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EXHIBIT 1 <br />PREPAYMENT FEE SCHEDULE <br />The initial monthly Prepayment Fee for the benefits provided by this contract are determined as follows: <br />Rate Guarantee Period <br />Subject to the Right to Change the Prepayment Fee provision on page 4, the Prepayment Fee for <br />Specialized Health Care Service Plan Benefits will be in effect from January 1, 2017 through December <br />31, 2017. <br />Specialized Health Care Service Plan Benefits: <br />Amount per unit for Specialized Health <br />Care Service Plan Benefits in force <br />hereunder <br />Member Only $27,70 <br />Member and Family $47.34 <br />GPNP10-DHMO DATE: January 1, 2017 EXHIBIT 1 <br />25C-13 <br />