichmann's base salary or long- or short-term target bonus percentage other than in connection with a general reduction affecting a group of similarly situated employees, (b) moves Mr. Wichmann's primary work location more than 50 miles, (c) makes changes that substantially diminish Mr. Wichmann's duties or responsibilities, or (d) changes Mr. Wichmann's reporting relationship. Non-Solicitation, Non-Competition and Confidentiality Provisions Pursuant to the employment agreement, Mr. Wichmann is subject to provisions prohibiting his solicitation of the Company's employees and customers or competing with the Company during the term of the employment agreement and for two years following termination of his employment for any reason. In addition, he is prohibited at all times from disclosing confidential information related to the Company. 5 John F. Rex, Andrew P. Witty and Steven H. Nelson 62 62 1 Board of Directors Corporate 2 Governance Executive Compensation 4 Audit 5 Annual Meeting Messrs. Rex, Witty and Nelson have entered into employment agreements with the Company. Under those agreements, each reports to the CEO of the Company. The table below and the narrative that follows summarize the material terms of their respective employment agreements. Other 4 Audit Annual Corporate Governance Executive Compensation Annual 4 Audit 5 Meeting Other Information If Mr. Hemsley's employment is terminated by the Company for Cause, by Mr. Hemsley without Good Reason or because of his retirement or upon expiration of the term of the employment agreement, he will not be entitled to any further compensation from the Company other than earned but unpaid salary and benefits. Material Definitions As defined in the employment agreement, “Cause" generally means (a) willful and continued failure to perform his duties after written notice and a failure to remedy the deficiency, (b) a violation of the Company's Code of Conduct that is materially detrimental to the Company and is not remedied after written notice, (c) engaging in fraud, material dishonesty or gross misconduct in connection with the Company's business, (d) conviction of a felony, or (e) willful and material breach of the employment agreement that is not remedied after written notice. Other As defined in the employment agreement, "Good Reason" generally means (a) an assignment of duties inconsistent with his position or duties or other diminution of duties, (b) a relocation of primary work location by more than 25 miles, (c) failure by the Board of Directors to nominate Mr. Hemsley to serve on the Board of Directors, (d) the Company's failure to pay or provide Mr. Hemsley's base salary, incentive compensation or other benefits, or (e) any other material breach of Mr. Hemsley's employment agreement that is not remedied. Pursuant to the employment agreement, Mr. Hemsley is subject to provisions prohibiting his solicitation of the Company's employees and customers or competing with the Company during the term of the employment agreement and the longer of two years following termination or the period that severance payments are made to him under the employment agreement. In addition, he is prohibited at all times from disclosing confidential information related to the Company. David S. Wichmann On December 1, 2006, the Company entered into an employment agreement with Mr. Wichmann. On August 16, 2017, the employment agreement was amended to reflect Mr. Wichmann serving as CEO. Summary of Compensation Components Under his employment agreement, any adjustments to Mr. Wichmann's base salary are at the sole discretion of the Compensation Committee and ultimately the independent members of the Board of Directors. Mr. Wichmann's employment agreement does not set any minimum or target level for any bonus or other incentive compensation. All bonus and incentive compensation awards are solely at the discretion of the Compensation Committee. Mr. Wichmann is eligible to participate in the Company's generally available employee benefit programs. In addition, the Company provides Mr. Wichmann with a $2 million term life insurance policy and additional long-term disability coverage, which covers 60% of eligible base salary subject to the terms of the policy. 61 1 Board of Directors 2 Corporate Governance Executive Compensation Non-Solicitation, Non-Competition and Confidentiality Provisions Information Summary of Compensation Components John F. Rex 5 Meeting Information Applicable definitions for the employment agreements follow. Term Cause Means: Definition Good Reason • • 4 Audit Material failure to follow the Company's reasonable direction or to perform any duties reasonably required on material matters; Conviction of any felony, commission of any criminal, fraudulent or dishonest act, or any conduct that is materially detrimental to the Company's interests; or Material breach of the employment agreement. The Company must provide the executive officer with written notice of Cause within 120 days of discovery, and the executive officer will have 60 days to remedy the conduct, if the conduct is reasonably capable of being remedied. Exists if the Company: Reduces the executive officer's base salary or long- or short-term target bonus percentage other than in connection with a general reduction affecting a group of similarly situated employees; Moves the executive officer's primary work location more than 50 miles; or Makes changes that substantially diminish the executive officer's duties or responsibilities.* The executive officer must give the Company written notice of the circumstances constituting Good Reason within 120 days of becoming aware of the circumstances, and the Company will I have 60 days to remedy the circumstances. For Messrs. Rex and Nelson, "Good Reason" also exists if the Company changes either executive officer's reporting relationship, and for Mr. Rex, “Good Reason" also exists if the Company makes a change so that he no longer serves as both CFO and a member of the Office of the CEO of the Company. Non-Solicitation, Non-Competition and Confidentiality Provisions Pursuant to their respective employment agreements, each executive officer is subject to provisions prohibiting his solicitation of the Company's employees or competing with the Company during the term of the employment agreement and for two years following termination for any reason. In addition, each executive officer is prohibited at all times from disclosing confidential information related to the Company. 64 A material violation of, or failure to act upon known or suspected violations of, the Company's Code of Conduct; Other Annual Executive Compensation Andrew P. Witty Steven H. Nelson Compensation Component Base salary(1) Participation in incentive compensation plans (1) Stock-based awards (1) $2 million term life insurance policy (2) Long-term disability policy (2)(3) One-time sign-on / promotion equity award and / or bonus Generally available employee benefit programs ✓ ✓ ✓ ✓ ✓ (1) Any adjustments to base salary, actual bonuses payable and stock-based awards are at the discretion of the Compensation Committee. (2) Benefit provided at the Company's expense. (3) Annual benefit covers 60% of eligible base salary in the event of a qualifying long-term disability, subject to the terms of the policy. Termination Provisions and Material Definitions Each employment agreement and each executive officer's employment may be terminated (a) by mutual agreement (b) by the Company with or without Cause, (c) by the executive officer and (d) upon the executive officer's death or disability that renders him incapable of performing the essential functions of his job, with or without reasonable accommodation. Each executive officer may also terminate his employment agreement and employment at any time for Good Reason. If the executive officer's employment is terminated by the Company without Cause or by the executive officer for Good Reason, the Company will provide the executive officer with outplacement services consistent with those provided to similarly situated executives and pay the executive officer severance compensation equal to the sum of (a) 200% of his annualized base salary as of his termination date, (b) 200% of the average of his last two calendar year bonuses, or if termination occurs within two years from the start of employment with the Company, 200% of his target incentive, excluding any equity awards and any special or one-time bonus or incentive compensation payments, and (c) $12,000 to offset the costs of benefit continuation coverage. The severance compensation will be payable over a 24-month period. In addition, if the Company terminates Mr. Rex's employment without Cause or if Mr. Rex terminates employment for Good Reason, Mr. Rex has the option to remain employed in an advisory capacity for one year (at his then-current annual base salary and target bonus) following notification of termination. 63 1 Board of Directors 2 Corporate Governance Directors Information 2 Board of 59 Board of Directors 2 Corporate Governance Stock Awards Number of Shares Acquired on Annual Other 4 Audit 5 Meeting Information 58 2018 Non-Qualified Deferred Compensation Name (a) Stephen J. Hemsley David S. Wichmann John F. Rex Executive Contributions in Last FY ($)(1)(2) Registrant Contributions in Last FY ($)(1)(3) Aggregate Balance at ($)(6) (f) The following table presents information as of the end of 2018 regarding the non-qualified deferred compensation arrangements for our named executive officers for fiscal year 2018. (b) (1) In 2006, the amount of Mr. Hemsley's supplemental retirement benefit was frozen based on his age and average base salary at the time and converted into a lump sum of $10,703,229. On June 7, 2016, the Company amended Mr. Hemsley's SERP to convert the $10,703,229 cash benefit into a number of DSUS based on the average closing price of the Company's common stock over the preceding five trading days from the date of conversion ($135.846), which resulted in 78,789 DSUs issued on June 7, 2016. The DSUS held in the SERP are eligible to receive dividend equivalents in the form of additional DSUs, which are paid at the same rate and at the same time that dividends are paid to the Company's shareholders. During 2018, Mr. Hemsley received dividend equivalents equal to 1,110 DSUs, which were added to the SERP. As of December 31, 2018, the amount of the benefit to which Mr. Hemsley is entitled is 82,129 DSUs, which had a value of $20,459,928 as of December 31, 2018. The SERP balance will be paid six months and one day after termination of his employment for any reason. N/A The following table presents information regarding the present value of accumulated benefits payable under our non-qualified defined-benefit pension plans covering our named executive officers for fiscal year 2018. Name Stephen J. Hemsley Plan Name Individual Agreement for Supplemental Executive Retirement Pay Number of Years Credited Present Value of Payments Service N/A Accumulated (#) Benefit ($) ($) (1) 20,459,928(1) David S. Wichmann John F. Rex Andrew P. Witty Steven H. Nelson N/A N/A During Last Fiscal Year (c) Aggregate Earnings in Last FY ($)(4) (d) Aggregate Withdrawals/ Annual Other 4 Audit 5 6 Meeting Information (6) This column includes the amounts shown in columns (b) and (c) as well as the following amounts reported in the summary compensation table for prior years: Name Stephen J. Hemsley David S. Wichmann John F. Rex Andrew P. Witty Steven H. Nelson Amount Previously Reported Executive Compensation $8,685,064 $3,257,315 $ 412,280 We have entered into an employment agreement with each of the named executive officers. The following is a summary of the material terms of those agreements. Stephen J. Hemsley On November 7, 2006, the Board of Directors entered into an employment agreement with Mr. Hemsley. On December 14, 2010, the employment agreement was amended to extend the employment period to December 1, 2014. The employment agreement extends automatically for additional one-year periods after December 1, 2014, unless sooner terminated in accordance with its terms. During the period of his employment, the Board of Directors will nominate Mr. Hemsley for election to the Board of Directors by the shareholders of the Company. Summary of Compensation Components Under his employment agreement, any increases to Mr. Hemsley's base salary are at the sole discretion of the Compensation Committee and ultimately the independent members of the Board of Directors. Mr. Hemsley's employment agreement does not set any minimum or target level for any bonus or other incentive compensation. All bonus and incentive compensation awards are solely at the discretion of the Compensation Committee. Mr. Hemsley is eligible to participate in the Company's generally available employee benefit programs. Termination Provisions Upon termination of Mr. Hemsley's employment for any reason, he is entitled to a supplemental retirement benefit, payable in common stock upon settlement of DSUS, which will be paid six months and one day after his termination. See "Compensation Discussion and Analysis - Other Compensation Supplemental Retirement Benefits" and "2018 Pension Benefits" for more information. - If Mr. Hemsley's employment is terminated by the Company without Cause, other than upon expiration of the term of the employment agreement, or by Mr. Hemsley for Good Reason, the Company will pay Mr. Hemsley a lump sum in an amount equal to his annual base salary for 12 months. If Mr. Hemsley's employment is terminated because of his death or permanent disability, the Company will pay him or his beneficiaries a lump sum in an amount equal to two years total compensation of base salary plus the average bonus for the last two calendar years, excluding any special or one-time bonus or incentive compensation payments. 60 Executive Employment Agreements Corporate Governance 2 Board of Directors Distributions Last FYE ($)(5) (e) 360,000 180,000 (683,465) 14,463,891 372,588 166,500 (373,466) 7,765,073 178,615 89,308 (81,393) 994,602 Andrew P. Witty Steven H. Nelson (1) All amounts in these columns have been reported as compensation in the 2018 Summary Compensation Table. (2) Named executive officers are eligible to participate in our Executive Savings Plan, which is a non-qualified deferred compensation plan. Under the plan, employees may generally defer up to 80% of their eligible annual base salary (100% prior to January 1, 2007) and up to 100% of their annual and long-term cash incentive awards. Amounts deferred, including Company credits, are credited to a bookkeeping account maintained for each participant, and are distributable pursuant to an election made by the participant as to time and form of payment that is made prior to the time of deferral. The Company maintains a Rabbi Trust for the plan. The Company's practice is to set aside amounts in the Rabbi Trust to be used to pay for all benefits under the plan, but the Company is under no obligation to do so except in the event of a change in control. (3) For the first 6% of the employee's base salary and annual incentive award deferrals under our Executive Savings Plan, the Company provides a matching credit of up to 50% of amounts deferred at the time of each deferral. This matching credit does not apply to deferrals of long-term cash incentive awards or other special incentive awards. (4) Amounts deferred are credited with earnings from measuring investments selected by the employee from a predetermined collection of unaffiliated mutual funds identified by the Company. The Executive Savings Plan does not credit above market earnings or preferential earnings to amounts deferred. The returns on the mutual funds available to employees during 2018 ranged from -14.91% to 1.75%, with a median return of -6.18% for the year ended December 31, 2018. Employees may change their selection of measuring investments on a daily basis. (5) Under our Executive Savings Plan, unless an employee in the plan elects to receive distributions during the term of his or her employment with the Company, benefits will be paid no earlier than at the beginning of the year following the employee's termination. However, upon a showing of severe financial hardship, an employee may be allowed to access funds in his or her deferred compensation account earlier. Benefits can be received either as a lump sum payment, in five or ten annual installments, in pre-selected amounts and on pre-selected dates or a combination thereof. An employee may change his or her election with respect to the timing and form of distribution for such deferrals under certain conditions. However, for deferrals relating to services performed on or after January 1, 2004, employees may not accelerate the timing of the distributions. 59 59 1 1 Value Realized on Exercise 2/9/2016 2/8/2017 2/10/2015 6/7/2016 28,208 28,208(3) 136.94 2/8/2027 6/7/2026 2/13/2018 2/13/2018 2/8/2017 5,592(4) 1,393,079 11,031(5) 2,748,043 6,019(4) 1,499,453 2/9/2016 15,811 15,812(3) 111.16 2/9/2026 2/8/2017 15,595(5) 3,885,026 2/10/2015 19,128 6,376(3) 2/12/2014 44,757 2/6/2013 52,972 160.31 6/5/2012 32,671(3) 2/8/2017 108.97 70.24 2/12/2024 2/10/2025 2/8/2017 8,804(4) 2,193,252 2/8/2017 22,816(5) 5,683,922 2/6/2013 59,587 57.38 2/9/2010 76,024 33.00 2/6/2023 2/9/2020 2/9/2016 7,767(4) 1,934,915 4,024(4) 1,002,459 2/23/2009 113,122 29.74 2/23/2019 John F. Rex 2/13/2018 29,468(3) 226.64 2/13/2028 10,890 80,000 Andrew P. Witty 6/5/2018 3,883(4) 967,333 1,891(4) 471,086 (1) The expiration date shown is the latest date that stock options/SARs may be exercised. Stock options/SARS may terminate earlier in certain circumstances, such as in connection with the named executive officer's termination of employment. (2) Based on the per share closing market price of our common stock on December 31, 2018 of $249.12. (3) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date. 55 Board of 1 2 Directors Corporate Governance Executive Compensation Annual 4 Audit 5 Meeting Other Information (4) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date, other than for retirement eligible executive officers. A portion of a retirement eligible executive officer's award that otherwise would have vested on the next specified vesting date is cancelled to pay applicable FICA taxes owed by the executive officer. The cancellation occurs in the year of grant if the executive officer is retirement eligible during that year or in the first year the executive officer becomes retirement eligible. The remainder of the award vests proportionally over the remaining vesting period. Messrs. Hemsley, Wichmann and Nelson are retirement eligible. These RSUs are eligible to and did receive dividend equivalents converted into additional shares; accordingly, the number of shares shown has been rounded up to the nearest whole share. For more information on RSUs cancelled in 2018, please see the 2018 Option Exercises and Stock Vested table. (5) Vest 100% at the end of the three-year performance period. The number of performance shares that the executive officer will receive is dependent upon the achievement of a cumulative EPS measure and an average ROE measure approved by the Compensation Committee. The number of performance shares reported above for grants made in 2018 and 2017 is at the target number established by the Compensation Committee because we currently believe that is the probable outcome of the performance conditions based on the Company's performance through December 31, 2018. (6) Vest 20% annually over a five-year period beginning on the first anniversary of the grant date. 2018 Option Exercises and Stock Vested The following table presents information regarding the exercise of stock options during fiscal year 2018 by our named executive officers and vesting of restricted stock awards held by our named executive officers for fiscal year 2018. Name Stephen J. Hemsley David S. Wichmann John F. Rex Andrew P. Witty (6) 3,263,472 13,100(5) 2/8/2017 2/9/2016 2/10/2015 5,056(4) 1,259,551 47,096(3) 108.97 2/10/2025 70.24 2/12/2024 57.38 2/6/2023 56.04 6/5/2022 244.43 6/5/2028 6/7/2016 4,759(4) 1,185,562 2/9/2016 2,943(4) 733,160 2/10/2015 1,403(4) 349,515 6/5/2018 6/5/2018 6/5/2018 8,681(4) 2,162,611 50,351 17,183(5) Steven H. Nelson 2/13/2018 2/8/2017 2/9/2016 39,781(3) 27,444(3) 20,872(3) 2/10/2015 8,594(3) 226.64 2/13/2028 160.31 2/8/2027 111.16 2/9/2026 108.97 2/10/2025 2/13/2018 2/13/2018 2/8/2017 41,336 (6) 10,297,624 7,222(4) 1,799,145 14,892(5) 3,709,895 4,280,629 2/12/2014 18,297(3) 54,888 Option/ SAR Exercise/ Grant Price ($) Option/ Number of Shares or Units of Stock SAR Expiration Date(1) Stock Award Grant Date That Have Not Vested (#) Stephen J. Hemsley 2/13/2018 53,042(3) 226.64 2/13/2028 2/13/2018 9,629(4) ($)(2) 2,398,776 Market Value of Shares or Units of Stock That Have Not Vested Equity Incentive Plan Awards: Number of Unearned Shares or Units That Have Not Vested (#) Equity Incentive Plan Awards: Market Value of Unearned Shares or Units That Have Not Vested ($)(2) 2/8/2017 24,176 72,530(3) Exercisable Unexercisable Grant Name SARS (#) Board of Directors 2 Corporate Governance Executive Compensation Annual 4 Audit 5 Meeting Other Information Outstanding Equity Awards at 2018 Fiscal Year-End The following table presents information regarding outstanding equity awards held at the end of fiscal year 2018 by our named executive officers. Option/SAR Awards 160.31 Stock Awards Number of Securities Underlying Underlying Date of Unexercised Unexercised Option/ Options/ Options/ SAR SARS (#) Number of Securities Option Awards Number of Shares Acquired on Exercise (#) 2/8/2027 19,856(5) 8/15/2017 7,507 22,524(3) 2/8/2017 15,932 47,798(3) 226.64 2/13/2028 194.50 8/15/2027 160.31 2/8/2027 2/13/2018 11,877(4) 2,958,798 2/13/2018 24,489(5) 6,100,700 8/15/2017 3,727 (4) 928,470 2/9/2016 41,742 41,743(3) 111.16 2/9/2026 8/15/2017 9,731(5) 2,424,187 2/10/2015 65,418(3) 2/13/2018 David S. Wichmann 1,420,233 4,946,527 2/9/2016 59,135 59,135(3) 2/10/2015 77,758 25,920(3) 2/12/2014 83,918 2/6/2013 99,312 2/9/2010 114,036 2/13/2018 111.16 108.97 2/10/2025 70.24 2/12/2024 57.38 33.00 2/8/2017 13,361(4) 3,328,492 2/8/2017 34,621(5) 8,624,784 2/9/2016 11,004(4) 2,741,316 2/6/2023 2/9/2020 2/10/2015 5,701 (4) 2/9/2026 169,683 7,402,019(3)(4)(5) (2) Tax Fees include tax compliance, planning and support services. In 2018 and 2017 approximately $499,000 and $285,000, respectively, of Tax Fees were related to international tax services, approximately $771,000 and $1,787,000, respectively, of Tax Fees were for business model operating design services and audit support and approximately $280,000 and $194,000, respectively, of Tax Fees were related to tax compliance (review and preparation of corporate and expatriate tax returns, review of the tax treatment for certain expenses and claims for refunds). Annual Executive Compensation Corporate Governance 2 Board of Directors 99 Board of 4 Audit 1 Directors Corporate Governance Executive Compensation Annual Other 4 Audit 5 2 6 5 Other Information Acceleration of Equity (2) Insurance Benefits DSUS in the SERP Annual Cash Incentive (1) 11,000,000 11,000,000 1,000,000 Cash Payments Meeting Stephen J. Hemsley Disability Retirement ($) ($) Death ($) Change For Good Reason or Not For Cause ($) Name The following table describes the potential payments to named executive officers upon termination of employment or a change in control of the Company as of December 31, 2018. Amounts are calculated based on the benefits available to the named executive officers under existing plans and arrangements, including each of their employment agreements described under "Executive Employment Agreements." Potential Payments Upon Termination or Change in Control In Control ($) Meeting Information We consistently applied total direct compensation as the measure to determine the median employee in our global employee population as of October 1, 2018. That workforce population consisted of 272,625 global full-time, part-time, temporary and seasonal employees employed on that date. 85,332 of those employees were located outside the United States and we then applied the de minimis exemption to exclude 11,530 employees in the Philippines (4.2% of our global employee population). 20% 5-10 years 31% 2-5 years Board of Directors 2 Corporate Governance Executive Compensation 14% 1-2 years Annual 4 Audit 5 Meeting Information - Proposal 2 — Advisory Approval of the Company's Executive Compensation The Board of Directors recognizes the significant interest of shareholders in executive compensation matters. As required by Section 14A of the Exchange Act, we are seeking shareholders' views on our executive compensation philosophy and practices through an advisory vote on the following resolution at the Annual Meeting: Other 10+ years 1 year 16% Less than We have a broad and diverse workforce with approximately 60% of the people represented in three key talent pillars (85,000 clinicians, 45,000 customer-facing employees and 30,000 information and computer technologists). Our median employee (one of our customer-facing employees) is a non-exempt, full-time employee who works within our operations function as a senior claims representative in the United States. A summary of our workforce population is provided in the charts below: 2% Other By Geography By Tenure 15% Americas (Non-U.S.) 14% Asia - Pacific 69% United 66 States 20 67 19% Total(3) "Resolved, that the shareholders approve, on an advisory basis, the compensation of the named executive officers, as disclosed in this proxy statement pursuant to the compensation disclosure rules of the SEC, including the Compensation Discussion and Analysis, the compensation tables and the related narrative disclosures." 20,459,928 42,884,671 64,344,599 20,459,928 20,459,928 19,925,080 18,886,001 18,886,001 4,000,000 4,000,000 4,000,000 2,000,000 600,000 15,325,080 15,325,080 21,325,080 18,886,001 24,598,001 Total(3) Acceleration of Equity (2) 22,886,001 18,886,001 Annual Cash Incentive (1) 5,712,000 Cash Payments Steven H. Nelson 4,400,000 16,961,762 16,961,762 4,400,000 4,400,000 4,400,000 2,000,000 660,000 14,108,092 14,108,092 20,508,092 19,168,092 Insurance Benefits 16,203,432 (1) Represents the maximum amount the Compensation Committee may in its discretion determine, but is not required, to pay the executive officer (or the executive officer's estate, if applicable) based upon a prorated portion of the award that the executive officer would have received but for his death, disability or retirement, calculated at the achievement of the maximum performance target, as more fully described in footnote 2 to the 2018 Grants of Plan-Based Awards table. For the purposes of this table, the potential amounts have not been prorated because the table assumes a death, disability or retirement as of December 31, 2018. Board of As required by Section 953(b) of the Dodd-Frank Wall Street Reform and Consumer Protection Act, we are providing the following information about the relationship between the annual total compensation of our median employee and the annual total compensation of our CEO. CEO Pay Ratio (3) Does not include value of benefits, plans or arrangements that would be paid or available following termination of employment that do not discriminate in scope, terms or operation in favor of our executive officers and that are generally available to all salaried employees or accrued balances under any non-qualified deferred compensation plan that is described above. For "For Good Reason or Not for Cause," the amount includes the value of unvested equity awards held by the named executive officer that will not immediately vest upon termination but will continue to vest through any applicable severance. For "Retirement," the amount includes the value of certain unvested equity awards granted in 2015, 2016, 2017 and 2018 that will continue to vest and be exercisable for a period of five years (but not after the award's expiration date). The value of the awards that will not immediately vest is based on their intrinsic values on December 31, 2018. However, because these awards would continue to vest after termination of employment or retirement, the actual value the named executive officer would receive is not determinable. At December 31, 2018, Messrs. Hemsley, Wichmann, and Nelson had met the retirement eligibility provisions. (2) Represents the (i) unvested RSUs multiplied by the closing stock price on December 31, 2018 ($249.12), (ii) intrinsic value of the unvested stock options, which is calculated based on the difference between the closing price of our stock on December 31, 2018 ($249.12) and the exercise or grant price of the unvested stock options as of that date, and (iii) the number of performance shares earned if target performance is achieved multiplied by the closing stock price on December 31, 2018 ($249.12). If maximum performance is achieved for the performance shares, the amounts for Acceleration of Equity would be (a) for "For Good Reason or Not for Cause," $56,455,981 for Mr. Hemsley; $52,704,470 for Mr. Wichmann; $25,735,255 for Mr. Rex; $13,872,061 for Mr. Witty; and $25,859,368 for Mr. Nelson; (b) for "Death" and "Disability," $44,111,089 for Mr. Hemsley; $39,165,296 for Mr. Wichmann; $21,975,989 for Mr. Rex; $15,535,051 for Mr. Witty; and $18,737,525 for Mr. Nelson; (c) for "Retirement," $56,455,981 for Mr. Hemsley; $52,704,470 for Mr. Wichmann; and $25,859,368 for Mr. Nelson; and (d) for "Change in Control," $56,455,981 for Mr. Hemsley; $52,704,470 for Mr. Wichmann; $28,229,897 for Mr. Rex; $21,242,391 for Mr. Witty; and $25,859,368 for Mr. Nelson. Other Information Meeting 65 5 Annual Executive Compensation 3 Corporate Governance Directors 2 (1) Audit-Related Fees for 2018 and 2017 include benefit plan and other required audits, an audit of one of our subsidiaries, certain AICPA agreed-upon procedures and due diligence services. 4 Audit Total (3) 9,591,432 Acceleration of Equity (2) 38,926,074 49,107,661 Total(3) 31,726,074 38,495,661 38,495,661 780,000 2,000,000 31,726,074 38,495,661 37,706,074 43,695,661 38,495,661 Acceleration of Equity (2) Insurance Benefits 5,200,000 5,200,000 5,200,000 Annual Cash Incentive (1) 10,612,000 Cash Payments David S. Wichmann = John F. Rex Cash Payments 5,412,000 Insurance Benefits Annual Cash Incentive (1) 6,612,000 Cash Payments Andrew P. Witty 23,469,874 22,069,874 3,000,000 21,596,828 24,514,186 Total (3) 21,596,828 600,000 18,469,874 18,469,874 19,102,186 Acceleration of Equity (2) 2,000,000 Insurance Benefits 3,000,000 3,000,000 3,000,000 Annual Cash Incentive (1) 20,459,928 20,459,928 420,000 36,712,225 36,712,225 42,884,671 42,884,671 68,172,153 68,592,153 63,344,599 63,344,599 The Compensation Discussion and Analysis, compensation tables and related narrative disclosures appear on pages 28-67 of this proxy statement. 1 This advisory proposal, commonly referred to as a "Say-on-Pay” proposal, is not binding on the Board of Directors. Although the voting results are not binding, the Board and the Compensation Committee will review and consider them when evaluating our executive compensation program. More than 95% of the votes cast were in favor of our executive compensation program at each of our annual meetings since our inaugural vote in 2011. Board of 73 DOJ joined whistleblower lawsuits over alleged overcharging of Medicare Advantage Program. August 2018 November 2018 New York Attorney General request for information on policies of pharmacy benefit managers and insurers related to prescribing opioid medications. Now is a good time to adopt this proposal given these critical issues that deserve strict oversight and the avoidance of reoccurrences: Supporting Statement 1 to qualify as one of the aggregation participants. Plus it is easy for our management to reject potential aggregating shareholders because management simply needs to find one item lacking from a list of requirements. Under current provisions, even if the 20 largest public pension funds were able to aggregate their shares, they would not meet the 3% criteria for a continuous 3-years at most companies examined by the Council of Institutional Investors. Additionally many of the largest investors of major companies are routinely passive investors who would be unlikely to be part of the proxy access shareholder aggregation process. Our company has a strict 20 participant limit for shareholder proxy access. No limitation shall be placed on the number of stockholders that can aggregate their shares to achieve the 3% of common stock required to nominate directors under our Company's proxy access provisions. RESOLVED: Stockholders ask the board of directors to amend its proxy access bylaw provisions and any associated documents, to include the following change: Amendment to Proxy Access Bylaw - Shareholder Proposal We have been informed that John Chevedden intends to introduce the proposal set forth below at the Annual Meeting. In accordance with SEC rules, the text of the proposal is printed verbatim from the submission. The Company will provide to shareholders the address and reported holdings of the Company's common stock for the proposal sponsor promptly upon receiving an oral or written request. The Board of Directors has recommended a vote against this proposal for the reasons set forth following the proposal. Under this proposal it is likely that the number of shareholders who participate in the aggregation process would still be a modest number due to the rigorous rules our company adopted for a shareholder to make an application 2 Directors Corporate Governance Two members of the executive pay committee each had 25-years tenure. 18-years Insider Chairman 25-years 41-years Lead Director 25-years Stephen Hemsley William Ballard Richard Burke Gail Wilensky This proposal would put shareholders in a better position to ask for Board refreshment. For instance the following directors had excessively long-tenure which was made worse by elevating these directors to very important roles. Long tenure can seriously erode director independence at shareholder expense. EpiPen: Purported Class Action over inflated EpiPen prices. January 2018 March 2018 Class Action of alleged overcharged co-payment amounts of prescription drugs. May 2018 Insulin: Proposed Class Action suit filed by patients over high prices. Information Other Meeting Annual 4 Audit Executive Compensation to Proxy Access Bylaw The majority of the nomination committee had an average tenure of 33-years. Shareholder Proposal Regarding Amendment Proposal 4 Meeting 5 4 Audit Other Annual Executive Compensation Corporate Governance Information 2 71 The Audit Committee has adopted a Policy for Approval of Independent Auditor Services (the "Policy") outlining the scope of services Deloitte & Touche may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining Deloitte & Touche to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services that may not be performed by Deloitte & Touche under any circumstances. Pursuant to these guidelines, the Audit Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. The Audit Committee has delegated authority to the Chair of the Audit Committee to pre-approve permitted audit and non-audit services between regularly scheduled quarterly Audit Committee meetings, provided that such pre-approvals are presented to the Audit Committee at its next scheduled meeting. All fees reported above were approved pursuant to the Policy. The services provided by our independent registered public accounting firm and related fees are discussed with the Audit Committee, and the Policy is evaluated and updated periodically by the Audit Committee. Audit and Non-Audit Services Approval Policy The Audit Committee has reviewed the nature of non-audit services provided by Deloitte & Touche and has concluded these services are compatible with maintaining the firm's ability to serve as our independent registered public accounting firm. Audit Committee's Consideration of Independence of Independent Registered Public Accounting Firm (3) All Other Fees include consulting fees and fees relating to communications training for international employees. As discussed in the Compensation Discussion and Analysis, the Board of Directors believes that our executive compensation program attracts and retains highly qualified executives while linking executive compensation directly to Company-wide performance and long-term shareholder interests. In deciding how to vote on this proposal, the Board of Directors asks you to consider the key points with regard to our executive compensation program included in the Compensation Discussion and Analysis and in the “Executive Summary" section on pages 28-29 of this proxy statement. Board of Directors - Ratification of Independent Registered Public Proposal 3 Accounting Firm ANNUAL MEETING Information Meeting Other Annual 50 4 Audit Executive Compensation Corporate Governance 2 Board of Directors 72 The Board of Directors recommends you vote FOR ratification of the appointment of Deloitte as our independent registered public accounting firm for the year ending December 31, 2019. Executed proxies will be voted FOR ratification of this appointment unless you specify otherwise. Representatives of Deloitte are expected to be present at the meeting, will have an opportunity to make a statement and will be available to respond to questions from shareholders. The Board of Directors has proposed that shareholders ratify the appointment of Deloitte at the Annual Meeting. If shareholders do not ratify the appointment of Deloitte, the Audit Committee will reconsider the appointment but is not obligated to appoint another independent registered public accounting firm. The Audit Committee evaluates, at least every three years, whether to rotate our independent registered public accounting firm. Based on its most recent evaluation of Deloitte, the members of the Audit Committee believe the continued retention of Deloitte as the Company's independent registered public accounting firm is in the best interest of the Company and its shareholders. Among the factors considered by the Committee in reaching this recommendation were the following: the quality and efficiency of Deloitte's historical and recent audit plans and performance; Deloitte's capabilities and expertise in handling the breadth and complexity of the Company's U.S. and global operations; external data on audit quality and performance, including recent Public Company Accounting Oversight Board (PCAOB) reports on Deloitte; the appropriateness of Deloitte's fees for audit and non-audit services; Deloitte's independence and objectivity; and the quality and candor of Deloitte's communications with management and the Audit Committee. The Audit Committee is directly responsible for the appointment, evaluation, compensation, retention and oversight of the independent registered public accounting firm retained to audit the Company's financial statements. The Audit Committee has appointed Deloitte & Touche LLP ("Deloitte") as our independent registered public accounting firm for the year ending December 31, 2019. Deloitte has been retained as our independent registered public accounting firm since 2002. The Audit Committee is responsible for approving audit fees associated with the retention of Deloitte. In order to assure continuing auditor independence, the Audit Committee periodically considers whether there should be a rotation of our independent registered public accounting firm. Further, as part of the Audit Committee's assessment of Deloitte and in conjunction with the mandated rotation of the audit firm's lead engagement partner, in November 2015, the Audit Committee interviewed candidates to become Deloitte's new lead engagement partner and following those interviews, selected the individual who became the new lead engagement partner in 2017. — Board of Directors' Recommendation For purposes of reporting annual total compensation and the ratio of annual total compensation of our CEO to our median employee, both the CEO and median employee's annual total compensation were calculated consistent with the Summary Compensation Table executive compensation disclosure requirements, plus the value of employer-paid health insurance contributions. Our median employee compensation was $57,412 and our Chief Executive Officer's compensation was $18,124,873. Accordingly, our CEO to median employee pay ratio is 316:1. Our enterprise-wide Company compensation philosophy is designed to attract and retain high-quality talent and provide market-competitive total compensation opportunities that support our pay-for-performance culture. Actual pay practices vary for employees by level and geographic location based on competitive market factors. The most significant difference in the pay practices for our CEO versus our median employee is the use of variable/at-risk compensation. reasons: Board of 1 2 Directors Corporate Governance Executive Compensation Annual 69 Other 5 Meeting Information Management represented to the Audit Committee that the Company's consolidated financial statements were prepared in accordance with generally accepted accounting principles. The Audit Committee has reviewed and discussed with management and Deloitte in separate sessions the Company's consolidated financial statements for the years ended December 31, 2018, December 31, 2017, and December 31, 2016, management's annual report on the Company's internal control over financial reporting and Deloitte's attestation. The Audit Committee discussed with management and Deloitte the process used to support certifications by the Company's CEO and CFO as required by the SEC and the Sarbanes-Oxley Act of 2002 to accompany the Company's periodic filings with the SEC and the process used to support management's annual report on the Company's internal controls over financial reporting. The Audit Committee discussed with Deloitte matters required to be discussed by Auditing Standard No. 1301, "Communications with Audit Committees" issued by the Public Company Accounting Oversight Board and Rule 2-07 of Regulation S-X. Deloitte provided to the Audit Committee the written disclosures and the letter required by applicable requirements of the Public Company Accounting Oversight Board regarding Deloitte's communications with the Audit Committee concerning independence, and the Audit Committee discussed with Deloitte the accounting firm's independence. In considering the independence of Deloitte, the Audit Committee took into consideration whether the provision of non-audit services is compatible with maintaining the independence of Deloitte. In connection with its selection of Deloitte as the Company's independent registered public accounting firm for the year ending December 31, 2019, the Audit Committee conducted a performance evaluation of Deloitte's services. Based upon the Audit Committee's review of the financial statements, independent discussions with management and Deloitte, and the Audit Committee's review of the representation of management and the report of the independent registered public accounting firm to the Audit Committee, and subject to the limitations of the Audit Committee's role, the Audit Committee recommended to the Board of Directors that the audited consolidated financial statements for the years ended December 31, 2018, December 31, 2017, and December 31, 2016, be included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2018, filed with the SEC. Members of the Audit Committee 4 Audit The Audit Committee has adopted a Policy for Approval of Independent Auditor Services (the "Policy”) outlining the scope of services the independent registered public accounting firm may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining the independent registered public accounting firm to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services that may not be performed by the independent registered public accounting firm under any circumstances. Pursuant to these guidelines, the Audit Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. While it is not the duty of the Audit Committee to plan or conduct audits, the Audit Committee engages with the Company's independent registered public accounting firm and the internal auditors regarding the overall scope and plans for their respective audits. The Company's independent registered public accounting firm is responsible for performing an independent audit of the Company's consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States), expressing an opinion as to the conformity of the consolidated financial statements with generally accepted accounting principles in the United States of America, and auditing management's assessment of the effectiveness of internal control over financial reporting. The Audit Committee's responsibility is to monitor and oversee these processes. The Audit Committee also oversees management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The Audit Committee meets regularly with the internal auditors and independent registered public accounting firm, with and without management present, to discuss the results of their examinations, the evaluation of the Company's internal control over financial reporting and the overall quality of the Company's accounting and reporting. The Audit Committee has responsibility for selecting and evaluating the independent registered public accounting firm, which reports directly to the Audit Committee, overseeing the performance of the Company's internal audit function, and assisting the Board of Directors in its oversight of enterprise risk management including privacy and data security. Management has primary responsibility for the Company's consolidated financial statements and the overall reporting process, for maintaining adequate internal control over financial reporting and, with the assistance of the Company's internal auditors, for assessing the effectiveness of the Company's internal control over financial reporting. Deloitte & Touche LLP ("Deloitte") has served as the Company's independent registered public accounting firm since 2002. In addition to our annual advisory vote to approve the Company's executive compensation, we are committed to ongoing engagement with our shareholders on executive compensation and corporate governance issues. These engagement efforts take place throughout the year where appropriate through meetings, telephone calls and correspondence involving our senior management, directors and representatives of our shareholders. The Board of Directors unanimously recommends a vote AGAINST the foregoing proposal for the following For these reasons, the Board of Directors recommends you vote FOR approval of the compensation of the named executive officers, as disclosed in this proxy statement. Executed proxies will be voted FOR approval of the compensation of the named executive officers unless you specify otherwise. 68 98 Corporate 2 Governance Executive Compensation Annual 4 Audit 5 Meeting Other Information AUDIT Audit Committee Report The Audit Committee of our Board of Directors is comprised of three non-employee directors, all of whom are audit committee financial experts, as defined by the SEC. The Board of Directors has determined all of the members of the Audit Committee are independent within the meaning of the listing standards of the NYSE, the rules of the SEC and the Company's Standards for Director Independence. The Audit Committee operates under a written charter adopted by the Board of Directors accessible in the corporate governance section of our website at www.unitedhealthgroup.com/about/corporate-governance. Glenn M. Renwick, Chair Michele J. Hooper Board of Directors 10 Tax Fees (2) All Other Fees (3) Total 1,550,000 90,000 $24,259,000 $24,800,000 Total Audit and Audit-Related Fees 2,266,000 $27,168,000 74 Our decision to adopt proxy access was informed by discussions with our shareholders and other corporate governance experts. After carefully considering the range of viewpoints and market practices, we adopted an appropriate, balanced and effective proxy access framework that provides meaningful proxy access rights to shareholders, while mitigating the possibility for misuse. The 20 shareholder aggregation limit we adopted has been adopted by almost all U.S. listed companies implementing proxy access (approximately 93% as of December 31, 2018), and has been recognized by the Council of Institutional Investors as a market standard. Background In February 2016, the Board of Directors adopted a proxy access bylaw which provides the Company's shareholders a useful and balanced proxy access process while safeguarding the interests of all of our shareholders. We have carefully considered this proposal and have concluded that it is not necessary or in the best interests of the Company or its shareholders. F. William McNabb III 102,000 3,723,000 The Company's proxy access bylaw permits a shareholder, or group of up to 20 shareholders, owning at least 3% of the Company's outstanding shares of common stock continuously for at least three years, to nominate and include in the Company's annual meeting proxy materials director nominees constituting up to 20% of the Board, subject to requirements specified in the Company's bylaws. Year 2017 $21,077,000 Board of Directors Corporate Governance Executive Compensation Annual 4 Audit 5 Meeting 2 Disclosure of Fees Paid to Independent Registered Public Accounting Firm $22,619,000 Other Information 3,154,000 2018 $19,465,000 70 Fee Category Audit Fees Audit-Related Fees (1) Aggregate fees billed to the Company for the fiscal years ended December 31, 2018 and 2017, represent fees billed by the Company's principal independent registered public accounting firm, Deloitte & Touche LLP, the member firms of Deloitte Touche Tohmatsu, and their respective affiliates, which includes Deloitte Consulting (collectively, "Deloitte & Touche"). The Audit Committee pre-approved the audit and non-audit services provided in the years ended December 31, 2018 and 2017, by Deloitte & Touche, as reflected in the table below. Information Please note that use of cameras, phones or other similar electronic devices and the bringing of large bags, packages or sound or video recording equipment will not be permitted in the meeting room. Attendees will also be required to comply with meeting guidelines and procedures that will be available at the meeting. A copy of the meeting guidelines and procedures is also available on our website at www.unitedhealthgroup.com/investors/annual-meeting.html. 8. How can I vote at the Annual Meeting if I own shares in street name? If you are a street name holder, you may not vote your shares at the Annual Meeting unless you obtain a legal proxy from your bank or broker. A legal proxy is a bank's or broker's authorization for you to vote the shares it holds in its name on your behalf. To obtain a legal proxy, please contact your bank or broker for further information. 9. What shares are included on the Notice, proxy card or voting instruction form? If you are a shareholder of record, you will receive only one Notice or proxy card for all the shares of common stock you hold: in certificate form; If you hold your shares in street name, you will receive one Notice or voting instruction form for each account you have with a bank or broker. If you hold shares in multiple accounts, you may need to provide voting instructions for each account. in book-entry form; and • in any Company benefit plan. • • 1 Meeting 7. How do I attend the Annual Meeting? What do I need to bring? To attend the Annual Meeting, you will need to bring an admission ticket and valid photo identification. Only our shareholders are entitled to attend the meeting. The procedure you must follow in order to attend the meeting depends on whether you are a shareholder of record or a street name holder of our common stock. Shareholders of Record. If you are a shareholder of record and received a Notice, the Notice is your admission ticket. If you are a shareholder of record and received proxy materials by mail, your admission ticket is attached to your proxy card. You will need to bring the Notice or the admission ticket and valid photo identification with you to the Annual Meeting in order to be admitted to the meeting. Street Name Holders. If you hold your shares in street name, bring with you to the Annual Meeting valid photo identification and your most recent brokerage statement or a letter from your broker or other nominee indicating that you hold our shares. We will use that statement or letter to verify your ownership of common stock and admit you to the Annual Meeting; however, you will not be able to vote your shares at the Annual Meeting without a legal proxy, as described in Question 8. Other 77 2 Directors Corporate Governance Executive Compensation 4 Audit Annual Board of If you hold shares in our 401(k) savings plan and do not vote your shares or specify your voting instructions on your proxy card, the administrators of the 401(k) savings plan will vote your 401(k) plan shares in the same proportion as the shares for which they have received voting instructions. To allow sufficient time for voting by the 401(k) administrators, your voting instructions must be received by 11:59 p.m. Eastern Time on May 29, 2019. The Notice is not a proxy card and cannot be used to vote your shares. You can listen to the live webcast of the Annual Meeting by visiting www.unitedhealthgroup.com and clicking on "Investors" and then on the link to the webcast. An archived copy of the webcast will also be available on our website for 14 days following the Annual Meeting. receive notice of the Annual Meeting; and • vote at the Annual Meeting and any adjournments or postponements of the Annual Meeting. 13. If I submit a proxy, may I later revoke it and/or change my vote? Shareholders of record may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: signing another proxy card with a later date and delivering it to an officer of the Company before the Annual Meeting; • • • voting at the Annual Meeting; or • notifying the Secretary to the Board of Directors in writing before the Annual Meeting. Street name holders may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: Street Name Holders. If you hold your shares in a bank or brokerage account, you also may have the opportunity to receive the proxy materials electronically. Please check the information provided in the proxy materials you receive from your bank or broker regarding the availability of this service. voting again over the Internet or by telephone prior to 11:59 p.m., Eastern Time, on June 2, 2019; The record date was established by our Board of Directors as required by the Delaware General Corporation Law. Owners of record of common stock at the close of business on the record date are entitled to: The record date for the Annual Meeting is April 9, 2019. Only owners of record of shares of common stock of the Company at the close of business on the record date are entitled to notice of and to vote at the Annual Meeting, or at any adjournments or postponements of the Annual Meeting. On April 9, 2019, there were 952,244,528 shares of common stock issued, outstanding and entitled to vote. Each owner of record on the record date is entitled to one vote for each share of common stock held. 12. What is the record date and what does it mean? 11. What different methods can I use to vote? By Written Proxy. All shareholders of record who received proxy materials by mail can vote by written proxy card. If you received a Notice or the proxy materials electronically, you may request a proxy card at any time by following the instructions on the Notice or on the voting website. If you are a street name holder, you will receive instructions on how you may vote from your bank or broker, unless you previously enrolled in electronic delivery. 78 Board of 1 2 Directors Corporate Governance Executive Compensation 4 Audit Annual Meeting Other Information By Telephone or Internet. All shareholders of record can vote by telephone from the United States and Canada, using the toll-free telephone number on the proxy card, or through the Internet using the procedures and instructions described on the Notice or proxy card. Street name holders may vote by Internet or telephone if their bank or broker makes those methods available, in which case the bank or broker will enclose the instructions with the proxy materials. The Internet and telephone voting procedures are designed to authenticate shareholders' identities, allow shareholders to vote their shares and to confirm their instructions have been properly recorded. In Person. All shareholders of record may vote in person at the Annual Meeting. Street name holders may vote in person at the Annual Meeting if they have a legal proxy, as described in Question 8. 10. How can I listen to the live webcast of the Annual Meeting? Shareholders of Record. If you vote on the Internet at www.proxyvote.com, simply follow the prompts for enrolling in the electronic proxy delivery service. You also may enroll in the electronic proxy delivery service at any time by going directly to www.unitedhealthgroup.com and following the enrollment instructions. Meeting Shareholders may access the proxy materials, which include the Notice of Annual Meeting of Shareholders, Proxy Statement (including a form of proxy card) and Annual Report for the year ended December 31, 2018 on the Internet at www.unitedhealthgroup.com/investors/annual-reports.html. We will also provide a hard copy of any of these documents free of charge upon request to: UnitedHealth Group Incorporated, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. The Board has a strong Lead Independent Director with robust responsibilities. The Board is highly independent and benefits from an ongoing commitment to refreshment. Since January 2017, we have appointed five new directors to the Board who are standing for election this year. The Company's Nominating Advisory Committee, comprised of long-term shareholders of the Company and a member of the medical community, provides our Nominating and Corporate Governance Committee with additional input regarding desirable characteristics of director candidates and the composition of our Board. Shareholders have the right to call a special meeting. Shareholders have the right to act by written consent. The Company has a robust, ongoing shareholder engagement program. The Company's proxy access bylaw is consistent with market practice and strikes the appropriate balance between providing meaningful proxy access and safeguarding shareholders by mitigating misuse, while limiting administrative burden and expense. Our corporate governance practices assure strong Board accountability and provide shareholders with appropriate access to the Board. We do not believe it is necessary or in the best interests of the Company or its shareholders to change the Company's proxy access bylaw as outlined in the proposal. Board members are elected annually by a majority vote of our shareholders. For these reasons, the Board of Directors recommends that shareholders vote AGAINST the proposal. Executed proxies will be voted AGAINST this proposal unless you specify otherwise. 75 Board of Directors 2 Corporate Governance Executive Compensation 4 Audit 15 Annual • • 2 1 Board of Executive Compensation 4 Audit Annual • Meeting Information The proponent's requested change to the Company's proxy access bylaw would place no limit on the number of shareholders who may aggregate their holdings to reach the required 3% ownership threshold. An aggregation limit of 20 provides abundant opportunities for the Company's shareholders to combine with other shareholders to satisfy the ownership requirement. The Company's proxy access policies are further strengthened in the context of leading corporate governance measures supporting the accountability of the Board to our shareholders, including: ⋅ • • • Other • Other Information Questions and Answers About the Annual Meeting and Voting Board of 1 2 Directors Corporate Governance Executive Compensation 76 Annual Meeting 5. How many shares must be present to hold the Annual Meeting? Other Information In order to conduct the Annual Meeting, holders of a majority of the shares entitled to vote as of the close of business on the record date must be present in person or by proxy. This constitutes a quorum. Your shares are counted as present if you attend the Annual Meeting and vote in person, if you vote your proxy over the Internet or by telephone or by mail. Abstentions and broker non-votes will be counted as present for purposes of establishing a quorum. If a quorum is not present, we will adjourn the Annual Meeting until a quorum is obtained. 6. How can I access the proxy materials for the Annual Meeting? 4 Audit Street Name Holders. If you hold your shares in an account at a bank or broker, then you are the beneficial owner of shares held in "street name." The Notice or proxy materials were forwarded to you by your bank or broker, who is considered the shareholder of record for purposes of voting at the Annual Meeting. As a beneficial owner, you have the right to direct your bank or broker on how to vote the shares held in your account. Shareholders of Record. If your shares are registered in your name with our transfer agent, EQ Shareowner Services, you are a shareholder of record with respect to those shares and the Notice of Internet Availability of Proxy Materials ("Notice") or the proxy materials were sent directly to you by Broadridge Financial Solutions. 4. What is the difference between a shareholder of record and a shareholder who holds stock in street name? 1. What is the purpose of the Annual Meeting? At the Annual Meeting, shareholders will act upon the matters outlined in the Notice of Annual Meeting of Shareholders. These include: ⋅ election of directors; . an advisory vote to approve our executive compensation (a "Say-on-Pay" vote); • ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm; and if properly presented, one shareholder proposal. Also, once the business of the Annual Meeting is concluded, management of the Company will give a business update. Management, Chairs of each standing Board committee and representatives of Deloitte & Touche LLP will be available to respond to questions from shareholders. 2. What is a proxy? It is your legal designation of another person to vote the stock you own in the manner you direct. That other person is called a proxy. If you designate someone as your proxy in a written document, that document also is called a proxy or a proxy card. We have designated Dannette L. Smith and Faraz A. Choudhry to serve as proxies for the Annual Meeting. The Board of Directors will use the proxies at the 2019 Annual Meeting of Shareholders. The proxies also may be voted at any adjournments or postponements of the meeting. 3. What is a proxy statement? The Company's Board of Directors is soliciting proxies for use at the 2019 Annual Meeting of Shareholders. A proxy statement is a document we give you when we are soliciting your vote pursuant to SEC regulations. Instead of receiving future copies of our proxy materials by mail, you can elect to receive an e-mail that will provide electronic links to these documents. Opting to receive your proxy materials online will save the cost of producing and mailing documents to your home or business, will give you an electronic link to the proxy voting site and will also help preserve environmental resources. • Corporate Governance contacting your bank or broker to request a legal proxy in order to vote your shares in person at the Annual Meeting. 1 Board of Directors 2 Corporate Governance Executive Compensation 4 Audit 40 Annual Other Information Other Shareholder Proposals for Presentation at the 2020 Annual Meeting (Advance Notice Provision). A shareholder proposal that is not submitted for inclusion in our proxy statement for our 2020 Annual Meeting pursuant to Section 3.04 of our Bylaws or SEC Rule 14a-8 and is sought to be presented at the 2020 Annual Meeting must comply with the "advance notice" deadlines in our Bylaws. As such, these shareholder proposals must be received no earlier than February 4, 2020, and no later than the close of business on March 5, 2020. These shareholder proposals must be in writing and received within the "advance notice" deadlines described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. These shareholder proposals must be in the form provided in our Bylaws and must include the information set forth in the Bylaws. If we do not receive a shareholder proposal and the required information by the "advance notice" deadlines described above, the proposal may be excluded from consideration at the 2020 Annual Meeting. The “advance notice" requirement described above supersedes the notice period in SEC Rule 14a-4(c)(1) of the federal proxy rules regarding the discretionary proxy voting authority with respect to such shareholder business. 25. How are proxies solicited and what is the cost? We bear all expenses incurred in connection with the solicitation of proxies. We have engaged Morrow Sodali LLC to assist with the solicitation of proxies for a base fee of $20,000 plus expenses. We will reimburse brokers, fiduciaries and custodians for their costs in forwarding proxy materials to beneficial owners of common stock. Our directors, officers and employees may also solicit proxies by mail, telephone and personal contact. They will not receive any additional compensation for these activities. Meeting 26. Where can I find more information about my voting rights as a shareholder? 82 Shareholder Director Nominations for Inclusion in the Company's Proxy Materials (Proxy Access). To be considered for inclusion in our proxy statement for our 2020 Annual Meeting, director nominations submitted pursuant to Section 3.04 of our Bylaws must be received at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors, no earlier than November 21, 2019 and no later than December 21, 2019, and must be submitted in accordance with Section 3.04 of our Bylaws. If we do not receive the information required by our Bylaws by the deadline described above, the director nominee will be excluded from our proxy statement for our 2020 Annual Meeting. 1 Board of Directors 2 Corporate Governance 4 Audit Annual Meeting Other Shareholder Proposals to Be Considered for Inclusion in the Company's Proxy Materials (SEC Rule 14a-8). To be considered for inclusion in our proxy statement for our 2020 Annual Meeting, shareholder proposals submitted pursuant to SEC Rule 14a-8 must be received no later than December 21, 2019 and be submitted in accordance with Rule 14a-8. These shareholder proposals must be in writing and received by the deadline described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. If we do not receive a shareholder proposal by the deadline described above, the proposal may be excluded from our proxy statement for our 2020 Annual Meeting. 21. Are my shares voted if I do not provide a proxy? If you are a shareholder of record and do not provide a proxy, you must attend the Annual Meeting in order to vote. If you hold shares through an account with a bank or broker, your shares may be voted by the bank or broker on some matters if you do not provide voting instructions. Banks and brokers have the authority under NYSE rules to vote shares for which their customers do not provide voting instructions on routine matters. The ratification of Deloitte & Touche LLP as our independent registered public accounting firm is considered a routine matter. The other matters being voted on at the Annual Meeting are not considered routine and banks and brokers cannot vote shares without instruction on those matters. Shares that banks and brokers are not authorized to vote are counted as "broker non-votes." 22. How are abstentions and broker non-votes counted? Abstentions have no effect on the election of directors. Abstentions have the effect of an "AGAINST" vote on the advisory vote to approve our executive compensation, the ratification of the appointment of the Company's independent registered public accounting firm and the shareholder proposal. Broker non-votes have no effect on the vote for any matter at the meeting. 23. Does the Company have a policy about directors' attendance at the Annual Meeting of Shareholders? The Company expects directors to attend the Annual Meeting, absent a compelling reason. 24. What are the deadlines for submitting director nominees and other shareholder proposals for the 2020 Annual Meeting? Other Information The SEC has an informational website that provides shareholders with general information about how to cast their vote and why voting should be an important consideration for shareholders. You may access that information at https://www.investor.gov/research-before-you-invest/research/shareholder-voting or at www.investor.gov. 83 88 Boston, Massachusetts 02210 Amount and Nature of Beneficial Ownership Percent of Class 71,461,036 7.42% 245 Summer Street 69,831,381 65,200,422 6.78% (1) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by The Vanguard Group. Inc. on February 11, 2019. The Vanguard Group, Inc. reported having sole voting power over 1,186,163 shares, shared voting power over 225,198 shares, sole dispositive power over 70,075,335 shares and shared dispositive power over 1,385,701 shares. (2) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by BlackRock, Inc. on February 7, 2019. BlackRock, Inc. reported having sole voting power over 60,772,629 shares and sole dispositive power over 69,831,381 shares. (3) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by FMR LLC on February 13, 2019. FMR LLC reported having sole voting power over 9,280,832 shares and sole dispositive power over 65,200,422 shares. 84 7.30% FMR LLC (3) New York, New York 10055 55 East 52nd Street Board of Directors 2 Corporate Governance Executive Compensation 4 Audit Annual Meeting Other Information Security Ownership of Certain Beneficial Owners and Management The following table provides information about shareholders known to us to beneficially own more than 5% of the outstanding shares of our common stock, based solely on the information filed by such shareholders in 2019 for the year ended December 31, 2018 on Schedule 13G under the Exchange Act. Name and Address of Beneficial Owner The Vanguard Group, Inc. (1) 100 Vanguard Boulevard Malvern, Pennsylvania 19355 BlackRock, Inc. (2) 81 submitting new voting instructions in the manner provided by your bank or broker; or AGAINST the shareholder proposal regarding the amendment to the proxy access bylaw. FOR the ratification of the appointment of Deloitte & Touche LLP as the Company's independent registered public accounting firm; and if a shareholder makes a written comment on the proxy card or otherwise communicates his or her vote to management; or to allow the independent inspectors of the election to certify the results of the vote. We have retained Broadridge Financial Solutions to tabulate the votes. We have retained CT Hagberg LLC to act as independent inspector of the election. 15. How may I confirm my vote was counted? We are offering our shareholders the opportunity to confirm their votes were cast in accordance with their instructions. Vote confirmation is consistent with our commitment to sound corporate governance standards and an important means to increase transparency. Beginning May 20, 2019 and for up to two months after the Annual Meeting, you may confirm your vote beginning 24 hours after your vote is received, whether it was cast by proxy card, electronically or telephonically. To obtain vote confirmation, log onto www.proxyvote.com using your control number (located on your Notice or proxy card) and receive confirmation on how your vote was cast. If you hold your shares through a bank or brokerage account, the ability to confirm your vote may be affected by the rules of your bank or broker and the confirmation will not confirm whether your bank or broker allocated the correct number of shares to you. 16. What are my choices when voting for director nominees and what vote is needed to elect directors? • In the vote on the election of director nominees, shareholders may: vote in favor of a nominee; • vote against a nominee; or abstain from voting with respect to a nominee. A director nominee will be elected if the number of votes cast "for" the nominee exceeds the number of votes cast "against" the nominee. To address a provision in Delaware law that allows a director who has not been re-elected to remain in office until a successor is elected and qualified, we have a policy requiring any director who does not receive a greater number of votes “for” than “against” his or her election in an uncontested election to tender his or her resignation from the Board of Directors following certification of the shareholder vote. Under this policy, the Board of Directors will determine whether to accept or reject the offer to resign within 90 days of certification of the shareholder vote. The text of this policy appears in our Principles of Governance, which is available on our website at www.unitedhealthgroup.com/about/corporate-governance. 80 ⋅ 60 • • 12 79 1 Board of Directors 2 Corporate Governance in the case of a contested proxy solicitation; Executive Compensation Annual Meeting Other Information 14. Are votes confidential? Who counts the votes? We hold the votes of all shareholders in confidence from directors, officers and employees except: ⋅ as necessary to meet applicable legal requirements and to assert or defend claims for or against the Company; 4 Audit Board of 1 2 The Board of Directors makes the following recommendation with regard to each proposal: • • • The Board of Directors recommends a vote FOR advisory approval of the Company's executive compensation. The Board of Directors recommends a vote FOR ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm. 19. What is the Board's recommendation with regard to each proposal? The Board of Directors recommends a vote AGAINST the shareholder proposal regarding amending the proxy access bylaw. Shareholders should specify their choice for each matter in the manner described in the Notice or on their proxy card. If no specific instructions are given, proxies that are signed and returned will be voted: • FOR the election of all director nominees; • FOR the advisory approval of our executive compensation; . 20. What if I do not specify a choice for a matter when returning a proxy? The proposal to ratify the appointment of Deloitte & Touche LLP as our independent registered public accounting firm and the shareholder proposal must be approved by the holders of a majority of the shares of common stock present and entitled to vote in person or by proxy at the Annual Meeting in order to pass. For the advisory vote to approve our executive compensation, there is no minimum approval necessary since it is an advisory vote; however, the Board of Directors will consider the results of the advisory vote when considering future decisions related to such proposal. 18. What vote is needed to approve each of the other proposals? abstain from voting on the proposal. Directors Executive Compensation Annual 4 Audit 5 Meeting Other Information 17. What are my choices when voting on each of the other proposals considered at the Annual Meeting? For each of the other proposals, shareholders may: • vote for the proposal; • vote against the proposal; or • • Executive Compensation The Board of Directors recommends a vote FOR each of the director nominees. Corporate Governance Directors UNITEDHEALTH GROUP Board Meetings and Annual Meeting Attendance 16 Audit and Finance Committee Report Board and Committee Evaluations 16 62 62 Communication with the Board of Directors 17 Disclosure of Fees Paid to Independent Registered Public Accounting Firm 64 Director Compensation . . . 2021 Director Compensation Table 720 17 20 Audit and Finance Committee's Consideration of Independence of Independent Registered Public Accounting Firm . . . . . Audit 13 Board Committees 61 56 PROPOSAL 1: Election of Directors 4 Potential Payments Upon Termination or Change in 2022 Director Nominees 4 Control... 57 64 Director Nomination Process CEO Pay Ratio 59 Board Leadership Structure. 12 PROPOSAL 2: Advisory Approval of the Director Independence 13 Company's Executive Compensation 8 Executive Employment Agreements Corporate Governance 22 69 72 Compensation Discussion and Analysis . 32 Householding Notice 79 Compensation and Human Resources Committee Other Matters at Meeting 79 Report 47 Compensation and Human Resources Committee Other Information Interlocks and Insider Participation 48 Security Ownership of Certain Beneficial Owners and Management . ... 66 PROPOSAL 4: Shareholder Proposal Seeking Shareholder Ratification of Termination Pay PROPOSAL 5: Shareholder Proposal Regarding Political Contributions Congruency Report Questions and Answers About the Annual Meeting and Voting 29 22 Code of Conduct: Our Principles of Ethics & Integrity Audit and Non-Audit Services Approval Policy PROPOSAL 3: Ratification of Independent Registered Public Accounting Firm 64 65 559 24 Compliance and Ethics Overview 24 Risk Oversight . . . 25 Alignment of Environment, Social and Governance (ESG) with Our Long-Term Strategy 46 26 Executive Compensation Executive Summary. Annual Meeting Board of Directors 55 80 UnitedHealth Group is starting 2022 with strong momentum - well-positioned to deliver high-quality care to even more people and create greater long-term value for our shareholders and the communities we serve as we pursue our mission of helping people live healthier lives and helping the health system work better for everyone. Combining Optum's clinical expertise, technology and data capabilities with UnitedHealthcare's leadership in health benefits, we are determined to help connect the fragmented pieces of the health system. Through innovations and realigning incentives, we are working in partnership with care providers, employers, and public sector leaders to help build a modern, high-performing health system and improve access, affordability, outcomes and experiences for everyone who depends on it. Our Long-Term Growth Strategy As an enterprise, we are prioritizing five distinct growth opportunities - which both build on our well-established, market- leading positions and further differentiate our capabilities and services to reach new markets. They are: • • • • Care Delivery: Building a value-based system of care focused on better outcomes at lower costs; aligning patient, provider and payer incentives; and seamlessly integrating primary, specialty, urgent, post-acute and behavioral care across clinic, in-home and virtual settings. Health Benefits: Growing our market-leading position in health benefits with a primary focus on affordable coverage, a simpler experience and high-quality, supported care. Health Technology: Developing and deploying new technology to help modernize and simplify the health system. Health Financial Services: Streamlining the health payments and banking experience to make it simpler, faster and more convenient for providers, payers, and consumers alike. Pharmacy Services: Integrating our medical, pharmacy, and behavioral capabilities to provide whole-person care, support the discovery of new drugs and treatments, and offer new services. Informed by our deep clinical expertise, these strategies present opportunities for innovation and collaboration at Optum and UnitedHealthcare - and they support our expected long term 13% to 16% earnings per share growth rate. Ongoing Board Development As part of its ongoing oversight, the Board reviewed committee charters and made several changes in 2021. This included assigning overall oversight for the company's ESG agenda to the Governance Committee and having other committees oversee specific ESG elements within their purview. We also reconstituted our Public Policy Committee, now renamed the Health and Clinical Practice Policies Committee, to better reflect its expanded oversight of clinical care and practice matters and access to care, in addition to health policy matters. In 2021, Michele Hooper became Lead Independent Director, John Noseworthy chair of the Governance Committee and Valerie Montgomery Rice chair of the Health and Clinical Practice Policies Committee. In November, Paul Garcia, retired chairman and CEO of Global Payments, joined the Board, bringing additional executive operating experience and technological, payments and financial expertise as well as advancing the diversity of the Board. Two of our directors, Richard Burke and Gail Wilensky, are not standing for re-election this year and will retire as of the Annual Meeting following extraordinary and distinguished service to the company and shareholders. We are deeply grateful to Mr. Burke and Dr. Wilensky for their leadership. We benefited greatly from their insights, experience, and April 22, 2022 Dear Fellow Shareholders: Minnetonka, Minnesota 55343 9900 Bren Road East Our Mission Helping people live healthier lives and helping make the health system work better for everyone. Our Culture The people of UnitedHealth Group are aligned around core values that inspire our behavior as individuals and as an organization. Integrity Honor commitments. Never compromise ethics. Compassion guidance. The Board continues to assess its composition to ensure that it has the balance of skills and operating experience needed to oversee long-term strategy and provide effective oversight. Walk in the shoes of with whom we work. Relationships Build trust through collaboration. Innovation Invent the future, learn from the past. Performance Demonstrate excellence in everything we do. UNITEDHEALTH GROUP people we serve and those Advancing our Efforts in Sustainability & ESG As a mission-driven company, we are committed to using our reach and resolve to help ensure everyone has access to high-quality, affordable care when and where it is needed. We see the intrinsic societal value of primary and preventive care and ensuring physicians have the resources, tools and support they need to keep their patients healthy — helping people live longer and more fulfilling lives while reducing cost in the system for everyone. To support our growing focus on sustainability, the company created the role of Chief Sustainability Officer, responsible for helping develop a comprehensive ESG strategy, including annual and long-term sustainability goals and a governance structure to achieve them. Proxy Voting Important. Even if you plan to participate in the Annual Meeting, we still encourage you to submit your proxy by internet, telephone or mail prior to the meeting. If you later choose to revoke your proxy or change your vote, you may do so by following the procedures under Question 12 of the "Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. June 6, 2022 11:00 a.m. Eastern Time Our Annual Meeting can be accessed virtually at: www.virtualshareholder meeting.com/UNH2022 Record Date April 8, 2022 Only shareholders of record of the Company's common stock at the close of business on the record date are entitled to receive notice of, and to vote at, the Annual Meeting and any adjournments or postponements of the meeting. The 2022 Annual Meeting will be held in virtual format only. If you plan to participate in the Annual Meeting, please see the “Questions and Answers About the Annual Meeting and Voting" section in the attached proxy statement. Shareholders will be able to participate in, vote, view the list of shareholders of record and submit questions from any location. IMPORTANT NOTICE REGARDING AVAILABILITY OF PROXY MATERIALS FOR THE ANNUAL MEETING OF SHAREHOLDERS TO BE HELD VIRTUALLY VIA THE INTERNET ON JUNE 6, 2022: Proxy Statement and Annual Report are available at www.unitedhealthgroup.com/ proxymaterials. Table of Contents Proxy Summary 1 2021 Option Exercises and Stock Vested 54 The Notice of Internet Availability of Proxy Materials, Notice of Annual Meeting of Shareholders, 2022 Proxy Statement Access to the Annual Meeting Proposal 3: Ratify the appointment of Deloitte & Touche LLP as the independent registered public accounting firm for the Company for the year ending December 31, 2022. Shareholder Meeting details As a shareholder of UnitedHealth Group, your continued feedback is important to our company. We cordially invite you to participate in our 2022 Annual Meeting of Shareholders to be held on Monday, June 6, 2022, at 11:00 a.m. Eastern Time. We will once again hold our meeting virtually. Attached you will find a notice of meeting and proxy statement containing information about the items upon which you will be asked to vote and the meeting itself, including different methods you can use to vote your proxy, including by internet, telephone and mail. Every shareholder vote is important, and we encourage you to vote as promptly as possible. Instructions on how to participate in the Annual Meeting are included in the proxy statement. On behalf of UnitedHealth Group's Board and management team, we appreciate your continued trust and support. Sincerely, Andrew Witty Andrew Witty Chief Executive Officer Proposals 4 and 5: Consider the shareholder proposals set forth in the attached proxy statement, if properly presented at the Annual Meeting. Items of business may also include transacting any other business that properly come before the Annual Meeting or any adjournments or postponements of the meeting. Proxy materials are first being mailed to our shareholders and made available at www.unitedhealthgroup.com/ proxymaterials on or about April 22, 2022. Website addresses included throughout this proxy statement are for reference only. The information contained on our website is not incorporated by reference into this proxy statement. Stephen Hemsley Chair of the Board • • • 2022 Notice of Annual Meeting Items of Business Proposal 1: Elect the eight nominees set forth in the attached proxy statement to the Company's Board of Directors. Proposal 2: Conduct an advisory vote to approve the compensation paid to the Company's named executive officers as disclosed in the attached proxy statement (a "Say on Pay") vote. Stephen Hemsley 2021 Non-Qualified Deferred Compensation. 2022 Proxy Statement | Proposal 1: Election of Directors | 2022 Director Nominees 4 2021 Grants of Plan-Based Awards Page 66 AGAINST Page 69 2022 Proxy Statement | Proxy Summary 3 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Board of Directors 5 Annual Other 6 Meeting Information AGAINST 5 Shareholder Proposal Regarding Political Contributions Congruency Report 4 Shareholder Proposal Seeking Shareholder Ratification of Termination Pay Page 65 Our Compensation and Human Resources Committee has confirmed that it has no intention of paying severance in connection with the retirement of an executive officer going forward; Broadened our clawback policy to include material detrimental conduct as a trigger; Enhanced our disclosure on the non-financial metrics included in the annual incentive plan; and Enhanced our disclosure of the rationale for executive compensation targets. The Board appreciates feedback provided by shareholders. Additional information on the feedback provided and responsive actions taken may be found beginning on page 33 of this proxy statement. COVID-19 Response Throughout the COVID-19 pandemic, UnitedHealth Group has worked tirelessly to ensure the stability of the health system and the health and safety of every individual we serve — our patients, members and customers as well as our colleagues and their families. From providing billions of dollars in advance payments to providers and premium credits and cost-sharing waivers to customers and consumers; to providing COVID-19 testing services to several states; to providing more than $100 million in support to those affected by COVID-19, we were honored to bring the combined resources of UnitedHealth Group, UnitedHealthcare and Optum and the compassion and commitment of our 340,000 team members in the fight against COVID-19. As the pandemic enters a new stage and society begins to emerge from this crisis, UnitedHealth Group will continue working with our many partners across the health system to use the lessons learned over the past two years to guide our business as we seek to ensure equitable access to high-quality, affordable, and convenient care for everyone. Voting Matters and Vote Recommendations Items of Business PROPOSAL 1: Election of Directors 1 Election of Eight Directors Board's Recommendation Details FOR Page 4 FOR Page 61 3 Ratification of Independent Registered Public Accounting Firm FOR 2 Advisory Approval of Executive Compensation Our Board of Directors has nominated eight directors for election at the 2022 Annual Meeting to hold office until the next annual meeting and the election of their successors. All of the nominees are currently directors and have agreed to be named in this proxy statement and to serve if elected. After many years of exceptional service to the Board, Mr. Burke and Dr. Wilensky are not standing for election this year. In accordance with our Principles of Governance, each nominee has also tendered an irrevocable offer to resign as a director, which will become effective if the director fails to receive a majority vote for election at the Annual Meeting and our Board accepts the director's offer to resign. Please see the "Corporate Governance" section of this proxy statement for additional details on this policy. All of the nominees are expected to attend the 2022 Annual Meeting. All then-current directors attended the 2021 Annual Meeting. We ask for your voting support for each of the director nominees at our 2022 Annual Meeting. 2022 Director Nominees President and CEO, The Directors' Council 2007 F. William McNabb III 65 Former Chairman and CEO, The Vanguard Group, Inc. 2018 Valerie C. Montgomery Rice, M.D. 60 70 President and Dean, Morehouse School of Medicine John H. Noseworthy, M.D. 70 Former CEO and President, Mayo Clinic 2019 Andrew Witty 57 CEO, UnitedHealth Group 2021 2017 We were pleased to hear shareholders indicate their strong support of the overall design of our executive compensation program as well as the Company's overall pay-for-performance philosophy. Shareholders overwhelmingly did not indicate a desire for broad changes to our program design; Michele J. Hooper Chair, UnitedHealth Group The following is a brief biographical description of each director nominee. A matrix listing the skills and areas of expertise held by each director and which, in part, led the Board to conclude each respective director should continue to serve as a member of the Board, is included on page 9. The Board of Directors recommends you vote FOR the election of each of the nominees. Executed proxies will be voted FOR the election of each nominee unless you specify otherwise. Director Director Timothy P. Flynn Paul R. Garcia Stephen J. Hemsley Age 2000 Primary Occupation 65 Former Chair, KPMG International 2017 69 Retired Chair and Chief Executive Officer, Global Payments 2021 69 69 Since • • • Fully diluted earnings per share increased 13% to $18.08 per share from $16.03 in 2020. Adjusted earnings per share¹ increased 13% to $19.02 per share from $16.88 per share in 2020; Return on equity at 25.2% in 2021 compared to 24.9% in 2020, reflecting the Company's strong operating performance and efficient capital structure; and The annual cash dividend rate increased to $5.80 per share, representing a 16% increase over the annual cash dividend rate of $5.00 per share since the second quarter of 2020. Awards and Recognition 1 • ⋅ • Net earnings increased 12% year-over-year to $17.3 billion; operating earnings increased 7% year-over-year to $24.0 billion; and cash flows from operations were $22.3 billion in 2021; • • • • • • UnitedHealth Group was the top ranked company in the insurance and managed care sector on Fortune's 2022 "World's Most Admired Companies" list. This is the twelfth consecutive year UnitedHealth Group has ranked No. 1 overall in its sector. The Company ranked No. 1 on all nine key attributes of reputation ― innovation, people management, use of corporate assets, social responsibility, quality of management, financial soundness, long-term investment value, quality of products and services and global competitiveness; UnitedHealth Group has been named to both the Dow Jones Sustainability World and North America Indices every year since 1999; • UnitedHealth Group received a score of 100 on the Human Rights Campaign Foundation's Corporate Equality Index 2022, earning the distinction of one of the “Best Places to Work for LGBTQ Equality"; Revenues increased 12% to $287.6 billion in 2021 from $257.1 billion in 2020; • 51 Certain Relationships and Transactions 82 Outstanding Equity Awards at 2021 Fiscal Year-End . . _ 53 Appendix A Reconciliation of Non-GAAP Financial Measure Total shareholder return in 2021 was 45%, and 107% from 2019-2021, reflecting continued strong fundamental performance; 84 Business Results We are a diversified health care company with a mission to help people live healthier lives and help make the health system work better for everyone. Our two distinct, yet complementary business platforms Optum and UnitedHealthcare — are working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences for the individuals and organizations we are privileged to serve. The breadth and scope of our diversified company help to consistently improve health care quality, access and affordability. We again performed strongly in 2021. Financial • • • • • Proxy Summary 48 In 2021, and for the tenth consecutive year, The Civic 50, a Points of Light initiative that highlights companies that improve the quality of life in the communities where they do business, ranked UnitedHealth Group one of America's 50 most community-minded companies. In addition, UnitedHealth Group was named the leader in the Healthcare Sector category for the fourth time overall; Prospanica, an organization that has worked to empower Hispanic professionals for over 30 years, recognized UnitedHealth Group with the 2021 Brillante Award for Corporate Excellence; Shareholder Special Meeting and Written Consent Rights Shareholders hold the right to call a special meeting and to act by written consent. Prohibition on Short Sales, Hedging and Pledging Transactions in Company Securities Our insider trading policy prohibits all directors, executive officers and employees from engaging in short sales and hedging transactions relating to our common stock. Additionally, our insider trading policy prohibits directors and executive officers from engaging in pledging transactions. Stock Ownership Guidelines All of our executive officers and directors were in compliance with our stock ownership guidelines as of April 8, 2022. Stock Retention Policy We require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. Our directors are required to hold all equity awards granted until completion of service on the Board, or until they have met our stock ownership requirements. Clawback Policy We do not have a shareholder rights plan, commonly referred to as a "poison pill." Our clawback policy entitles the Board to seek cash or equity reimbursement from our senior executives if they are directly involved in fraud or misconduct causing a material restatement, material detrimental conduct or violate non-compete, non-solicit or confidentiality provisions. We publicly disclose our political contributions and public advocacy efforts and the contributions of our federal and state political action committees. See the "Corporate Governance” portion of this proxy statement for further information on our governance practices. 2022 Proxy Statement | Proxy Summary 2 Executive Compensation Our executive compensation program uses a mix of base salary, annual cash incentives, equity awards and broad-based benefits to attract and retain highly qualified executives and maintain a strong alignment between executive pay and Company performance. Information regarding compensation paid to each of our named executive officers in 2021 is described in the "Executive Compensation" section. Addressing the 2021 Say on Pay Vote Having received 72% support for our 2021 say on pay vote, we sought feedback from shareholders to better understand what motivated their votes and what actions we could take to address topics relating to our executive compensation program. The following summarizes key feedback received and responsive actions we have taken related to executive compensation: • Political Contributions Disclosure UnitedHealth Group was named to Forbes' list of 2021 World's Best Employers; Absence of Rights Plan ESG Oversight The CDP (formerly Carbon Disclosure Project) named UnitedHealth Group to its Leadership Band in 2020 for efforts to reduce greenhouse gas emissions; The Disability Equality IndexⓇ named UnitedHealth Group one of the best places to work for disability inclusion in 2021; UnitedHealth Group has been ranked No. 4 in the nation on the 2022 Military FriendlyⓇ Employers list; and UnitedHealth Group is recognized as a "Trendsetter” in the 2021 Center for Political Accountability-Zicklin Index of Political Accountability. Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. 2022 Proxy Statement | Proxy Summary 1 Corporate Governance UnitedHealth Group is committed to meeting high standards of ethical behavior, corporate governance and business conduct. Our company, our Board of Directors (the "Board") and our people are committed to the shared cultural values of integrity, compassion, innovation, relationships and performance. This commitment has led us to implement many governance best practices. Board Structure and Composition Our Board provides robust oversight over ESG topics, as codified in our Board Committee charters. Our directors are elected annually by a majority vote of our shareholders. Each nominee tenders an irrevocable offer to resign in case they do not receive a majority vote from shareholders at the annual meeting. Our current Board structure separates the positions of Chair of the Board and CEO. We have a Lead Independent Director, and six of our eight director nominees are independent. Our directors may serve on no more than three other public company boards and our CEO may serve on no more than one other public company board. One Share, One Vote The Company does not have a dual-class share structure. Each share of Company common stock is entitled to one vote. Proxy Access A shareholder or group of shareholders who have owned at least 3% of our common stock for at least three years, and who comply with specified procedural and disclosure requirements, may include our proxy materials shareholder-nominated director candidates representing up to 20% of the Board. Board Succession Planning, Tenure and Diversity Since January 2017, seven new directors have been appointed to our diverse and deeply experienced Board, including the addition of Paul Garcia in November 2021. Six of these new directors are standing for election this year, five of whom are independent, advancing both the skill and experience profile of the Board as well as its diversity. Two directors are not standing for re-election. Chief Executive Officer Succession Planning Our succession plan, which is reviewed annually by our Board, addresses both an unexpected loss of our CEO and longer-term succession. Public Company Board Service Limits 2021 Summary Compensation Table. UNITEDHEALTH GROUP Experience Each of our independent director nominees has satisfied all the core director criteria set forth in the skills matrix. All of the director nominees were elected by our shareholders at the 2021 Annual Meeting except Mr. Garcia, who was appointed unanimously by the Board in November 2021. With respect to that appointment, the Governance Committee considered a number of potential candidates and Mr. Garcia emerged as the finalist due to his overall skill set and experience. Mr. Garcia was initially recommended as a potential director candidate by an external consulting firm. 2022 Proxy Statement | Director Nomination Process 8 Board of Directors 2 Corporate Governance 3 Executive Compensation Ability to work collegially and collaboratively with other directors and management. 4 Audit Other 6 Information Optimal Mix of Skills and Expertise of Director Nominees The skills matrix provides a number of substantive areas of expertise the Board as a whole should represent. The following table includes a list of these areas and the director nominees with expertise in each area. Political/ with Corporate Annual Meeting Understanding of and experience with complex public companies or like organizations; and Ability to oversee risks within the individual director's particular skill set; Standing and reputation in the individual's field; 4 Audit Annual Meeting 6 Other Information Andrew Witty Mr. Witty is Chief Executive Officer of UnitedHealth Group and has served in that capacity since February 2021. He was President of UnitedHealth Group from November 2019 to February 2021, Chief Executive Officer of Optum from July 2018 to April 2021, and a UnitedHealth Group director from August 2017 to March 2018. Prior to joining UnitedHealth Group, he was Chief Executive Officer and a board member of GlaxoSmithKline, a global pharmaceutical company, from 2008 to April 2017. Director since: 2021 Age: 57 Committees: None Current Outside Public Directorships: None Director Nomination Process Criteria for Nomination to the Board Our Board's Governance Committee assesses the optimal skills, experiences, and attributes our Board should represent to align its individual and group strengths with our Company's long-term strategic plan and the interests of our shareholders and stakeholders. The skills matrix has two sections ― a list of core criteria every member of the Board should meet and a list of skills and attributes to be represented collectively by the Board. The core director criteria are: Independence under the Company's Standards for Director Independence and New York Stock Exchange ("NYSE") listing requirements, subject to waiver by the Governance Committee; Service on no more than three other public company boards; except our Chief Executive Officer may serve on no more than one other public company board; • High integrity and ethical standards; • Health Care Director Governance Finance Industry Direct Social Large Technology/ Consumer Media/ Complex Business Markets Marketing Diversity Organizations Processes John H. Noseworthy, M.D. Andrew Witty 888 ÅÅ Π ☑ 8 g DO DO A EX Tenure of Director Nominees Our Governance Committee strives to maintain a balance of tenure on the Board. Long-serving directors bring valuable experience with our Company and familiarity with the successes and challenges the enterprise has faced over the years, while newer directors contribute fresh perspectives. Upon the election of the director nominees presented in this proxy statement, the average tenure of our Board will be 6.6 years following the 2022 annual meeting. 10-15 Years 1 Over 20 Years 1 0-2 Years 2 4 Valerie C. Montgomery Rice, M.D. Executive Compensation ågå F. William McNabb III Health Care Clinical Policy/ Practice Regulatory Capital Markets 888 Timothy P. Flynn $ 888 888 Paul R. Garcia Stephen J. Hemsley $ 080 ågå M $ M Michele J. Hooper $ 888 $ 3 Corporate Governance 2 Committees: Audit and Finance Current Outside Public Directorships: Deluxe Corporation Repay Holdings Corporation Director since: 2000 Age: 69 Committees: Health and Clinical Practice Policies Current Outside Public Directorships: None 2022 Proxy Statement | 2022 Director Nominees 5 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Meeting Age: 69 6 Director since: 2021 Stephen J. Hemsley Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Meeting 6 Other Information Timothy P. Flynn Mr. Flynn was Chairman of KPMG International (“KPMG"), a global professional services organization that provides audit, tax and advisory services, from 2007 until his retirement in October 2011. From 2005 until 2010, he served as Chairman and from 2005 to 2008 as CEO of KPMG LLP in the U.S., the largest individual member firm of KPMG. Prior to serving as Chairman and CEO of KPMG LLP, Mr. Flynn was Vice Chairman, Audit and Risk Advisory Services, with operating responsibility for Audit, Risk Advisory and Financial Advisory Services practices at KPMG LLP. He previously served as a trustee of the Financial Accounting Standards Board, a member of the World Economic Forum's International Business Council, and as a director of Alcoa and the International Integrated Reporting Council. Director since: 2017 Age: 65 Committees: Compensation and Human Resources (Chair) Governance Current Outside Public Directorships: JPMorgan Chase & Co. Walmart Inc. Paul R. Garcia Mr. Garcia is the retired Chairman and Chief Executive Officer of Global Payments Inc., a publicly traded, leading provider of electronic payment processing services, and served in that capacity from 1999 to 2014. Prior to his role at Global Payments, Mr. Garcia served as President & CEO of NaBanco, an electronic credit card processor, from 1982 to 1995. Mr. Garcia currently serves as a director of Deluxe Corporation and Repay Holdings Corporation. He has also served on the board of directors of Global Payments Inc. and MasterCard International and, in the past five years, served as a director of The Dun & Bradstreet Corporation, West Corporation, Truist Financial Corporation and Payment Alliance International, Inc. Mr. Hemsley is non-executive Chair of the Board of UnitedHealth Group and has served in this capacity since November 2019. Mr. Hemsley previously served as Executive Chair of the Board from September 2017 to November 2019, Chief Executive Officer from November 2006 to August 2017, President from May 1999 to November 2014, and Chief Operating Officer from November 1998 to November 2006. He joined the Company in 1997 and has been a member of the Board of Directors since 2000. Mr. Hemsley currently serves as a director of Cargill, Inc. 3-5 Years Other Information Ms. Hooper is Lead Independent Director of the Board of Directors of UnitedHealth Group and has served in this capacity since October 2021. Ms. Hooper is also President and CEO of The Directors' Council, a private company she co-founded in 2003 that works with corporate boards to increase their independence, effectiveness and diversity. She was President and CEO of Voyager Expanded Learning, a developer and provider of learning programs and teacher training for public schools, from 1999 until 2000. She previously served as President and CEO of Stadtlander Drug Company, Inc., a provider of disease-specific pharmaceutical care, from 1998 until Stadtlander was acquired in 1999. Ms. Hooper is a nationally recognized corporate governance expert. In the past five years, Ms. Hooper also served as a director of PPG Industries, Inc. Other Information Valerie C. Montgomery Rice, M.D. Dr. Montgomery Rice is President and Chief Executive Officer of the Morehouse School of Medicine, a medical school in Atlanta, Georgia. She has served as President since 2014 and as Chief Executive Officer since 2021. She also served as Dean of the Morehouse School of Medicine from 2011 to 2021 and as Executive Vice President from 2011 to 2014. Morehouse School of Medicine is among the nation's leading educators of primary care physicians and was recently recognized as the top institution among U.S. medical schools for its social mission. Prior to joining Morehouse School of Medicine, she served as Dean of the School of Medicine and Senior Vice President of Health Affairs at Meharry Medical College from March 2006 to June 2009, and as director of the Center for Women's Health Research, one of the nation's first research centers devoted to studying diseases that disproportionately impact women of color, from 2005 to 2011. Dr. Montgomery Rice also served previously as a Council Member of the National Institute of Health and National Center for Advancing Translational Science, and previously on the National Institute of Health's Minority Health and Health Disparities and Office of Research on Women's Health advisory councils, and the Association of American Medical Colleges Council of Deans administrative board. Dr. Montgomery Rice is a member of the National Academy of Medicine and a renowned infertility specialist and women's health researcher. John H. Noseworthy, M.D. Dr. Noseworthy is the former Chief Executive Officer and President of Mayo Clinic, a world renowned health care organization. He retired at the end of 2018 after a 28 year career at Mayo Clinic, recognized by U.S. News and World Report as best in its honor roll of America's top providers of care for patients with serious and complex problems. Mayo Clinic cares for patients in every U.S. state and 143 countries worldwide. Dr. Noseworthy joined Mayo Clinic in 1990 and served in various capacities, including as Chairman of Mayo Clinic's internal Board of Governors, member of the Board of Trustees, Professor of Neurology at Mayo Clinic College of Medicine & Science, Chair of Mayo's Department of Neurology, medical director of the Department of Development and Vice Chair of the Mayo Clinic Rochester Executive Board. Dr. Noseworthy also served as editor-in-chief of Neurology, the official journal of the American Academy of Neurology, from 2007 to 2009. Dr. Noseworthy was a Health Governor of the World Economic Forum from 2012 to 2018 and, in the past five years, also served as a director of Merck & Co. Director since: 2017 Age: 60 Committees: Health and Clinical Practice Policies (Chair) Compensation and Human Resources Current Outside Public Directorships: 23andMe Holding Co. Director since: 2019 Age: 70 Committees: Compensation and Human Resources Health and Clinical Practice Policies Governance (Chair) Current Outside Public Directorships: None 2022 Proxy Statement | 2022 Director Nominees 7 Board of Directors 6 Michele J. Hooper Annual Meeting Executive Compensation F. William McNabb III Mr. McNabb served as Chairman of The Vanguard Group, Inc. from 2010 until his retirement in 2018 and served as CEO from 2008 to 2017. He joined Vanguard in 1986. In 2010, he became Chairman of the Board of Directors and the Board of Trustees of the Vanguard group of investment companies. Earlier in his career, Mr. McNabb led each of Vanguard's client facing business divisions. Mr. McNabb is active in the investment management industry and served as the Chairman of the Investment Company Institute's Board of Governors from 2013 to 2016. Mr. McNabb is Chairman of the Board of the Zoological Society of Philadelphia and serves on the Wharton Leadership Advisory Board, the Dartmouth Athletic Advisory Board and the Columbia Law School's Millstein Center Advisory Board. Mr. McNabb is a board member of CECP: The CEO Force for Good. Director since: 2007 Age: 70 Committees: Audit and Finance Current Outside Public Directorships: United Airlines Holdings, Inc. Director since: 2018 Age: 65 Committees: Audit and Finance (Chair) Governance Current Outside Public Directorships: International Business Machines Corporation 2022 Proxy Statement | 2022 Director Nominees 6 Board of Directors 2 Corporate Governance 3 4 Audit 2022 Proxy Statement | Director Nomination Process 88 Board of Directors Corporate Governance 3 Executive Compensation 4 Audit Annual Other 6 Meeting Information • where appropriate, supporting the Company in interactions with shareholders and regulators in consultation with the Chief Executive Officer and Chair of the Board; and interviewing, along with the Chair of the Governance Committee, all Board candidates and making director candidate recommendations to the Governance Committee. Director Independence Our Board of Directors has adopted the Company's Standards for Director Independence, which are available at www.unitedhealthgroup.com/who-we-are/corporate-governance. The Standards for Director Independence requirements exceed the independence standards set by the NYSE. Our Board of Directors has determined director nominees Timothy P. Flynn, Paul R. Garcia, Michele J. Hooper, F. William McNabb III, Valerie C. Montgomery Rice, M.D., and John H. Noseworthy, M.D., are each “independent” under the NYSE rules and the Company's Standards for Director Independence, and have no material relationships with the Company that would prevent the directors from being considered independent. In accordance with the Company's Standards for Director Independence, the Board of Directors considered, among other factors, the business relationships between the Company and our directors and nominees, their immediate family members (as defined by the NYSE) and their affiliated companies. The Board of Directors considered whether any director or any nominee was a director, partner, significant shareholder or executive officer of an organization that has a relationship with the Company, and also considered charitable contributions the Company or its affiliates made to organizations with which such directors or nominees are or have been associated. In particular, the Board of Directors evaluated the following relationships and determined such relationships were in the normal course of business and did not impair the directors' ability to exercise independent judgment: • Dr. Montgomery Rice is President and Chief Executive Officer of Morehouse School of Medicine. In 2021, Morehouse School of Medicine paid the Company approximately $212,700 for claims software, equipment, maintenance licenses and subscriptions. The Company paid Morehouse School of Medicine approximately $642,900 for services as a network care provider and approximately $595,000 for health care related studies. Total amounts paid by the Company to Morehouse School of Medicine during 2021 were substantially less than 1% of Morehouse School of Medicine's total revenues for 2021. Dr. Montgomery Rice was not directly involved in these relationships. Mr. Flynn's brother is President and Chief Executive Officer of Sightpath Medical. Sightpath Medical paid the Company approximately $1.5 million for premium payments in 2021. Total amounts paid by Sightpath Medical to the Company during 2021 were less than 2% of Sightpath Medical's total revenues for 2021. Mr. Flynn was not directly involved in this relationship. 2 Board Committees Board of Directors meeting periodically with individual independent directors to discuss Board and committee performance, effectiveness and composition; Shareholder Nominations of Director Candidates at an Annual Meeting Our shareholders may also nominate candidates for election to the Board at our Annual Meeting of Shareholders, instead of including the director candidate in our proxy statement, by submitting timely written notice to the Secretary to the Board in accordance with our Bylaws. The notice must include the information required by our Bylaws, which are available at www.unitedhealthgroup.com/who-we-are/corporate-governance. For the 2023 Annual Meeting, this notice must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than February 6, 2023 and no later than March 8, 2023. Board Leadership Structure Our Board of Directors believes having independent Board leadership is an important component of our governance structure. As such, our Bylaws require the Company to have either an independent Chair of the Board or a Lead Independent Director. In October 2021, Michele Hooper was appointed Lead Independent Director, succeeding Richard Burke. Our Board's leadership structure also separates the positions of CEO and Chair of the Board. The Board believes this separation is appropriate for the Company at this time because it allows for a division of responsibilities and a sharing of ideas between individuals having different perspectives. The Board will continue to evaluate the Board structure on an ongoing basis. Our Principles of Governance outline the specific duties of the Lead Independent Director, including: • . serving as the principal liaison between the independent directors and the Chair of the Board; presiding at all meetings of the Board at which the Chair of the Board is not present and at executive sessions of the Board's independent directors; calling meetings of the independent directors as appropriate and, in coordination with the Chair of the Board, all members of the Board; facilitating discussion and open dialogue among the independent directors during Board meetings, executive sessions and outside of Board meetings; serving as an ex officio member of each Board committee of which the Lead Independent Director is not a member and working with the Board committee chairs on the performance of their designated roles and responsibilities; working with the Chair of the Board to approve the agendas and meeting schedules for Board meetings; working with the Chair of the Board on the appropriateness (including quality and quantity) and timeliness of information provided to the Board; meeting individually with the Chair of the Board after each regularly scheduled Board meeting; coordinating the preparation of agendas and materials for executive sessions of the Board's Independent Directors, if any; assisting the Chair of the Governance Committee in reviewing and reporting on the results of the Board and committee performance self-evaluations; 9 2022 Proxy Statement | Board Leadership Structure 12 Information The Board of Directors has established four standing committees as listed in the table below. These committees help the Board fulfill its responsibilities and assist the Board in making informed decisions. Each committee operates under a written charter, and evaluates its charter and conducts a committee performance evaluation annually. Board of Directors 6 Information Compensation and Human Resources Health and Clinical Practice Governance Policies Å 8 8 Ms. Hooper is our Lead Independent Director and an ex-officio member of the Compensation and Human Resources Committee, Governance Committee and Health and Clinical Practice Policies Committee. As an ex-officio member, Ms. Hooper has a standing invitation to attend each committee meeting, but does not count for quorum purposes or vote on committee matters. Audit and Finance Committee Committee Members: F. William McNabb III (Chair), Michele J. Hooper and Paul R. Garcia Primary Responsibilities: Meetings Held in 2021: 10 The Audit and Finance Committee has responsibility for the selection and retention of the independent registered public accounting firm and oversees financial reporting, internal controls and public disclosure. The Audit and Finance Committee reviews and assesses the effectiveness of the Company's policies, procedures and resource commitments in the areas of compliance, ethics, privacy and cyber security. The Audit and Finance Committee also oversees management's processes to identify and quantify material risks facing the Company, management's investing and financing policies and practices, ESG investment criteria, and assurance of ESG disclosures. The Audit and Finance Committee establishes procedures concerning the receipt, retention and treatment of complaints regarding accounting, internal accounting controls and auditing matters. The Audit and Finance Committee operates as a direct line of communication between the Board of Directors and our independent registered public accounting firm, as well as our internal audit, compliance and legal personnel. Independence: Each of the Audit and Finance Committee members is an independent director under the NYSE listing standards and the SEC rules. The Board of Directors has determined Mr. McNabb, Ms. Hooper and Mr. Garcia are "audit committee financial experts" as defined by the SEC rules. 2022 Proxy Statement | Board Committees 14 Other 2022 Proxy Statement | Director Independence | Board Committees 13 Annual Meeting Audit and Finance 2 Corporate Governance 3 Executive Compensation 4 Audit The following table identifies the members of each committee as of April 8, 2022: * Director Timothy P. Flynn Paul R. Garcia Stephen J. Hemsley Michele J. Hooper F. William McNabb III Valerie C. Montgomery Rice, M.D. John H. Noseworthy, M.D. Andrew Witty Chair Å Member Financial Expert E Meeting communicating to the Chair of the Board any decisions reached, suggestions, views or concerns expressed by Independent Directors in executive sessions or outside of Board meetings; 5 F. William McNabb III Timothy P. Flynn Richard T. Burke David S. Wichmann Departures 2020 William C. Ballard, Jr. 2018 2017 Andrew Witty (1) 6 Rodger A. Lawson Kenneth I. Shine, M.D. Robert J. Darretta Valerie C. Montgomery Rice, M.D. Andrew Witty (1) David S. Wichmann Gail R. Wilensky, Ph.D. Mr. Burke and Dr. Wilensky Glenn M. Renwick 2021 2022 2017 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 6 Meeting Information Board Diversity UnitedHealth Group embraces and encourages a culture of inclusion and diversity. Valuing diversity makes good business sense and helps to ensure our future success, because the customers, clients, and consumers we serve are as diverse as the thousands of communities where we live and work across all 50 states in the U.S. and 150 other countries. While our Board does not establish specific goals with respect to diversity, the Board's diversity is a consideration in the director nomination process and is assessed annually when the Board evaluates its overall effectiveness. We are committed to actively seeking women and racially/ethnically diverse director candidates. The Governance Committee maintains an active recruiting pipeline of potential director candidates based upon skills identified in our skills matrix and includes diverse candidates. Recent Changes in Board Membership Additions 2021 Andrew Witty(1) Paul R. Garcia 2019 2018 are not Standing for Re-Election at the Annual Meeting (1) Andrew Witty first joined the Board as an independent director in August 2017, stepped down in March 2018 to serve as CEO of Optum and rejoined the Board in connection with his appointment as the Company's CEO in February 2021. John H. Noseworthy, M.D. For this year's election, the Board has nominated eight individuals. All are incumbent directors who collectively bring tremendous diversity to the Board in terms of professional experience, skills and background, as well as diversity of nationality, race and gender. Each nominee is a strategic thinker and has varying, specialized experience in the areas relevant to the Company and its businesses. Moreover, their collective experience covers a wide range of industries, including health care and clinical practice, insurance, consumer products, technology, capital markets and financial services, and roles in academia, corporate governance, government and intergovernmental organizations. The eight director nominees range in age from 57 to 70; two of the eight director nominees are women; two are African American; one is Hispanic; one is a citizen of Canada and one is a citizen of the United Kingdom. • Meet with directors Recommend Selected Candidate for Appointment Review by Full Board to Our Board Nominate Director 6 directors who have joined the Board since 2017 are standing for election in 2022 Nominating Advisory Committee The Board of Directors formed the Nominating Advisory Committee in 2006 to provide the Governance Committee with additional input from shareholders and others regarding desirable characteristics of director candidates and the composition of the Board of Directors. The key features of the skills matrix are also discussed with members of our Nominating Advisory Committee and their feedback is considered by the Governance Committee when it updates the skills matrix. The Governance Committee considers, but is not bound by, input provided by the Nominating Advisory Committee. The Nominating Advisory Committee includes four individuals affiliated with long-term shareholders of the Company and one individual who is a member of the medical community. Members of the Nominating Advisory Committee do not receive any compensation from the Company for serving on the Nominating Advisory Committee. The Nominating Advisory Committee met once in 2021. A description of the Nominating Advisory Committee, including a description of how the members of the Nominating Advisory Committee are nominated and selected, can be found on our website at www.unitedhealthgroup.com/who-we-are/corporate-governance. Shareholder Director Candidates for Inclusion in our Proxy Statement (Proxy Access) Our Bylaws provide a shareholder or group of shareholders (of up to 20) who have owned at least 3% of our common stock for at least three years the ability to include in our proxy statement shareholder-nominated director candidates for up to 20% of the Board. To be eligible to use this right, the shareholder(s) and the candidate(s) must satisfy the requirements specified in our Bylaws. Our Bylaws are available at www.unitedhealthgroup.com/who-we-are/corporate- governance. For the 2023 Annual Meeting, director nominations submitted under these Bylaw provisions must be received at our principal executive offices, directed to the Secretary to the Board of Directors, no earlier than November 23, 2022 and no later than December 23, 2022. 2022 Proxy Statement | Director Nomination Process 11 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Our current slate of director candidates reflects the retirement of two highly-successful and longstanding directors and the addition of a new diverse director in 2021. In October 2021, Michele Hooper was appointed Lead Independent Director. These changes to our Board composition have reduced our average and individual director tenure, and reflect the Board's ongoing succession planning. 4 Audit • Review independence and potential conflicts • Consider skills matrix • Screen qualifications • Consider diversity Other Directors In-Depth Review by the Committee Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 6 2022 Proxy Statement | Director Nomination Process 10 Information Search Process for New Directors The Governance Committee screens and recommends candidates for nomination by the full Board. We have for several years maintained an active "evergreen" director candidate pipeline which reflects our continuing commitment to diversity in life, cultural and business experience among director nominees. The Governance Committee will also consider recommendations submitted by shareholders for director candidates. Recommendations should be directed to the Secretary to the Board of Directors. None of the Company's shareholders recommended candidates for the Board of Directors in connection with the 2022 Annual Meeting. Prior to the appointment of each of the new independent directors beginning in 2017, the Governance Committee considered a wide slate of potential candidates, including qualified women and racially/ethnically diverse candidates. Each eventual nominee was selected due to his or her overall skills and experience. Source Candidate Pool from Independent Search Firm Meeting Shareholders Corporate Governance 2 Independence: 2022 Proxy Statement | Board Committees 15 Each of the Governance Committee members is an independent director under the NYSE listing standards. The Governance Committee's duties include (i) identifying and nominating individuals to be proposed as nominees for election as directors at each annual meeting of shareholders or to fill Board vacancies, (ii) conducting the Board evaluation process, (iii) evaluating the categorical standards which the Board of Directors uses to determine director independence, (iv) providing oversight over ESG policies and practices, including identifying key ESG topics, (v) monitoring and evaluating corporate governance practices, and (vi) reviewing and recommending changes to the Company's Political Contributions Policy, reviewing political contributions at least semi-annually, and monitoring the Company's advocacy lobbying processes and activities, including key trade associations and coalition memberships. The Governance Committee also oversees Board processes and corporate governance related risk. Board of Directors Executive Compensation Other Information Annual Meeting 6 Health and Clinical Practice Policies Committee Committee Members: Meetings Held in 2021:4 Valerie C. Montgomery Rice, M.D. (Chair), John H. Noseworthy, M.D., and Stephen J. Hemsley Primary Responsibilities: Meetings Held in 2021: 6 The Health and Clinical Practice Policies Committee is responsible for assisting the Board of Directors in fulfilling its responsibilities relating to (i) oversight of management's initiatives to improve health care affordability, clinical care and safety, enhance health care experience, achieve better outcomes, advance health equity and reduce disparities, and (ii) the Company's public policy, including the identification, evaluation and monitoring of legislative, regulatory and policy issues, both domestic and international, that affect or could affect the Company's business reputation, business activities and performance. 4 Audit John H. Noseworthy, M.D. (Chair), Timothy P. Flynn and F. William McNabb III Primary Responsibilities: Compensation and Human Resources Committee Governance Committee Independence: Board of Directors Corporate 2 3 Governance Executive Compensation 4 Audit Committee Members: Annual Meeting Other Information Committee Members: Meetings Held in 2021: 6 Timothy P. Flynn (Chair), Valerie C. Montgomery Rice, M.D. and John H. Noseworthy, M.D. Primary Responsibilities: The Compensation and Human Resources Committee is responsible for overseeing (i) our policies and practices related to total compensation for executive officers, (ii) the administration of our incentive and equity based plans, (iii) the risk associated with our compensation practices and plans, and (iv) human capital management, including diversity, equity and inclusion initiatives. The Compensation and Human Resources Committee establishes employment arrangements with our CEO and other executive officers, conducts an annual performance review of the CEO, and reviews and monitors director compensation programs and the Company's stock ownership guidelines. Independence: Each of the Compensation and Human Resources Committee members is an independent director under the NYSE listing standards and the SEC rules, and a non employee director under the SEC rules. 6 Drs. Montgomery Rice and Noseworthy are each independent directors under the NYSE listing standards. We strongly and broadly encourage employees to raise ethics and compliance concerns, including concerns about accounting, internal controls or auditing matters. We offer several channels for employees and third parties to report ethics and compliance concerns or incidents, including by telephone or online, and individuals may choose to remain anonymous in jurisdictions where anonymous reporting is permissible. We prohibit retaliatory action against any individual who in good faith raises concerns or questions regarding ethics and compliance matters or reports suspected violations. We train all employees annually and periodically advise them regarding the means by which they may report possible ethics or compliance issues and their affirmative responsibility to report any possible issues. Directors are required to attend at least 75% of Board meetings, meetings of committees on which they serve and the Annual Meeting of Shareholders. All of the nominees are expected to attend the 2022 Annual Meeting. During the year ended December 31, 2021, the Board of Directors held 16 meetings. All current directors attended at least 75% of the meetings of the Board and any Board committees of which they were members in 2021. 33,500 3,427 Deferred Stock Units 26,512 6,232 Gail R. Wilensky, Ph.D. Glenn M. Renwick John H. Noseworthy, M.D. Valerie C. Montgomery Rice, M.D. F. William McNabb III Michele J. Hooper Stephen J. Hemsley 4,375 Paul R. Garcia Richard T. Burke Name Includes the value of DSUS issued upon conversion of annual cash retainers as described in footnote 2 above of $145,608 for Mr. Flynn, $345,532 for Mr. Hemsley, $133,881 for Mr. McNabb, $86,239 for Dr. Montgomery Rice, $125,985 for Dr. Noseworthy, and $37,746 for Mr. Renwick. * 51,386 51,826 51,390 51,377 66,402 88,831 Timothy P. Flynn 88,773 3,539 5,889 • • Related-Person Transactions Approval Policy Code of Conduct: Our Principles of Ethics & Integrity UnitedHealth Group is committed to high standards of corporate governance and ethical business conduct. Important documents reflecting this commitment are listed below. Overview Corporate Governance Information Meeting 6 Other 3,026 Annual 4 Audit Executive Compensation 3 Corporate Governance Directors 2 Board of 2022 Proxy Statement | 2021 Director Compensation Table 21 (4) In 2021, the Company matched charitable contributions made by the following directors to charitable organizations selected by the directors pursuant to the Company's Board Matching Program: $15,000 for Messrs. Burke, Flynn, Garcia and Hemsley, Ms. Hooper and Drs. Montgomery Rice and Wilensky; and $10,000 for Dr. Noseworthy. In 2021, the Company also paid $13,254, $8,168, $8,928, $4,494, $8,987 and $521 in health care premiums on behalf of Messrs. Burke, Flynn, Hemsley, Renwick and McNabb and Ms. Hooper, respectively. This amount also includes $18,100 for use of corporate aircraft by Dr. Montgomery Rice pursuant to an exception to our corporate aircraft policy. 23,577 5 Board of Directors Communication Policy 82,767 82,591 ($) ($) October 1, 2021 July 1, 2021 April 1, 2021 January 4, 2021 ($) Gail R. Wilensky, Ph.D. Glenn M. Renwick* John H. Noseworthy, M.D.* Valerie C. Montgomery Rice, M.D.* ($) F. William McNabb III* Stephen J. Hemsley* Timothy P. Flynn* Richard T. Burke Name The aggregate grant date fair values of the stock awards granted in 2021, computed in accordance with FASB ASC Topic 718 based on the closing price of our common stock on the grant date, are as follows: 2022 Proxy Statement | Code of Conduct | Compliance and Ethics 24 Information Meeting 6 5 Michele J. Hooper 82,598 51,377 51,421 82,832 74,922 74,905 74,882 67,104 89,043 84,217 82,591 82,832 51,386 51,390 51,421 51,377 137,683 137,663 137,651 137,703 87,866 87,861 87,730 87,725 51,386 51,390 Political Contributions Policy • Corporate Environmental Policy 4 Audit Annual Meeting Other 6 Information Separate CEO and Chair of the Board Strong Independent, Board Leadership Structure Board Leadership Lead Independent Director Annual Review Executive Compensation Committee Membership Lead Independent Director with clearly defined and robust duties Board Meetings and Annual Meeting Attendance Board considers appropriateness of its leadership structure at least annually Independent Committee chairs with clear charters and oversight mandates Proxy discloses why Board believes current leadership structure is appropriate Adopt Structures and Practices Enhancing Board Effectiveness Independence Diversity Board and Committee Evaluations Board Succession Planning Disclosure Attendance 3 2 Standards for Director Independence • Director Conflict of Interest Policy You can access these documents at www.unitedhealthgroup.com/who-we-are/corporate-governance to learn more about our corporate governance practices. We will also provide copies of these documents without charge upon written request to the Company's Secretary to the Board of Directors. Commitment to Effective Corporate Governance Board Accountability to Shareholders Annual Election Proxy Access Majority Voting Standard/Irrevocable Offer to Resign Special Meeting / Written Consent Rights Corporate Governance No Poison Pill Majority voting in uncontested director elections; directors tender an irrevocable offer to resign if they do not receive majority vote and the Board will accept such offer to resign absent a compelling reason Shareholders have the rights to call a special meeting and act by written consent No shareholder rights plan (commonly referred to as a "poison pill") Shareholder Voting Rights in Proportion to Economic Interests One Share, One Vote No Supermajority Requirements No dual class structure; each share of common stock is entitled to one vote No supermajority shareholder approval requirements Board Responsiveness to Shareholders / Proactive Understanding of Shareholder Perspectives Shareholder Engagement Process Management and Board members met with key shareholders in 2021 Shareholder engagement topics included Board composition, leadership and refreshment, executive compensation program, diversity and inclusion, sustainability, climate change, cyber security, human capital and social topics 2022 Proxy Statement | Overview 22 Board of Directors All directors stand for election by majority vote annually Proxy access with market terms Board Service Limits Executive Sessions Conflicts of Interest Disclosure Information Align Management Incentive Structures with Long-Term Strategy Incentive Programs Linked to Strategy Non-Financial Performance Goals Clawback Policy Annual and long-term incentive programs are designed to reward financial and operational performance that furthers short- and long-term strategic objectives A portion of our annual incentive award is dependent upon the achievement of goals of customer, provider and employee satisfaction, which are viewed to be important to achieving long-term success for the Company Clawback policy entitles the Board to seek cash or equity reimbursement from our senior executives if they are directly involved in fraud or misconduct causing a material restatement, material detrimental conduct or violate non-compete, non-solicit or confidentiality provisions. Strong and effective governance practices are critical to UnitedHealth Group's long-term value creation. The Board has enhanced governance policies over time to align with best practices, drive sustained shareholder value and serve the interests of shareholders. Our corporate governance practices align with the corporate governance principles developed by the Investor Stewardship Group (ISG), which includes some of the largest institutional investors and global asset managers and advocates for best practices in corporate governance. Code of Conduct: Our Principles of Ethics & Integrity Our Board adopts and oversees enforcement of the Company's Global Code of Conduct (Code). Foundational to the Company's compliance and ethics program and subject to periodic ethical risk assessments, our Code defines responsibilities, accountabilities and reporting lines related to business conduct, conflicts of interest, public disclosure practices, legal compliance obligations, and other areas. The Code also describes misconduct reporting and whistleblower legal protections, reporting confidentiality and helpline contact information, violation actions (including termination and possible legal action), non-retaliation principles, fair dealing, and the protection and proper use of personal information and Company assets. The Code is available on the Company's website. Meeting Any waiver of the Code for the Company's executive officers, senior financial officers or directors may be made only by the Board or a committee of the Board. We will publish any amendments to the Code and waivers of the Code for an executive officer or director on our website. Our entire global workforce, including independent contractors and part- time employees, receives periodic training on our Code and other ethical standards. • Board of Directors Committee Charters • Principles of Governance • Bylaws • Certificate of Incorporation • Corporate Governance Documents Compliance and Ethics 6 4 Audit Other ESG Oversight 75% of our Board members are independent 3/8 of our director nominees are ethnically diverse, 1/4 are women and 1/4 are African American Annual Board and Committee evaluation conducted by independent consultant and led by the Chair of Governance Committee Active Board succession plan; seven Board members added since 2017, six of whom are standing for election Directors attended 99% of combined total Board and applicable committee meetings in 2021 and all then-current directors attended the 2021 Annual Meeting Independent directors may serve on no more than three other public company boards; and our CEO may serve on no more than one other public company board Frequent executive sessions of independent directors held To avoid potential conflicts of interest, a director is required to seek approval of the Governance Committee if the director or his/her immediately family member proposes to engage in a transaction or activity in the health care field Full disclosure of corporate governance policies and practices Board oversight over ESG strategy as codified in Board Committee charters; Company appointed Chief Sustainability Officer Align Management Incentive Structures with Long-Term Strategy Say on Pay Results Annual Review of Compensation Program Executive Compensation program received more than 95% shareholder support from 2011 through 2020; responsive actions taken to address topics identified by shareholders in connection with 2021 say on pay result of 72% support Compensation and Human Resources Committee annually reviews and approves incentive program design, goals and objectives for alignment with compensation and business strategies 2022 Proxy Statement | Overview 23 23 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 4 Audit Other As of December 31, 2021, our non-employee directors held outstanding DSU awards as follows: Executive Compensation If a director elects to convert his or her cash compensation into common stock or DSUs, such conversion grants are made on the day the eligible cash compensation becomes payable to the director. The director receives the number of shares of common stock or DSUs, as applicable, equal to the cash compensation foregone, divided by the closing price of our common stock on the date of grant, rounded up to the nearest share. The DSUs immediately vest upon grant. A director may only elect to receive common stock if he or she has met the stock ownership guidelines. The DSUS immediately vest upon grant and must be retained until completion of the director's service on the Board. Upon completion of service, the DSUs convert into an equal number of shares of the Company's common stock. A director may defer receipt of the shares for up to ten years after completion of service pursuant to the Director Deferral Plan. Non-employee directors who have met their stock ownership requirement may elect to receive common stock in lieu of DSUS and/or in-service distributions on pre-selected dates. Non-employee directors receive annual grants of DSUs under the 2020 Stock Incentive Plan having an aggregate fair value of $205,000. The grants are issued quarterly in arrears on the first business day following the end of each fiscal quarter and prorated if the director did not serve the entire quarter. The number of DSUs granted is determined by dividing $51,250 (the quarterly value of the annual equity award) by the closing price of our common stock on the grant date, rounded up to the nearest share. The grants are in consideration of general service and responsibilities and required meeting preparation and serve to align the interests of our directors with those of our shareholders. Equity-Based Compensation Cash retainers are payable on a quarterly basis in arrears on the first business day following the end of each fiscal quarter and are subject to pro rata adjustment if the director did not serve the entire quarter. Directors may elect to receive deferred stock units ("DSUS") or common stock (if the director has met the stock ownership guidelines) in lieu of their cash compensation or may defer receipt of their cash compensation to a later date pursuant to the Directors' Compensation Deferral Plan ("Director Deferral Plan"). The cash retainers are in consideration of general service and responsibilities and required meeting preparation. Cash Compensation 205,000 aggregate fair value in deferred stock units At the director's election, cash compensation may be converted into DSUs, or if the director has met the stock ownership guidelines, into common stock 75,000 20,000 20,000 20,000 25,000 220,000 125,000 ($) Compensation Value Equity Conversion Program Annual Equity Award Annual Lead Independent Director Cash Retainer Annual Health and Clinical Practice Policies Committee Chair Cash Retainer Annual Governance Committee Chair Cash Retainer 2022 Proxy Statement | Director Compensation 18 Annual Compensation and Human Resources Committee Chair Cash Retainer Board of Directors Corporate Governance Corporate Governance 2 Board of Directors 2022 Proxy Statement | Director Compensation 19 Our corporate aircraft use policy generally prohibits personal use of corporate aircraft by any independent director. The Company maintains a program through which it will match up to $15,000 of charitable donations made by each director for each calendar year. The directors do not receive any financial benefit from this program because the charitable income tax deductions accrue solely to the Company. Donations under the program may not be made to family trusts, partnerships or similar organizations. We reimburse directors for any reasonable out-of-pocket expenses incurred in connection with service as a director. We also provide health care coverage to directors if the director is not eligible for subsidized coverage under another group health care benefit program. Health care coverage is provided on the same terms and conditions as current employees. Upon retirement from the Board of Directors, directors may continue to obtain health care coverage under benefit continuation coverage, and after the lapse of such coverage, under the Company's post-employment medical plan for up to a total of 96 months if they are otherwise eligible. Other Compensation Under the Director Deferral Plan, subject to compliance with applicable laws, non-employee directors may elect annually to defer receipt of all or a percentage of their compensation. Amounts deferred are credited to a bookkeeping account maintained for each director participant that uses a predetermined collection of unaffiliated mutual funds as measuring investments. The Director Deferral Plan does not provide for matching contributions by the Company. Director Deferral Plan Under our stock ownership guidelines, we require non-employee directors to achieve ownership of shares of the Company's common stock (excluding stock options, but including vested DSUs and vested restricted stock units) having a fair market value equal to five times the directors' annual base cash retainer. Non-employee directors must comply with the stock ownership guidelines within five years of their appointment to the Board of Directors. All of our non- employee directors have met the stock ownership requirement or have served as a director for less than five years. Our directors are required to hold all equity awards granted until completion of service on the Board or until they have met our stock ownership requirements. Stock Ownership and Retention Guidelines The Company pays dividend equivalents in the form of additional DSUs on all outstanding DSUs. Dividend equivalents are paid at the same rate and at the same time that dividends are paid to Company shareholders and are subject to the same vesting conditions as the underlying grant. Information Meeting 6 5 4 Audit Other Annual Executive Compensation 2 3 Annual Audit and Finance Committee Chair Cash Retainer Annual Cash Retainer 5 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Board Meetings and Annual Meeting Attendance | Board and Committee Evaluations 16 appropriate. The Board monitors proposed actions to respond to evaluations to assure that agreed upon improvements are implemented and effective. Respond to Director Input The Board and each Committee consider the results and ways in which the Board and Committee processes and effectiveness may be enhanced, and changes to the Board's and each Committee's practices and agenda topics are implemented as The feedback received from the interviews is compiled anonymously and reviewed and discussed by the Board and each Committee in executive sessions at their meetings held in the first quarter of 2022 and, as appropriate, addressed with management. Review Feedback interviewed on a range of topics including Board and Committee performance, Board and Committee operations, structure and performance; oversight of business strategy, results and operations; succession planning and talent development; and agenda topics for future meetings. Conduct Evaluation Each director was supplemented by facilitated interviews every third year. The 2021 Board and Committee evaluations were conducted by facilitated interviews. The Board retained an independent consultant to conduct the annual evaluation process. The Board uses a written evaluation format, Evaluation Format The Governance Committee oversees the Board and Committee evaluation process. In addition, the Chair of the Board and the Lead Independent Director meet regularly with individual directors to discuss Board and Committee performance, effectiveness and composition. Board and Committee Evaluations 6 Annual Chair of the Board Cash Retainer Meeting As part of director feedback received through the annual evaluation process, the Board continues to place a focus on Board and executive leadership succession and development, engaging with management on achievement of the Company's long-term strategies and direction, and Board and executive leadership and succession and sustainability, diversity, equity and inclusion topics. Compensation Element The following table highlights the material elements of our director compensation program: Other Information Meeting 6 Annual 5 4 Audit Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Communication with the Board of Directors | Director Compensation 17 We compensate our non-employee directors fairly for work required for a company of our size, complexity and scope and to align their interests with the long-term interests of our shareholders. Director compensation reflects our desire to attract, retain and benefit from the expertise of highly qualified people with backgrounds and experience relevant to our business and those we serve. The Compensation and Human Resources Committee annually reviews the compensation of our non-employee directors and makes recommendations to the Board of Directors. In August 2021, the Compensation and Human Resources Committee, with the advice of its independent compensation consultant, undertook a review of the structure, philosophy and overall mix of the director compensation program as compared to the Company's compensation peer group and also the four large publicly traded managed care and health care and services companies included in the peer group. Following this review, the Compensation and Human Resources Committee recommended no changes to director compensation. Director Compensation The policy, including information on how to contact the Board of Directors, may be found in the corporate governance section of our website, www.unitedhealthgroup.com/who-we-are/corporate-governance. Appropriate matters to raise in communications to the Board include Board composition; Board and CEO succession planning process; executive compensation; uses of capital; and general Board oversight, including sustainability, human capital management, corporate governance, accounting, internal controls, auditing and other related matters. The Board of Directors values the input and insights of our shareholders and other interested parties and believes effective communication strengthens the Board's role as an active, informed and engaged fiduciary. The Board has adopted a Board of Directors Communication Policy to facilitate communication between shareholders and other interested parties and the Board. Under this policy, the Board has designated the Company's Secretary to the Board of Directors as its agent to receive and review communications. The Secretary to the Board will not forward to the directors communications received which are of a personal nature or not related to the duties and responsibilities of the Board, including, without limitation, mass mailings, business solicitations, routine customer service complaints, new product or service suggestions and opinion surveys. Communication with the Board of Directors Information Executive Compensation 3 Other Stephen J. Hemsley Timothy P. Flynn Name Cash Amount of Deferred Stock (2) Directors converted some or all of cash compensation payable to such director into DSUs as follows: (1) Mr. Renwick did not stand for re-election at the 2021 Annual Meeting of Shareholders and ceased serving as a member of the Board of Directors on June 7, 2021. Because director compensation is paid quarterly in arrears and Mr. Garcia joined the Board on November 2, 2021, he did not receive any cash or equity compensation in 2021, although the Company matched $15,000 in charitable contributions he made in 2021. Annual 15,000 205,978 145,000 248,500 4,494 244,006 340,787 10,000 330,787 363,973 33,100 291,813 39,061 347,669 8,987 F. William McNabb III 338,682 Valerie C. Montgomery Rice, M.D. Glenn M. Renwick 3 Corporate Governance 2 Board of Directors 20 20 2022 Proxy Statement | 2021 Director Compensation Table (3) The amounts reported reflect the aggregate grant date fair value of the stock awards granted in 2021 computed in accordance with FASB ASC Topic 718, based on the closing price of our common stock on the grant date. For a description of the assumptions used in computing the aggregate grant date fair value, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2021. For 2021, Dr. Wilensky elected for a portion of her annual DSU awards be granted in shares of common stock. 108 37,746 334 125,985 227 86,239 354 133,881 916 345,532 386 145,608 (#) ($) Units John H. Noseworthy, M.D. - 365,978 15,521 ($)(2) Total All Other Compensation Stock Awards Fees Earned or Paid In Cash Gail R. Wilensky, Ph.D. Glenn M. Renwick John H. Noseworthy, M.D. Valerie C. Montgomery Rice, M.D. F. William McNabb III Michele J. Hooper Stephen J. Hemsley Paul R. Garcia Timothy P. Flynn 366,094 Name (1) 2021 Director Compensation Table The following table provides information for the year ended December 31, 2021, relating to compensation paid to or accrued by us on behalf of our non-employee directors who served in this capacity during 2021. Information Meeting 6 5 4 Audit ($)(3) ($)(4) Richard T. Burke 200,000 23,168 374,350 15,000 15,000 550,700 23,928 574,628 145,000 205,573 351,182 433,827 ($) 28,254 205,573 Maintaining data privacy and cyber security, recognizing our obligation to build and maintain the trust and confidence of our stakeholders and customers, ensuring we can protect the information for all those we serve. • Partnering with suppliers to maximize value in our supply chain to ensure we buy the right goods and services, from the right suppliers, for the right price, in a timely manner. . Committing to supplier diversity by developing a supplier base that reflects the communities and customers we are privileged to serve. Our 2020 Sustainability Report, available at https://sustainability.uhg.com/content/dam/UHG/PDF/sustainability/final/ 2020 SustainabilityReport.pdf, summarizes the steps the Company is taking to build a health system that works better for everyone through the organization's environmental, social and governance efforts. We also attached our EEO-1 report as an exhibit to the Sustainability Report. We have committed to map our disclosures to the Sustainability Accounting Standards Board ("SASB") in our 2021 Sustainability Report. Sustainability Governance Maintaining strong and effective corporate governance to drive sustained shareholder value and respond to the interests of our shareholders. In close partnership with business leaders from across our enterprise, the Chief Sustainability Officer is responsible for developing and implementing a comprehensive ESG strategy, establishing annual and long-term sustainability goals, performance metrics, a governance structure to achieve them, and helping to shape our environmental, social and governance agendas. • • Adhering to our values through ethics and compliance that guide our behavior and help us remain a trusted partner. • Responsible Business Practices • Building healthier communities through our social responsibility efforts, including philanthropic grants, in-kind contributions and supporting our employees who volunteer their time and resources in the communities where they work and live. Our People and Culture ⋅ Fostering an inclusive, equitable and diverse environment where all team members are appreciated, valued and able to reach their full potential. ⚫ Sustaining high performance and resilience by supporting employee well-being and rewarding and recognizing outstanding performance. • Developing and growing our talent with robust virtual onboarding and digital self-assessment tools. 2022 Proxy Statement | Alignment of Environment, Social and Governance (ESG) with Our Long-Term Strategy 27 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 6 Meeting Information The Governance Committee is responsible for providing oversight over ESG policies and practices, including identifying key ESG topics, ensuring appropriate Board or Board committee oversight of these topics, overseeing the Company's environmental and climate change initiatives, corporate citizenship activities and reviewing the Company's ESG sustainability reports. The Audit and Finance Committee oversees management's processes to identify ESG investment criteria and provide assurance of ESG disclosures. The Compensation and Human Resources Committee reviews the Company's strategies, programs and outcomes related to each of human capital management as well as diversity, equity and inclusion. The Health and Clinical Practice Policies Committee oversees management's efforts and initiatives to expand access to health care, improve health care affordability, clinical care and safety, enhance the health care experience, achieve better health outcomes, advance health equity, and reduce health disparities. 2022 Proxy Statement | Alignment of Environment, Social and Governance (ESG) with Our Long-Term Strategy 28 Executive Compensation Corporate Executive Compensation care. Executive Summary Overview UnitedHealth Group's compensation program is designed to attract and retain highly qualified executives and to maintain a strong link between pay and the achievement of enterprise-wide goals. We emphasize and reward teamwork and collaboration among executive officers, which we believe fosters Company growth and performance, optimizes the use of enterprise-wide capabilities, drives efficiencies and integrates products and services for the benefit of our customers and other stakeholders. In determining 2021 executive compensation, the Compensation and Human Resources Committee considered the Company's strong growth, operating performance and financial results, all of which were achieved in an uncertain environment, as well as individual executive performance. Some of our key business results for 2021 were: Financial • Revenues increased 12% to $287.6 billion in 2021 from $257.1 billion in 2020; • Net earnings increased 12% year-over-year to $17.3 billion; operating earnings increased 7% year-over- year to $24.0 billion; and cash flows from operations were $22.3 billion in 2021; Fully diluted earnings per share increased 13% to $18.08 per share from $16.03 in 2020. Adjusted earnings per share1 increased 13% to $19.02 per share from $16.88 per share in 2020; Return on equity at 25.2% in 2021 compared to 24.9% in 2020, reflecting the Company's strong operating performance and efficient capital structure; and The annual cash dividend rate increased to $5.80 per share, representing a 16% increase over the annual cash dividend rate of $5.00 per share since the second quarter of 2020. Awards and Recognition 1. 2 3 Directors Governance Annual Other Board of 4 Audit Information • Total shareholder return in 2021 was 45%, and 107% from 2019-2021, reflecting continued strong fundamental performance; • • • Meeting • Advancing health equity with personalized care tailored to an individual's needs, helping to build a diverse health workforce, improving the health of underserved communities and leveraging data to reduce disparities in Information Enhancing the health care experience by improving patient and clinician satisfaction and providing personalized, dedicated member support and culturally competent care. 6 Other Annual 4 Audit Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | 25 Our Board of Directors maintains overall responsibility for oversight of the work of its various committees by receiving regular reports from the committee chairs regarding their work. In addition, discussions about the Company's culture, strategic plan, consolidated and segment business results, capital structure, merger and acquisition-related activities and other business discussed with the Board of Directors include a discussion of the risks associated with the particular item under consideration. Our Board of Directors and Board committees also have authority to retain independent advisers. Our Board of Directors' and committee's respective processes for managing cyber security risk oversight and incentive compensation risk are set forth below. The Health and Clinical Practice Policies Committee oversees (i) management's initiatives to improve health care affordability, clinical care and safety, enhance the health care experience, achieve better health outcomes, advance health equity and reduce disparities, and (ii) risk associated with the public policy arena, including health care reform and modernization activities, government relations, and risk related to health and clinical practices. The Governance Committee oversees Board processes and corporate governance-related risk, community and charitable activities and overall strategy on ESG policies and practices; and The Compensation and Human Resources Committee oversees risks associated with our compensation policies, practices and plans and human capital management practices; The Audit and Finance Committee oversees management's internal controls and compliance activities. The Audit and Finance Committee also oversees management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The enterprise risk management function assists the Company in identifying and assessing the Company's material risks. The Company's General Auditor, who reports to the Audit and Finance Committee, assists the Company in evaluating risk management controls and methodologies. The Audit and Finance Committee receives periodic reports on the enterprise risk management function and the Company's cyber security efforts and meets periodically with management to review the Company's significant risks and the steps management has taken to monitor, control or mitigate such risks. In connection with its risk oversight role, the Audit and Finance Committee regularly meets privately with representatives from the Company's independent registered public accounting firm and the Company's Chief Financial Officer, General Auditor and Chief Legal Officer; _ • Meeting • 6 4 Audit Other Annual Meeting Executive Compensation Corporate Governance 2 Board of Directors Enterprise-Wide Risk Oversight Our Board of Directors oversees management's enterprise-wide risk management activities. Risk management activities include assessing and taking actions necessary to manage risk incurred in connection with the long-term strategic direction and operation of our business. Each director on our Board is required to have risk oversight ability for each skill and attribute the director possesses reflected in the collective skills section of our director skills matrix described in "Proposal 1 — Election of Directors Director Nomination Process Criteria for Nomination to the Board" above. Collectively, our Board of Directors uses its committees to assist in its risk oversight function as follows: • 3 Achieving better health outcomes by managing chronic disease, applying a holistic approach to mental health care and improving health literacy. Information We provide annual security-awareness and privacy training to all of our employees, including part-time and temporary, and contractors, which covers timely and relevant topics, including social engineering, phishing, password protection, confidential data protection, asset use and mobile security. Our comprehensive privacy-incident response and prevention program educates associates on the importance of reporting all incidents immediately. Each incident is reviewed and action is taken to address issues identified, mitigate any potential impact and assess our obligations to notify consumers, clients, regulators, the media and others. Information regarding how we manage data privacy and cyber security is available at https://www.unitedhealthgroup.com/content/sustainability/en/responsible-business/data- privacy.html. Improving health care affordability through advancing value-based care, optimizing where patients receive care and lowering the cost of prescription drugs. Expanding access to care through a long-standing commitment to achieve universal coverage by harnessing digital tools and virtual platforms and investing in primary care. Helping to Create a Modern, High-Performing Health System • • • • Creating systemic change by co-chairing the National Academy of Medicine's Climate Collaborative to meaningfully reduce the carbon footprint of the U.S. health system. Engaging our stakeholders — including team members and partner organizations to promote and practice environmental responsibility. • • Minimizing our impact on the environment by reducing our carbon footprint, using water and energy efficiently, implementing comprehensive waste management programs and employee engagements. We target to achieve operational net zero emissions by 2035 (Scope 1 and Scope 2) and will be outlining our plan to achieve these goals in our 2021 Sustainability Report. Maintaining sound governance and oversight of our environmental management efforts. Environmental Health Information Meeting 6 4 Audit Other Incentive Compensation Risk Assessment Our Compensation and Human Resources Committee requested management to conduct an annual risk assessment of the Company's enterprise-wide compensation programs. The risk assessment reviewed both cash incentive compensation plans and individual cash incentive awards paid in 2021 for the presence of potential design elements that could motivate employees to incur excessive risk. The review included the ratio and level of incentive to fixed compensation, the amount of manager discretion, the level of compensation expense relative to the business units' revenues, and the presence of other design features which serve to mitigate excessive risk-taking, such as the Company's clawback policy, stock ownership and retention guidelines, multiple performance measures and similar features. After considering the results of the risk assessment, management concluded the level of risk associated with the Company's enterprise-wide compensation programs is not reasonably likely to have a material adverse effect on the Company. The results of the risk assessment were reviewed with the Compensation and Human Resources Committee at its February 2022 meeting. Please see “Compensation Discussion and Analysis" for a discussion of compensation design elements intended to mitigate excessive risk-taking by our executive officers. The Compensation and Human Resources Committee also receives an annual report on the Company's compliance with its equity award program controls. Alignment of Environment, Social and Governance (ESG) with Our Long-Term Strategy What Sustainability Means to Us Sustainability is an extension of our business strategy, culture and mission as we work to help ensure the health care system works better for everyone. At UnitedHealth Group, we are committed to providing distinct value for those we are privileged to serve, including our shareholders and society broadly. The Audit and Finance Committee has oversight of our cyber security program and receives regular updates from our Chief Information Security Officer. We devote significant resources to protecting and evolving the security of our computer systems, software, networks and other technology assets in response to a continually changing threat landscape. The operating maturity of our cyber security program is benchmarked against a continuously updated set of control requirements based upon the HITRUST framework and is subject to an annual external certification process by the HITRUST Alliance. An incidence response preparedness assessment was conducted in 2020 by a leading external cyber security company. We are dedicated to earning the opportunity to serve more people and drive shareholder and societal value by focusing on the following key topics determined through broad stakeholder engagement and approval from our senior leaders and Board of Directors. Board of Directors 2 Corporate Governance 3 Executive Compensation Annual 2022 Proxy Statement | Alignment of Environment, Social and Governance (ESG) with Our Long-Term Strategy 26 • Pay-for-performance. A large majority of our executive officers' total compensation is at risk and only earned based on achievement of enterprise-wide goals. UnitedHealth Group has been named to both the Dow Jones Sustainability World and North America Indices every year since 1999; Reward performance that advances our mission of helping people live healthier lives and helping make the health system work better for everyone. Reward performance that emphasizes teamwork and close collaboration among executive officers while also recognizing individual performance. Reward performance that supports the Company's values. Foster an entrepreneurial spirit with innovative thinking and action that leverages the ingenuity of our employees. Attract and retain highly qualified executives. Compensation Program Principles • • Enhance the long-term value of the business. Our pay system is weighted toward long-term compensation to promote long-term shareholder value creation and avoid excessive risk-taking. our executive officers with those of our shareholders. Reward long-term growth and focus management on sustained success and shareholder value creation. Compensation of our executive officers is heavily weighted toward equity, and we require significant stock ownership and share retention by our management team. This encourages sustained • Provide standard benefits. We provide standard employee benefits and generally do not have "executive-only" benefits or perquisites. Determination of Compensation The Compensation and Human Resources Committee oversees the Company's risks, policies, and philosophy related to total compensation for executive officers. • The Compensation and Human Resources Committee reviews and approves the compensation for the named executive officers based on its own evaluation, input from the Chair of the Board, our CEO (for all executive officers except himself), internal pay equity considerations, the tenure, role, and performance of each named executive officer, input from its independent consultant and market data. 2022 Proxy Statement | Compensation Discussion and Analysis 32 Board of Directors 2 Corporate Governance 3 performance and positive shareholder returns. Align the economic interests of • • 100.00 121.83 116.49 153.17 181.35 233.41 The stock price performance included in this graphic is not necessarily indicative of future stock price performance. UnitedHealth Group's market capitalization has grown 42%, 98% and 210% over the one year, three year and five year periods, respectively, for the period ended December 31, 2021. 2022 Proxy Statement | Executive Compensation Summary 31 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Meeting Other 6 Information Compensation Discussion and Analysis The following table sets forth the Company's compensation program and philosophy, core principles that reinforce our philosophy and process for determining compensation. Program Philosophy and Objectives ⋅ • . . Executive Compensation 205.68 Annual 4 Audit The Compensation and Human Resources Committee confirmed that going forward it has no intention of paying severance in connection with the retirement of an executive officer The Compensation and Human Resources Committee broadened the clawback policy to include material detrimental conduct as a trigger The CD&A includes enhanced disclosure on the non-financial metrics included in the annual incentive plan The CD&A includes enhanced disclosure of the rationale for executive compensation targets 2022 Proxy Statement | Compensation Discussion and Analysis 33 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other In our meetings with shareholders, we were pleased to hear strong shareholder support of the overall design of our executive compensation program as well as the Company's overall pay-for-performance alignment Shareholders overwhelmingly did not indicate a desire for broad changes to our program design 4 Audit Cyber Security Risk Oversight 6 Meeting Information Additional issues raised in the course of engagement with shareholders included Board tenure, actions focused on carbon emissions and ESG disclosure. As we have disclosed in this proxy statement, the average tenure of our director nominees is 6.6 years and we will map our disclosures to the SASB reporting framework in our 2021 Sustainability Report. We have also previously announced our commitment to achieving operational net zero carbon emissions by 2035. The Board and the Compensation and Human Resources Committee considered our shareholders' feedback carefully and continue to strongly believe that our compensation program's strong design contributes meaningfully to the Company's success and is strongly aligned with shareholder interests. It remains critical that the Company continues to have an executive compensation program that appropriately attracts, retains and incentivizes management while aligning pay with performance, driving long-term value creation and reflecting the views of shareholders. We will continue to consider shareholder feedback on an ongoing basis with respect to potential changes to the program while preserving the program's general design and value to UnitedHealth Group and all of our shareholders. Respective Roles of Management and the Compensation and Human Resources Committee The Compensation and Human Resources Committee oversees the Company's risks, policies and philosophy related to total compensation for executive officers. Management recommends appropriate enterprise-wide financial and non-financial performance goals for use in incentive compensation. The Compensation and Human Resources Committee reviews and approves the compensation for the named executive officers based on its own evaluation, input from the Chair of the Board, our CEO (for all executive officers except himself), internal pay equity considerations, the tenure, role and performance of each named executive officer, input from its independent consultant and market data. The Compensation and Human Resources Committee's Use of an Independent Compensation Consultant The Compensation and Human Resources Committee retains an independent compensation consultant, Jon Weinstein of Pay Governance LLC, to advise the Compensation and Human Resources Committee on executive and director compensation matters, assess total compensation program levels and program elements for executive officers and evaluate competitive compensation trends. Pay Governance does not provide any other services to the Company and does not perform any work for management. The Compensation and Human Resources Committee has assessed the independence of Mr. Weinstein and of Pay Governance, specifically considering, in accordance with SEC rules, whether Mr. Weinstein and Pay Governance had any relationships with the Company, our officers or our Board members that would impair their independence. Based on this evaluation, the Compensation and Human Resources Committee concluded Mr. Weinstein and Pay Governance are independent and their work for the Compensation and Human Resources Committee does not raise any conflict of interest. Competitive Positioning The Compensation and Human Resources Committee believes total compensation for the named executive officers should be heavily weighted toward long-term performance-based compensation, but it does not target a specific mix of annual and long-term compensation or cash and equity compensation and does not formulaically set compensation targets. In general, the Compensation and Human Resources Committee's goal is to achieve total compensation for the named executive officers as a group that falls within a range of the 50th to 75th percentiles of the market data for our peer group (as discussed below), if paid at target. The Compensation and Human Resources Committee believes this range is an appropriate reflection of the Company's relative size in comparison to our peer group and the broader market, complexity and consistently strong performance over the past several years, with the Company positioned above the 75th percentile of our peer group on key measures such as revenue, market capitalization, and employees, as shown below. The following briefly summarizes the processes followed by the Compensation and Human Resources Committee to select competitive compensation benchmark data and how the Compensation and Human Resources Committee uses these data. 2022 Proxy Statement | Compensation Discussion and Analysis 34 5 Company Comments / Board Response Target executive compensation should be set at the median for peer group companies Clawback policy only applies if a financial restatement occurs Improve disclosure of annual incentive plan metrics 5 6 Meeting Information Our 2021 Say On Pay Vote; Shareholder Engagement Addressing the 2021 Say on Pay Vote Our annual say on pay vote is one of our opportunities to receive feedback from shareholders regarding our executive compensation program. The say on pay proposal at the 2021 Annual Meeting received 72% as compared to an average of over 95% support from 2011 through 2020. We sought feedback from shareholders to better understand what motivated their votes and what actions we could take to address their concerns. Shareholder Engagement and Our Response We contacted shareholders representing approximately 53.5% of our outstanding shares and met with holders of 40.2% of our outstanding shares. Scope of Engagement: Engagement Team: • • Shareholder Engagement Efforts - Key Statistics Contacted: 46 shareholders representing 53.5% of our outstanding shares Met with: 27 shareholders representing 40.2% of our outstanding shares • Chair of the Compensation and Human Resources Committee met with 15.1% of outstanding shares • Chief People Officer . • Corporate Secretary The following is a summary of feedback raised by a majority of shareholders when voting on our 2021 say on pay resolution and how the Board/Compensation and Human Resources Committee has responded to those topics. Topic Raised Overall design and philosophy of the executive compensation program Payment of severance in connection with former CEO's retirement disclosed in the 2021 proxy statement and reflected in the Summary Compensation Table on page 48 of this proxy statement. Other United Health Group was the top ranked company in the insurance and managed care sector on Fortune's 2022 "World's Most Admired Companies" list. This is the twelfth consecutive year UnitedHealth Group has ranked No. 1 overall in its sector. The Company ranked No. 1 on all nine key attributes of reputation - innovation, people management, use of corporate assets, social responsibility, quality of management, financial soundness, long-term investment value, quality of products and services and global competitiveness; 170.06 123.65 • • • Compensation and Human Resources Committee consisting entirely of independent Board members. Performance-based compensation arrangements, including performance-based equity awards that use a balanced set of performance measures (including human capital measures), with different metrics used for annual and long-term incentive plans. Double-trigger accelerated vesting of equity awards, requiring both a change in control and a qualifying employment termination, which is our only change in control consideration. All long-term incentive awards are denominated and settled in equity. A compensation clawback policy that entitles the Board of Directors to seek cash or equity reimbursement from our senior executives if they are directly involved in fraud or misconduct causing a material restatement, material detrimental conduct and a senior executive's violation of non-compete, non-solicit or confidentiality provisions. A stock retention policy that requires executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award. Each of our executive officers and directors was in compliance with our stock ownership guidelines as of April 8, 2022. Annual advisory shareholder vote to approve the Company's executive compensation. The direct retention by the Compensation and Human Resources Committee of its independent compensation consultant, Pay Governance LLC, who performs no other consulting or other services for the Company. • What We Don't Do • No excise tax gross-ups. Generally no executive-only perquisites. No repricing of stock options and stock appreciation rights or cash buyouts without shareholder approval. No discounted stock options or stock appreciation right awards. No reload of stock options. No hedging and pledging transactions by directors and executive officers. Former CEO David S. Wichmann As previously disclosed in the Company's 2021 proxy statement, the terms of Mr. Wichmann's employment agreement provide for payments approximating his most recent base salary and non-equity incentive compensation award for a two-year period. Pursuant to applicable SEC rules, the entire amount payable to Mr. Wichmann over the two-year period is included in this year's Summary Compensation Table. The amount set forth for Mr. Wichmann in this proxy statement is consistent with the disclosures made in the Company's 2021 proxy statement. Mr. Wichmann has not been provided with any additional compensation since his departure from the Company in February 2021. 2022 Proxy Statement | Executive Compensation Summary 30 Board of 2 • • • • UnitedHealth Group received a score of 100 on the Human Rights Campaign Foundation's Corporate Equality Index 2022, earning the distinction of one of the “Best Places to Work for LGBTQ Equality"; In 2021, and for the tenth consecutive year, The Civic 50, a Points of Light initiative that highlights companies that improve the quality of life in the communities where they do business, ranked UnitedHealth Group one of America's 50 most community-minded companies. In addition, UnitedHealth Group was named the leader in the Healthcare Sector category for the fourth time overall; UnitedHealth Group was named to Forbes' list of 2021 World's Best Employers; Prospanica, an organization that has worked to empower Hispanic professionals for over 30 years, recognized UnitedHealth Group with the 2021 Brillante Award for Corporate Excellence; Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. 2022 Proxy Statement | Executive Compensation Summary 29 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit Meeting Information • • • The CDP (formerly Carbon Disclosure Project) named UnitedHealth Group to its Leadership Band in 2020 for efforts to reduce greenhouse gas emissions; The Disability Equality IndexⓇ named UnitedHealth Group one of the best places to work for disability inclusion in 2021; UnitedHealth Group has been ranked No. 4 in the nation on the 2022 Military FriendlyⓇ Employers list; and UnitedHealth Group is recognized as a “Trendsetter" in the 2021 Center for Political Accountability-Zicklin Index of Political Accountability. The Compensation and Human Resources Committee believes total compensation for the executive officers listed in the 2021 Summary Compensation Table (the “named executive officers" or "NEOS") should be heavily weighted toward long-term performance-based compensation. In 2021, long-term compensation represented approximately 75% of the total compensation granted to our NEOs. The elements of compensation for our NEOs were unchanged from 2020. We endeavor to maintain strong governance standards in the oversight of our executive compensation programs, including the following policies and practices in effect during 2021: Strong Oversight and Pay Practices • Directors 154.99 Corporate Governance Executive Compensation * S&P Health Care ---A--S&P 500 12/2016 12/2017 12/2018 12/2019 ($) ($) ($) ($) 12/2020 ($) 12/2021 ($) 100.00 139.82 160.13 192.13 232.87 338.16 100.00 122.08 129.97 157.04 178.15 224.70 100.00 128.11 12/21 3 12/20 Dow Jones US Industrial Average Annual 4 Audit Meeting Other Information Performance Graph The following performance graph compares the cumulative one-year, three-year and five-year return to shareholders on our common stock relative to the cumulative total returns of the S&P Health Care Index, the Dow Jones US Industrial Average Index and the S&P 500 index for the period ended December 31, 2021. The comparisons assume the investment of $100 on December 31, 2016 in our common stock and in each index, and dividends were reinvested when paid. COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN* Among UnitedHealth Group, the S&P Health Care Index, the Dow Jones US Industrial Average Index and the S&P 500 Index $400 $350 $300 S&P 500 Index $250 $150 $100 $50 $0 12/16 12/17 UnitedHealth Group 12/18 12/19 UnitedHealth Group --Dow Jones US Industrial Average S&P Health Care Index $200 We believe health care data and related information should be used solely for the purposes of improving individual health, advancing health system performance and to aid in new health care discoveries. We operate in a sector where the use of health care information is highly regulated. Federal, state, and international laws and contractual commitments regulate our collection, use and disclosure of confidential information such as protected health information and personally identifiable information. Our success depends on maintaining a high level of trust among consumers, clients, providers, regulators and our associates. Protecting this information is critical and is reflected in our Code of Conduct, security standards, and privacy policies. Apply an industry screen to limit peer companies to those industries from which the Company recruits senior leaders: - Managed Care (#) Upon termination of employment for Good Reason or without Cause (as these terms are defined in the award agreement), the executive officer will receive at the end of the applicable performance period, a pro rata number of performance shares that are earned, if any, based on the number of full months employed plus the number of months for any severance period. . • • If the executive officer is retirement-eligible, upon retirement, the number of performance shares earned at the end of the performance period based on actual performance, if any, will vest as if the executive officer had been continuously employed throughout the entire performance period, provided the executive officer served for at least one year of the performance period. Unvested performance share awards will vest if, within two years of a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., "double trigger" vesting), as these terms are defined in the award agreement. The number of performance awards that vest will be dependent upon the performance vesting criteria that have been satisfied. 14,242 8,699 40,703 6,559 6,193 28,684 5,622 2,811 12,779 2022 Proxy Statement | Compensation Discussion and Analysis 44 The 40 largest U.S. companies by revenue and market capitalization. The Compensation and Human Resources Committee uses the following screening methodology, which formulates a peer group focused on the characteristics and industries most relevant to the Company: At the request of the Compensation and Human Resources Committee, Pay Governance conducts an annual review of the Company's compensation peer group. This review ensures the peer group companies remain appropriate from a business and talent perspective. This occurs at the second quarter Compensation and Human Resources Committee meeting, because recent financial and compensation data are available at this time. (94th percentile) 1,608,000 350,000 156,500 40,000 Employees $2,913B $473B (78th percentile) $120B Upon death or disability, the executive officer will receive at the end of the applicable performance period, the number of performance shares that are earned, if any. Unvested award will vest in full if, within two years of a change in control, an executive terminates employment for Good Reason or is terminated without Cause (i.e., "double trigger" vesting), as these terms are defined in the award agreement. (4-year ratable vesting) • An expectation that medical cost trends would be consistent with historical levels; Commercial risk-based and fee-based health insurance growth in people served in all years, leveraging enhanced products, services, and distribution including a continued focus on diversification into ancillary businesses; Medicaid, Medicare Advantage, Medicare Supplement and Global growth in people served over the three-year period; . . Continued expansion of the Optum Care Delivery platform and capabilities; • Key assumptions and elements of the 2019-2021 long-term business plan were: The performance measures and goals for the 2019-2021 performance period were established during the first quarter of 2019 based on the Company's long-term business plan. The first year of the long-term business plan was based on the Company's 2019 business plan. Subsequent years were based on assumptions and growth initiatives developed by the Company's business units and reviewed by the Board of Directors. 24.8% 2019-2021 Performance $49.31 Maximum Performance $51.60 26.2% Target Performance $47.95 24.2% $14B 22.2% Return on Equity Threshold Performance $45.33 50% Cumulative Adjusted Earnings Per Share Weight Performance Measure 2019-2021 The long-term performance share program creates financial incentives for achieving or exceeding three-year financial goals for the enterprise as follows. The table below shows the goals for the 2019-2021 plan, as well as the Company's actual performance against plan: 2019-2021 Long-Term Goals and Context Long-Term Awards Except as provided in footnote 4 to the Outstanding Equity Awards at 2021 Fiscal Year-End table. Unvested award will vest in full upon death or disability. • 50% Market Cap $470B Maximum 2 Executive Corporate Board of Directors Termination Provisions • Stock Option Award And (4-year ratable vesting*) RSU Award Performance Share Award (3-year performance period with cliff vesting) Award Type and Vesting Terms Information 3 Meeting 5 4 Audit Other Annual Executive Compensation 3 Corporate Governance Directors 2 Board of 2022 Proxy Statement | Compensation Discussion and Analysis 41 Performance share grants were selected to ensure a strong pay-for-performance alignment of the Company's compensation program with drivers of shareholder value, specifically weighted equally between cumulative earnings per share and average return on equity for the three-year performance period. Participants can earn between 0% and 200% of the target performance share award based upon actual results. The performance share payouts are determined formulaically, subject to the authority of the Compensation and Human Resources Committee to make appropriate adjustments to account for events not contemplated when the performance targets were set. RSU grants were selected because they are full value shares with time vesting (typically, ratably over four years) and, as such, provide added retention value. Non-qualified stock options were selected because they have value only if the Company's stock price increases and, as such, provide incentives for sustained long-term stock price appreciation. Non-qualified stock options typically vest ratably over four years. Our equity award types, vesting terms, and termination provisions are summarized in the chart below. The Compensation and Human Resources Committee determined that long-term equity-based compensation for 2021 should include grants of performance shares, RSUs, and non-qualified stock options to achieve balance and effectiveness in our equity-based compensation and to align the interests of our executive officers and our shareholders. The mix of equity-based compensation granted in 2021 was as follows, based on the grant date fair value of the total award: 50% performance shares, 25% RSUs, and 25% non-qualified stock options. 6 2022 Proxy Statement | Compensation Discussion and Analysis 42 4 Audit Compensation UnitedHealth Group $288B (88th percentile) $139B $57B Annual Revenue 50th Percentile Minimum This screening process resulted in the 19 companies set forth above. We are significantly larger than most of our peers as reflected below (data as of December 31, 2021): Microsoft Corporation Walgreens Boots Alliance, Inc. Wells Fargo & Company JPMorgan Chase & Co. McKesson Corporation International Business Machines Humana Inc. Cardinal Health, Inc. Bank of America Corporation Governance Apple Inc. Citigroup Inc. Anthem, Inc. AmerisourceBergen Corporation Amazon.com, Inc. Alphabet Inc. Cigna Corporation Johnson & Johnson Centene Corporation Peer Group Peer Group Other Information 6 Annual Meeting CVS Health Corporation Board of Directors 2 Corporate Governance 17,112 8,556 17 134% 10,193 15,212 7,606 15 134% 14,014 20,916 10,458 20 11,466 134% 26,618 13,309 26 134% 32,229 48,102 24,051 47 (% of Target) (#) (#) (#) Award 17,835 Paid 134% 24,337 8,699 14,242 51,325 10,969 40,703 17,958 (#) (#) (#) Annual Stock Option Award Annual RSU Award Target Number of Performance Shares David S. Wichmann 47 Marianne D. Short Dirk C. McMahon John F. Rex Andrew Witty Name In 2021, the Compensation and Human Resources Committee granted the following target number of performance shares, RSUs and stock options to our named executive officers: Equity Awards - 2021 The Company does not pay dividend equivalents on performance shares granted to employees. Unvested shares of RSUS receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. The determination to pay dividend equivalents on RSUs was made after considering market practices. The aggregate number of shares subject to equity awards made in 2021 for all employees was less than 1% of the Company's shares outstanding at the end of 2021. The Compensation and Human Resources Committee's equity award policy requires all grants of equity to be made at set times. We do not have a specific program, plan or practice to time equity compensation awards to named executive officers in coordination with our release of material information. Due to the length of Mr. Wichmann's tenure with the Company and under the standard terms of equity awards applicable to all employees receiving equity awards, Mr. Wichmann's award was eligible for retirement vesting. Equity Award Practices As previously disclosed, Mr. Witty's 2019 performance shares were granted as two separate grants, 18,063 target shares on February 14, 2019 and 5,988 target shares on November 6, 2019, for a total of 24,051 target shares. 134% 32,612 48,674 Brian R. Thompson Long-term incentive compensation, consisting solely of equity awards in 2021, represents the largest portion of executive officer compensation. The combination of long-term incentives we employ provides a compelling performance- based compensation opportunity, aids in aligning and retaining the senior management team and accelerates the advancement of business unit capabilities across the enterprise. Actual Shares Paid Shares Similar to the annual incentive plan, the Company's long-term incentive plan allows for adjustments to the Company's reported results in determining long-term incentive plan awards, namely adjustments that account for the impact of changes in accounting principles, extraordinary items, and unusual or non-recurring gains or losses. Two adjustments were made in measuring 2019-2021 performance, which resulted in lowering the payouts to the named executive officers: The permanent repeal of the Health Insurance Tax. Growth in investment and other income from the Company's continued collaborative growth and innovation efforts with Optum Ventures; and Difficult Brazilian economy and significant devaluation of the Brazilian Real against the U.S. Dollar; Significant acquisition activities over the three-year period; • • • Onset of the COVID-19 pandemic beginning in early 2020; • Factors which positively or negatively influenced our results subsequent to the approval of the long-term business plan in early 2019 included: To achieve maximum performance for the performance share plan, the Company would have had to achieve cumulative three-year adjusted earnings per share ("AEPS”) performance of $51.60 and an average return on equity ("ROE”) of 26.2%. These maximum performance levels corresponded to a compound annual growth rate in AEPS of 15% over the three-year period. For long-term compensation purposes (see adjustments described below), the Company generated cumulative AEPS of $49.31, which was between target and maximum performance levels, and accompanying ROE of 24.8%, which was between target and maximum performance levels. This represented a compound annual AEPS growth rate of 14% over the three-year performance period, consistent with the Company's projected long-term growth rate of 13% to 16%. Ongoing improvements to our consolidated operating cost ratio on a comparable business mix basis; and Effective cross-enterprise collaboration among various business units for the benefit of customers and our overall reputation and performance. . • Continued growth and enhancement of the quality and operations of our government businesses; • Delivery of more effective and comprehensive clinical management; • Modest US economic growth with a gradual increase in interest rates, and a more rapidly growing economy in Brazil, with a stable Brazilian Real — U.S. Dollar exchange rate; Information Meeting 6 Other Annual 4 Audit Executive Compensation 3 Continued growth in technology-enabled services and specialty networks products and services, driving distinctive revenue, margin, and earnings performance; Shares • Excluded from 2019, 2020 and 2021 results were impacts from capital allocation actions not contemplated Shares Maximum Threshold Target David S. Wichmann** Marianne D. Short Brian R. Thompson Dirk C. McMahon ** John F. Rex Andrew Witty* Name * Long-Term Performance Shares Excluded from 2020 and 2021 results were the impacts from unusual events not contemplated when the performance targets were set; and Since these factors were not contemplated in the performance targets, and would have resulted in a net benefit to management, they were excluded from final results, reducing the calculated payout ratio and related compensation. Meeting 6 5 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Compensation Discussion and Analysis 43 when the performance targets were set, primarily from merger and acquisition activity and share repurchase activity. Information Long-Term Incentive Compensation Unless the executive officer is retirement-eligible, award is subject to earlier termination upon certain events related to termination of employment. In determining the 2021 annual cash incentive award amounts for the named executive officers, the Compensation and Human Resources Committee took into account the Company's performance against the 2021 annual performance goals set forth in the table above and business results described under "Context for the 2021 Annual Cash Incentive Plan Performance Goals," including each executive officer's role in achieving those results. Board of 2022 Proxy Statement | Compensation Discussion and Analysis 37 The Compensation and Human Resources Committee generally determines base salary levels for our named executive officers early in the fiscal year. The Compensation and Human Resources Committee increased Mr. Witty's salary to $1,500,000 effective February 3, 2021 upon his promotion to Chief Executive Officer. Messrs. McMahon's and Rex's salaries were increased by the Committee effective February 28, 2021 to reflect Mr. McMahon's promotion to President and Mr. Rex's expanded duties. Effective February 28, 2021, Mr. Thompson's salary was increased to $1,000,000 effective April 7, 2021 upon his promotion to Chief Executive Officer, UnitedHealthcare. Ms. Short's salary increase was effective April 7, 2021 when she resumed her role as Chief Legal Officer. These changes are reflected in the chart below. Base Salary Annual Compensation 74% Long-term incentives 36% Performance shares 76% Long-term incentives 38% Performance shares Mix 19% Corporate Other NEOS Compensation Annual cash incentive award 17% Annual cash incentive award 19% 9% Non-qualified stock options Base salary Base salary CEO Compensation Mix 19% Restricted stock units 16% 19% Restricted stock units 8% 2 Directors We assess our progress toward enhancing customer experiences using the Net Promoter System (NPS), which holistically measures the experiences we deliver to the Company's customers, including how likely a person is to recommend our Company to their friends or family. Similarly, listening to our team members is one of the key ways we help build and reinforce a culture of inclusion and encourage employee engagement. We recognize that improved employee sentiment leads to increased talent and improved productivity, and for well over a decade, we have measured employee sentiment annually. We use our human capital management metric - the Employee Experience Index Annual cash incentive awards may be paid if our Company meets or exceeds annual performance goals established for the year as determined by the Compensation and Human Resources Committee. In establishing the performance measures for the 2021 annual cash incentive awards, the Compensation and Human Resources Committee sought to align broadly the compensation of our executive officers with key elements of the Company's 2021 business plan. Development of the Company's 2021 business plan was a robust process that involved input from all of the Company's business units and was reviewed with the Company's Board of Directors on multiple occasions. These performance goals are based on enterprise-wide metrics because the Compensation and Human Resources Committee believes the named executive officers share responsibility to support the goals and performance of the Company as key members of the Company's leadership team. 900,000 1,000,000 800,000 850,000 1,200,000 1,000,000 1,200,000 1,000,000 1,500,000 1,100,000 2021 Base Salary 2020 Base Salary 3 2021 Annual Incentive Plan Performance Goals Marianne D. Short Brian R. Thompson Dirk C. McMahon John F. Rex Andrew Witty Name Other Information 6 Annual Meeting 5 4 Audit Executive Compensation Governance Annual Cash Incentive Awards _ stock options As reflected in the charts below, the mix of total target compensation granted in 2021 to our named executive officers, excluding Mr. Wichmann, was heavily weighted towards performance-based and long-term incentive compensation, with long-term incentive awards making up approximately 75% of total target compensation for our named executive officers in aggregate. When approving compensation decisions, the Compensation and Human Resources Committee reviews tally sheet information for each of our executive officers. These tally sheets are prepared by management and quantify the elements of each executive officer's total compensation. The tally sheets include a summary of all equity awards previously granted to each executive officer, the gain realized from past vesting or exercise of equity awards, and the projected value of accumulated equity awards based upon then current stock price scenarios. The tally sheets help the Compensation and Human Resources Committee members analyze the compensation each executive officer has accumulated to date and to fully understand the amount the executive officer could potentially accumulate in the future. Elements of our Compensation Program Use of Tally Sheets and Wealth Accumulation Analysis The Compensation and Human Resources Committee believes this positioning is appropriate because the Company is above the median of peer group companies on all scope metrics and the Company's exceptional long-term performance further supports the effectiveness of this positioning. Target total compensation of our named executive officers as a group in 2021, consisting of base salary, target annual cash incentive award, and the grant date fair value of equity awards (including performance shares at target) was between the 50th and the 75th percentiles of the market data for our peer group. Our CEO's total compensation is below the median of our peer group. At the first quarter Compensation and Human Resources Committee meeting, the Compensation and Human Resources Committee determines pay opportunities for each officer using the market competitiveness assessment from the previous fourth quarter as a reference point. In addition, the Compensation and Human Resources Committee takes into consideration the individual officer's tenure in such position, Company's performance against previously established performance goals, each officer's individual performance, internal equity, the CEO's recommendations and other relevant business performance that may not be adequately captured by the Company and individual officer goals. At the fourth quarter Compensation and Human Resources Committee meeting, Pay Governance presents an annual review of the market competitiveness of the Company's executive compensation levels for the Company's executive officers. The review compares the compensation opportunities provided to the Company's executive officers to peer group companies on a position-by-position basis and on an aggregate basis. • • Once the process is concluded and peer group companies are selected, the Compensation and Human Resources Committee generally uses the market data as follows: Information Meeting 6 4 Audit The compensation program for our named executive officers consists of the following elements: Other Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Compensation Discussion and Analysis 35 Include the Company's 4 largest managed care competitors, even if they do not all meet the screening criteria. - Financial Services - Health Care and Services • - Technology Pharma/Life Sciences - Annual Non-qualified The Compensation and Human Resources Committee did not make specific assessments of, quantify or otherwise assign relative weightings to the factors listed above as it reached its decisions with respect to any of the named executive officers. See the 2021 Summary Compensation Table and other related compensation tables below for details regarding 2021 total compensation for the named executive officers. not variable To promote the health, well-being and financial security of employees, including executive officers; constitutes the smallest part of total remuneration. • RSUs to retain executive officers and build stock ownership positions Non-qualified stock options to encourage sustained stock price appreciation Performance shares to encourage sustained performance and growth and potentially assist executives in building ownership in the Company To motivate and retain executive officers and align their long-term interests with shareholders through the use of: Purpose Annual indirect compensation, not variable Employee benefits Long-term performance compensation, variable Equity awards Compensation Element Information 6 Other Base salary Annual compensation, Annual Meeting 5 4 Audit 3 Executive Corporate Governance Directors 2 Board of 2022 Proxy Statement | Compensation Discussion and Analysis 36 To encourage and reward executive officers for achieving annual corporate performance, human capital and customer-oriented goals and individual performance results. To provide a base level of cash compensation for executive officers tied to role, scope of responsibilities and experience. Purpose Annual cash incentive awards Annual performance compensation, variable Compensation (EXI) — to measure an employee's sense of commitment and belonging to the Company, establishing a direct link between our executive compensation program and our commitment to human capital management. We believe both metrics NPS as well as EXI - demonstrate meaningful measures of executive performance. Compensation Element 2021 Performance Andrew Witty Name Information 6 Other Annual Meeting Compensation Governance Directors 4 Audit 3 2 Executive John F. Rex Corporate 2022 Proxy Statement | Compensation Discussion and Analysis 40 1. Adjusted earnings per share is a non-GAAP financial measure. Refer to Appendix A in this proxy statement for a reconciliation of adjusted earnings per share to the most directly comparable GAAP measure. The target percentages for annual cash incentive awards to our named executive officers and the actual 2021 annual cash incentive awards paid are set forth in the table below. Mr. Wichmann did not receive an annual cash incentive award in 2021. An explanation of how the individual amounts were determined follows the table. The Compensation and Human Resources Committee evaluated the Company's 2021 performance against the performance goals, overall business results, economic conditions and individual performance objectives. The Committee noted the strong 2021 business results discussed above while also noting that performance was below threshold for NPS and below target for EXI. Accordingly, the Committee determined that the 2021 annual cash incentive for officers should be awarded at 85% of the targets set. The target opportunities established for the named executive officers are intended to increase collaboration, teamwork and accountability across the enterprise, to recognize the skills and versatility of each executive officer and to reflect relative contributions to the success of the overall enterprise. At the end of the fiscal year, the Compensation and Human Resources Committee reviews the Company's performance against the goals set at the beginning of the year and determines annual cash incentive awards. The Compensation and Human Resources Committee has the discretion to increase or decrease the awards made in view of actual performance, individual contributions and overall business and market conditions. At the beginning of each year, the Compensation and Human Resources Committee approves an annual cash incentive target opportunity for each executive officer as a percentage of the executive officer's base salary. Determination of 2021 Annual Cash Incentive Award Opportunities While the Company uses defined performance measures and weightings to determine an overall funding level for the Company's bonus pool, individual annual cash incentive awards are not purely formulaic. In determining the amount of the actual annual incentive award to be paid to each officer, the Compensation and Human Resources Committee considers the CEO's recommendations for executive officers, the business performance underlying each of the performance measures, macroeconomic factors impacting business performance, individual executive performance, market positioning, and related matters. The Compensation and Human Resources Committee retains discretion to pay an annual incentive award higher or lower than the performance level achieved based on these considerations if threshold performance is achieved on any performance measure. However, the overall pool cannot be exceeded. Non-financial performance measures were above threshold for EXI, and below threshold for NPS. Diluted earnings per share and adjusted earnings per share increased 13% in 2021. Revenues for 2021 grew 12% from the prior year, while operating income grew 7% and cash flows from operations increased 1%. 2021 revenues, operating income and cash flows from operations were each impacted by the COVID-19 pandemic. demonstrated excellence in its Medicare plans by further improving its Medicare Star ratings. The Company achieved or made substantial progress on all other initiatives listed above. Information Meeting Board of 6 Dirk C. McMahon Marianne D. Short The following table sets forth the performance measures and goals established for 2021, as well as 2021 performance results: 85% 1,030,000 1,215,000 135 85% 1,700,000 2,000,000 200 85% 2,050,000 2,400,000 200 Brian R. Thompson 85% 2,400,000 85% 2,550,000 3,000,000 200 (% of Target) ($) Paid Award Actual Award Paid Target Award Value ($) (% of Salary) Target Percentage 2021 Annual Cash Incentive Awards 2,050,000 Other 200 4 Audit Performance $284.0 billion $23.3 billion $19.7 billion $294.0 billion $26.9 billion $23.6 billion 1.7 points below 2020 results for NPS (below threshold); 2.4 points below target for EXI 3.8 points above 2020 results for NPS; 4.2 points above 2020 results for EXI 2.5 points above 2020 results for NPS; at 2020 results for EXI $20.5 billion 1.2 points above 2020 results for NPS; 4.2 points below 2020 results for EXI Index (EXI) Employee Experience • Net Promoter System (NPS) 25% Stewardship: $17.4 billion 2022 Proxy Statement | Compensation Discussion and Analysis 38 15% $23.4 billion $19.9 billion 30% $280.0 billion $266.0 billion 2021 Maximum Performance Target Performance Threshold Performance Weight 30% Revenue* Annual Measure Cash Flows from Operations* Board of Directors Operating Income* Corporate Governance 3 2 Executive Compensation Corporate Governance 2 Board of Directors 2022 Proxy Statement | Compensation Discussion and Analysis 39 Further enhance customer service and increase the Company's NPS across all business platforms; and Further improve our consolidated operating cost ratio after considering the impact of changes in business mix, repeal of the health insurance tax, and effects from COVID-19. Deliver ever more effective and comprehensive clinical management, and continue expanding value-based elements in our network; Continue to innovate in commercial benefit products, services, and distribution; Continue to enhance the quality and operations of our government benefit businesses; Grow people served in UnitedHealthcare; Execute on Optum's growth initiatives, with major focus areas including further expansion of patients served in value-based care arrangements and the continued build-out of care delivery capabilities, technology-enabled services, and advancing the scope of pharmacy care services offerings; • At the beginning of 2021, the Compensation and Human Resources Committee believed achievement of the annual incentive goals required substantial performance on a broad range of initiatives contained in the 2021 business plan. These initiatives included the following: With respect to these initiatives, Optum achieved double digit percentage revenue and operating earnings growth, and added new patients in accountable, value-based arrangements. The Company significantly exceeded its targets for people served by UnitedHealthcare, and improved net promoter scores in many, but not all, of its businesses. UnitedHealthcare The 2021 non-financial performance measures were based on survey results and, at target levels, represented levels at or above 2020 performance. These measures were viewed to be important to longer-term financial success, customer satisfaction and employee welfare that might not be immediately reflected in annual financial results. The Compensation and Human Resources Committee believes that the breadth of financial and non-financial performance measures for the 2021 annual cash incentive award would motivate executive officers to achieve results that contribute to value creation for our shareholders on a long-term basis, reward performance advancing the Company's mission and values, and avoid excessive risks. Executive Compensation 4 Audit Annual 3 6 Meeting Other * The Company's annual incentive plan allows for adjustments to the Company's reported results for the impact of changes in accounting principles, extraordinary items and unusual or non-recurring gains or losses, including significant differences from the assumptions contained in the financial plan upon which the incentive targets were established. Adjustments to reported results are intended to better reflect executives' line of sight, align award payments with growth of the Company's business, avoid artificial inflation or deflation of awards due to unusual or non-recurring items in the applicable period and emphasize the Company's preference for long-term and sustainable growth. The Compensation and Human Resources Committee adjusted 2021 revenue, operating income and cash flows from operations to exclude impacts resulting from the COVID-19 pandemic, unrealized investment gains, and other non-recurring items. These adjustments remove benefits to management from items over which they had no control which were not contemplated in the 2021 plan and had the net effect of decreasing the financial results and negatively affecting executive compensation. Context for the 2021 Annual Cash Incentive Plan Performance Goals The 2021 financial performance measures at target level represented, respectively, year-over-year growth in revenues of $22.9 billion, or 9%; year-over-year growth in operating income of $1.0 billion, or 4%; and year-over-year decrease in operating cash flows of $1.7 billion or 8%, and all of these measures were impacted by the COVID-19 pandemic. 2021 targeted cash flows declined from 2020 actual results as 2020 cash flows were impacted by the COVID-19 pandemic, primarily due to timing factors. Information Executive Compensation 3 Meeting Annual Other 4 Audit 5 6 Information 2022 Proxy Statement | 2021 Grants of Plan-Based Awards 52 Other (3) Amounts represent grants under the 2020 Stock Incentive Plan. Please refer to the chart on page 42 for a summary of our equity award types, vesting terms and termination provisions. RSUs are eligible to receive dividend equivalents, which are subject to the same terms as the RSUs and will be forfeited if the underlying RSUs do not vest. No dividend equivalents are paid on performance shares. (4) Amounts represent the estimated future number of performance shares that may be earned under our 2020 Stock Incentive Plan at each of the threshold, target and maximum levels. The performance share award will be paid out in shares of Company common stock. The number of performance shares the executive officer will receive will be determined at the conclusion of the 2021-2023 performance period and will be dependent upon the Company's achievement of a cumulative AEPS measure and an average ROE measure approved by the Compensation and Human Resources Committee. The Compensation and Human Resources Committee has the discretion to reduce the number of performance shares an executive officer is entitled to receive. The estimated threshold award represents the number of performance shares that may be awarded if threshold performance is achieved on one of the performance measures. Annual Board of Directors 2 Corporate Governance 3 Corporate Governance Executive Compensation (2) Amounts represent estimated payouts of annual cash incentive awards granted under our Executive Incentive Plan in 2021. The Executive Incentive Plan permits a maximum annual bonus pool for executive officers equal to 2% of the Company's net income (as defined in the plan) and no executive officer may receive more than 25% of such annual bonus pool. The Compensation and Human Resources Committee has generally limited annual cash incentive payouts to not more than two times the target amount, and the maximum amounts shown for each named executive officer equal two times each executive officer's target amount. In order for any amount to be paid, the Company must achieve approved performance measures of (i) revenue, (ii) operating income, (iii) cash flow, (iv) NPS, and (v) employee experience index. The estimated threshold award represents the amount that may be paid if threshold performance is achieved on each of the performance measures. Once threshold performance is achieved on an approved performance measure, the Compensation and Human Resources Committee has the discretion to pay an award. The actual annual cash incentive amounts earned in connection with the 2021 awards are reported in the 2021 Summary Compensation Table. 2 1,215,000 2022 Proxy Statement | 2021 Grants of Plan-Based Awards 51 Performance Share Award (3)(4) RSU Award (3) 4 Audit Annual Cash Incentive Award (2) Stock Option Award (3) David S. Wichmann Annual Cash Incentive Award Performance Share Award RSU Award 6/7/2021 6/7/2021 6/7/2021 1,093,500 2,430,000 1108050 1285 240 5.82 112442811 Mr. Wichmann was not granted any incentive awards in 2021. Stock Option Award 2,250,206 1,125,103 12,779 400.25 1,125,063 Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. (1) The actual value to be realized by a named executive officer depends upon the appreciation in value of the Company's stock and the length of time the award is held. No value will be realized with respect to any stock option award if the Company's stock price does not increase following the grant date. For a description of the assumptions used in computing grant date fair value for stock option awards pursuant to FASB ASC Topic 718, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2021. The grant date fair value of each RSU award and targeted grant date value of each performance share award were computed in accordance with FASB ASC Topic 718 based on the closing stock price on the grant date. Under the 2020 Stock Incentive Plan, all equity-based compensation awards are subject to one year minimum vesting requirements, subject to an exception for a limited number of shares not to exceed 5%. Equity-based compensation awards to employees are generally subject to three or four year vesting provisions. For additional information on vesting of 2021 Grants of Plan-Based Awards, see footnote 3 below. Board of Directors 5 Expiration Date(1) 2/22/2031 Meeting 51,325(3) 327.64 2/13/2020 12,704 38,113(3) 302.20 11/6/2019 8,922 8,923(3) 2/26/2019 6/5/2018 12,693 25,385(3) 11,774(3) 250.52 262.98 244.43 Stock Award Grant Date 2/22/2021 2/13/2030 6/7/2021 11/6/2029 2/13/2020 2/26/2029 2/13/2020 6/5/2028 11/6/2019 2/26/2019 6/5/2018 Shares or Units of Stock That Have Not Vested (#) 11,119(3) Marianne D. Short Market Value of Shares or Units of Stock That Have Not Vested ($)(2) 5,583,295 2/22/2021 6 Andrew Witty Exercise/ Grant Price ($) Information Outstanding Equity Awards at 2021 Fiscal Year-End The following table presents information regarding outstanding equity awards held at the end of fiscal year 2021 by our named executive officers. Option Awards Stock Awards Equity Number of Number of Number of Date of Option Name Grant Securities Underlying Unexercised Options (#) Exercisable Securities Underlying Option Unexercised Options (#) Unexercisable Option 875,030 2/22/2021 9,939 ($)(1) Option Awards ($/Sh) Andrew Witty Annual Cash Incentive Award (2) 2,700,000 3,000,000 6,000,000 Performance Share Award (3)(4) 6/7/2021 RSU Award (3) 2/22/2021 Stock Option Award (3) 2 26 John F. Rex Annual Cash Incentive Award (2) Performance Share Award (3)(4) 6/7/2021 RSU Award (3) 2/22/2021 2,160,000 2,400,000 4,800,000 2.18000 20000 20000 21 and Option Awards 17,958 35.916 10.989 513 of Stock Grant Date Equity Incentive 2021 Grants of Plan-Based Awards The following table presents information regarding each grant of an award under our compensation plans made during 2021 to our named executive officers for fiscal year 2021. Estimated Future Payouts Under Non-Equity Incentive Plan Awards Name Grant Date Threshold ($) Target ($) Maximum ($) Threshold (#) (#) Estimated Future Payouts Under Equity Incentive Plan Awards Target Maximum (#) of Shares of Stock or Units (#) Options (#) All Other Stock Awards: Number All Other Option Awards: Number of Securities Underlying Exercise or Base Price of Fair Value 400.25 184_ 5.700.361 7,187,690 Brian R. Thompson Annual Cash Incentive Award (2) 1,800,000 2,000,000 4,000,000 Performance Share Award (3)(4) 6/7/2021 RSU Award (3) 2/22/2021 RSU Award (3) 6/7/2021 Stock Option Award (3) 2/22/2021 Stock Option Award (3) 6/7/2021 ||||| 10 6,559 13,118 4,006 2,625,240 1,312,526 1,312,525 2,850,024 12 327.64 | 8 Stock Option Award (3) 2/22/2021 Dirk C. McMahon Annual Cash Incentive Award (2) 2,160,000 2,400,000 4,800,000 Performance Share Award (3)(4) 6/7/2021 RSU Award (3) 2/22/2021 2:18080 248000 4800280 21 14242 28.404800003 Stock Option Award (3) 2/22/2021 །སྦྲ། 「༅། ། 14242 28,4840 40,703 327.64 21 2,850,024 40,703 5,700,361 Plan 11,774 Incentive Plan Awards: Market Value of Unearned Shares or Units That Have Not Vested ($)(2) 7,477,367 2,741(4) 1,376,366 1,612(4) 809,450 2,209(3) 1,109,227 6,559(5) 3,293,536 4,061(3) 2,039,191 3,199(3) 1,606,346 8,273(5) 4,154,204 1,069(3) 536,788 1,993(3) 880(3) 2,717(4) 1,000,765 441,883 1,364,314 5,622(5) 2,823,031 5,759(4) 2,891,824 2,242(4) 1,173(4) 8,190(4) 4,112,527 1,125,798 589,010 21,179(5) 10,634,823 6,377(4) 3,202,147 3,253(4) 1,633,461 2022 Proxy Statement | Outstanding Equity Awards at 2021 Fiscal Year-End 53 Board of Directors 2 Corporate Governance 14,891(5) 3 5,759(4) 2,891,824 8,437(4) 4,236,555 32,058(3) 400.25 302.20 12,024 12,025(3) 262.98 2/13/2018 17,680 5,894(3) 226.64 2/8/2017 31,539 160.31 David S. Wichmann 2/13/2020 45,594(3) 2/26/2019 2/13/2018 34,203(3) 16,355(3) 302.20 262.98 226.64 6/7/2021 6/7/2021 2/22/2021 8/12/2029 2/13/2020 2/26/2029 2/13/2020 2/13/2028 8/12/2019 2/8/2027 2/26/2019 2/13/2018 6/7/2031 6/7/2021 2/13/2030 6/7/2021 2/26/2029 2/13/2020 2/13/2028 2/26/2019 2/8/2027 2/13/2018 3/31/2026 2/13/2020 3/31/2026 2/13/2020 3/31/2026 2/26/2019 2/13/2018 2/10/2025 2/12/2024 2/22/2031 2/22/2021 2/13/2030 6/7/2021 2/26/2029 2/13/2020 2/13/2028 2/13/2020 2/8/2027 2/26/2019 2/9/2026 2/13/2018 2/10/2025 6/7/2031 2/22/2031 14,242(5) 7,151,478 10,686 Executive Compensation Other Vesting ($)(1) (#) 48,418 52,972 18,760,034 24,968 11,295,940 20,769 9,315,737 14,871 6,694,048 39,213 458,832 9,422,492 110,411,515(2) 16,611 7,464,946 45,520 20,719,074 (1) Computed by determining the market value per share of the shares acquired based on the difference between: (a) the per share market value of our common stock at exercise, defined as the closing price on the date of exercise, or the weighted average selling price if same-day sales occurred, and (b) the exercise price of the stock options. (2) For Mr. Wichmann, the amount reflects option awards granted over an eight-year period from 2013-2020. 2022 Proxy Statement | 2021 Option Exercises and Stock Vested 54 Information Value Realized on Vesting ($) 22,442,929 Annual Stock Awards Number of Shares Acquired on Value Realized on 4 Audit 5 6 Meeting Information (1) The expiration date shown is the latest date that stock options may be exercised. Stock options may terminate earlier in certain circumstances, such as in connection with the named executive officer's termination of employment. (2) Based on the per share closing market price of our common stock on December 31, 2021 of $502.14. (3) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date. (4) Vest 25% annually over a four-year period beginning on the first anniversary of the grant date, other than for retirement eligible executive officers. A portion of a retirement eligible executive officer's award that otherwise would have vested on the next specified vesting date is cancelled to pay applicable FICA taxes owed by the executive officer. The cancellation occurs in the year of grant if the executive officer is retirement eligible during that year or in the first year the executive officer becomes retirement eligible. The remainder of the award vests proportionally over the remaining vesting period. Mr. McMahon and Ms. Short are retirement eligible while Mr. Wichmann's equity grants are eligible for retirement treatment. (5) Vest 100% at the end of the three-year performance period. The number of performance shares the executive officer will receive is dependent upon the achievement of a cumulative EPS measure and an average ROE measure approved by the Compensation and Human Resources Committee. The number of performance shares reported above for grants made in 2021 and 2020 is at the target number established by the Compensation and Human Resources Committee because we currently believe that is the probable outcome based on the Company's performance through December 31, 2021. (6) Vest 20% annually over a five-year period beginning on the first anniversary of the grant date. 2021 Option Exercises and Stock Vested The following table presents information regarding the exercise of stock options during fiscal year 2021 by our named executive officers and vesting of performance shares and RSUs held by our named executive officers for fiscal year 2021. Name Andrew Witty John F. Rex Dirk C. McMahon Brian R. Thompson Marianne D. Short David S. Wichmann Option Awards Number of Shares Acquired on Exercise (#) Exercise Awards: Number of Unearned Shares or Units That Have Not Vested (#) 12,779(3) Marianne D. Short 14,242(5) 7,151,478 5,759(3) 2,891,824 14,891(5) 7,477,367 2/8/2017 43,561 160.31 2/8/2027 2/26/2019 6/7/2016 56,416 136.94 6/7/2026 2/13/2018 3,488(3) 1,751,464 1,465(3) 735,635 2/9/2016 31,623 111.16 2/9/2026 2/10/2015 25,504 2/12/2014 8,818(3) 4,427,871 44,757 2/22/2031 2/22/2021 2/13/2030 6/7/2021 2/26/2029 2/13/2020 2/13/2028 2/13/2020 7,367(3) 17,958(5) 9,017,430 6,845(3) 3,437,148 17,704(5) 8,889,887 1,549(3) 777,815 4,733(3) 2,376,629 2,275(3) 1,142,369 6/5/2018 17,329(6) 8,701,584 John F. Rex 2/22/2021 40,703(3) 2/13/2020 10,686 32,058(3) 327.64 302.20 2/26/2019 18,705 18,705(3) 262.98 2/13/2018 22,101 226.64 6/7/2021 2/13/2020 2/26/2019 Dirk C. McMahon 40,703(3) 18,745(3) 327.64 2/13/2020 5,936 17,811(3) 302.20 2/13/2030 8/12/2019 6,504 6,504(3) 243.20 2/26/2019 10,688 10,689(3) 262.98 2/13/2018 2/8/2017 13,260 4,421(3) 226.64 6,535 160.31 400.25 2/22/2021 9,939(3) Brian R. Thompson 2/13/2020 10,686 32,058(3) 108.97 70.24 327.64 302.20 2/26/2019 14,696 14,697(3) 262.98 2/13/2018 24,310 8,104(3) 226.64 2/8/2017 39,205 160.31 2/9/2016 56,921 111.16 2/10/2015 11,643 108.97 6/7/2021 2/22/2021 Meeting 2020 4 Audit The following table provides certain summary information for the years ended December 31, 2021, 2020 and 2019 relating to compensation paid or granted to, or accrued by us on behalf of our named executive officers. Name and Principal Position Year Salary ($)(2) Bonus ($) Andrew Witty (1) 2021 2021 Summary Compensation Table* 1,450,769 2020 418,846 550,000 2019 1,100,000 Stock Awards ($)(3) 10,781,573 8,025,223 2,675,007 Option Awards ($)(4) Non-Equity Incentive Plan Compensation ($)(5) Chief Executive Officer All Other Compensation During fiscal 2021, Mr. Flynn and Drs. Noseworthy and Wilensky served on the Compensation and Human Resources Committee. Dr. Montgomery Rice joined the Compensation and Human Resources Committee in February 2022, replacing Dr. Wilensky. None of these persons had ever been an officer or employee of the Company or any of its subsidiaries while serving on the Compensation and Human Resources Committee. Furthermore, during 2021, none of these persons served as a member of the Compensation and Human Resources Committee (or other board committee performing equivalent functions) or as a director of another entity where an executive officer of such entity served on our Compensation and Human Resources Committee or Board. Information Valerie C. Montgomery Rice, M.D. John H. Noseworthy, M.D. The members of the Compensation and Human Resources Committee listed above participated in the review, discussion and recommendation with respect to the Compensation Discussion and Analysis. 2022 Proxy Statement | Compensation and Human Resources Committee Report 47 Board of 2 Directors Compensation and Human Resources Committee Interlocks and Insider Participation Corporate Governance Executive Compensation Annual Other 4 Audit 5 6 Meeting 3 Timothy P. Flynn (Chair) Total ($) 1,000,000 6,750,241 2,250,044 2,500,000 96,777 12,597,062 and CFO 2019 2020 1,000,000 2,500,000 126,912 10,627,085 Dirk C. McMahon 2021 1,161,539 8,550,501 2,850,024 5,250,133 1,750,040 ($)(6) Executive Vice President 25,904 3,593,777 2,550,000 57,024 18,433,143 920,000 268,100 12,857,176 14,637,967 9,375,614 3,125,046 175,360 16,526,020 John F. Rex 2021 1,161,539 8,550,501 2,850,024 2,050,000 2,750,000 Members of the Compensation and Human Resources Committee The Compensation and Human Resources Committee has reviewed and discussed the above Compensation Discussion and Analysis with management. Based on its review and discussions, the Compensation and Human Resources Committee recommended to the Board of Directors that the Compensation Discussion and Analysis be included in the proxy statement and incorporated by reference into the Company's Annual Report on Form 10-K for the year ended December 31, 2021. This report was provided by the following independent directors who comprise the Compensation and Human Resources Committee: Compensation and Human Resources Committee Report The Company has entered into employment agreements with each of our named executive officers. These employment agreements are described in greater detail in “Executive Employment Agreements" and "2021 Summary Compensation Table." Other Compensation Practices Executive Stock Ownership Guidelines and Stock Retention Policy The Compensation and Human Resources Committee believes that executive stock ownership aligns management's interests with those of shareholders and fosters a long-term outlook, while also mitigating compensation risk. Under our stock ownership guidelines, each executive officer must beneficially own at least the following amounts of the Company's common stock within five years of the executive officer's election or appointment as an executive officer: • for the CEO, eight times base salary; for executive officers who are direct reports of the CEO, or the Chief Executive Officer of Optum or UnitedHealthcare, three times base salary; and Employment Agreements and Post-Employment Payments and Benefits for any other executive officers who are not direct reports of the CEO, two times base salary. 2022 Proxy Statement | Compensation Discussion and Analysis 45 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Stock options do not count towards satisfying the ownership requirements under the guidelines, regardless of their vesting status, and performance shares do not count towards satisfying the ownership requirements until they are vested. Time-based RSUs and restricted stock awards are counted toward the satisfaction of the ownership requirements. The Compensation and Human Resources Committee periodically reviews compliance with the ownership requirements. As of April 8, 2022, all of our named executive officers were in compliance with the ownership requirements. 4 Audit We generally do not provide excise tax gross-ups or perquisites to our executive officers. We have agreed to provide Andrew Witty with tax equalization payments to ensure that, as a U.S. non-resident, his overall tax obligation is the same as if he were taxed exclusively in the United Kingdom, including assistance in tax return preparation due to the complexity of multi-jurisdictional filing requirements. We generally prohibit personal use of corporate aircraft by any executive officer unless the Company is reimbursed for the full incremental cost to the Company of such use. Because there is no incremental cost to the Company, we permit on occasion an executive officer's family member to accompany the executive officer on a business flight on Company aircraft provided a seat is available. In addition to generally available benefits, our executive officers are eligible to receive supplemental long-term disability coverage equal to 60% of base salary, and all of our named executive officers receive supplemental group term life insurance coverage of $2 million. Executive officers are also eligible to participate in our non-qualified Executive Savings Plan. See the 2021 Non-Qualified Deferred Compensation table for additional information regarding contributions, earnings and distributions for each named executive officer under the Executive Savings Plan. Our Executive Savings Plan does not provide for guaranteed or above-market interest. In 2020, we discontinued providing company matching credits under this plan. 6 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Perquisites Other 5 6 Meeting Information The grant date fair values and terms of these equity awards are discussed in the 2021 Grants of Plan-Based Awards table. Please see the “Long-Term Incentive Compensation” section above for additional details regarding the rationale underlying the Compensation and Human Resources Committee's determination to award performance shares, RSUs and stock options. Other Compensation Benefits 4 Audit 5 6 Meeting We have a clawback policy that entitles the Board to seek reimbursement from any executive directly involved in misconduct causing a restatement of financials, detrimental conduct or violation of certain employment agreement provisions, including any non-compete, non-solicit or confidentiality provisions. Actions that trigger the clawback policy may require an executive to reimburse all or a portion of certain annual incentive payments and equity awards. The Board also has the right to cancel or reduce the executive's rights to any incentive payment or equity awards. In addition, our Compensation and Human Resources Committee retains discretion to adjust compensation for quality of performance, adherence to Company values and other factors. 2022 Proxy Statement | Compensation Discussion and Analysis 46 Board of Directors 2 Corporate Governance 3 We require executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any equity award granted; and Executive Compensation 4 Audit 5 6 Meeting Information Potential Impact on Compensation from Executive Misconduct/ Compensation Clawbacks If the Compensation and Human Resources Committee determines an executive officer has engaged in detrimental conduct as defined in the clawback policy, the Compensation and Human Resources Committee may take a range of actions to remedy the detrimental conduct prevent its recurrence and impose such discipline as would be appropriate, including, without limit: (i) terminating employment; (ii) initiating legal action against the executive officer; and (iii) requiring reimbursement of (or canceling or reducing) rights to any annual incentive payments or equity awards subject to the clawback policy. In addition, with respect to our senior executives, including our named executive officers, if the misconduct causes, in whole or in part, a material restatement of the Company's financial statements, action may include (a) seeking reimbursement of the entire amount of cash incentive compensation awarded to the executive officer, if the executive officer would have received a lower (or no) cash incentive award if calculated based on the restated financial results; (b) canceling all outstanding vested and unvested equity awards subject to the clawback policy and requiring the executive officer return to the Company all gains from equity awards realized during the 12-month period following the filing of the incorrect financial statements; and (c) seeking reimbursement of the entire amount of any bonus paid. As discussed in “Enterprise-Wide Incentive Compensation Risk Assessment,” a compensation risk assessment is performed annually and the results are reviewed with the Compensation and Human Resources Committee. Accounting and Tax Considerations Internal Revenue Code Section 162(m)(6) addresses the tax deductibility of compensation paid by health insurance providers, including the Company. Section 162(m)(6) provides an annual tax deduction limit of $500,000 per person per year for compensation that we pay to any of our employees, directors, officers and any other individuals who provide services to or on behalf of the Company. While the Compensation and Human Resources Committee considers the impact of Section 162(m)(6), it believes shareholder interests are best served by not restricting the Compensation and Human Resources Committee's discretion and flexibility in crafting the executive compensation program, even if non-deductible compensation expenses could result. The Compensation and Human Resources Committee also considers the accounting consequences of its compensation decisions. Annual • • We have stock ownership guidelines for our executive officers; Other Information The Board has established a stock retention policy for executive officers subject to Section 16 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which includes our named executive officers. Under this policy, Section 16 officers are generally required to retain for at least one year one-third of the net shares acquired upon the vesting or exercise of any equity awards. Transactions in Company Securities; Prohibition on Hedging, Short Sales and Pledging In general, SEC rules prohibit uncovered short sales of our common stock by our executive officers, including the named executive officers. Accordingly, our insider trading policy prohibits short sales and hedging transactions of our common stock by all employees and directors. Hedging transactions include, for example, purchase or sale of options (puts or calls, whether covered or uncovered), equity swaps or other derivatives directly linked to the Company's securities. Additionally, our insider trading policy prohibits pledging transactions by directors and executive officers and discourages our employees from pledging transactions. Consideration of Risk in Named Executive Officer Compensation Our compensation programs are balanced, focused on long-term pay-for-performance, allow for discretion and are overseen by an independent Compensation and Human Resources Committee. The Compensation and Human Resources Committee believes the design of the compensation program for our executive officers does not encourage excessive or unnecessary risk-taking, as illustrated by the following list of features: . • • Our annual cash bonus program includes a variety of financial and non-financial measures that require substantial performance on a broad range of initiatives; Our equity awards are delivered through a balanced mix of performance shares, RSUs and stock options to encourage sustained performance over time; A large majority of management compensation is delivered in long-term incentives that vest over multiple years; • No duplicative metrics between annual and long-term incentive programs; • Payouts are capped under the annual incentive and performance share programs; • 2,050,000 31,424 Other President and Chief Amount of Annual Cash Incentive Award Deferred ($) ($) 2,550,000 2,050,000 2,050,000 123,000 1,700,000 1,030,000 Total Amount of Annual Cash Incentive Award 2022 Proxy Statement | 2021 Summary Compensation Table 49 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Meeting Other Board of Directors 6 Marianne D. Short Dirk C. McMahon Dirk C. McMahon Brian R. Thompson Marianne D. Short Restricted Stock Units ($) 3,593,883 Performance Shares Target Maximum ($) ($) Brian R. Thompson 7,187,690 14,375,380 See the 2021 Grants of Plan-Based Awards table for more information on stock awards granted in 2021. (4) The actual value to be realized by a named executive officer depends upon the performance of the Company's stock and the length of time the award is held. No value will be realized with respect to any award if the Company's stock price does not increase following the award's grant date or if the executive officer does not satisfy the vesting criteria. The amounts reported in this column for 2021 reflect the aggregate grant date fair value of stock options granted in 2021 computed in accordance with FASB ASC Topic 718. For a description of the assumptions used in computing the aggregate grant date fair value, see Note 11 to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2021. (5) Amounts reported reflect annual cash incentive awards to our named executive officers under our 2008 Executive Incentive Plan. The 2021 annual incentive awards, including amounts deferred by the named executive officers, were the following: Name Andrew Witty John F. Rex 2,850,140 5,700,361 11,400,722 2,850,140 5,700,361 11,400,722 2,187,873 2,625,240 5,250,480 1,125,103 2,250,206 4,500,412 Information (6) All other compensation for 2021 includes the following: Company Matching Tax Equalization and Tax Return Preparation ($) 46,704 As permitted by SEC rules, we have omitted perquisites and other personal benefits that we provided to certain named executive officers in 2021 if the aggregate amount of such compensation to each such named executive officer was less than $10,000. The Company provided each of the named executive officers a $2 million face value term life insurance policy. Andrew Witty is provided with tax equalization pursuant to the Company's tax equalization policy to ensure that as a U.S. non-resident, his overall tax obligation is the same as if he were taxed exclusively in the United Kingdom. This policy also provides assistance in preparation of tax returns due to the complexity of multi-jurisdictional filing requirements. The terms of Mr. Wichmann's employment agreement provided for payments approximating his most recent base salary and non-equity incentive compensation award for a two-year period following departure and is subject to restrictive covenants, including non-competition and non-solicitation provisions during this two-year period. Pursuant to applicable SEC rules, the entire amount payable to Mr. Wichmann over the two-year period is included in the table. The amount set forth in this footnote for Mr. Wichmann is consistent with the disclosures made in the Company's 2021 proxy statement. Mr. Wichmann has not been provided with any additional compensation since his departure from the Company in 2021. 10,812,000 2022 Proxy Statement | 2021 Summary Compensation Table 50 2 Corporate Governance 3 Executive Compensation Annual 14,643,488 Other Board of Directors 2,966 13,050 49,440 Andrew Witty John F. Rex Dirk C. McMahon Brian R. Thompson Marianne D. Short David S. Wichmann Contributions Under 401(k) Savings Plan ($) Insurance Premiums ($) Separation Pay ($) 10,320 13,050 12,854 13,050 18,374 13,050 6,134 13,050 John F. Rex Andrew Witty Name (3) The amounts reported in this column reflect the aggregate grant date fair value of the RSUs and performance shares (at target) granted in 2021, 2020 and 2019 and are computed in accordance with FASB ASC Topic 718, based on the closing stock price on the grant date. The grant date fair value of RSUs granted in 2021 and the grant date fair value of performance shares granted in 2021 if target performance and maximum performance were achieved are as follows: Executive Vice President 2020 and CEO, UnitedHealthcare 2019 Marianne D. Short(1) 2021 844,231 19,184 Executive Vice President 850,000 and Chief Legal Officer 2019 850,000 3,375,309 1,125,063 2,250,181 2,250,044 3,375,085 1,125,012 1,030,000 62,490 2020 6,437,093 1,700,000 951,154 2020 1,000,000 Name 6,750,241 2,250,044 2,500,000 106,199 12,606,484 4,813,113 2,187,555 Operating Officer 896,154 4,125,367 1,375,005 2,500,000 70,454 8,966,980 Brian R. Thompson 2021 2019 1,500,000 9,671,006 6,938,530 Please see "Compensation Discussion and Analysis" above for a description of our executive compensation program necessary for an understanding of the information disclosed in this table. Please also see "Executive Employment Agreements" below for a description of the material terms of each named executive officer's employment agreement. (1) All principal positions set forth above are as of December 31, 2021. Andrew Witty has served as Chief Executive Officer of the Company since February 3, 2021. David Wichmann served as Chief Executive Officer of the Company until February 2, 2021. Mr. Wichmann has not been provided with any additional compensation since his departure from the Company in 2021. Mr. Wichmann entered into an Amended and Restated Employment Agreement with the Company on December 1, 2014, and an Amendment to Employment Agreement on August 16, 2017. Mr. Wichmann's employment ended on March 31, 2021. The terms of his employment agreement provide for him 2022 Proxy Statement | Interlocks and Insider Participation | 2021 Summary Compensation Table 48 Board of Directors 2 3 Executive Compensation Annual Other 4 Audit 5 6 Meeting 88,305 Information to receive payments equal to his most recent base salary and non-equity incentive compensation award for a two- year period following his departure and for him to be subject to restrictive covenants, including non-competition and non-solicitation provisions. These terms are the same as the disclosures made in our 2021 proxy statement, and no modification to these terms has been made since that filing. Ms. Short retired as Executive Vice President and Chief Legal Officer on February 28, 2022. (2) Amounts reported reflect the base salary earned by named executive officers in the years ended December 31, 2021, 2020 and 2019. Amount reported for Mr. Wichmann for 2021 include $23,585 deferred by Mr. Wichmann under our Executive Savings Plan. * 18,886,989 Corporate Governance 17,872,713 6,963,677 David S. Wichmann (1) Former CEO 2021 393,077 10,828,016 113,580 1,400,000 11,221,093 1,500,000 1,384,615 9,600,592 3,200,038 9,600,348 3,200,033 3,500,000 4,500,000 172,083 201,993 2019 4,800,000 4,800,000 4,800,000 Annual Cash Incentive (1) 7,412,000 67,853,241 65,778,493 6,000,000 67,853,241 Continued Equity Vesting (2) Total (3) 6,000,000 6,000,000 6,000,000 2,000,000 900,000 58,878,493 58,878,493 66,878,493 Change 56,897,821 7,232,000 Disability Retirement In Control ($) Death ($) For Good Reason or Not For Cause ($) John F. Rex Insurance Benefits Cash Payments 64,129,821 2,000,000 50,614,976 35,585,400 Cash Payments 4,612,000 Brian R. Thompson Insurance Benefits Annual Cash Incentive (1) 4,800,000 4,800,000 4,800,000 2,000,000 720,000 35,943,538 35,943,538 43,202,976 43,202,976 42,743,538 41,463,538 48,002,976 43,202,976 Total(3) 43,202,976 Continued Equity Vesting (2) Continued Equity Vesting (2) Annual Cash Incentive (1) 7,412,000 Cash Payments Dirk C. McMahon 44,451,085 43,991,647 42,711,647 4,800,000 44,451,085 42,997,400 Total (3) 720,000 37,191,647 37,191,647 Insurance Benefits Annual Cash Incentive (1) Board of Directors Andrew Witty Meeting 6 5 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 2022 Proxy Statement | Executive Employment Agreements 56 Each employment agreement and each executive officer's employment may be terminated (a) by mutual agreement, (b) by the Company with or without Cause, (c) by the executive officer, and (d) upon the executive officer's death or disability that renders him or her incapable of performing the essential functions of his or her job, with or without reasonable accommodation. Each executive officer may also terminate his or her employment agreement and employment at any time for Good Reason. If the executive officer's employment is terminated by the Company without Cause or by the executive officer for Good Reason, the Company will provide the executive officer with outplacement services consistent with those provided to similarly situated executives and pay the executive officer severance compensation equal to the sum of (a) 200% of his or her annualized base salary as of his or her termination date, (b) 200% of the average of his or her last two calendar year bonuses, or if termination occurs within two years from the start of employment with the Company, 200% of his or her target incentive, excluding any equity awards and any special or one-time bonus or incentive compensation payments, and (c) $12,000 to offset the costs of benefit continuation coverage. The severance compensation will be payable over a 24-month period. In addition, if the Company terminates Mr. Rex's employment Termination Provisions (3) Annual benefit covers 60% of eligible base salary in the event of a qualifying long-term disability, subject to the terms of the policy. (2) Benefit provided at the Company's expense. ✓ Insurance Benefits ✓ (1) Any adjustments to base salary, actual bonuses payable and stock-based awards are at the discretion of the Compensation and Human Resources Committee. Information Cash Payments without Cause, or if Mr. Rex terminates employment for Good Reason, Mr. Rex has the option to remain employed in an advisory capacity for one year (at his then-current annual base salary and target bonus) following notification of termination. As defined in each executive officer's employment agreement, "Cause” means (a) material failure to follow the Company's reasonable direction, or to perform any duties reasonably required on material matters; (b) material violation of, or failure to act upon or report known or suspected violations of, the Company's Code of Conduct; (c) conviction of any felony, commission of any criminal, fraudulent or dishonest act, or any conduct that is materially detrimental to the Company's interests, or (d) material breach of the employment agreement. The Company must provide the executive office with written notice of Cause within 120 days of discovery, and the executive will have 60 days to remedy the conduct, if the conduct is reasonably capable of being remedied. Name Other Information 6 Annual Meeting Compensation 4 Audit 3 Executive Corporate Governance Directors 2 Board of 2022 Proxy Statement | Potential Payments Upon Termination or Change in Control 57 The following table describes the potential payments to named executive officers upon termination of employment or a change in control of the Company as of December 31, 2021, except for Mr. Wichmann because he was not employed by the Company as of December 31, 2021. Please see the Summary Compensation Table for a description of the payments to which Mr. Wichmann was entitled pursuant to the terms of his employment agreement. Amounts are calculated based on the benefits available to the named executive officers under existing plans and arrangements, including each of their employment agreements described under "Executive Employment Agreements" and "2021 Summary Compensation Table." Potential Payments Upon Termination or Change in Control Please see the 2021 Summary Compensation Table for a description of Mr. Wichmann's employment agreement. Each executive officer is subject to provisions prohibiting his or her solicitation of the Company's employees and customers or competing with the Company during the term of the employment agreement and for two years following termination of employment for any reason. In addition, each executive officer is prohibited at all times from disclosing Company confidential information. Non-Solicitation, Non-Competition and Confidentiality Provisions As defined in each executive officer's employment agreement, “Good Reason” exists if the Company (a) reduces the executive officer's base salary or long- or short-term target bonus percentage other than in connection with a general reduction affecting a group of similarly situated employees, (b) moves the executive officer's primary work location more than 50 miles, or (c) makes changes that substantially diminish the executive officer's duties or responsibilities. For Messrs. Witty, Rex and McMahon and Ms. Short, "Good Reason" also exists if the Company changes the executive officer's reporting relationship. For Mr. Rex, "Good Reason" also exists if the Company makes changes resulting in Mr. Rex no longer serving as both Chief Financial Officer of the Company and as a member of the Office of the Chief Executive Officer. The executive officer must provide the Company with written notice of the circumstances constituting Good Reason within 120 days of discovery, and the Company will have 60 days to remedy the circumstances, if they are reasonably capable of being remedied. Material Definitions Continued Equity Vesting (2) 3 4,000,000 4,000,000 2,000,000 600,000 23,905,515 23,905,515 65% United 21% Americas (Non-U.S.) 27% By Geography 5-10 years 25% 10+ years 1 year 16% 1-2 years Less than 11% By Tenure 21% A summary of our workforce population is provided in the charts below: We have a broad and diverse workforce with approximately 59% of the people represented in three key talent pillars (38% clinicians, 12% customer-facing employees and 9% information and computer technologists). Our median employee (one of our customer-facing employees) is a non-exempt, full-time employee who works within our operations function as a customer service representative lead in the United States. Information Meeting 6 Other States Annual 2-5 years Pacific "Resolved, the shareholders approve, on an advisory basis, the compensation of the named executive officers, as disclosed in this proxy statement pursuant to the compensation disclosure rules of the SEC, including the Compensation Discussion and Analysis, the compensation tables and the related narrative disclosures." The Compensation Discussion and Analysis, compensation tables and related narrative disclosures appear on pages 32-61 of this proxy statement. Generally available employee benefit programs The Board of Directors recognizes the significant interest of shareholders in executive compensation matters. As required by Section 14A of the Exchange Act, we are seeking shareholders' views on our executive compensation philosophy and practices through an advisory vote on the following resolution at the Annual Meeting: PROPOSAL 2: Advisory Approval of the Company's Executive Compensation Information Meeting 6 5 4 Audit Other Annual Executive Compensation Corporate Governance Directors 2 Board of 60 2022 Proxy Statement | CEO Pay Ratio 14% Asia - 22,046,864 4 Audit 3 2022 Proxy Statement | Potential Payments Upon Termination or Change in Control 58 (2) Represents the (i) unvested RSUs multiplied by the closing stock price on December 31, 2021 ($502.14), (ii) intrinsic value of the unvested stock options, which is calculated based on the difference between the closing price of our stock on December 31, 2021 ($502.14) and the exercise or grant price of the unvested stock options as of that date, and (iii) the number of performance shares earned if target performance is achieved multiplied by the closing stock price on December 31, 2021 ($502.14). If maximum performance is achieved for the performance shares, the amounts for Continued Equity Vesting would be (a) for "For Good Reason or Not for Cause," $74,805,137 for Mr. Witty; $50,214,245 for Mr. Rex; $57,831,821 for Mr. McMahon; $29,494,605 for Mr. Thompson; and $23,828,434 for Ms. Short; (b) for “Death” and “Disability,” $67,811,061 for Mr. Witty; $44,561,054 for Mr. Rex; $43,312,945 for (1) Represents the maximum amount the Compensation and Human Resources Committee may in its discretion determine, but is not required, to pay the executive officer (or the executive officer's estate, if applicable) based upon a prorated portion of the award the executive officer would have received but for his death, disability or retirement, calculated at the achievement of the maximum performance target, as more fully described in footnote 2 to the 2021 Grants of Plan-Based Awards table. For the purposes of this table, the potential amounts have not been prorated because the table assumes a death, disability or retirement as of December 31, 2021. 19,123,382 19,123,382 21,005,403 21,005,403 23,553,382 22,093,382 23,435,403 21,005,403 2,430,000 2,430,000 2,430,000 Total(3) 21,005,403 25,817,403 Continued Equity Vesting (2) 540,000 2,000,000 Insurance Benefits Annual Cash Incentive (1) 4,812,000 Cash Payments Marianne D. Short 27,485,271 29,905,515 28,505,515 4,000,000 27,485,271 26,658,864 Total (3) 4,000,000 Board of Directors Executive Compensation 2 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | CEO Pay Ratio 59 We consistently applied total cash compensation as the measure to determine the median employee in our global employee population as of October 1, 2021. That workforce population consisted of 333,499 global full-time, part-time, temporary and seasonal employees employed on that date. 113,443 of those employees were located outside the United States and we then applied the de minimis exemption to exclude 15,384 employees in Chile (4.6% of our global employee population). Our enterprise-wide Company compensation philosophy is designed to attract and retain high-quality talent and provide market-competitive total compensation opportunities that support our pay-for-performance culture. Actual pay practices vary for employees by level and geographic location based on competitive market factors. The most significant difference in the pay practices for our CEO versus our median employee is the use of variable/at-risk compensation. For purposes of reporting annual total compensation and the ratio of annual total compensation of our CEO to our median employee, both the CEO and median employee's annual total compensation were calculated consistent with the Summary Compensation Table executive compensation disclosure requirements, plus the value of employer-paid health insurance contributions. Our median employee compensation was $61,379 and our CEO's compensation was $18,448,785. Accordingly, our CEO to median employee pay ratio is 301:1. We made significant investments in our employee population in 2021 and as a result we saw a meaningful (~10%) increase in the compensation of our median employee. As required by Section 953(b) of the Dodd-Frank Wall Street Reform and Consumer Protection Act, we are providing the following information about the relationship between the annual total compensation of our median employee and the annual total compensation of our CEO. CEO Pay Ratio (3) Does not include the value of benefits, plans or arrangements that would be paid or available following termination of employment that do not discriminate in scope, terms or operation in favor of our executive officers and that are generally available to all salaried employees or accrued balances under any non-qualified deferred compensation plan that is described above. For "For Good Reason or Not for Cause," the amount includes the value of unvested equity awards held by the named executive officer that will not immediately vest upon termination but will continue to vest through any applicable severance period. For "Retirement,” the amount includes the value of certain unvested equity awards granted in 2018, 2019, 2020 and 2021 that will continue to vest and be exercisable for a period of five years (but not after the award's expiration date). The value of the awards that will not immediately vest is based on their intrinsic values on December 31, 2021. However, because these awards would continue to vest after termination of employment or retirement, the actual value the named executive officer would receive is not determinable. At December 31, 2021, Mr. McMahon and Ms. Short had met the retirement eligibility provisions. For additional information regarding termination provisions applicable to equity awards granted under our 2020 Stock Incentive Plan, see footnote 3 to the 2021 Grants of Plan Based Awards table. Mr. McMahon; $27,773,499 for Mr. Thompson; and $20,064,392 for Ms. Short; (c) for "Retirement," $57,831,821 for Mr. McMahon; and $23,828,434 for Ms. Short; and (d) for "Change in Control,” $85,760,557 for Mr. Witty; $59,079,930 for Mr. Rex; $57,831,821 for Mr. McMahon; $34,933,012 for Mr. Thompson; and $23,828,434 for Ms. Short. Information Meeting 6 Other Annual 4 Audit Executive Compensation Corporate Governance ✓ Other Long-term disability policy (2)(3) 8,324,000 ($) 16,992,000 2020 26,666,000 1,002,000 25,664,000 7,897,000 17,767,000 ($) 2021 Total All Other Fees (4) Tax Fees (3) Total Audit and Audit-Related Fees Audit-Related Fees (2) Audit Fees (1) Fee Category Disclosure of Fees Paid to Independent Registered Public Accounting Firm Aggregate fees billed to the Company for the fiscal years ended December 31, 2021 and 2020, represent fees billed by the Company's principal independent registered public accounting firm, Deloitte & Touche LLP, the member firms of Deloitte Touche Tohmatsu, and their respective affiliates, which includes Deloitte Consulting (collectively, "Deloitte"). The Audit and Finance Committee pre-approved the audit and non-audit services provided in the years ended December 31, 2021 and 2020, by Deloitte, as reflected in the table below. Information 25,316,000 Meeting 1,536,000 27,015,000 Information Meeting 6 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Independence of Independent Registered Public Accounting Firm | Audit and Non-Audit Services Approval Policy 64 The Audit and Finance Committee has adopted a Policy for Approval of Independent Auditor Services outlining the scope of services Deloitte may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining Deloitte to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services which may not be performed by Deloitte under any circumstances. Pursuant to these guidelines, the Audit and Finance Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. The Audit and Finance Committee has delegated authority to the Chair of the Audit and Finance Committee to pre-approve permitted audit and non-audit services between regularly scheduled quarterly Audit and Finance Committee meetings, provided such pre-approvals are presented to the Audit and Finance Committee at its next scheduled meeting. All fees reported above were approved pursuant to the Policy. The services provided by our independent registered public accounting firm and related fees are discussed with the Audit and Finance Committee, and the Policy is evaluated and updated periodically by the Audit and Finance Committee. Audit and Non-Audit Services Approval Policy The Audit and Finance Committee has reviewed the nature of non-audit services provided by Deloitte and has concluded these services are compatible with maintaining the firm's ability to serve as our independent registered public accounting firm. Audit and Finance Committee's Consideration of Independence of Independent Registered Public Accounting Firm (4) All Other Fees include consulting fees. (3) Tax Fees include tax compliance, planning and support services. In 2021 and 2020, approximately $166,000 and $528,000, respectively, of Tax Fees were related to international tax services, approximately $598,000 and $719,000, respectively, of Tax Fees were for tax operating model design services and audit support and approximately $238,000 and $289,000, respectively, of Tax Fees were related to tax compliance (review and preparation of corporate tax returns, review of the tax treatment for certain expenses and claims for refunds). (1) Audit fees for 2021 and 2020 include the audit of our consolidated financial statements and internal control over financial reporting, quarterly reviews, other statutory and legal entity audits, and consultations on technical matters. (2) Audit Related Fees for 2021 and 2020 include service organization controls (SOC) reports, benefit plan audits, assurance services for one of our subsidiaries, and certain AICPA agreed upon procedures. Audit Related Fees for 2020 also included due diligence services. 163,000 2021 Non-Qualified Deferred Compensation 6 4 Audit 62 2022 Proxy Statement | Audit and Finance Committee Report Management represented to the Committee that the Company's consolidated financial statements were prepared in accordance with GAAP. The Committee has reviewed and discussed with management and Deloitte in separate sessions the Company's consolidated financial statements for the years ended December 31, 2021, 2020 and 2019, management's annual report on the Company's internal control over financial reporting and Deloitte's attestation. The Committee discussed with management and Deloitte the process used to support certifications by the Company's CEO and CFO as required by the SEC and the Sarbanes-Oxley Act of 2002 to accompany the The Committee has adopted a Policy for Approval of Independent Auditor Services (the "Policy") outlining the scope of services the independent registered public accounting firm may provide to the Company. The Policy sets forth guidelines and procedures the Company must follow when retaining the independent registered public accounting firm to perform audit, audit-related, tax and other services. The Policy also specifies certain non-audit services that may not be performed by the independent registered public accounting firm under any circumstances. Pursuant to these guidelines, the Committee approves fee thresholds annually for each of these categories, and services within these thresholds are deemed pre-approved. The Committee engages with the Company's independent registered public accounting firm and the internal auditors regarding the overall scope and plans for their respective audits. The Company's independent registered public accounting firm is responsible for performing an independent audit of the Company's consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States), expressing an opinion as to the conformity of the consolidated financial statements with generally accepted accounting principles ("GAAP") in the United States of America, and auditing management's assessment of the effectiveness of internal control over financial reporting. The Committee's responsibility is to monitor and oversee these processes and to oversee management's processes to identify and quantify material risks facing the Company, including risks disclosed in the Company's Annual Report on Form 10-K. The Committee meets regularly with the internal auditors and independent registered public accounting firm, with and without management present, to discuss the results of their examinations, the evaluation of the Company's internal control over financial reporting and the overall quality of the Company's accounting and reporting. The Committee has responsibility for selecting and evaluating the independent registered public accounting firm, which reports directly to the Committee, overseeing the performance of the Company's internal audit function, and assisting the Board of Directors in its oversight of enterprise risk management, privacy, cyber security, data protection, ethics and compliance. Management has primary responsibility for the Company's consolidated financial statements and the overall reporting process, for maintaining adequate internal control over financial reporting and, with the assistance of the Company's internal auditors, for assessing the effectiveness of the Company's internal control over financial reporting. Deloitte & Touche LLP ("Deloitte") has served as the Company's independent registered public accounting firm since 2002. The Audit and Finance Committee (the “Committee”) of our Board of Directors is comprised of three non- employee directors, all of whom are audit committee financial experts, as defined by the SEC. The Board of Directors has determined all of the members of the Committee are independent within the meaning of the listing standards of the NYSE, the rules of the SEC and the Company's Standards for Director Independence. The Committee operates under a written charter adopted by the Board of Directors accessible in the corporate governance section of our website at www.unitedhealthgroup.com/About/Corporate Governance.aspx. Audit and Finance Committee Report Audit Other Information Annual Meeting 4 Audit Executive Compensation Corporate Governance 2 Board of Directors 2022 Proxy Statement | PROPOSAL 2: Advisory Approval of the Company's Executive Compensation 61 The Board of Directors recommends you vote FOR approval of the compensation of the named executive officers, as disclosed in this proxy statement. Executed proxies will be voted FOR approval of the compensation of the named executive officers unless you specify otherwise. As discussed in the Compensation Discussion and Analysis, the Board of Directors believes our executive compensation program attracts and retains highly qualified executives while linking executive compensation directly to Company-wide performance and long-term shareholder interests. In deciding how to vote on this proposal, the Board of Directors asks you to consider the key points with regard to our executive compensation program included in the Compensation Discussion and Analysis and in the "Executive Summary" section on pages 29-31 of this proxy statement. Following our 2021 say on pay vote, we sought feedback from shareholders to better understand what motivated their votes and what actions we could take to address their concerns about our executive compensation program. We were pleased to hear strong shareholder support of the overall design of our executive compensation program as well as the Company's overall pay-for-performance. Shareholders overwhelmingly did not indicate a desire for broad changes to our program design. For more information on our engagement program and changes made to respond to the 2021 Say on Pay vote, please see pages 33-34 under the heading "Our 2021 Say on Pay Vote; Shareholder Engagement." This advisory proposal, commonly referred to as a "Say on Pay" proposal, is not binding on the Board of Directors. Although the voting results are not binding, the Board and the Compensation and Human Resources Committee will review and consider them when evaluating our executive compensation program. Board of Directors 5 2 Executive Compensation Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Audit and Finance Committee Report 63 Paul R. Garcia Michele J. Hooper F. William McNabb III, Chair Members of the Audit and Finance Committee Based upon the Committee's review of the financial statements, its independent discussions with management and Deloitte, and its review of the representation of management and the report of the independent registered public accounting firm, and subject to the limitations of its role, the Committee recommended to the Board of Directors that the audited consolidated financial statements for the years ended December 31, 2021, 2020 and 2019 be included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2021 filed with the SEC. The Committee discussed with Deloitte matters required to be discussed by the applicable Public Company Accounting Oversight Board standards and Rule 2-07 of Regulation S-X. Deloitte provided to the Committee the written disclosures and the letter required by applicable requirements of the Public Company Accounting Oversight Board regarding Deloitte's communications with the Committee concerning independence, and the Committee discussed with Deloitte the accounting firm's independence. In considering the independence of Deloitte, the Committee took into consideration whether the provision of non-audit services is compatible with maintaining the independence of Deloitte. In connection with its selection of Deloitte as the Company's independent registered public accounting firm for the year ending December 31, 2022, the Committee conducted a performance evaluation of Deloitte's services. Company's periodic filings with the SEC and the process used to support management's annual report on the Company's internal controls over financial reporting. Information Meeting 4 Audit Annual Corporate Governance ✓ The following table presents information as of the end of 2021 regarding the non-qualified deferred compensation arrangements for our named executive officers for fiscal year 2021. ($)(1)(2) (b) John F. Rex Andrew Witty Compensation Component Summary of Compensation Components We have entered into an employment agreement with each of the named executive officers. The table below and the narrative that follows summarize the material terms of their respective employment agreements. Executive Employment Agreements 1,670,620 4,783,867 420,000 1,100,203 Reported Amount Previously David S. Wichmann Brian R. Thompson Marianne D. Short Dirk C. McMahon John F. Rex Andrew Witty Name (6) This column includes the amounts shown in column (b) as well as the following amounts reported in the summary compensation table for prior years: Information Dirk C. McMahon Meeting Base salary(1) Marianne D. ✓ ✓ ✓ ✓ ✓ $2 million term life insurance policy (2) ✓ ✓ ✓ ✓ Stock-based awards (1) ✓ ✓ ✓ Participation in incentive compensation plans (1) ✓ ✓ ✓ Short Brian R. Thompson Executive Contributions in Last FY 6 Annual 150,000 David S. Wichmann Marianne D. Short Brian R. Thompson Dirk C. McMahon John F. Rex Name (a) Andrew Witty ($)(5) (e) ($)(4) (d) ($)(1)(3) (c) (f) ($)(6) Last FYE Distributions Balance at Aggregate Withdrawals/ Aggregate Earnings in Last FY Registrant Contributions in Last FY Aggregate 233,585 Other — 331,681 4 Audit Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | 2021 Non-Qualified Deferred Compensation 55 (5) Under our Executive Savings Plan, unless an employee in the plan elects to receive distributions during the term of his or her employment with the Company, benefits will be paid no earlier than at the beginning of the year following the employee's termination. However, upon a showing of severe financial hardship, an employee may be allowed to access funds in his or her deferred compensation account earlier. Benefits can be received either as a lump sum payment, in five or ten annual installments, in pre-selected amounts and on pre-selected dates or a combination thereof. An employee may change his or her election with respect to the timing and form of distribution for such deferrals under certain conditions. However, for deferrals relating to services performed on or after January 1, 2004, employees may not accelerate the timing of the distributions. (4) Amounts deferred are credited with earnings from measuring investments selected by the employee from a predetermined collection of unaffiliated mutual funds identified by the Company. The Executive Savings Plan does not credit above market earnings or preferential earnings to amounts deferred. Employees may change their selection of measuring investments on a daily basis. (3) For amounts deferred prior to 2020, for the first 6% of the employee's base salary and annual incentive award deferrals under our Executive Savings Plan, the Company provided a matching credit of up to 50% of amounts deferred at the time of each deferral. Company matching credits were discontinued in 2019. (1) All amounts in these columns have been reported as compensation in the 2021 Summary Compensation Table. (2) Named executive officers are eligible to participate in our Executive Savings Plan, which is a non-qualified deferred compensation plan. Under the plan, employees may defer up to 80% of their eligible annual base salary (100% prior to January 1, 2007) and up to 100% of their annual cash incentive awards. Amounts deferred, including Company credits, are credited to a bookkeeping account maintained for each participant, and are distributable pursuant to an election made by the participant as to time and form of payment that is made prior to the time of deferral. The Company maintains a Rabbi Trust for the plan. The Company's practice is to set aside amounts in the Rabbi Trust to be used to pay for all benefits under the plan, but the Company is under no obligation to do so except in the event of a change in control. 17,674,674 2,421,859 1,357,756 2,421,380 2,677,037 3,926,597 180,017 177,671 491,483 In addition to our annual advisory vote to approve the Company's executive compensation, we are committed to ongoing engagement with our shareholders on executive compensation and corporate governance issues. These engagement efforts take place throughout the year where appropriate through meetings, telephone calls and correspondence involving our senior management, directors and representatives of our shareholders. Executive Compensation 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 74 For these reasons, the Board of Directors recommends you vote AGAINST the proposal. Executed proxies will be voted AGAINST this proposal unless you specify otherwise. Our shareholders are able to effectively express their views on our executive compensation through our annual say on pay advisory vote and NYSE's requirement to seek shareholder approval of equity compensation plans. The proposal's request for a shareholder vote on a specific component of the Company's executive compensation program is duplicative of these opportunities and goes beyond what is already required by SEC and NYSE rules. As a result, this proposal is unnecessary. The proposal could put us at a competitive disadvantage in attracting and retaining highly qualified executives. Calling a special meeting of shareholders to obtain approval of a severance arrangement would be expensive, time- consuming and could place the Company at a competitive disadvantage in recruiting qualified candidates. approximately 75% of total target compensation for our named executive officers in the aggregate. By encouraging stock ownership and rewarding long-term growth, our compensation program focuses management on shareholder value creation. Performance-based awards provide incentives to put forth maximum efforts for the Company's success. Our executive compensation program has served our stakeholders well, as shown by sustained performance over time, including total shareholder return of 947% from 2012 through 2021. Information Meeting 6 Other Annual 4 Audit Executive Compensation 3 2022 Proxy Statement | PROPOSAL 4: Shareholder Proposal Seeking Shareholder Ratification of Termination Pay 68 Corporate Governance Board of Directors 2022 Proxy Statement | PROPOSAL 4: Shareholder Proposal Seeking Shareholder Ratification of Termination Pay 67 Equity awards are a fundamental component of executive compensation programs. Total target compensation granted in 2021 to our named executive officers was weighted towards long-term equity compensation, which represents Since the proposal would include the value of outstanding equity awards in the severance multiple, the Board believes the proposal would effectively prevent the Company from using long-term equity in its compensation plans. This would directly conflict with the objective of aligning shareholder and executive interests. Shareholder interests are best protected by providing flexibility to the Compensation and Human Resources Committee to assess the needs of the Company, the competition for talent and other relevant factors in making decisions regarding benefits for executives - all within a clearly defined set of principles. The Compensation and Human Resources Committee is composed entirely of independent directors and is advised regularly by an independent compensation consultant. Our Board believes the Company's current executive compensation policies and practices align the interests of our executives with those of our shareholders and provide appropriate limits on post-termination compensation. The proposal prevents the Company from using long-term equity awards which are effective in maximizing long-term shareholder value. The proposal would restrict our ability to structure executive compensation effectively. The benefits covered by the shareholder proposal include not only cash payments but also the value of outstanding equity awards that accelerate upon a termination event. We do not offer accelerated vesting of equity awards when termination is without cause or for good reason. We provide accelerated vesting of equity awards in the limited situations of death, disability, or, in the event of a change of control of the Company, when an executive's termination is without cause or for good reason (i.e., double-trigger). These limited acceleration provisions were approved by our shareholders and are considered to be appropriate and consistent with market practices. These provisions do not penalize executives or their families in the rare and unfortunate event of their disability or death. In the event of a change of control of the Company, these provisions are designed to incent our executive officers to remain with the Company and maximize value for our shareholders. The Company offers executives accelerated vesting of equity awards only in very limited situations which are consistent with market practices. The proposal is unnecessary. The total estimated value of the cash severance benefits provided in employment agreements with our executive officers is well below the 2.99x cap the proposal seeks. The Company's termination policy and payment are appropriate. The Board of Directors unanimously recommends a vote AGAINST the foregoing proposal for the following reasons: We have carefully considered this proposal and have concluded it is unnecessary and not in the best interests of the Company and its shareholders. Board of Directors' Recommendation 2 Board of 2 Directors Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | PROPOSAL 5: Shareholder Proposal Regarding Political Contributions Congruency Report 69 Shareholders request that UHG publish an annual report, at reasonable expense, analyzing the congruency of political, lobbying, and electioneering expenditures during the preceding year against publicly stated company values and policies, listing and explaining any instances of incongruent expenditures, and stating whether the identified incongruencies have led to a change in future expenditures or contributions. Resolved: Proponents believe that UHG should establish policies and reporting systems that minimize risk to the firm's reputation and brand by addressing possible missteps in corporate electioneering and political spending that contrast with its stated healthcare and environmental objectives. UHG has stated “Reducing carbon emissions has been a long-standing priority for our company." Yet it is a member of the U.S. Chamber of Commerce, which has consistently lobbied to roll back climate regulations and promote regulatory frameworks that would slow the transition towards a lower-carbon economy. Additionally, a Bloomberg analysis found that between the 2018 midterms and October 2020, for every dollar UHG contributed to climate-friendly members of Congress, it donated $1.67 to members characterized as "ardent obstructionists" of proactive climate policy. Although UHG offers insurance coverage for abortion to its clients, based on publicly available records, the proponents estimate that in the 2016-20 election cycles, the company and its employee PAC have donated at least $8.5 million to politicians and political organizations working to weaken women's access to abortion. This includes $120,000 in the 2020 election cycle to the sponsors of Texas SB 8-which creates potential liability for organizations that insure in-state abortions after approximately six weeks of pregnancy -and more than $230,000 to the sponsors of restrictive abortion bills in 14 other states. In the last three election cycles, UHG contributed over $200,000 to a 527 organization leading efforts to strike down the Affordable Care Act, which made prescription drugs more affordable. After the January 6, 2021 attack on the Capitol, UHG said it would pause political donations to federal candidates "to ensure they continue to align with our company's values." Yet UHG made political donations of nearly $300,000 in January-June 2021. • It is the policy of UnitedHealth Group ("UHG") to make political contributions "to advance policy solutions that focus on achieving universal coverage, improving health care affordability, enhancing the health care experience, and achieving better health outcomes." However, UHG's political expenditures appear to be misaligned with the company's values. Whereas: Proposal 5 - Political Contributions Misalignment We have been informed the Educational Foundation of America intends to introduce the proposal set forth below at the Annual Meeting. In accordance with SEC rules, the text of the proposal is printed verbatim from the submission. The Company will provide to shareholders the address and reported holdings of the Company's common stock for the proposal sponsor promptly upon receiving an oral or written request. The Board of Directors has recommended a vote against this proposal for the reasons set forth following the proposal. PROPOSAL 5: Shareholder Proposal Regarding Political Contributions Congruency Report Information 6 Other Annual Meeting 4 Audit Executive Compensation 3 Corporate Governance Shareholder Ratification of Termination Pay - Proposal 4 Annual Please vote yes: This proposal topic won 58% support at the 2021 FedEx annual meeting. Other Annual Meeting 4 Audit Executive Compensation 3 Corporate Governance 2 Board of Directors 65 The Board of Directors recommends you vote FOR ratification of the appointment of Deloitte as our independent registered public accounting firm for the year ending December 31, 2022. Executed proxies will be voted FOR ratification of this appointment unless you specify otherwise. The Board of Directors has proposed that shareholders ratify the appointment of Deloitte at the Annual Meeting. If shareholders do not ratify the appointment of Deloitte, the Audit and Finance Committee will reconsider the appointment but is not obligated to appoint another independent registered public accounting firm. The Audit and Finance Committee evaluates, at least every three years, whether to rotate our independent registered public accounting firm. Representatives of Deloitte are expected to be present at the Annual Meeting, will have an opportunity to make a statement and will be available to respond to appropriate questions from shareholders. Based on its most recent evaluation of Deloitte, the members of the Audit and Finance Committee believe the continued retention of Deloitte as the Company's independent registered public accounting firm is in the best interest of the Company and its shareholders. Among the factors considered by the Audit and Finance Committee in reaching this recommendation were the following: the quality and efficiency of Deloitte's historical and recent audit plans and performance; Deloitte's capabilities and expertise in handling the breadth and complexity of the Company's U.S. and global operations; external data on audit quality and performance, including recent PCAOB reports on Deloitte; the appropriateness of Deloitte's fees for audit and non-audit services; Deloitte's independence and objectivity; and the quality and candor of Deloitte's communications with management and the Audit and Finance Committee. 6 The Audit and Finance Committee is directly responsible for the appointment, evaluation, compensation, retention and oversight of the independent registered public accounting firm retained to audit the Company's financial statements. The Audit and Finance Committee has appointed Deloitte & Touche LLP as our independent registered public accounting firm for the year ending December 31, 2022. Deloitte has been retained as our independent registered public accounting firm since 2002. The Audit and Finance Committee is responsible for approving audit fees associated with the retention of Deloitte. In order to assure continuing auditor independence, the Audit and Finance Committee periodically considers whether there should be a rotation of our independent registered public accounting firm. Further, as part of the Audit and Finance Committee's assessment of Deloitte and in conjunction with the mandated rotation of the audit firm's lead engagement partner, in October 2020, the Audit and Finance Committee interviewed candidates to become Deloitte's new lead engagement partner and following those interviews, selected the individual who became the new lead engagement partner beginning in 2022. Information Meeting 6 5 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors PROPOSAL 3: Ratification of Independent Registered Public Accounting Firm Information Annual Meeting PROPOSAL 4: Shareholder Proposal Seeking Shareholder Ratification of Termination Pay Information Meeting 6 4 Audit Other Annual Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | PROPOSAL 4: Shareholder Proposal Seeking Shareholder Ratification of Termination Pay 66 It is important to have this policy in place so that UnitedHealth management stays focused on improving company performance as opposed to seeking a business combination to mostly to trigger a management golden parachute windfall. This proposal is more important at UnitedHealth because of the tendency to overpay management or provide the wrong management pay incentives. UNH management pay was rejected by 27% of shares in 2021 when a 5% rejection is the norm. And Ms. Gail Wilensky on the management pay committee was rejected by up to 35-times the number of negative votes compared to other UNH directors. It is in the best interest of UnitedHealth shareholders to be protected from such lavish management termination packages for one person. For instance at one company if the CEO is terminated without cause, whether or not his termination follows a change in control, he will receive $39 million in termination payments, nearly 7-times his base salary plus short-term bonus. Generous performance-based pay can be good but shareholder ratification of "golden parachute" severance packages with a total cost exceeding 2.99 times base salary plus target short-term bonus better aligns management pay with shareholder interests. The Board shall retain the option to seek shareholder approval after material terms are agreed upon. "Estimated total value” includes: lump-sum payments; payments offsetting tax liabilities; perquisites or benefits not vested under a plan generally available to management employees; post-employment consulting fees or office expense; and equity awards if vesting is accelerated, or a performance condition waived, due to termination. "Severance or termination payments" include cash, equity or other compensation that is paid out or vests due to a senior executive's termination for any reason. Payments include those provided under employment agreements, severance plans, and change-in-control clauses in long-term equity plans, but not life insurance, pension benefits, or deferred compensation earned and vested prior to termination. Shareholders request that the Board seek shareholder approval of any senior manager's new or renewed pay package that provides for severance or termination payments with an estimated value exceeding 2.99 times the sum of the executive's base salary plus target short-term bonus. Rights Shareholder Shareholder Ratification of Termination Pay - FOR Proposal 4 We have been informed John Chevedden intends to introduce the proposal set forth below at the Annual Meeting. In accordance with SEC rules, the text of the proposal is printed verbatim from the submission. The Company will provide to shareholders the address and reported holdings of the Company's common stock for the proposal sponsor promptly upon receiving an oral or written request. The Board of Directors has recommended a vote against this proposal for the reasons set forth following the proposal. A 2015 General Electric shareholder proposal similar to the FedEx proposal won 40% GE shareholder support with 2.2 billion votes in favor. This may have represented 51% support from the GE shares that had access to independent proxy voting advice and are not forced to rely on the biased recommendations of management especially on issues of management pay. Other 2022 Proxy Statement | PROPOSAL 3: Ratification of Independent Registered Public Accounting Firm 6 Street Name Holders. If you hold your shares in a bank or brokerage account, you also may have the opportunity to receive the proxy materials electronically. Please check the information provided in the proxy materials you receive from your bank or broker regarding the availability of this service. Shareholders of Record. If you vote at www.proxyvote.com, simply follow the prompts for enrolling in the electronic proxy delivery service. You also may enroll in the electronic proxy delivery service at any time by going directly to www.unitedhealthgroup.com/investors/annual-meeting and following the enrollment instructions. Instead of receiving future copies of our proxy materials by mail, you can elect to receive an e-mail that will provide electronic links to these documents. Opting to receive your proxy materials online will save the cost of producing and mailing documents to your home or business, will give you an electronic link to the proxy voting site and will also help preserve environmental resources. Shareholders may access the proxy materials, which include the Notice of Annual Meeting of Shareholders, Proxy Statement (including a form of proxy card) and Annual Report for the year ended December 31, 2021 at www.unitedhealthgroup.com/proxymaterials. We will also provide a hard copy of any of these documents free of charge upon request to: UnitedHealth Group Incorporated, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. 7. How can I access the proxy materials for the Annual Meeting? In order to conduct the Annual Meeting, holders of a majority of the shares issued and outstanding and entitled to vote as of the close of business on the record date must be present in person or by proxy. This constitutes a quorum. Virtual attendance at our Annual Meeting constitutes presence in person for purposes of quorum at the Annual Meeting. Your shares are counted as present if you participate in the virtual Annual Meeting and vote electronically, or if you vote your proxy before the Annual Meeting over the internet or by telephone or by mail. Abstentions and broker non-votes will be counted as present for purposes of establishing a quorum. If a quorum is not present, we will adjourn the Annual Meeting until a quorum is obtained. 6. How many shares must be present to hold the Annual Meeting? Street Name Holders. If you hold your shares in an account at a bank or broker, then you are the beneficial owner of shares held in "street name." The Notice or proxy materials were forwarded to you by your bank or broker, who is considered the shareholder of record for purposes of voting at the Annual Meeting. As a beneficial owner, you have the right to direct your bank or broker on how to vote the shares held in your account or you may vote your shares electronically by participating in the Annual Meeting. Information Meeting 6 Other 4 Audit Executive Compensation 8. What do I need to participate in the Annual Meeting? 3 2 Board of Directors 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 72 Shareholders of Record. If your shares are registered in your name with our transfer agent, EQ Shareowner Services, you are a shareholder of record with respect to those shares and the Notice of Internet Availability of Proxy Materials ("Notice”) or the proxy materials were sent directly to you by Broadridge Financial Solutions. A list of shareholders entitled to vote at the Annual Meeting will be available for viewing during the Annual Meeting by those who log in at www.virtualshareholdermeeting.com/UNH2022 and enter the control number provided on your proxy card, voting instruction form or Notice. 5. What is the difference between a shareholder of record and a shareholder who holds stock in street name? The Company's Board of Directors is soliciting proxies for use at the 2022 Annual Meeting of Shareholders. A proxy statement is a document we give you when we are soliciting your vote pursuant to SEC regulations. 4. What is a proxy statement? It is your legal designation of another person to vote the stock you own in the manner you direct. That other person is called a proxy. If you designate someone as your proxy in a written document, that document also is called a proxy or a proxy card. We have designated Rupert M. Bondy and Kuai H. Leong to serve as proxies for the 2022 Annual Meeting. The Board of Directors will use the proxies at the 2022 Annual Meeting of Shareholders. The proxies also may be voted at any adjournments or postponements of the meeting. 3. What is a proxy? In addition to the business of the Annual Meeting, management of the Company will also give a business update. Management, chairs of each standing Board committee and representatives of Deloitte will be available to respond to appropriate questions from shareholders. if properly presented, two shareholder proposals. ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm; and an advisory vote to approve our executive compensation (a “Say on Pay" vote); election of eight directors named in this proxy statement; Corporate Governance • Shareholders as of the record date may participate in, vote and submit questions at our Annual Meeting by logging in at www.virtualshareholdermeeting.com/UNH2022. To log in, shareholders (or their authorized representatives) will need the control number provided on their proxy card, voting instruction form or Notice. If you experience technical difficulties during the check-in process or during the Annual Meeting, please call the technical support number posted on the Annual Meeting website. If you are not a shareholder or do not have a control number, you may still access the meeting as a guest, but you will not be able to participate. www.virtualshareholdermeeting.com/UNH2022 will have an opportunity to submit written questions live via the internet during a designated portion of the Annual Meeting. In order to do so, shareholders must have available their control number provided on their proxy card, voting instruction form or Notice. 4 Audit The record date for the Annual Meeting is April 8, 2022. Only owners of record of shares of common stock of the Company at the close of business on the record date are entitled to notice of and to vote at the Annual Meeting, or at any adjournments or postponements of the Annual Meeting. On April 8, 2022, there were 938,949,294 shares of common stock issued, outstanding and entitled to vote. Each owner of record on the record date is entitled to one vote for each share of common stock held. 11. What is the record date and what does it mean? The Notice is not a proxy card and cannot be used to vote your shares. Electronically at the Annual Meeting. Shareholders who participate in the Annual Meeting should follow the instructions at www.virtualshareholdermeeting.com/UNH2022 to vote during the meeting. By Telephone or Internet. All shareholders of record can vote by telephone from the United States and Canada, using the toll-free telephone number on the proxy card, or through the internet using the procedures and instructions described on the Notice or proxy card. Street name holders may vote by internet or telephone if their bank or broker makes those methods available, in which case the bank or broker will enclose the instructions with the proxy materials. The internet and telephone voting procedures are designed to authenticate shareholders' identities, allow shareholders to vote their shares and to confirm their instructions have been properly recorded. By Written Proxy. All shareholders of record who received proxy materials by mail can vote by written proxy card. If you received a Notice or the proxy materials electronically, you may request a proxy card at any time by following the instructions on the Notice or on the voting website. If you are a street name holder, you will receive instructions on how you may vote from your bank or broker, unless you previously enrolled in electronic delivery. 10. What different methods can I use to vote? If you hold shares in our 401(k) savings plan and do not vote your shares or specify your voting instructions on your proxy card, the administrators of the 401(k) savings plan will vote your 401(k) plan shares in the same proportion as the shares for which they have received voting instructions. To allow sufficient time for voting by the 401(k) administrators, your voting instructions must be received by 11:59 p.m. Eastern Time on June 1, 2022. If you hold your shares in street name, you will receive one Notice or voting instruction form for each account you have with a bank or broker. If you hold shares in multiple accounts, you may need to provide voting instructions for each account. in any Company benefit plan. • in book-entry form; and in certificate form; Shareholders as of our record date who participate in our Annual Meeting at If you are a shareholder of record, you will receive only one Notice or proxy card for all the shares of common stock you hold: We will address substantially similar questions, or questions that relate to the same topic, in a single response. Questions must comply with the Meeting Guidelines and Procedures which will be available at www.virtualshareholdermeeting.com/ UNH2022. Questions that do not comply with the Meeting Guidelines and Procedures, are not directly related to the business of the Company and are not pertinent to the Annual Meeting matters will not be answered. We ask that all shareholders provide their name and contact details when submitting a question through the virtual meeting platform so that we may address any individual concerns or follow up matters directly. Information Meeting 6 Other Annual 4 Audit Executive Compensation 3 Corporate Governance 2 Board of Directors 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 73 Consistent with our past practice for in-person annual meetings, each shareholder will be limited to one question to allow us to respond to as many shareholder questions as possible during the question-and-answer portion of the meeting. 9. What shares are included on the Notice, proxy card or voting instruction form? • Annual The Company provides extensive public disclosure on its advocacy and political contributions. 6 Meeting Information disclosing advocacy activities undertaken on our behalf. Our advocacy disclosure reports filed with the U.S. Congress are available at http://disclosures.house.gov/ld/ldsearch. We also make a Political Contributions Report publicly available with further detail on our political contributions and related activities. This report details contributions made to political candidates, parties and committees, including recipient names and amounts given and includes a link to our lobbying disclosure reports filed with the U.S. Congress. An archive of our political contribution reports - covering political expenditures for the last nine years — is available on the Company's website. UnitedHealth Group's bipartisan Political Action Committee is funded entirely by voluntary contributions from eligible employees and has a long history of balanced political giving, prioritizing candidates that represent communities we serve, serve in leadership positions and demonstrate support for policies of importance to the Company which help us achieve our mission. Contributions are made on a non-partisan basis, are not made to candidates running for U.S. president, and are never made on the basis of the personal political preferences of Company directors, officers or employees. UnitedHealth Group is recognized as a "Trendsetter" in the 2021 Center for Political Accountability-Zicklin Index of Political Accountability. The Company's governance policies provide for effective oversight of its political activities. The Board fully supports accountability, appropriate transparency, and disclosure of the Company's political contributions and advocacy activities and expenditures. The Company's political engagement and public policy activities are led by our External Affairs function with active engagement throughout and across our businesses. Our Board's Governance Committee, which oversees our overall strategy on environmental, social and governance (ESG) policies and practices, has oversight of our advocacy and lobbying processes and activities, including key trade association and coalition memberships, as well as reviewing the political contributions made by the Company and its political action committee. The Board of Directors believes our existing political spending and advocacy policies, governance oversight and disclosure in their current format are consistent with best practice. For these reasons, the Board of Directors recommends you vote AGAINST the proposal. Executed proxies will be voted AGAINST this proposal unless you specify otherwise. 2022 Proxy Statement | PROPOSAL 5: Shareholder Proposal Regarding Political Contributions Congruency Report 71 Board of Directors 2 Corporate Governance 3 Annual Other 4 Audit 6 Meeting Information Questions and Answers About the Annual Meeting and Voting Meeting 1. When and where is our Annual Meeting? We will be holding our Annual Meeting virtually on Monday, June 6, 2022, at 11:00 a.m., Eastern Time, at www.virtualshareholdermeeting.com/UNH2022. We have determined that the 2022 Annual Meeting will be held in virtual format only. At our Annual Meeting, shareholders will be able to participate in, vote and submit questions via the internet. Whether or not you plan to participate in the Annual Meeting, we urge you to vote and submit your proxy in advance of the meeting by one of the methods described in these proxy materials. Additional information can also be found at www.unitedhealthgroup.com/proxymaterials. An archived copy of the Annual Meeting will be available on the "Investors” page of our website at www.unitedhealthgroup.com/investors for 14 days following the Annual Meeting. 2. What is the purpose of the Annual Meeting? At the Annual Meeting, shareholders will act upon the matters outlined in the Notice of Annual Meeting of Shareholders. These include: • Annual 4 Audit Other 3 Information Supporting Statement: Proponents recommend that such report also contain management's analysis of risks to our company's brand, reputation, or shareholder value of expenditures in conflict with publicly stated company values. "Expenditures for electioneering communications” means spending, from the corporate treasury and from the PACs, directly or through a third party, at any time during the year, on printed, internet or broadcast communications, which are reasonably susceptible to interpretation as in support of or opposition to a specific candidate. This proposal aligns with the standards and procedures set forth in the Center for Political Accountability's Model Code of Conduct. Executive Compensation The Board of Directors unanimously recommends a vote AGAINST the foregoing proposal for the following reasons: We have carefully considered this proposal and have concluded it is unnecessary and not in the best interests of the Company and its shareholders. The proposal requires the Company to publish a report annually in perpetuity regardless of value or cost. The proposal requires the Company to publish a report annually in perpetuity without regard to utility. The proponent asks the Company to report every expenditure - as little as one dollar - they are able to determine is incongruent with a broad mission statement, regardless of value or cost. As further described below, the proposed report does not add additional value because the Company's engagement in the political process and its existing political contribution reports do align with our values and mission. The Company does not believe it should commit to any action in perpetuity regardless of value or cost. If the Company is required to publish more and more granular reports on dozens of subjects, we would have to divert significant energies from our core operations in support of our health-driven mission. This would make it difficult for the Company to operate effectively for our those we serve, including shareholders. Our engagement in the political process aligns with our mission. The Company engages in the political process to further its mission we seek to help people live healthier lives and help make the health system work better for everyone. We believe it is important to engage meaningfully in a bipartisan manner with Federal and State policy-makers to advance the interests of the Company, shareholders, customers, and all of our stakeholders across the health care system. - Board of Directors' Recommendation The Company has articulated at length its public policy positions, which are the basis for its political expenditures. Our comprehensive, actionable and timely policy solutions to achieve our mission focused on expanding access to care, improving health care affordability, enhancing the health care experience and driving better health outcomes. publicly articulated in The Path Forward, our Sustainability Report, and other documents accessible on our website. Participation in the political process comes with the understanding we do not agree with all positions of all recipients on all issues. We believe, however, these recipients are positioned to meaningfully address issues of importance to the Company, our shareholders and those we serve. As we contemplate each political contribution, we consider several factors, primarily candidates' positions, votes and actions on priority health care topics and related issues impacting our business and customers. We are committed to transparency as we engage in public advocacy activities in furtherance of our mission. Our lobbying activities are subject to extensive governmental regulation and public disclosure requirements, which require the Company to file regular, publicly-available and detailed reports with the U.S. Senate and House of Representatives 2022 Proxy Statement | PROPOSAL 5: Shareholder Proposal Regarding Political Contributions Congruency Report 70 Board of Directors 2 Corporate Governance ― are Board of Directors 2022 Proxy Statement | Security Ownership of Certain Beneficial Owners and Management 80 245 Summer Street Boston, Massachusetts 02210 Amount and Nature of Beneficial Ownership Percent of Class (%) 79,483,862 8.44 (3) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by FMR LLC on February 9, 2022. FMR LLC reported having sole voting power over 7,158,989 shares and sole dispositive power over 48,646,794 shares. 48,646,794 7.40 5.165 2 (2) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by BlackRock, Inc. on February 1, 2022. BlackRock, Inc. reported having sole voting power over 60,804,177 shares and sole dispositive power over 69,275,884 shares. (1) This information, including percent of class, is based on the Schedule 13G/A filed with the SEC by The Vanguard Group on February 10, 2022. The Vanguard Group reported having shared voting power over 1,492,432 shares, sole dispositive power over 75,680,661 shares and shared dispositive power over 3,803,201 shares. 69,275,884 Corporate Governance 3 Executive Compensation 37,220(2) 37,220 * 11,170(2) 11,170 * 3,865(2) 3,865 * 3,381(2) 3,381 * Gail R. Wilensky, Ph.D. 68,425(2)(8) 68,425 * Andrew Witty 3,037 * 91,715 91,715(10) 25,206 Brian R. Thompson Dirk C. McMahon * * 141,646(9) * 115,861 22,744 93,117 John F. Rex 141,646 FMR LLC (3) 1,829,816 2,705 Annual Other 4 Audit 5 6 Meeting Information The following table provides information about the beneficial ownership of our common stock as of April 8, 2022, by each director and nominee for director, each current named executive officer, and by all of our current directors, executive officers and director nominees as a group. As of April 8, 2022, there were 938,949,294 shares of our common stock issued, outstanding and entitled to vote. Name of Beneficial Owner or Identity of Group Richard T. Burke Timothy P. Flynn Paul R. Garcia Stephen J. Hemsley Michele J. Hooper F. William McNabb III Valerie C. Montgomery Rice, M.D. * 10,097 * 1,372,987 (%) Total(1) * Outstanding Percent of Common Number of Shares Deemed Beneficially Owned as a Result of Equity Awards Exercisable or Vesting Within 60 Days of April 8, 2022 1,829,816(2)(6)(7) 2,705(2)(5) Ownership of Common Stock 1,372,987(2)(3) 10,097(2)(4) John H. Noseworthy, M.D. Stock New York, New York 10055 FOR the ratification of the appointment of Deloitte as the Company's independent registered public accounting firm; BlackRock, Inc. (2) Information Board of Directors. If we do not receive a shareholder proposal by the deadline described above, the proposal may be excluded from our proxy statement for our 2023 Annual Meeting. Other Shareholder Proposals for Presentation at the 2023 Annual Meeting (Advance Notice Provision). A shareholder proposal that is not submitted for inclusion in our proxy statement for our 2023 Annual Meeting pursuant to Section 3.04 of our Bylaws or SEC Rule 14a-8 and is sought to be presented at the 2023 Annual Meeting must comply with the "advance notice" deadlines in our Bylaws. As such, these shareholder proposals must be received no earlier than February 6, 2023, and no later than the close of business on March 8, 2023. These shareholder proposals must be in writing and received within the "advance notice" deadlines described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors. These shareholder proposals must be in the form provided in our Bylaws and must include the information set forth in the Bylaws. If we do not receive a shareholder proposal and the required information by the "advance notice" deadlines described above, the proposal may be excluded from consideration at the 2023 Annual Meeting. The "advance notice" requirement described above supersedes the notice period in SEC Rule 14a-4(c)(1) of the federal proxy rules regarding the discretionary proxy voting authority with respect to such shareholder business. Shareholder Solicitation of Director Nominations. In addition to satisfying the foregoing advanced notice requirements under our Bylaws, to comply with the universal proxy rules under the Exchange Act, shareholders who intend to solicit proxies in support of director nominees other than the Company's nominees must provide notice that sets forth the information required by Rule 14a-19 under the Exchange Act no later than April 7, 2023. 24. How are proxies solicited and what is the cost? We bear all expenses incurred in connection with the solicitation of proxies. We have engaged Morrow Sodali LLC to assist with the solicitation of proxies for a base fee of $20,000 plus expenses. We will reimburse brokers, fiduciaries and custodians for their costs in forwarding proxy materials to beneficial owners of common stock. Our directors, officers and employees may also solicit proxies by mail, telephone and personal contact. They will not receive any additional compensation for these activities. 25. Where can I find more information about my voting rights as a shareholder? Meeting The SEC has an informational website that provides shareholders with general information about how to cast their vote and why voting should be an important consideration for shareholders. You may access that information at www.investor.gov/research-before-you-invest/research/shareholder-voting or at www.investor.gov. Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 78 6 Other Annual AGAINST the shareholder proposal seeking shareholder ratification of termination pay; and • AGAINST the shareholder proposal regarding the political contributions congruency report. 20. Are my shares voted if I do not submit a proxy? If you are a shareholder of record and do not submit a proxy, you must participate in the Annual Meeting in order to vote. If you hold shares through an account with a bank or broker, your shares may be voted by the bank or broker on some matters if you do not provide voting instructions. Banks and brokers have the authority under NYSE rules to vote shares for which their customers do not provide voting instructions on routine matters only. The ratification of Deloitte as our independent registered public accounting firm is considered a routine matter. The other matters being voted on at the Annual Meeting are not considered routine and banks and brokers cannot vote shares without instruction on those matters. Shares that banks and brokers are not authorized to vote on non-routine matters are counted as "broker non- votes." 21. How are abstentions and broker non-votes counted? Abstentions have no effect on the election of directors. Abstentions have the effect of an “against❞ vote on the advisory vote to approve our executive compensation, the ratification of the appointment of the Company's independent registered public accounting firm and the shareholder proposals. Broker non-votes have no effect on the vote for any matter at the meeting. 22. Does the Company have a policy about directors' attendance at the Annual Meeting of Shareholders? The Company expects all directors to participate in the Annual Meeting, absent a compelling reason. 23. What are the deadlines for submitting director nominees and other shareholder proposals for the 2023 Annual Meeting? Shareholder Director Nominations for Inclusion in the Company's Proxy Materials (Proxy Access). To be considered for inclusion in our proxy statement for our 2023 Annual Meeting, director nominations submitted pursuant to Section 3.04 of our Bylaws must be received at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the Board of Directors, no earlier than November 23, 2022 and no later than December 23, 2022, and must be submitted in accordance with Section 3.04 of our Bylaws. If we do not receive the information required by our Bylaws by the deadline described above, the director nominee will be excluded from our proxy statement for our 2023 Annual Meeting. Other Shareholder Proposals to Be Considered for Inclusion in the Company's Proxy Materials (SEC Rule 14a-8). To be considered for inclusion in our proxy statement for our 2023 Annual Meeting, shareholder proposals submitted pursuant to SEC Rule 14a-8 must be received no later than December 23, 2022 and be submitted in accordance with Rule 14a-8. These shareholder proposals must be in writing and received by the deadline described above at our principal executive offices at UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attention: Secretary to the 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 77 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit 6 55 East 52nd Street Meeting Householding Notice Other Annual 4 Audit Executive Compensation 3 28,243 4 Audit • 6 6 Information Other Information Security Ownership of Certain Beneficial Owners and Management The following table provides information about shareholders known to us to beneficially own more than 5% of the outstanding shares of our common stock, based solely on the information filed by such shareholders in 2022 for the year ended December 31, 2021 on Schedule 13G under the Exchange Act. Name and Address of Beneficial Owner The Vanguard Group (1) 100 Vanguard Boulevard Malvern, Pennsylvania 19355 Meeting Meeting Information 19. What if I do not specify a choice for a matter when returning a proxy? Shareholders should specify their choice for each matter in the manner described in the Notice or on their proxy card. If no specific instructions are given, proxies that are signed and returned will be voted: We have adopted “householding” procedures allowing us to deliver one Notice or single copies of proxy statements and annual reports to any household at which two or more shareholders reside who share the same last name or whom we believe to be members of the same family. Each registered shareholder living in that household will receive a separate proxy card if the householded proxy materials are received by mail. If you participate in householding but wish to receive a separate copy of the Notice, this proxy statement or our 2021 Annual Report for the year ended December 31, 2021, please notify us at: UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343, Attn: Secretary to the Board of Directors, telephone (877) 536-3550. Upon written or oral request, we will deliver promptly, to any shareholder that elects not to participate in householding, a separate copy of the Notice of Internet Availability and, if a shareholder requests printed versions by mail, this proxy statement and the Annual Report on Form 10-K for the year ended December 31, 2021. You may opt-in or opt-out of householding at any time by contacting our transfer agent, EQ Shareowner Services, at P.O. Box 64854, St. Paul, Minnesota 55164-0854, telephone (800) 468-9716. Your householding election will apply to all materials mailed more than 30 days after your request is received. Your participation in the householding program is encouraged. As an alternative to householding, you may choose to receive documents electronically. Instructions for electing electronic delivery are described in Question 7 of the "Questions and Answers About the Annual Meeting and Voting" section of this proxy statement. We have been notified that some banks and brokers will household proxy materials. If your shares are held in "street name" by a bank or broker, you may request information about householding from your bank or broker. Other Matters at Meeting In accordance with the requirements of advance notice described in our Bylaws, no shareholder nominations or shareholder proposals other than those included in this proxy statement will be presented at the 2022 Annual Meeting. We know of no other matters that may come before the Annual Meeting. However, if any matters calling for a vote of the shareholders, other than those referred to in this proxy statement, should properly come before the meeting, the persons named as proxies will vote on such matters according to their individual judgment. 2022 Proxy Statement | Householding Notice | Other Matters at Meeting 79 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other • FOR the advisory approval of our executive compensation; • FOR the election of all director nominees; • Information * Meeting nominees as a group (15 individuals) • receive notice of the Annual Meeting; and vote at the Annual Meeting and any adjournments or postponements of the Annual Meeting. 12. If I submit a proxy, may I later revoke it and/or change my vote? Shareholders of record may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: • . • The record date was established by our Board of Directors as required by the Delaware General Corporation Law. Owners of record of common stock at the close of business on the record date are entitled to: signing another proxy card with a later date and delivering it to an officer of the Company before the Annual Meeting; voting electronically at the Annual Meeting; or notifying the Secretary to the Board of Directors in writing before the Annual Meeting. Street name holders may revoke a proxy and/or change their vote prior to the completion of voting at the Annual Meeting by: submitting new voting instructions in the manner provided by your bank or broker; or voting electronically at the Annual Meeting. 13. Are votes confidential? Who counts the votes? We hold the votes of all shareholders in confidence from directors, officers and employees except: • as necessary to meet applicable legal requirements and to assert or defend claims for or against the Company; in the case of a contested proxy solicitation; voting again over the internet or by telephone prior to 11:59 p.m., Eastern Time, on June 5, 2022; Information Meeting 6 1.12 Tax effect per share of intangible amortization (0.30) (0.27) Adjusted diluted earnings per share 19.02 16.88 (a) Adjusted net earnings per share is a non-GAAP financial measure. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Adjusted net earnings per share excludes from the relevant GAAP metric, as applicable, intangible amortization and other items, if any, that do not relate to the Company's underlying business performance. Management believes that the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization. As amortization fluctuates based on the size and timing of the Company's acquisition activity, management believes this exclusion provides a more useful comparison of the Company's underlying business performance and trends from period to period. While intangible assets contribute to the Company's revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share. 2022 Proxy Statement | Appendix A - Reconciliation of Non-GAAP Financial Measure 84 2 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Other if a shareholder makes a written comment on the proxy card or otherwise communicates his or her vote to management; or 1.24 to allow the independent inspectors of the election to certify the results of the vote. 14. How may I confirm my vote was counted? • vote against the proposal; or • abstain from voting on the proposal. 17. What vote is needed to approve each of the other proposals? The proposal to ratify the appointment of Deloitte as our independent registered public accounting firm and the shareholder proposals must be approved by a majority of the voting power of the shares of common stock present in person or represented by proxy and entitled to vote at the Annual Meeting in order to pass. Virtual attendance at our Annual Meeting constitutes presence in person for purposes of quorum at the meeting. For the advisory vote to approve our executive compensation, there is no minimum approval necessary since it is an advisory vote; however, the Board of Directors will consider the results of the advisory vote when considering future decisions related to such proposal. 18. What is the Board's recommendation with regard to each proposal? The Board of Directors makes the following recommendation with regard to each proposal: . vote for the proposal; • • The Board of Directors recommends a vote FOR each of the director nominees named in this proxy statement. The Board of Directors recommends a vote FOR advisory approval of the Company's executive compensation. The Board of Directors recommends a vote FOR ratification of the appointment of Deloitte & Touche LLP as our independent registered public accounting firm. The Board of Directors recommends a vote AGAINST the shareholder proposal seeking shareholder ratification of termination pay. The Board of Directors recommends a vote AGAINST the shareholder proposal regarding the political contributions congruency report. 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 76 Board of Directors • For each of the other proposals, shareholders may: 16. What are my choices when voting on each of the other proposals considered at the Annual Meeting? A director nominee will be elected if the number of votes cast "for" the nominee exceeds the number of votes cast "against" the nominee. Our Principles of Governance require our directors to tender an irrevocable offer to resign, which becomes effective if he or she fails to receive a majority of the votes cast for such director's election at the annual meeting and our Board accepts his or her resignation. In the event a director receives a majority "against” vote, and prior to any such action by the Board, the Governance Committee will consider the tendered resignation offer and recommend to the Board whether or not to accept it. Absent a compelling reason not to accept the resignation offer, as determined by the Board in its discretion, the Governance Committee will recommend, and the Board will accept the resignation. The Board will act on the Governance Committee's recommendation within 90 days following certification of the shareholder vote. The text of this policy appears in our Principles of Governance, which is available on our website at www.unitedhealthgroup.com/who-we-are/corporate-governance. We are offering our shareholders the opportunity to confirm their votes were cast in accordance with their instructions. Vote confirmation is consistent with our commitment to sound corporate governance standards and an important means to increase transparency. Beginning May 23, 2022 and for up to two months after the Annual Meeting, you may confirm your vote beginning 24 hours after your vote is received, whether it was cast by proxy card, electronically or telephonically. To obtain vote confirmation, log onto www.proxyvote.com using your control number (located on your Notice or proxy card) and receive confirmation on how your vote was cast. If you hold your shares through a bank or brokerage account, the ability to confirm your vote may be affected by the rules of your bank or broker and the confirmation will not confirm whether your bank or broker allocated the correct number of shares to you. 2022 Proxy Statement | Questions and Answers About the Annual Meeting and Voting 75 Board of Directors 2 Corporate Governance 3 Executive Compensation 4 Audit Annual Other 6 Meeting Information 15. What are my choices when voting for director nominees and what vote is needed to elect directors? In the vote on the election of director nominees, shareholders may: . vote in favor of a nominee; vote against a nominee; or abstain from voting with respect to a nominee. We have retained Broadridge Financial Solutions to tabulate the votes. We have retained CT Hagberg LLC to act as independent inspector of the election. All current directors, executive officers and director Intangible amortization per share 18.08 6 Meeting Information (9) Includes 6,791 shares held indirectly in a trust. (10) Includes 3,500 shares held indirectly by a spouse and 23,500 shares held indirectly in a trust. (11) Includes the indirect holdings included in footnotes 3, 4, 5, 6, 7, 8, 9 and 10. Certain Relationships and Transactions Approval or Ratification of Related-Person Transactions 4 Audit The Board of Directors has adopted a written Related-Person Transactions Approval Policy, which is administered by the Governance Committee. A copy of the policy is available on our website at Transactions exceeding $1.00 in which both a director (or their immediate family member) and an executive officer participate; or Transactions exceeding $120,000 in which a director, executive officer or 5% shareholder (or their immediate family member), and the Company or its subsidiaries participate; or Transactions exceeding $1.00 in which a director actively participates in their capacity as an executive officer of another entity. Related-person transactions under the policy do not include: • • • Indemnification and advancement of expenses made pursuant to the Company's Certificate of Incorporation or Bylaws or pursuant to any agreement or instrument. www.unitedhealthgroup.com/about/corporate-governance. Under the policy, "related-person" transactions are prohibited unless approved by the Governance Committee. In general, a related-person transaction is any transaction or series of transactions (or amendments thereto) meeting one of the following categories: Other Annual Executive Compensation 3,727,016 (11) 25,781 3,757,797 0.40% * Less than 1%. (1) Unless otherwise noted, each person and group identified possesses sole voting and dispositive power with respect to the shares shown opposite such person's or group's name. Shares not outstanding but deemed beneficially owned by virtue of the right of an individual to acquire them within 60 days of April 8, 2022, are treated as outstanding only when determining the amount and percent owned by such individual or group. (2) Includes the following number of vested DSUs which are considered owned under the Company's stock ownership guidelines for directors: Mr. Burke — 26,792; Mr. Flynn — 6,597; Mr. Garcia — 169; Mr. Hemsley - 3,981; Ms. Hooper - 33,800; Mr. McNabb — 4,740; Dr. Montgomery Rice - 3,799; Dr. Noseworthy - 3,381; and Dr. Wilensky - 23,748. (3) Includes 1,222,500 shares held indirectly in a limited liability partnership. (4) Includes 2,000 shares held indirectly in a trust. (5) Includes 168 shares held indirectly in a trust. (6) Includes 169,116 shares held in charitable foundations. (7) Includes 328.3633 shares held in trust pursuant to our 401(k) plan. Pursuant to the terms of the 401(k) plan, a participant has sole voting power over their shares; however, the plan trustee votes all unvoted shares in the same proportions as the actual proxy votes submitted by plan participants. (8) Includes 43,735 shares held indirectly in a trust. 2022 Proxy Statement | Security Ownership of Certain Beneficial Owners and Management 81 Board of Directors 2 Corporate Governance 3 Interests arising solely from the ownership of a class of the Company's equity securities, if all holders of that class of equity securities receive the same benefit on a pro rata basis. 16.03 Any transactions with another corporation or organization with respect to which a related person's only relationship is as a director or trustee. Under the policy, the Company determines whether a transaction falls under the definition of a related-person transaction requiring review by the Governance Committee. In determining whether to approve a related-person transaction, the Governance Committee will consider, among other things, whether the terms of the related-person transaction are fair to the Company and on terms at least as favorable as would apply if the other party was not an affiliate; the business reasons for the transaction; whether the transaction could impair the independence of a director under the Company's Standards for Director Independence; and whether the transaction would present an improper conflict of interest for any director or executive officer of the Company. Any member of the Governance Committee who has an interest in the transaction under discussion will abstain from voting on the approval of the related-person transaction, but may, if so requested by the Chair of the Governance Committee, participate in some or all of the Governance Committee's discussions of the related-person transaction. Any related-person transaction that is not approved will be voided, terminated or amended, or other actions will be taken in each case as determined by the Governance Committee so as to avoid or otherwise address any resulting conflict of interest. (in millions, except per share data) (unaudited) ADJUSTED NET EARNINGS PER SHARE(a) Year Ended December 31, 2021 ($) Year Ended December 31, 2020 ($) GAAP net earnings attributable to UnitedHealth Group common shareholders 17,285 15,403 RECONCILIATION OF NON-GAAP FINANCIAL MEASURE Intangible amortization 1,080 Tax effect of intangible amortization (288) (262) Adjusted net earnings attributable to UnitedHealth Group common shareholders 18,181 16,221 GAAP diluted earnings per share 1,184 UNITEDHEALTH GROUP Appendix A - Reconciliation of Non-GAAP Financial Measure 2022 Proxy Statement | Certain Relationships and Transactions 83 As required under SEC rules, transactions in which the Company was or is to be a participant since the beginning of the Company's last fiscal year and the amount involved exceeds $120,000, and in which any related person had or will have a direct or indirect material interest, are disclosed below. 2022 Proxy Statement | Certain Relationships and Transactions 82 Board of Directors 2 Corporate Governance 3 Executive Compensation Annual Other 4 Audit 5 6 Information Related-Person Transactions Transactions with 5% Shareholders BlackRock, Inc. beneficially owned approximately 7.40% of our common stock as of December 31, 2021. The Company paid BlackRock $10.7 million for investment management fees in 2021. BlackRock maintains a self-funded health insurance plan through the Company and paid the Company $4.5 million for administrative services in 2021. FMR LLC beneficially owned approximately 5.165% of our common stock as of December 31, 2021. Fidelity Investments ("Fidelity"), a wholly owned subsidiary of FMR LLC, received from the Company and its employees approximately $2.0 million for benefits management fees and approximately $234,800 for cash management, capital markets and investment management fees in 2021. Fidelity paid the Company approximately $16.8 million for premium payments, approximately $15.7 million for administrative fees, and approximately $1.7 million for wellness services in 2021. Sale of Condominium In 2021, Andrew Witty and his wife purchased from the Company a corporate condominium located in Washington, D.C. The purchase price of $2,426,000 represented the fair market value of the condominium, which was appraised by an independent third party. The contract for purchase was based upon a standard template for similar real estate transactions in the Washington, D.C. area and the contractual terms included customary, arms-length standards for comparable real estate transactions. Any transaction that involves the providing of compensation to a director or executive officer in connection with his or her duties to the Company or any of its subsidiaries, including the reimbursement of business expenses incurred in the ordinary course. Corporate Governance