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UnitedHealth=20 Group Reaches Agreement to Settle Class Action Lawsuits Related to=20 Out-of-Network Reimbursement

MINNEAPOLIS (January 15, 2009) =E2=80=93 = UnitedHealth Group (NYSE:=20 UNH) announced today that it has reached an agreement to settle class = action=20 litigation related to reimbursement for out-of-network medical = services. =20 The agreement resolves class action litigation filed on behalf of the = American=20 Medical Association (AMA), health plan members, health care providers = and state=20 medical societies.

Under the terms of the proposed = nationwide=20 settlement, UnitedHealth Group and its affiliated entities will be = released from=20 claims relating to its out-of-network reimbursement policies from March = 15,=20 1994, through the date of final court approval of the settlement. =20 UnitedHealth Group will pay a total of $350 million to fund the = settlement for=20 health plan members and out-of-network providers in connection with=20 out-of-network procedures performed since 1994. The agreement = contains no=20 admission of wrongdoing. UnitedHealth Group believes it is in the = best=20 interests of the company to resolve these matters and move = forward.

The=20 company believes that this retrospective settlement, coupled with the=20 prospective agreement with New York Attorney General Andrew Cuomo = announced=20 earlier this week, resolves the issues that have been raised by the AMA = and the=20 New York Attorney General concerning the company=E2=80=99s two physician = charge=20 databases.

The company will pay for this settlement with cash on = hand,=20 and the accrual will be included in financial results for the Fourth = Quarter=20 2008, as part of operating costs for GAAP accounting.

Mitchell = Zamoff,=20 General Counsel, UnitedHealthcare, said, =E2=80=9CWe are pleased to have = reached an=20 agreement that provides closure on these matters.=E2=80=9D

Reed = V. Tuckson,=20 M.D., executive vice president and chief medical officer, = UnitedHealth=20 Group, said, =E2=80=9CWe are pleased to put these issues behind us so = that we can focus=20 on the important work of assisting physicians in their effort to provide = the=20 best possible, quality health care to their patients. We are excited = about=20 working to meet the needs of physicians and patients to meaningfully = enhance=20 both the quality and efficiency in health care = delivery.=E2=80=9D

The proposed=20 settlement is subject to preliminary and final court approval. In = addition, the=20 company has the right to terminate the settlement under certain = circumstances,=20 including in the event that a certain number of class members elect to = opt-out=20 of the settlement.

An independent administrator will be = selected=20 prior to court approval of the settlement agreement, and class members = can=20 expect to be notified by mail or publication by that independent = administrator.=20

About UnitedHealth Group
UnitedHealth Group = is a=20 diversified health and well-being company dedicated to making health = care work=20 better. Headquartered in Minneapolis, Minn., UnitedHealth Group = offers a=20 broad spectrum of products and services through six operating = businesses:=20 UnitedHealthcare, Ovations, AmeriChoice, OptumHealth, Ingenix and = Prescription=20 Solutions. Through its family of businesses, UnitedHealth Group = serves=20 more than 70 million individuals nationwide. Visit http://www.unitedhealthgroup.c= om/=20 for more information.

Forward-Looking = Statements
This=20 press release may contain statements, estimates, projections, guidance = or=20 outlook that constitute =E2=80=9Cforward-looking=E2=80=9D statements as = defined under U.S.=20 federal securities laws. Generally the words = =E2=80=9Cbelieve,=E2=80=9D =E2=80=9Cexpect,=E2=80=9D=20 =E2=80=9Cintend,=E2=80=9D =E2=80=9Cestimate,=E2=80=9D = =E2=80=9Canticipate,=E2=80=9D =E2=80=9Cplan,=E2=80=9D = =E2=80=9Cproject,=E2=80=9D =E2=80=9Cwill,=E2=80=9D = =E2=80=9Cshould=E2=80=9D and=20 similar expressions, identify forward-looking statements, which = generally are=20 not historical in nature. These statements may contain information = about=20 financial prospects, economic conditions, trends and uncertainties and = involve=20 risks and uncertainties. We caution that actual results could = differ=20 materially from those that management expects, depending on the outcome = of=20 certain factors, including obtaining court approval of the proposed = settlement=20 and satisfaction of other settlement conditions.

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