{"text_format":"1","workbook":"xlsx","n_sheets":36,"sheets":["Sheet1","Instruction Overview","CHGS","Essbase Input","Tables","Dashboard","Cover Page","EB PT 1","EB PT 2","EB PT 4","EB PT 4 PY2","EB PT 4 PY1","EB PT 4 CY","Pt 1 Summary of Data","Pt 1 Summary of Data - Adj","Pt 1 Summary of Data - Final","Pt 2 Premium and Claims","Pt 2 Premium and Claims - Adj","Pt 2 Premium and Claims - Final","Pt 3 Expense Allocation","EB PT 4 P&C Calcs","Pt 4 Claims Calcs for PYs","Pt 4 MLR Calculation","Pt 4 MLR Calculation - ADj","Pt 4 MLR Calculation - Final","Pt 5 Additional Responses","Attestations","92000 Alloc","77071 Alloc","92010 Alloc","92012 Alloc ","92013 Alloc","92014 Alloc","93000 Alloc","93010 Alloc","G&A Alloc SV"],"not_rendered":{"charts":0,"images":2,"macros":1,"external_links":0,"defined_names":72,"comments":5,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Sheet1","index":0,"n_rows":22,"n_cols":2,"rows_kept":22,"cut":false,"hidden":true,"merged":[]}
[]
[]
[1,"Check to see if there are any changes to existing report/template"]
[null,"https://www.dmhc.ca.gov/"]
[null,"Licensing & Reporting  >  Submit Financial Reports  >  scroll down to 'Annual Dental Medical Loss Ratio (MLR)' section"]
[null,"Save most recent version down to folder for reference next year."]
[null,"As of RY2020 per current DMHC template"]
[]
[]
[2,"Report is due July 31st"]
[]
[null,"Differences b/w CMS and DMHC:"]
[null,"DMHC Ln 4.3b / CMS Ln 5.5b is made up of a77100 & a77105. subtracted from Net Inv Inc (DMHC Ln 6 / CMS Ln 8)"]
[null,"DMHC does not include CMS Ln 1.2, Ln 1.3, Ln 1.4"]
[null,"DMHC Ln 4.4 does not contain \"Bad Debt\" which is an adj to CMS Ln 5.6 from Ln 1.5"]
[]
[]
[]
[null,"Open Questions:"]
[null,"Is there a reason we only ran out 15 months of claims in PY2 and PY1 col and not 39 and 27, respectively?"]
[null,"Why are we consolidating GRI & UHCLIC to DPPO IND on Parts 1 & 2 but not 4?"]
[null,"Why doesn't DMHC include CMS Ln 1.2, Ln 1.3, Ln 1.4"]

{"sheet":"Instruction Overview","index":1,"n_rows":9,"n_cols":1,"rows_kept":9,"cut":false,"hidden":true,"merged":[]}
["Instruction Overview"]
[]
["Unhide tables tab and make necessary changes"]
["Verify updates are now showing on Essbase input tab"]
["Checks are in EB Pt1, EB Pt2, and Pt4 MLR Calc tabs (Column BB hidden)"]
["Run OU compare file"]
["*if you need to refresh after the archive cube, make sure to connect EB PT4 to the link to archive cube."]
[]
["Pt 4 tabs have groupings of examples of edits we may need to back out to get the true 'all other' number. This year, we didn’t have any."]

{"sheet":"CHGS","index":2,"n_rows":49,"n_cols":9,"rows_kept":49,"cut":false,"hidden":true,"merged":[[6,5,6,6],[8,5,8,6],[7,5,7,6],[18,5,18,6],[19,5,19,6],[31,5,31,6],[32,5,32,6],[33,5,33,6],[17,5,17,6],[20,5,20,6]]}
["Yrly Maintenance"]
["OTHER"]
[]
["Date","EE","RY","Version","Tab","Row(s)","Col(s)","Description of Change/Action","Reason for Change/Action"]
["RY2021"]
["2022-03-25","RM","2021","v1","Table (Hidden)","4-10","P-S","Updated Years","New year"]
["2022-03-25","RM","2021","v1","Essbase Input","C16-D19",null,"Updated Years","New year"]
["2022-03-25","RM","2021","v1","Essbase Input","A1",null,"Updated Reporting Year and \"Warning\"","New year"]
["2022-03-25","RM","2021","v1","Cover Page","C2",null,"Updates description from \"Enter DMHC Health Plan ID. Insurers may leave this field blank\" to \"DMHC Health Plan ID / CDI NAIC No.\"","Per new template dated 12/16/21"]
["2022-03-25","RM","2021","v1","Pt 1 Summary of Data\nPt 1 Summary of Data - Final","n/a","AX","Update \"Pt 2\" to \"Pt 1\"","Error"]
["2022-03-25","RM","2021","v1","EB PT 1\nEB PT 2","n/a","A","Added the CMS Annual Line tie back.","To help with quick review."]
["2022-05-18","RM","2021","v2","Pt 1 Summary of Data\n",7,1,"Fixed formula to grab from correct cell \nFrom =-'EB PT 1'!BE64\nTo =-'EB PT 1'!BE63","Error. Sugandha brought to my attention in her testing."]
["2022-05-18","RM","2021","v2","Pt 1 Summary of Data - Adj","n/a","n/a","Removed Row 51","To align the 3 tabs."]
["2022-05-27","RM","2021","v3","EB PT 1",5.2,"All","Updated IDB Date from IDB 2020 to IDB 2021","Wrong IDB year"]
[]
["RY2022"]
["2023-05-10","RM","2022","v1","Table (Hidden)","4-10","P-S","Updated Years","New year"]
["2023-05-10","RM","2022","v1","Essbase Input","C12",null,"Updated Reporting Year to current reporting year","New year"]
["2023-05-10","RM","2022","v1","Essbase Input","C16-D19",null,"Updated Years","New year"]
["2023-05-10","RM","2022","v1","Essbase Input","A1 & D2",null,"Updated Reporting Year and \"Warning\"","New year"]
["2023-05-10","RM","2022","v1","EB PT1, EB PT2, EB PT4, EB PT4 PY2, EB PT4 PY1, EB PT4 CY","SV Ranges",null,"Updated SV pull ranges","SV upgrade"]
["Instructions after yearly maintenance"]
["1. Confirm Smartview pulls refresh"]
["2023-05-10","RM","2022","v1","Pt 1 Summary of Data","All","AU-AW","REVIEW to confirm no variances."]
["2023-05-10","RM","2022","v1","Pt 2 Premium and Claims","All","AU-AW","REVIEW to confirm no variances."]
["2023-06-19","RM","2022","v2","EB PT1, EB PT2","All",null,"Added the following Products:\nper Camille Ellenz (GRI/CA): 106012 - Individual Short Term, 106019 - Insights-Deductible, 106411 - Indv Short Term Long Duration, 106430 - Assoc Group Short Term, 106431 - Assoc Grp Short Term Long Dur, 106530 - Medicare Supplemental - Plan G, 321029 - Hearing - Self Funded\nper Dina Brown (UHIC): 002135 - Business Travel Insurance, 305402 - Managed Transplant Risk SD, 440010 - Specialty Risk Protection, 203500 - Medicare Supplement – Standard","Missing products creating variances in \"-CHECK 1-\""]
["2023-06-27","RM","2022","v3","EB PT1, EB PT2","All",null,"Removed the following products from the crossch section because these have been remapped. per Dina Brown (UHIC): 306155 - Package Savings Disc - Vision, 306156 - Package Savings - Dental, 305402 - Managed Transplant Risk SD, 430083 - PBM ePrescribe, 430084 - PreCheck My Script Fee, 430087 - PBM EGWP, 430088 - PBM ECOB, 430089 - PBM Clinical","Products mapped since last report."]
["2023-06-27","RM","2022","v3","Pt 1 Summary of Data\nPt 1 Summary of Data - Adj\nPt 1 Summary of Data - Final\nPt 2 Summary of Data\nPt 2 Summary of Data - Adj\nPt 2 Summary of Data - Final","All",null,"Removed cols impacted by above adjustment (cross check section)","Products mapped since last report."]
[]
["RY2023"]
["2024-04-25","RM","2023","v1","Tables {Hidden}","4-10","P-S","Updated Years","New year"]
["2024-04-25","RM","2023","v1","Essbase Input","C12",null,"Updated Reporting Year to current reporting year","New year"]
["2024-04-25","RM","2023","v1","Essbase Input","C16-D19",null,"Updated Years","New year"]
["2024-04-25","RM","2023","v1","Essbase Input","A1 & D2",null,"Updated Reporting Year and \"Warning\"","New year"]
["Instructions after yearly maintenance"]
["1. Confirm Smartview pulls refresh"]
["2024-05-22","RM","2023","v1","Pt 1 Summary of Data","All","AU-AW","REVIEW to confirm no variances."]
["2024-05-22","RM","2023","v1","Pt 2 Premium and Claims","All","AU-AW","REVIEW to confirm no variances."]
[]
["2024-05-22","RM","2023","v1","EB PT 1 & EB PT 2",null,null,"Updated nodes.","\"UnitedHealthcare International\" node changed to \"Employer & Individual Global\" node\n \"UnitedHealthcare Domestic\" node changed to \"UnitedHealthcare\" node"]
["2024-05-22","RM","2023","v1","EB PT 1 & EB PT 2",null,null,"Removed \"UHC International, Stand Alone Dental, MLR Customer\" column.","\"Employer & Individual Global\" moved under \"UnitedHealthcare\" node."]
["2024-05-22","RM","2023","v1","Pt 1 Summary of Data\nPt 1 Summary of Data - Adj\nPt 1 Summary of Data - Final\nPt 2 Summary of Data\nPt 2 Summary of Data - Adj\nPt 2 Summary of Data - Final",null,null,"Removed \"UHC International, Stand Alone Dent, MLR Customer\" column.","\"Employer & Individual Global\" moved under \"UnitedHealthcare\" node."]
["2024-06-07","RM","2023","v2","Pt 4 MLR Calculation - Final","4.1","16,20,24","Updated formula. removed the section of code that stops the cell from populating if GRIC/UHLIC/MWNLIC/ChLIC\nFrom: =IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",IF(T28=0,0,T23/T28)))\nTo: =IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(T28=0,0,T23/T28))","These entities may be selling DPPO products now."]
["2024-06-26","RM","2023","v3","Pt 4 MLR Calculation - Final","4.1","4,8,12,16,20,24","Updated formula. switched \"MLR Denominator\" check for \"Life-Years\" check.\nFor example:\nFrom: =...IF(H28=0,0,H23/H28)\nTo: =...IF(H30<1000,\"Not Required to Calculate\",H23/H28)","To better align with the DMHC template."]
["TBD","TBD","TBD","TBD","Overall Logic",null,null,"DBP-CA has DPPO and DHMO business. Need to update reports to reflect this.","Per Camille Ellenz email 05/22/24. Unimerica has moved most of their business to DBP CA as of 12/31/2023 so that means that DBP CA will have DHMO and DPPO business on their filing for 2023. I think we need to update the template for this as it looks like DBP CA is all going to the DHMO columns on the template based on what is in the table tab. We will have to map the PPO products to the PPO columns on the template for this year’s filing."]
[]
["Communication:"]
["Please make sure your team thoroughly tests their entities to make sure the report is picking up all business required to be filed with DMHC.  Elise and I are not close enough to all businesses to know if we are missing dental chartfield values, or if there were changes to prior year chartfield usage, etc."]
["Also, we are still working through the CMS MLR form so changes from now through when we file (7/31) could impact this filing and could require a change.  I’d recommend holding off on filing until after we file the CMS reports."]

{"sheet":"Essbase Input","index":3,"n_rows":32,"n_cols":8,"rows_kept":32,"cut":false,"hidden":false,"merged":[[1,3,3,7],[0,0,0,2]]}
["Reporting Year 2024, Version 1 (posted 5/12/2025)"]
["Instructions:"]
["1.  Update Chartfields below: Legal Entity, Reporting Year, Period"]
["2. Connect to the UHGRMLR cube"]
["3. Refresh the \"EB\" tabs: EB PT 1, EB PT 2, EB PT 4, EB PT 4 PY2, EB PT 4 PY1, EB PT 4 CY"]
[]
["Smart View Retrieve Values (All 'EB PT x' tabs)",null,null,null,null,"Recommended Legal Entity / Location Combinations"]
["Legal Entity",null,"Golden Rule Insurance Company","<<< Select One",null,"Dental Benefit Prov CA Inc",null,"Locations"]
["Location",null,{"$f":"VLOOKUP($C$8,Tables!$B:$K,6,FALSE)","v":"California - CA"},"Verify Location",null,"Golden Rule Insurance Company",null,"California - CA"]
["Operating Unit",null,{"$f":"VLOOKUP($C$8,Tables!$B:$K,7,FALSE)","v":"Operating Units"},"Verify Operating Unit",null,"Unimerica Insurance Company",null,"California - CA"]
["Product",null,{"$f":"VLOOKUP($C$8,Tables!$B:$K,8,FALSE)","v":"Stand Alone Dental"},"Verify Product",null,"UnitedHealthcare Ins Co",null,"California - CA"]
["Reporting Year",null,"2024","<<< Select One",null,"UnitedHealthcare Life Ins Co",null,"California - CA"]
["Period",null,"4th Quarter","<<< Select One"]
[]
["For Use in 'EB PT 4' tab only"]
["Current Year",null,"2025","IDB 2025"]
["Reporting Year",null,"2024","IDB 2024"]
["PY 1",null,"2023","IDB 2023"]
["PY 2",null,"2022","IDB 2022"]
[]
[]
[]
[]
[]
[]
[null,"Save file here: "]
[null,"F:\\01_Reporting\\Working_Groups\\HCR_WG\\YYYY Initiatives\\42_Dental Loss Ratio\\42.1 California Dental Loss Ratio\\DMHC Template, Guidance, Instructions, Updates"]
[null,"F:\\98_Segment_UHG_Files\\MLR_SharePoint\\Regulatory MLR_Proj_Mgmt\\Dental MLR-CA\\YYYY_CA_Dental Filing"]
[]
[null,"RY2023: "]
[null,"F:\\01_Reporting\\Working_Groups\\HCR_WG\\2023 Initiatives\\42_Dental Loss Ratio\\42.1 California Dental Loss Ratio\\DMHC Template, Guidance, Instructions, Updates"]
[null,"F:\\98_Segment_UHG_Files\\MLR_SharePoint\\Regulatory MLR_Proj_Mgmt\\Dental MLR-CA\\2023_CA_Dental Filing"]

{"sheet":"Tables","index":4,"n_rows":75,"n_cols":23,"rows_kept":75,"cut":false,"hidden":false,"merged":[]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Updated 04/25/2024"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Current","Prior","Future","Prior",null,"Current Year","Current Year","Current Year"]
["Blank","Legal Entity (Essbase)","Legal Entity (Full Name)","DMHC #","DBAs","DPPO/DHMO","Location","Operating Unit","Product","Operating Unit (Other)",null,"Locations","Abbrv",null,"Customers","Year","Year","Year","Year 2","Period","Balance (Essbase)","Month (Essbase)","YTD (Essbase)"]
["DMHC","Dental Benefit Prov CA Inc","Dental Benefit Providers of California, Inc.","933-0255","N/A","DHMO","Locations","Operating Units","Stand Alone Dental","07210 - UHIC - Dental",null,"Alabama - AL",{"$f":"RIGHT(L4,2)","v":"AL"},null,"Individual","2024","2023","2025","2022","January","January_Bal","January","January_YTD"]
["BLUE","Unimerica Insurance Company","Unimerica Insurance Company",null,"Unimerica Life Insurance Company","DPPO","California - CA","UnitedHealthcare","Stand Alone Dental","07211 - UHIC-AMSLIC-DENTAL",null,"Alaska - AK",{"$f":"RIGHT(L5,2)","v":"AK"},null,"Small Group Employer","2023","2022","2024","2021","February","February_Bal","February","February_YTD"]
["BLUE","UnitedHealthcare Ins Co","UnitedHealthcare Insurance Company",null,"N/A","DPPO","California - CA","UnitedHealthcare","Stand Alone Dental","UHIC Dental",null,"Arizona - AZ","AZ",null,"Large Group Employer","2022","2021","2023","2020","1st Quarter","March_Bal","March","March_YTD"]
["BLUE","Golden Rule Insurance Company","Golden Rule Insurance Company",62286,"UnitedHealthOne","DPPO","California - CA","Operating Units","Stand Alone Dental","07220 - NATL PACIFIC DENTAL, INC. TX",null,"Arkansas - AR","AR",null,"Blank Customer","2021","2020","2022","2019","April","April_Bal","April","April_YTD"]
["BLUE","UnitedHealthcare Life Ins Co","UnitedHealthcare Life Insurance Company",null,"N/A","DPPO","California - CA","UnitedHealthcare","Stand Alone Dental","07221 - NATL PACIFIC DENTAL, INC. MD",null,"California - CA","CA",null,"MLR Customers","2020","2019","2021","2018","May","May_Bal","May","May_YTD"]
["BLUE","Mid-West Nat Life Ins Co of TN","Mid-West National Life Insurance Company of Tennessee",null,"N/A","DPPO","California - CA","UnitedHealthcare","Stand Alone Dental","National Pacifice Dental, Inc.",null,"Colorado - CO","CO",null,null,"2019","2018","2020","2017","2nd Quarter","June_Bal","June","June_YTD"]
["BLUE","The Chesapeake Life Ins. Co.","The Chesapeake Life Insurance Company",null,"N/A","DPPO","California - CA","UnitedHealthcare","Stand Alone Dental","07230 - PACIFIC UNION DENTAL, INC.",null,"Connecticut - CT","CT",null,null,"2018","2017","2019","2016","July","July_Bal","July","July_YTD"]
[null,null,null,null,null,null,null,null,null,"07231 - DENTAL BENEFIT PROVIDERS, INC.",null,"Delaware - DE","DE",null,null,"2017","2016","2018","2015","August","August_Bal","August","August_YTD"]
[null,null,null,null,null,null,null,null,null,"07232 - PACIFICARE DENTAL",null,"Florida - FL","FL",null,null,null,null,null,null,"3rd Quarter","September_Bal","September","September_YTD"]
[null,null,null,null,null,null,null,null,null,"Dental Benefit Providers of CA",null,"Georgia - GA","GA",null,null,null,null,null,null,"October","October_Bal","October","October_YTD"]
[null,null,null,null,null,null,null,null,null,"07200 - Dental E&I",null,"Hawaii - HI","HI",null,null,null,null,null,null,"November","November_Bal","November","November_YTD"]
[null,null,null,null,null,null,null,null,null,"07234 - Dental C&S",null,"Idaho - ID","ID",null,null,null,null,null,null,"4th Quarter","December_Bal","December","December_YTD"]
[null,null,null,null,null,null,null,null,null,"07235 - Dental M&R",null,"Illinois - IL","IL"]
[null,null,null,null,null,"As of 04/25/2024",null,null,null,"27200 - Dental Exchanges",null,"Indiana - IN","IN"]
[null,null,null,null,null,null,null,null,null,"Dental OU",null,"Iowa - IA","IA"]
["UIC to DBP-CA",null,null,null,null,null,null,null,null,"Operating Units",null,"Kansas - KS","KS"]
[null,null,null,null,null,null,null,null,null,null,null,"Kentucky - KY","KY"]
[null,null,null,null,null,null,null,null,null,null,null,"Louisiana - LA","LA"]
[null,null,null,null,null,null,null,null,null,null,null,"Maine - ME","ME"]
[null,null,null,null,null,null,null,null,null,null,null,"Maryland - MD","MD"]
[null,null,null,null,null,null,null,null,null,null,null,"Massachusetts - MA","MA"]
[null,null,null,null,null,null,null,null,null,null,null,"Michigan - MI","MI"]
[null,null,null,null,null,null,null,null,null,null,null,"Minnesota - MN","MN"]
[null,null,null,null,null,null,null,null,null,null,null,"Mississippi - MS","MS"]
[null,null,null,null,null,null,null,null,null,null,null,"Missouri - MO","MO"]
[null,null,null,null,null,null,null,null,null,null,null,"Montana - MT","MT"]
[null,null,null,null,null,null,null,null,null,null,null,"Nebraska - NE","NE"]
[null,null,null,null,null,null,null,null,null,null,null,"Nevada - NV","NV"]
[null,null,null,null,null,null,null,null,null,null,null,"New Hampshire - NH","NH"]
[null,null,null,null,null,null,null,null,null,null,null,"New Jersey - NJ","NJ"]
[null,null,null,null,null,null,null,null,null,null,null,"New Mexico - NM","NM"]
[null,null,null,null,null,null,null,null,null,null,null,"New York - NY","NY"]
[null,null,null,null,null,null,null,null,null,null,null,"North Carolina - NC","NC"]
[null,null,null,null,null,null,null,null,null,null,null,"North Dakota - ND","ND"]
[null,null,null,null,null,null,null,null,null,null,null,"Ohio - OH","OH"]
[null,null,null,null,null,null,null,null,null,null,null,"Oklahoma - OK","OK"]
[null,null,null,null,null,null,null,null,null,null,null,"Oregon - OR","OR"]
[null,null,null,null,null,null,null,null,null,null,null,"Pennsylvania - PA","PA"]
[null,null,null,null,null,null,null,null,null,null,null,"Rhode Island - RI","RI"]
[null,null,null,null,null,null,null,null,null,null,null,"South Carolina - SC","SC"]
[null,null,null,null,null,null,null,null,null,null,null,"South Dakota - SD","SD"]
[null,null,null,null,null,null,null,null,null,null,null,"Tennessee - TN","TN"]
[null,null,null,null,null,null,null,null,null,null,null,"Texas - TX","TX"]
[null,null,null,null,null,null,null,null,null,null,null,"Utah - UT","UT"]
[null,null,null,null,null,null,null,null,null,null,null,"Vermont - VT","VT"]
[null,null,null,null,null,null,null,null,null,null,null,"Virginia - VA","VA"]
[null,null,null,null,null,null,null,null,null,null,null,"Washington - WA","WA"]
[null,null,null,null,null,null,null,null,null,null,null,"West Virginia - WV","WV"]
[null,null,null,null,null,null,null,null,null,null,null,"Wisconsin - WI","WI"]
[null,null,null,null,null,null,null,null,null,null,null,"Wyoming - WY","WY"]
[null,null,null,null,null,null,null,null,null,null,null,"District Of Columbia - DC","DC"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"American Samoa","AS"]
[null,null,null,null,null,null,null,null,null,null,null,"Canada","CA"]
[null,null,null,null,null,null,null,null,null,null,null,"Virgin Islands","VI"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"Total Central Regional","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Total Northeast Regional","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Total Southeast Regional","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Total West Regional","XX"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"US Regions States","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"US Regions Other","XX"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"Central Region US","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Northeast Region US","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Southeast Region US","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"West Region US","XX"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"Corporate Other Region","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Segment Support","XX"]
[null,null,null,null,null,null,null,null,null,null,null,"Corporate Segment","XX"]

{"sheet":"Dashboard","index":5,"n_rows":29,"n_cols":13,"rows_kept":29,"cut":false,"hidden":false,"merged":[[4,1,4,12],[5,1,5,6],[5,7,5,12],[6,1,6,2],[6,3,6,4],[6,5,6,6],[6,7,6,8],[6,9,6,10],[6,11,6,12]]}
[{"$f":"'Essbase Input'!C8","v":"Golden Rule Insurance Company"}]
[{"$f":"+'Essbase Input'!$C$9","v":"California - CA"}]
[{"$f":"+'Essbase Input'!$C$11","v":"Stand Alone Dental"}]
[{"$f":"'Essbase Input'!$C$12","v":"2024"}]
[null,"Health Insurance Coverage"]
[null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products"]
[null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group"]
[null,"Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of "]
["Metrics",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"}]
["Gross Margin"]
["Health Premiums Earned PMPM (Line 1.1 / Member Months)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E21/'Pt 1 Summary of Data - Final'!E48),0,'Pt 1 Summary of Data - Final'!E21/'Pt 1 Summary of Data - Final'!E48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F21/'Pt 1 Summary of Data - Final'!F48),0,'Pt 1 Summary of Data - Final'!F21/'Pt 1 Summary of Data - Final'!F48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G21/'Pt 1 Summary of Data - Final'!G48),0,'Pt 1 Summary of Data - Final'!G21/'Pt 1 Summary of Data - Final'!G48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H21/'Pt 1 Summary of Data - Final'!H48),0,'Pt 1 Summary of Data - Final'!H21/'Pt 1 Summary of Data - Final'!H48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I21/'Pt 1 Summary of Data - Final'!I48),0,'Pt 1 Summary of Data - Final'!I21/'Pt 1 Summary of Data - Final'!I48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J21/'Pt 1 Summary of Data - Final'!J48),0,'Pt 1 Summary of Data - Final'!J21/'Pt 1 Summary of Data - Final'!J48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K21/'Pt 1 Summary of Data - Final'!K48),0,'Pt 1 Summary of Data - Final'!K21/'Pt 1 Summary of Data - Final'!K48)","v":49.172766929867073},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L21/'Pt 1 Summary of Data - Final'!L48),0,'Pt 1 Summary of Data - Final'!L21/'Pt 1 Summary of Data - Final'!L48)","v":49.202174710764226},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M21/'Pt 1 Summary of Data - Final'!M48),0,'Pt 1 Summary of Data - Final'!M21/'Pt 1 Summary of Data - Final'!M48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N21/'Pt 1 Summary of Data - Final'!N48),0,'Pt 1 Summary of Data - Final'!N21/'Pt 1 Summary of Data - Final'!N48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O21/'Pt 1 Summary of Data - Final'!O48),0,'Pt 1 Summary of Data - Final'!O21/'Pt 1 Summary of Data - Final'!O48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P21/'Pt 1 Summary of Data - Final'!P48),0,'Pt 1 Summary of Data - Final'!P21/'Pt 1 Summary of Data - Final'!P48)","v":0}]
["Total Incurred Claims PMPM (Line 2.1 / Member Months)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E24/'Pt 1 Summary of Data - Final'!E48),0,'Pt 1 Summary of Data - Final'!E24/'Pt 1 Summary of Data - Final'!E48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F24/'Pt 1 Summary of Data - Final'!F48),0,'Pt 1 Summary of Data - Final'!F24/'Pt 1 Summary of Data - Final'!F48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G24/'Pt 1 Summary of Data - Final'!G48),0,'Pt 1 Summary of Data - Final'!G24/'Pt 1 Summary of Data - Final'!G48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H24/'Pt 1 Summary of Data - Final'!H48),0,'Pt 1 Summary of Data - Final'!H24/'Pt 1 Summary of Data - Final'!H48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I24/'Pt 1 Summary of Data - Final'!I48),0,'Pt 1 Summary of Data - Final'!I24/'Pt 1 Summary of Data - Final'!I48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J24/'Pt 1 Summary of Data - Final'!J48),0,'Pt 1 Summary of Data - Final'!J24/'Pt 1 Summary of Data - Final'!J48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K24/'Pt 1 Summary of Data - Final'!K48),0,'Pt 1 Summary of Data - Final'!K24/'Pt 1 Summary of Data - Final'!K48)","v":25.967165512195585},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L24/'Pt 1 Summary of Data - Final'!L48),0,'Pt 1 Summary of Data - Final'!L24/'Pt 1 Summary of Data - Final'!L48)","v":25.134926562158359},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M24/'Pt 1 Summary of Data - Final'!M48),0,'Pt 1 Summary of Data - Final'!M24/'Pt 1 Summary of Data - Final'!M48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N24/'Pt 1 Summary of Data - Final'!N48),0,'Pt 1 Summary of Data - Final'!N24/'Pt 1 Summary of Data - Final'!N48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O24/'Pt 1 Summary of Data - Final'!O48),0,'Pt 1 Summary of Data - Final'!O24/'Pt 1 Summary of Data - Final'!O48)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P24/'Pt 1 Summary of Data - Final'!P48),0,'Pt 1 Summary of Data - Final'!P24/'Pt 1 Summary of Data - Final'!P48)","v":0}]
["Non-Claims Costs"]
["Total Non-Claims Costs % of Premiums (Line 4.5 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E44/'Pt 1 Summary of Data - Final'!E21),0,'Pt 1 Summary of Data - Final'!E44/'Pt 1 Summary of Data - Final'!E21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F44/'Pt 1 Summary of Data - Final'!F21),0,'Pt 1 Summary of Data - Final'!F44/'Pt 1 Summary of Data - Final'!F21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G44/'Pt 1 Summary of Data - Final'!G21),0,'Pt 1 Summary of Data - Final'!G44/'Pt 1 Summary of Data - Final'!G21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H44/'Pt 1 Summary of Data - Final'!H21),0,'Pt 1 Summary of Data - Final'!H44/'Pt 1 Summary of Data - Final'!H21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I44/'Pt 1 Summary of Data - Final'!I21),0,'Pt 1 Summary of Data - Final'!I44/'Pt 1 Summary of Data - Final'!I21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J44/'Pt 1 Summary of Data - Final'!J21),0,'Pt 1 Summary of Data - Final'!J44/'Pt 1 Summary of Data - Final'!J21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K44/'Pt 1 Summary of Data - Final'!K21),0,'Pt 1 Summary of Data - Final'!K44/'Pt 1 Summary of Data - Final'!K21)","v":0.28915110301154956},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L44/'Pt 1 Summary of Data - Final'!L21),0,'Pt 1 Summary of Data - Final'!L44/'Pt 1 Summary of Data - Final'!L21)","v":0.2891211327025649},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M44/'Pt 1 Summary of Data - Final'!M21),0,'Pt 1 Summary of Data - Final'!M44/'Pt 1 Summary of Data - Final'!M21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N44/'Pt 1 Summary of Data - Final'!N21),0,'Pt 1 Summary of Data - Final'!N44/'Pt 1 Summary of Data - Final'!N21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O44/'Pt 1 Summary of Data - Final'!O21),0,'Pt 1 Summary of Data - Final'!O44/'Pt 1 Summary of Data - Final'!O21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P44/'Pt 1 Summary of Data - Final'!P21),0,'Pt 1 Summary of Data - Final'!P44/'Pt 1 Summary of Data - Final'!P21)","v":0}]
["Direct Sal. & Benefits % of Premiums (Line 4.1 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E38/'Pt 1 Summary of Data - Final'!E$21),0,'Pt 1 Summary of Data - Final'!E38/'Pt 1 Summary of Data - Final'!E$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F38/'Pt 1 Summary of Data - Final'!F$21),0,'Pt 1 Summary of Data - Final'!F38/'Pt 1 Summary of Data - Final'!F$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G38/'Pt 1 Summary of Data - Final'!G$21),0,'Pt 1 Summary of Data - Final'!G38/'Pt 1 Summary of Data - Final'!G$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H38/'Pt 1 Summary of Data - Final'!H$21),0,'Pt 1 Summary of Data - Final'!H38/'Pt 1 Summary of Data - Final'!H$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I38/'Pt 1 Summary of Data - Final'!I$21),0,'Pt 1 Summary of Data - Final'!I38/'Pt 1 Summary of Data - Final'!I$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J38/'Pt 1 Summary of Data - Final'!J$21),0,'Pt 1 Summary of Data - Final'!J38/'Pt 1 Summary of Data - Final'!J$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K38/'Pt 1 Summary of Data - Final'!K$21),0,'Pt 1 Summary of Data - Final'!K38/'Pt 1 Summary of Data - Final'!K$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L38/'Pt 1 Summary of Data - Final'!L$21),0,'Pt 1 Summary of Data - Final'!L38/'Pt 1 Summary of Data - Final'!L$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M38/'Pt 1 Summary of Data - Final'!M$21),0,'Pt 1 Summary of Data - Final'!M38/'Pt 1 Summary of Data - Final'!M$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N38/'Pt 1 Summary of Data - Final'!N$21),0,'Pt 1 Summary of Data - Final'!N38/'Pt 1 Summary of Data - Final'!N$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O38/'Pt 1 Summary of Data - Final'!O$21),0,'Pt 1 Summary of Data - Final'!O38/'Pt 1 Summary of Data - Final'!O$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P38/'Pt 1 Summary of Data - Final'!P$21),0,'Pt 1 Summary of Data - Final'!P38/'Pt 1 Summary of Data - Final'!P$21)","v":0}]
["Agents, Broker Fees & Comm. % of Premiums (Line 4.2 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E39/'Pt 1 Summary of Data - Final'!E$21),0,'Pt 1 Summary of Data - Final'!E39/'Pt 1 Summary of Data - Final'!E$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F39/'Pt 1 Summary of Data - Final'!F$21),0,'Pt 1 Summary of Data - Final'!F39/'Pt 1 Summary of Data - Final'!F$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G39/'Pt 1 Summary of Data - Final'!G$21),0,'Pt 1 Summary of Data - Final'!G39/'Pt 1 Summary of Data - Final'!G$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H39/'Pt 1 Summary of Data - Final'!H$21),0,'Pt 1 Summary of Data - Final'!H39/'Pt 1 Summary of Data - Final'!H$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I39/'Pt 1 Summary of Data - Final'!I$21),0,'Pt 1 Summary of Data - Final'!I39/'Pt 1 Summary of Data - Final'!I$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J39/'Pt 1 Summary of Data - Final'!J$21),0,'Pt 1 Summary of Data - Final'!J39/'Pt 1 Summary of Data - Final'!J$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K39/'Pt 1 Summary of Data - Final'!K$21),0,'Pt 1 Summary of Data - Final'!K39/'Pt 1 Summary of Data - Final'!K$21)","v":8.5412969021283619E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L39/'Pt 1 Summary of Data - Final'!L$21),0,'Pt 1 Summary of Data - Final'!L39/'Pt 1 Summary of Data - Final'!L$21)","v":8.5404116026962643E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M39/'Pt 1 Summary of Data - Final'!M$21),0,'Pt 1 Summary of Data - Final'!M39/'Pt 1 Summary of Data - Final'!M$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N39/'Pt 1 Summary of Data - Final'!N$21),0,'Pt 1 Summary of Data - Final'!N39/'Pt 1 Summary of Data - Final'!N$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O39/'Pt 1 Summary of Data - Final'!O$21),0,'Pt 1 Summary of Data - Final'!O39/'Pt 1 Summary of Data - Final'!O$21)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P39/'Pt 1 Summary of Data - Final'!P$21),0,'Pt 1 Summary of Data - Final'!P39/'Pt 1 Summary of Data - Final'!P$21)","v":0}]
["Management Fee % of Premiums (Acct 76000 / Line 1.1)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!K64/'Pt 1 Summary of Data - Final'!E21),0,'EB PT 1'!K64/'Pt 1 Summary of Data - Final'!E21))","v":0},{"$f":"+B17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!M64/'Pt 1 Summary of Data - Final'!G21),0,'EB PT 1'!M64/'Pt 1 Summary of Data - Final'!G21))","v":0},{"$f":"+D17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!O64/'Pt 1 Summary of Data - Final'!I21),0,'EB PT 1'!O64/'Pt 1 Summary of Data - Final'!I21))","v":0},{"$f":"+F17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'EB PT 1'!Q64/'Pt 1 Summary of Data - Final'!K21,IF(ISERROR('EB PT 1'!K64/'Pt 1 Summary of Data - Final'!K21),0,'EB PT 1'!K64/'Pt 1 Summary of Data - Final'!K21)))","v":0.15180000046028186},{"$f":"+H17","v":0.15180000046028186},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR('EB PT 1'!M64/'Pt 1 Summary of Data - Final'!M21),0,'EB PT 1'!M64/'Pt 1 Summary of Data - Final'!M21)))","v":0},{"$f":"+J17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR('EB PT 1'!O64/'Pt 1 Summary of Data - Final'!O21),0,'EB PT 1'!O64/'Pt 1 Summary of Data - Final'!O21)))","v":0},{"$f":"+L17","v":0}]
["Salaries as a % of MGMT Fees (Line 4.1 / Acct 76000)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!E38/'EB PT 1'!K64),0,'Pt 1 Summary of Data - Final'!E38/'EB PT 1'!K64))","v":0},{"$f":"+B18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!G38/'EB PT 1'!M64),0,'Pt 1 Summary of Data - Final'!G38/'EB PT 1'!M64))","v":0},{"$f":"+D18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!I38/'EB PT 1'!O64),0,'Pt 1 Summary of Data - Final'!I38/'EB PT 1'!O64))","v":0},{"$f":"+F18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Pt 1 Summary of Data - Final'!K38/'EB PT 1'!Q64,IF(ISERROR('Pt 1 Summary of Data - Final'!K38/'EB PT 1'!K64),0,'Pt 1 Summary of Data - Final'!K38/'EB PT 1'!K64)))","v":0},{"$f":"+H18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!M38/'EB PT 1'!M64),0,'Pt 1 Summary of Data - Final'!M38/'EB PT 1'!M64)))","v":0},{"$f":"+J18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!O38/'EB PT 1'!O64),0,'Pt 1 Summary of Data - Final'!O38/'EB PT 1'!O64)))","v":0},{"$f":"+L18","v":0}]
["Taxes"]
["Effective Tax Rate - Federal (Line 3.1 / (Line 1.1 - 2.1 - 4.5))",{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!E28:E29)/('Pt 1 Summary of Data - Final'!E21-'Pt 1 Summary of Data - Final'!E24-'Pt 1 Summary of Data - Final'!E44)),0,SUM('Pt 1 Summary of Data - Final'!E28:E29)/('Pt 1 Summary of Data - Final'!E21-'Pt 1 Summary of Data - Final'!E24-'Pt 1 Summary of Data - Final'!E44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!F28:F29)/('Pt 1 Summary of Data - Final'!F21-'Pt 1 Summary of Data - Final'!F24-'Pt 1 Summary of Data - Final'!F44)),0,SUM('Pt 1 Summary of Data - Final'!F28:F29)/('Pt 1 Summary of Data - Final'!F21-'Pt 1 Summary of Data - Final'!F24-'Pt 1 Summary of Data - Final'!F44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!G28:G29)/('Pt 1 Summary of Data - Final'!G21-'Pt 1 Summary of Data - Final'!G24-'Pt 1 Summary of Data - Final'!G44)),0,SUM('Pt 1 Summary of Data - Final'!G28:G29)/('Pt 1 Summary of Data - Final'!G21-'Pt 1 Summary of Data - Final'!G24-'Pt 1 Summary of Data - Final'!G44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!H28:H29)/('Pt 1 Summary of Data - Final'!H21-'Pt 1 Summary of Data - Final'!H24-'Pt 1 Summary of Data - Final'!H44)),0,SUM('Pt 1 Summary of Data - Final'!H28:H29)/('Pt 1 Summary of Data - Final'!H21-'Pt 1 Summary of Data - Final'!H24-'Pt 1 Summary of Data - Final'!H44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!I28:I29)/('Pt 1 Summary of Data - Final'!I21-'Pt 1 Summary of Data - Final'!I24-'Pt 1 Summary of Data - Final'!I44)),0,SUM('Pt 1 Summary of Data - Final'!I28:I29)/('Pt 1 Summary of Data - Final'!I21-'Pt 1 Summary of Data - Final'!I24-'Pt 1 Summary of Data - Final'!I44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!J28:J29)/('Pt 1 Summary of Data - Final'!J21-'Pt 1 Summary of Data - Final'!J24-'Pt 1 Summary of Data - Final'!J44)),0,SUM('Pt 1 Summary of Data - Final'!J28:J29)/('Pt 1 Summary of Data - Final'!J21-'Pt 1 Summary of Data - Final'!J24-'Pt 1 Summary of Data - Final'!J44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!K28:K29)/('Pt 1 Summary of Data - Final'!K21-'Pt 1 Summary of Data - Final'!K24-'Pt 1 Summary of Data - Final'!K44)),0,SUM('Pt 1 Summary of Data - Final'!K28:K29)/('Pt 1 Summary of Data - Final'!K21-'Pt 1 Summary of Data - Final'!K24-'Pt 1 Summary of Data - Final'!K44))","v":0.15045848932404068},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!L28:L29)/('Pt 1 Summary of Data - Final'!L21-'Pt 1 Summary of Data - Final'!L24-'Pt 1 Summary of Data - Final'!L44)),0,SUM('Pt 1 Summary of Data - Final'!L28:L29)/('Pt 1 Summary of Data - Final'!L21-'Pt 1 Summary of Data - Final'!L24-'Pt 1 Summary of Data - Final'!L44))","v":0.1374613428821517},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!M28:M29)/('Pt 1 Summary of Data - Final'!M21-'Pt 1 Summary of Data - Final'!M24-'Pt 1 Summary of Data - Final'!M44)),0,SUM('Pt 1 Summary of Data - Final'!M28:M29)/('Pt 1 Summary of Data - Final'!M21-'Pt 1 Summary of Data - Final'!M24-'Pt 1 Summary of Data - Final'!M44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!N28:N29)/('Pt 1 Summary of Data - Final'!N21-'Pt 1 Summary of Data - Final'!N24-'Pt 1 Summary of Data - Final'!N44)),0,SUM('Pt 1 Summary of Data - Final'!N28:N29)/('Pt 1 Summary of Data - Final'!N21-'Pt 1 Summary of Data - Final'!N24-'Pt 1 Summary of Data - Final'!N44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!O28:O29)/('Pt 1 Summary of Data - Final'!O21-'Pt 1 Summary of Data - Final'!O24-'Pt 1 Summary of Data - Final'!O44)),0,SUM('Pt 1 Summary of Data - Final'!O28:O29)/('Pt 1 Summary of Data - Final'!O21-'Pt 1 Summary of Data - Final'!O24-'Pt 1 Summary of Data - Final'!O44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!P28:P29)/('Pt 1 Summary of Data - Final'!P21-'Pt 1 Summary of Data - Final'!P24-'Pt 1 Summary of Data - Final'!P44)),0,SUM('Pt 1 Summary of Data - Final'!P28:P29)/('Pt 1 Summary of Data - Final'!P21-'Pt 1 Summary of Data - Final'!P24-'Pt 1 Summary of Data - Final'!P44))","v":0}]
["Effective Tax Rate - State & Local (Line 3.2 / (Line 1.1 - 2.1 - 4.5))",{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!E31:E34)/('Pt 1 Summary of Data - Final'!E21-'Pt 1 Summary of Data - Final'!E24-'Pt 1 Summary of Data - Final'!E44)),0,SUM('Pt 1 Summary of Data - Final'!E31:E34)/('Pt 1 Summary of Data - Final'!E21-'Pt 1 Summary of Data - Final'!E24-'Pt 1 Summary of Data - Final'!E44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!F31:F34)/('Pt 1 Summary of Data - Final'!F21-'Pt 1 Summary of Data - Final'!F24-'Pt 1 Summary of Data - Final'!F44)),0,SUM('Pt 1 Summary of Data - Final'!F31:F34)/('Pt 1 Summary of Data - Final'!F21-'Pt 1 Summary of Data - Final'!F24-'Pt 1 Summary of Data - Final'!F44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!G31:G34)/('Pt 1 Summary of Data - Final'!G21-'Pt 1 Summary of Data - Final'!G24-'Pt 1 Summary of Data - Final'!G44)),0,SUM('Pt 1 Summary of Data - Final'!G31:G34)/('Pt 1 Summary of Data - Final'!G21-'Pt 1 Summary of Data - Final'!G24-'Pt 1 Summary of Data - Final'!G44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!H31:H34)/('Pt 1 Summary of Data - Final'!H21-'Pt 1 Summary of Data - Final'!H24-'Pt 1 Summary of Data - Final'!H44)),0,SUM('Pt 1 Summary of Data - Final'!H31:H34)/('Pt 1 Summary of Data - Final'!H21-'Pt 1 Summary of Data - Final'!H24-'Pt 1 Summary of Data - Final'!H44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!I31:I34)/('Pt 1 Summary of Data - Final'!I21-'Pt 1 Summary of Data - Final'!I24-'Pt 1 Summary of Data - Final'!I44)),0,SUM('Pt 1 Summary of Data - Final'!I31:I34)/('Pt 1 Summary of Data - Final'!I21-'Pt 1 Summary of Data - Final'!I24-'Pt 1 Summary of Data - Final'!I44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!J31:J34)/('Pt 1 Summary of Data - Final'!J21-'Pt 1 Summary of Data - Final'!J24-'Pt 1 Summary of Data - Final'!J44)),0,SUM('Pt 1 Summary of Data - Final'!J31:J34)/('Pt 1 Summary of Data - Final'!J21-'Pt 1 Summary of Data - Final'!J24-'Pt 1 Summary of Data - Final'!J44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!K31:K34)/('Pt 1 Summary of Data - Final'!K21-'Pt 1 Summary of Data - Final'!K24-'Pt 1 Summary of Data - Final'!K44)),0,SUM('Pt 1 Summary of Data - Final'!K31:K34)/('Pt 1 Summary of Data - Final'!K21-'Pt 1 Summary of Data - Final'!K24-'Pt 1 Summary of Data - Final'!K44))","v":0.25152850066883153},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!L31:L34)/('Pt 1 Summary of Data - Final'!L21-'Pt 1 Summary of Data - Final'!L24-'Pt 1 Summary of Data - Final'!L44)),0,SUM('Pt 1 Summary of Data - Final'!L31:L34)/('Pt 1 Summary of Data - Final'!L21-'Pt 1 Summary of Data - Final'!L24-'Pt 1 Summary of Data - Final'!L44))","v":0.22980056247013783},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!M31:M34)/('Pt 1 Summary of Data - Final'!M21-'Pt 1 Summary of Data - Final'!M24-'Pt 1 Summary of Data - Final'!M44)),0,SUM('Pt 1 Summary of Data - Final'!M31:M34)/('Pt 1 Summary of Data - Final'!M21-'Pt 1 Summary of Data - Final'!M24-'Pt 1 Summary of Data - Final'!M44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!N31:N34)/('Pt 1 Summary of Data - Final'!N21-'Pt 1 Summary of Data - Final'!N24-'Pt 1 Summary of Data - Final'!N44)),0,SUM('Pt 1 Summary of Data - Final'!N31:N34)/('Pt 1 Summary of Data - Final'!N21-'Pt 1 Summary of Data - Final'!N24-'Pt 1 Summary of Data - Final'!N44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!O31:O34)/('Pt 1 Summary of Data - Final'!O21-'Pt 1 Summary of Data - Final'!O24-'Pt 1 Summary of Data - Final'!O44)),0,SUM('Pt 1 Summary of Data - Final'!O31:O34)/('Pt 1 Summary of Data - Final'!O21-'Pt 1 Summary of Data - Final'!O24-'Pt 1 Summary of Data - Final'!O44))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!P31:P34)/('Pt 1 Summary of Data - Final'!P21-'Pt 1 Summary of Data - Final'!P24-'Pt 1 Summary of Data - Final'!P44)),0,SUM('Pt 1 Summary of Data - Final'!P31:P34)/('Pt 1 Summary of Data - Final'!P21-'Pt 1 Summary of Data - Final'!P24-'Pt 1 Summary of Data - Final'!P44))","v":0}]
["Non-Claims Costs - QI/HIT"]
["QI/HIT % of Premiums",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E21),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E21))","v":0},{"$f":"+B23","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G21),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G21))","v":0},{"$f":"+D23","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I21),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I21))","v":0},{"$f":"+F23","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",SUM('EB PT 1'!$Q$45:$Q$50)/'Pt 1 Summary of Data - Final'!K21,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K21),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K21)))","v":6.5902319049936566E-3},{"$f":"+H23","v":6.5902319049936566E-3},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M21),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M21)))","v":0},{"$f":"+J23","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O21),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O21)))","v":0},{"$f":"+L23","v":0}]
["QI/HIT % of Non-Claims Costs",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E44),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E44))","v":0},{"$f":"+B24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G44),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G44))","v":0},{"$f":"+D24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I44),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I44))","v":0},{"$f":"+F24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",SUM('EB PT 1'!$Q$45:$Q$50)/'Pt 1 Summary of Data - Final'!K44,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K44),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K44)))","v":2.2791654039550465E-2},{"$f":"+H24","v":2.2791654039550465E-2},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M44),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M44)))","v":0},{"$f":"+J24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O44),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O44)))","v":0},{"$f":"+L24","v":0}]
["QI/HIT PMPM",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E48),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!E48))","v":0},{"$f":"+B25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G48),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!G48))","v":0},{"$f":"+D25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I48),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!I48))","v":0},{"$f":"+F25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",SUM('EB PT 1'!$Q$45:$Q$50)/'Pt 1 Summary of Data - Final'!K48,IF(ISERROR(SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K48),0,SUM('EB PT 1'!$K$45:$K$50)/'Pt 1 Summary of Data - Final'!K48)))","v":0.32405993747802697},{"$f":"+H25","v":0.32405993747802697},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M48),0,SUM('EB PT 1'!$M$45:$M$50)/'Pt 1 Summary of Data - Final'!M48)))","v":0},{"$f":"+J25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B:$F,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O48),0,SUM('EB PT 1'!$O$45:$O$50)/'Pt 1 Summary of Data - Final'!O48)))","v":0},{"$f":"+L25","v":0}]
["MLR"]
["MLR % (Part 4 Line 4.1)",{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$H$33),0,'Pt 4 MLR Calculation'!$H$33)","v":0},{"$f":"+B27","v":0},{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$L$33),0,'Pt 4 MLR Calculation'!$L$33)","v":0},{"$f":"+D27","v":0},{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$P$33),0,'Pt 4 MLR Calculation'!$P$33)","v":0},{"$f":"+F27","v":0},{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$T$33),0,'Pt 4 MLR Calculation'!$T$33)","v":0.50339046169336676},{"$f":"+H27","v":0.50339046169336676},{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$X$33),0,'Pt 4 MLR Calculation'!$X$33)","v":0},{"$f":"+J27","v":0},{"$f":"IF(ISERROR('Pt 4 MLR Calculation'!$AB$33),0,'Pt 4 MLR Calculation'!$AB$33)","v":0},{"$f":"+L27","v":0}]
["Membership"]
["Member Months per Covered Life (Other Indicators: Line 5.2 / Line 5.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!E48/'Pt 1 Summary of Data - Final'!E47),0,'Pt 1 Summary of Data - Final'!E48/'Pt 1 Summary of Data - Final'!E47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F48/'Pt 1 Summary of Data - Final'!F47),0,'Pt 1 Summary of Data - Final'!F48/'Pt 1 Summary of Data - Final'!F47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G48/'Pt 1 Summary of Data - Final'!G47),0,'Pt 1 Summary of Data - Final'!G48/'Pt 1 Summary of Data - Final'!G47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H48/'Pt 1 Summary of Data - Final'!H47),0,'Pt 1 Summary of Data - Final'!H48/'Pt 1 Summary of Data - Final'!H47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I48/'Pt 1 Summary of Data - Final'!I47),0,'Pt 1 Summary of Data - Final'!I48/'Pt 1 Summary of Data - Final'!I47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J48/'Pt 1 Summary of Data - Final'!J47),0,'Pt 1 Summary of Data - Final'!J48/'Pt 1 Summary of Data - Final'!J47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K48/'Pt 1 Summary of Data - Final'!K47),0,'Pt 1 Summary of Data - Final'!K48/'Pt 1 Summary of Data - Final'!K47)","v":11.009833664609269},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L48/'Pt 1 Summary of Data - Final'!L47),0,'Pt 1 Summary of Data - Final'!L48/'Pt 1 Summary of Data - Final'!L47)","v":11.004393765038184},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M48/'Pt 1 Summary of Data - Final'!M47),0,'Pt 1 Summary of Data - Final'!M48/'Pt 1 Summary of Data - Final'!M47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N48/'Pt 1 Summary of Data - Final'!N47),0,'Pt 1 Summary of Data - Final'!N48/'Pt 1 Summary of Data - Final'!N47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O48/'Pt 1 Summary of Data - Final'!O47),0,'Pt 1 Summary of Data - Final'!O48/'Pt 1 Summary of Data - Final'!O47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P48/'Pt 1 Summary of Data - Final'!P47),0,'Pt 1 Summary of Data - Final'!P48/'Pt 1 Summary of Data - Final'!P47)","v":0}]

{"sheet":"Cover Page","index":6,"n_rows":15,"n_cols":3,"rows_kept":15,"cut":false,"hidden":false,"merged":[[0,1,0,2],[1,1,1,2],[2,1,2,2]]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form "]
[null,"Dental Coverage"]
[]
[]
["1.","MLR Reporting Year",{"$f":"'Essbase Input'!$C$12","v":"2024"}]
["2.","DMHC Health Plan ID / CDI NAIC No.",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$E$21,3,FALSE)=\"\",\"\",VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$E$21,3,FALSE))","v":62286}]
["3.","Legal Name",{"$f":"VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$E$21,2,FALSE)","v":"Golden Rule Insurance Company"}]
["4.","DBA",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$E$21,4,FALSE)=\"\",\"N/A\",VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$E$21,4,FALSE))","v":"UnitedHealthOne"}]
["5.","Federal Tax Exempt Status? Please enter Yes or No","No"]
[]
[]
[]
[null,"Cell Key:"]
[null,"Blank cells require input from Health plan or Health insurer"]

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[null,2.1,"12/31","--","--","Calc: from Pt 2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AY14-SUM(U14:AX14)","v":0},{"$f":"K14+M14+O14+S14+T14+AY14+SUM(AZ14:BE14)-BF14","v":0}]
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[null,"3.1b","12/31","SUB","--","92016 - Reinsur Contrib Fee - Pool","IDB Periods","Total Year","Reinsurance","0000004362 - OR-CHIP-Med Ins Pool (MIP)",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AY19-SUM(U19:AX19)","v":0},{"$f":"K19+M19+O19+S19+T19+AY19+SUM(AZ19:BE19)-BF19","v":0}]
[null,"3.1b","03/31","--","--","Calc: =12/31"]
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[null,"3.2a","12/31","ADD","--","State Local Taxes","IDB Periods","Total Year","Reinsurance","All Other Projects",1178.3700000000001,0,0,0,0,0,1178.3700000000001,0,191.22999999999996,55.480000000000004,0,0,0,0,0,0,0,0,349.53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18.649999999999999,0,0,0,0,0,0,368.18,0,0,0,0,0,0,1793.2600000000002,1178.3700000000001,null,{"$f":"AY22-SUM(U22:AX22)","v":0},{"$f":"K22+M22+O22+S22+T22+AY22+SUM(AZ22:BE22)-BF22","v":0}]
[null,"3.2a","12/31","ADD","--","92016 - Reinsur Contrib Fee - Pool","IDB Periods","Total Year","Reinsurance","0000004362 - OR-CHIP-Med Ins Pool (MIP)",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AY23-SUM(U23:AX23)","v":0},{"$f":"K23+M23+O23+S23+T23+AY23+SUM(AZ23:BE23)-BF23","v":0}]
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[null,"3.2b","12/31","SUB","--","92010 - Other Premium Assessments","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,203.35,0,0,0,0,0,0,0,0,147.61999999999998,0,0,3.5200000000000005,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29.13,1.6799999999999997,-2.1999999999999997,179.74999999999997,0,0,0,0,0,0,383.09999999999997,0,null,{"$f":"AY27-SUM(U27:AX27)","v":0},{"$f":"K27+M27+O27+S27+T27+AY27+SUM(AZ27:BE27)-BF27","v":0}]
[null,"3.2b","03/31","--","--","Calc: =12/31"]
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[null,"3.2c","03/31","--","--","Calc: =12/31"]
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[null,3.3,"03/31","--","--","Calc: =12/31"]
[null,3.4,"12/31","--","--","Calc: from DMHC Form",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AY33-SUM(U33:AX33)","v":0},{"$f":"K33+M33+O33+S33+T33+AY33+SUM(AZ33:BE33)-BF33","v":0}]
[null,3.4,"03/31","--","--","Calc: from DMHC Form"]
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[null,4.0999999999999996,"03/31","--","--","Calc: =12/31"]
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[null,4.2,"03/31","--","--","Calc: =12/31"]
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[null,"4.3a","03/31","--","--","Calc: =12/31"]
["5.5b","4.3b","12/31","--","--","Zero Out",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AY41-SUM(U41:AX41)","v":0},{"$f":"K41+M41+O41+S41+T41+AY41+SUM(AZ41:BE41)-BF41","v":0}]
[null,"4.3b","03/31","--","--","Calc: =12/31"]
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[null,4.5,"03/31","--","--","Calc: 4.1-4.4"]
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[null,5.0999999999999996,"03/31","--","--","Calc: =12/31"]
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[null,5.3,"03/31","--","--","Calc: Ln 5.2/12"]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","Other Bus(excluded by Statute)","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V73-V74-V75-V76","v":436233.13}]
[null,4,null,null,2.1,"CY","ADD","R","Operating Units","Other Bus(excluded by Statute)","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",-1620160.4899999995,7994,null,null,null,null,-1612166.4899999995,{"$f":"V77","v":-1612166.4899999995}]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","Other Bus(excluded by Statute)","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",130733.87000000002,43999,null,null,null,null,{"$f":"P78","v":130733.87000000002}]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","Other Bus(excluded by Statute)","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",43641.549999999988,14318.679999999998,null,null,null,null,{"$f":"P79","v":43641.549999999988}]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","Other Bus(excluded by Statute)","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V78:V80)","v":174375.42}]
[null,4,null,null,3.1,"CY","ADD","---","Operating Units","Other Bus(excluded by Statute)","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",24131,-130,null,null,null,null,{"$f":"P81+Q81","v":24001},{"$f":"V81","v":24001}]
["UHC Domestic\nStand Alone Dental\nBlank Cust",4,"A",null,1.2,"CY","ADD","---","Operating Units","Stand Alone Dental","Blank Customer","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Blank Customer","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Blank Customer","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Blank Customer","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V82-V83-V84-V85","v":0}]
[null,4,"A",null,2.1,"CY","ADD","R","Operating Units","Stand Alone Dental","Blank Customer","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V86","v":0}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Blank Customer","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P87","v":0}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Blank Customer","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P88","v":0}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Blank Customer","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V87:V89)","v":0}]
[null,4,"A",null,3.1,"CY","ADD","---","Operating Units","Stand Alone Dental","Blank Customer","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P90+Q90","v":0},{"$f":"V90","v":0}]
["UHC Domestic\nStand Alone Dental\nNot Comp Health",4,"A",null,1.2,"CY","ADD","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",2704048.62,-60080.56,null,null,null,null,2643968.06]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A",null,1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V91-V92-V93-V94","v":2643968.06}]
[null,4,"A",null,2.1,"CY","ADD","R","Operating Units","Stand Alone Dental","Not Comp Health Coverage","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",-5188762.55,13136.590000000002,null,null,null,null,-5175625.96,{"$f":"V95","v":-5175625.96}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",347810.18000000011,90880.569999999992,null,null,null,null,{"$f":"P96","v":347810.18000000011}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P97","v":0}]
[null,4,"A",null,2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V96:V98)","v":347810.18000000011}]
[null,4,"A",null,3.1,"CY","ADD","---","Operating Units","Stand Alone Dental","Not Comp Health Coverage","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",105295,-104,null,null,null,null,{"$f":"P99+Q99","v":105191},{"$f":"V99","v":105191}]
["UHC International\nStand Alone Dental\nMLR Customer",4,"A","B",1.2,"CY","ADD","---","Operating Units","Stand Alone Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",2704048.62,-60080.56]
[null,4,"A","B",1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,"A","B",1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,"A","B",1.2,"CY","SUB","---","Operating Units","Stand Alone Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,"A","B",2.1,"CY","ADD","R","Operating Units","Stand Alone Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",-5188762.55,13136.590000000002]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",189892.39000000019,44233.01999999999]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",1178.3700000000001,339.36]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Operating Units","Stand Alone Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,"A","B",3.1,"CY","ADD","---","Operating Units","Stand Alone Dental","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",105295,-104]
["Optum\nStand Alone Dental\nMLR Customer",4,"A","B",1.2,"CY","ADD","---","Optum","Stand Alone Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P109+Q109","v":0}]
[null,4,"A","B",1.2,"CY","SUB","---","Optum","Stand Alone Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Optum","Stand Alone Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Optum","Stand Alone Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V109-V110-V111-V112","v":0}]
[null,4,"A","B",2.1,"CY","ADD","R","Optum","Stand Alone Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V113","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Optum","Stand Alone Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P114","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Optum","Stand Alone Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P115","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Optum","Stand Alone Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V114:V116)","v":0}]
[null,4,"A","B",3.1,"CY","ADD","---","Optum","Stand Alone Dental","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P117+Q117","v":0},{"$f":"V117","v":0}]
["Elims Mkt Grp\nStand Alone Dental\nMLR Customer",4,"A","B",1.2,"CY","ADD","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V118-V119-V120-V121","v":0}]
[null,4,"A","B",2.1,"CY","ADD","R","Eliminations Market Group","Stand Alone Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V122","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P123","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P124","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V123:V125)","v":0}]
[null,4,"A","B",3.1,"CY","ADD","---","Eliminations Market Group","Stand Alone Dental","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P126+Q126","v":0},{"$f":"V126","v":0}]
["Corp Mkt Grp\nStand Alone Dental\nMLR Customer",4,"A","B",1.2,"CY","ADD","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V127-V128-V129-V130","v":0}]
[null,4,"A","B",2.1,"CY","ADD","R","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V131","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P132","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P133","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V132:V134)","v":0}]
[null,4,"A","B",3.1,"CY","ADD","---","Corp Market Group Rollup","Stand Alone Dental","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P135+Q135","v":0},{"$f":"V135","v":0}]
["Non-UHG\nStand Alone Dental\nMLR Customer",4,"A","B",1.2,"CY","ADD","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0]
[null,4,"A","B",1.2,"CY","SUB","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V136-V137-V138-V139","v":0}]
[null,4,"A","B",2.1,"CY","ADD","R","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,0,{"$f":"V140","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P141","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,{"$f":"P142","v":0}]
[null,4,"A","B",2.2000000000000002,"CY","ADD","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0,null,null,null,null,0,{"$f":"SUM(V141:V143)","v":0}]
[null,4,"A","B",3.1,"CY","ADD","---","Non UnitedHealth Group Rollup","Stand Alone Dental","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0,null,null,null,null,{"$f":"P144+Q144","v":0},{"$f":"V144","v":0}]
["All OUs \np306155 \nMLR Customers",4,null,null,1.2,"CY","ADD","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,2.1,"CY","ADD","R","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,3.1,"CY","ADD","---","Operating Units","306155 - Package Savings Disc - Vision","MLR Customers","SHCE Member Months",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
["All OUs \np306156 \nMLR Customers",4,null,null,1.2,"CY","ADD","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","Total Incurred Claims",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,2.1,"CY","ADD","R","Operating Units","306156 - Package Savings - Dental","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","306156 - Package Savings - Dental","MLR Customers","Reg Authority Licenses & Fees","IDB Periods","Reinsurance","All Other Projects",0,0]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","305402 - Managed Transplant Risk SD","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","305402 - Managed Transplant Risk SD","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
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[null,4,null,null,2.1,"CY","ADD","R","Operating Units","305402 - Managed Transplant Risk SD","MLR Customers","Health Premiums Earned",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","305402 - Managed Transplant Risk SD","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430083 - PBM ePrescribe","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430084 - PreCheck My Script Fee","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430087 - PBM EGWP","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430087 - PBM EGWP","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430087 - PBM EGWP","MLR Customers","Rate Credits NonTaxable",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
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[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","430087 - PBM EGWP","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0]
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[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430088 - PBM ECOB","MLR Customers","50010 - Physician Cap Paid - External",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","0000003413 - General Administrative",0,0]
[null,4,null,null,1.2,"CY","SUB","---","Operating Units","430088 - PBM ECOB","MLR Customers","50619 - Internal Capitation Pd - Other",{"$f":"'Essbase Input'!$D$17","v":"IDB 2024"},"NO REINSURANCE","All Other Projects",0,0]
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[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","430089 - PBM Clinical","MLR Customers","Federal Taxes and Assessments","IDB Periods","Reinsurance","All Other Projects",0,0]
[null,4,null,null,2.2000000000000002,"CY","ADD","---","Operating Units","430089 - PBM Clinical","MLR Customers","State Ins, Prem and Other Tax","IDB Periods","Reinsurance","All Other Projects",0,0]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"UHIC/UIC","GRI/UHLIC","DBP-CA"]
[null,null,"A","B",1.2,"Claims",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF($E$9:$E$217,E219,$W$9:$W$217)","v":3496556.98},{"$f":"W219-SUMIFS($W$9:$W$217,$E$9:$E$217,$E219,$C$9:$C$217,C219)","v":852588.91999999993},{"$f":"W219-SUMIFS($W$9:$W$217,$E$9:$E$217,$E219,$D$9:$D$217,D219)","v":3496556.98}]
[null,null,"A","B",2.1,"Premium",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF($E$9:$E$217,E220,$W$9:$W$217)","v":-7868981.6099999994},{"$f":"W220-SUMIFS($W$9:$W$217,$E$9:$E$217,$E220,$C$9:$C$217,C220)","v":-2693355.6499999994},{"$f":"W220-SUMIFS($W$9:$W$217,$E$9:$E$217,$E220,$D$9:$D$217,D220)","v":-7868981.6099999994}]
[null,null,"A","B",2.2000000000000002,"Taxes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF($E$9:$E$217,E221,$W$9:$W$217)","v":759760.54},{"$f":"W221-SUMIFS($W$9:$W$217,$E$9:$E$217,$E221,$C$9:$C$217,C221)","v":411950.35999999993},{"$f":"W221-SUMIFS($W$9:$W$217,$E$9:$E$217,$E221,$D$9:$D$217,D221)","v":759760.54}]
[null,null,"A","B",3.1,"Life Years",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF($E$9:$E$217,E222,$W$9:$W$217)","v":218999},{"$f":"W222-SUMIFS($W$9:$W$217,$E$9:$E$217,$E222,$C$9:$C$217,C222)","v":113808},{"$f":"W222-SUMIFS($W$9:$W$217,$E$9:$E$217,$E222,$D$9:$D$217,D222)","v":218999}]
[]
[null,null,null,null,null,"Net",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(W219:W221)","v":-3612664.0899999989},{"$f":"SUM(X219:X221)","v":-1428816.3699999996},{"$f":"SUM(Y219:Y221)","v":-3612664.0899999989}]

{"sheet":"Pt 1 Summary of Data","index":13,"n_rows":58,"n_cols":44,"rows_kept":58,"cut":false,"hidden":false,"merged":[[5,1,5,3],[7,1,7,3],[9,1,9,3],[14,17,15,17],[14,19,15,19],[57,2,57,3],[11,1,11,3],[54,2,54,3],[14,20,15,20],[14,29,15,29],[13,1,16,3],[14,30,15,30],[14,39,15,39],[14,41,15,41],[14,40,15,40],[13,31,13,32],[13,33,13,36],[14,37,15,37],[14,38,15,38]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 1 - Summary of Data",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Notes","the values on col. AB is linked to P106411 on EB PT1"]
[]
[null,"Health Plan ID",null,null,null,null,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[null,"UHG NOTES SECTION:\nBase tab.  This tab is a direct pull from the ledger.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nMISC 8","Other Bus\n(excluded by Statute)\nless MISC (1-8)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,"Grand Total","Grand Total",null,"Reference"]
[null,null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Hearing - Self Funded","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n","Other Health Bus \nper DMHC","Other Health Bus \nper CMS (Col 41)","DMHC Rpt vs. CMS Rpt\n(Oth Health Bus - Col 41)","CMS Lines"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106410","PROD 321029",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences"]
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[null,null,null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
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Co.\"),SUM(R21:U21,AE21),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R21:U21,AE21,AF21:AG21),SUM(R21:U21,AE21,AL21)))","v":7875456.5600000005},{"$f":"+'Pt 2 Premium and Claims'!AN22+'Pt 2 Premium and Claims'!AN23-'Pt 2 Premium and Claims'!AN24-'Pt 2 Premium and Claims'!AN25","v":7875456.5599999987},{"$f":"AM21-AN21","v":0},"Pt 1, Ln 1.1"]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!E51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!F51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!G51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!H51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!I51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'Pt 2 Premium and Claims'!J51)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,'Pt 2 Premium and Claims'!K51)","v":2732862.4},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,'Pt 2 Premium and Claims'!L51)","v":2643968.06},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 2 Premium and Claims'!M51))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 2 Premium and Claims'!N51))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 2 Premium and Claims'!O51))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 2 Premium and Claims'!P51))","v":""},null,{"$f":"IF(O24=\"\",0,O24)+IF(M24=\"\",0,M24)+IF(K24=\"\",0,K24)+IF(I24=\"\",0,I24)+IF(G24=\"\",0,G24)+IF(E24=\"\",0,E24)","v":2732862.4},null,{"$f":"+'Pt 2 Premium and Claims'!T51","v":405260.15},{"$f":"+'Pt 2 Premium and Claims'!U51","v":16349.829999999998},{"$f":"+'Pt 2 Premium and Claims'!V51","v":0},{"$f":"+'Pt 2 Premium and Claims'!W51","v":0},{"$f":"+'Pt 2 Premium and Claims'!X51","v":425437.72},{"$f":"+'Pt 2 Premium and Claims'!Y51","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC51","v":7125},{"$f":"+'Pt 2 Premium and Claims'!AD51","v":0},{"$f":"SUM(V24:AD24)","v":432562.72},{"$f":"+'Pt 2 Premium and Claims'!AF51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG51","v":2732862.4},{"$f":"+'Pt 2 Premium and Claims'!AH51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK51","v":0},{"$f":"SUM(AF24:AK24)","v":2732862.4},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R24:U24,AE24),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R24:U24,AE24,AF24:AG24),SUM(R24:U24,AE24,AL24)))","v":3587035.0999999996},{"$f":"+'Pt 2 Premium and Claims'!AN51","v":3587035.0999999996},{"$f":"AM24-AN24","v":0},"Pt 1, Ln 2.1"]
[]
[null,"3.","Federal and State Taxes and Licensing or Regulatory Fees"]
[null,null,3.1,"Federal taxes and assessments incurred by the reporting health plan or health insurer during the MLR reporting year "]
[null,null,null,"  3.1 a  Federal income taxes deductible from premium in MLR calculations ",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!K16)","v":0},{"$f":"E28","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!M16)","v":0},{"$f":"G28","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!O16)","v":0},{"$f":"I28","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 1'!Q16,'EB PT 1'!K16))","v":189892.39000000019},{"$f":"K28","v":189892.39000000019},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!M16))","v":""},{"$f":"M28","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!O16))","v":""},{"$f":"O28","v":""},null,{"$f":"IF(O28=\"\",0,O28)+IF(M28=\"\",0,M28)+IF(K28=\"\",0,K28)+IF(I28=\"\",0,I28)+IF(G28=\"\",0,G28)+IF(E28=\"\",0,E28)","v":189892.39000000019},null,{"$f":"+'EB PT 1'!S16","v":42086.989999999969},{"$f":"+'EB PT 1'!T16","v":-36916.6},{"$f":"+'EB PT 1'!U16+'EB PT 1'!V16+'EB PT 1'!W16","v":0},{"$f":"+'EB PT 1'!AA16+'EB PT 1'!Y16+'EB PT 1'!X16+'EB PT 1'!Z16","v":0},{"$f":"+'EB PT 1'!AB16+'EB PT 1'!AC16+'EB PT 1'!AD16+'EB PT 1'!AE16","v":117535.74000000002},{"$f":"+'EB PT 1'!AH16+'EB PT 1'!AI16+'EB PT 1'!AK16+'EB PT 1'!AF16","v":-86.03},{"$f":"+'EB PT 1'!AL16+'EB PT 1'!AM16","v":0},{"$f":"+'EB PT 1'!AN16","v":0},{"$f":"+'EB PT 1'!AX16","v":295.78999999999996},{"$f":"+'EB PT 1'!AR16","v":12528.45},{"$f":"+'EB PT 1'!AY16-SUM(V28:AC28)","v":459.92000000001281},{"$f":"SUM(V28:AD28)","v":130733.87000000002},{"$f":"+'EB PT 1'!AZ16","v":0},{"$f":"+'EB PT 1'!BA16","v":347810.18000000011},{"$f":"+'EB PT 1'!BB16","v":0},{"$f":"+'EB PT 1'!BC16","v":0},{"$f":"+'EB PT 1'!BD16","v":0},{"$f":"+'EB PT 1'!BE16","v":0},{"$f":"SUM(AF28:AK28)","v":347810.18000000011},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R28:U28,AE28),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R28:U28,AE28,AF28:AG28),SUM(R28:U28,AE28,AL28)))","v":325796.65000000014},{"$f":"+'EB PT 1'!BF16","v":325796.65000000014},{"$f":"AM28-AN28","v":0},"Pt 1, Ln 3.1a"]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!K18-'EB PT 1'!K19)","v":0},{"$f":"E29","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!M18-'EB PT 1'!M19)","v":0},{"$f":"G29","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!O18-'EB PT 1'!O19)","v":0},{"$f":"I29","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 1'!Q18-'EB PT 1'!Q23,'EB PT 1'!K18-'EB PT 1'!K19))","v":0},{"$f":"K29","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!M18-'EB PT 1'!M19))","v":""},{"$f":"M29","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!O18-'EB PT 1'!O19))","v":""},{"$f":"O29","v":""},null,{"$f":"IF(O29=\"\",0,O29)+IF(M29=\"\",0,M29)+IF(K29=\"\",0,K29)+IF(I29=\"\",0,I29)+IF(G29=\"\",0,G29)+IF(E29=\"\",0,E29)","v":0},null,{"$f":"+'EB PT 1'!S18-'EB PT 1'!S19","v":0},{"$f":"+'EB PT 1'!T18-'EB PT 1'!T19","v":0},{"$f":"+('EB PT 1'!U18-'EB PT 1'!U19)+('EB PT 1'!V18-'EB PT 1'!V19)+('EB PT 1'!W18-'EB PT 1'!W19)","v":0},{"$f":"+('EB PT 1'!Y18-'EB PT 1'!Y19)+('EB PT 1'!AA18-'EB PT 1'!AA19)+('EB PT 1'!X18-'EB PT 1'!X19)+('EB PT 1'!Z18-'EB PT 1'!Z19)","v":0},{"$f":"+('EB PT 1'!AC18-'EB PT 1'!AC19)+('EB PT 1'!AB18-'EB PT 1'!AB19)+('EB PT 1'!AD18-'EB PT 1'!AD19)+('EB PT 1'!AE18-'EB PT 1'!AE19)","v":0},{"$f":"+('EB PT 1'!AH18-'EB PT 1'!AH19)+('EB PT 1'!AI18-'EB PT 1'!AI19)+('EB PT 1'!AK18-'EB PT 1'!AK19)+('EB PT 1'!AF18-'EB PT 1'!AF19)","v":0},{"$f":"('EB PT 1'!AL18-'EB PT 1'!AL19)+('EB PT 1'!AM18-'EB PT 1'!AM19)","v":0},{"$f":"('EB PT 1'!AN18-'EB PT 1'!AN19)","v":0},{"$f":"('EB PT 1'!AX18-'EB PT 1'!AX19)","v":0},{"$f":"('EB PT 1'!AR18-'EB PT 1'!AR19)","v":0},{"$f":"+'EB PT 1'!AY18-'EB PT 1'!AY19-SUM(V29:AB29)","v":0},{"$f":"SUM(V29:AD29)","v":0},{"$f":"('EB PT 1'!AZ18-'EB PT 1'!AZ19)","v":0},{"$f":"('EB PT 1'!BA18-'EB PT 1'!BA19)","v":0},{"$f":"('EB PT 1'!BB18-'EB PT 1'!BB19)","v":0},{"$f":"('EB PT 1'!BC18-'EB PT 1'!BC19)","v":0},{"$f":"('EB PT 1'!BD18-'EB PT 1'!BD19)","v":0},{"$f":"('EB PT 1'!BE18-'EB PT 1'!BE19)","v":0},{"$f":"SUM(AF29:AK29)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R29:U29,AE29),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R29:U29,AE29,AF29:AG29),SUM(R29:U29,AE29,AL29)))","v":0},{"$f":"+'EB PT 1'!BF18-'EB PT 1'!BF23","v":0},{"$f":"AM29-AN29","v":0},"Pt 1, Ln 3.1d"]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
[null,null,null,"  3.2 a   State income, excise, business, and other taxes",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!K21+'EB PT 1'!K22+'EB PT 1'!K24+'EB PT 1'!K23)","v":0},{"$f":"E31","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!M21+'EB PT 1'!M22+'EB PT 1'!M24+'EB PT 1'!M23)","v":0},{"$f":"G31","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,'EB PT 1'!O21+'EB PT 1'!O22+'EB PT 1'!O24+'EB PT 1'!O23)","v":0},{"$f":"I31","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 1'!Q21+'EB PT 1'!Q22+'EB PT 1'!Q27,'EB PT 1'!K21+'EB PT 1'!K22+'EB PT 1'!K24+'EB PT 1'!K23))","v":1178.3700000000001},{"$f":"K31","v":1178.3700000000001},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!M21+'EB PT 1'!M22+'EB PT 1'!M24+'EB PT 1'!M23))","v":""},{"$f":"M31","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'EB PT 1'!O21+'EB PT 1'!O22+'EB PT 1'!O24+'EB PT 1'!O23))","v":""},{"$f":"O31","v":""},null,{"$f":"IF(O31=\"\",0,O31)+IF(M31=\"\",0,M31)+IF(K31=\"\",0,K31)+IF(I31=\"\",0,I31)+IF(G31=\"\",0,G31)+IF(E31=\"\",0,E31)","v":1178.3700000000001},null,{"$f":"+'EB PT 1'!S21+'EB PT 1'!S22+'EB PT 1'!S23+'EB PT 1'!S24","v":191.22999999999996},{"$f":"+'EB PT 1'!T21+'EB PT 1'!T22+'EB PT 1'!T24+'EB PT 1'!T23","v":5414.170000000001},{"$f":"+('EB PT 1'!U21+'EB PT 1'!U22+'EB PT 1'!U24+'EB PT 1'!U23)+('EB PT 1'!V21+'EB PT 1'!V22+'EB PT 1'!V24+'EB PT 1'!V23)+('EB PT 1'!W21+'EB PT 1'!W22+'EB PT 1'!W24+'EB PT 1'!W23)","v":0},{"$f":"+('EB PT 1'!Y21+'EB PT 1'!Y22+'EB PT 1'!Y24+'EB PT 1'!Y23)+('EB PT 1'!AA21+'EB PT 1'!AA22+'EB PT 1'!AA24+'EB PT 1'!AA23)+('EB PT 1'!X21+'EB PT 1'!X22+'EB PT 1'!X24+'EB PT 1'!X23)+('EB PT 1'!Z21+'EB PT 1'!Z22+'EB PT 1'!Z24+'EB PT 1'!Z23)","v":0},{"$f":"+('EB PT 1'!AC21+'EB PT 1'!AC22+'EB PT 1'!AC24+'EB PT 1'!AC23)+('EB PT 1'!AB21+'EB PT 1'!AB22+'EB PT 1'!AB24+'EB PT 1'!AB23)+('EB PT 1'!AD21+'EB PT 1'!AD22+'EB PT 1'!AD24+'EB PT 1'!AD23)+('EB PT 1'!AE21+'EB PT 1'!AE22+'EB PT 1'!AE24+'EB PT 1'!AE23)","v":6436.25},{"$f":"+('EB PT 1'!AH21+'EB PT 1'!AH22+'EB PT 1'!AH24+'EB PT 1'!AH23)+('EB PT 1'!AI21+'EB PT 1'!AI22+'EB PT 1'!AI24+'EB PT 1'!AI23)+('EB PT 1'!AK21+'EB PT 1'!AK22+'EB PT 1'!AK24+'EB PT 1'!AK23)+('EB PT 1'!AF21+'EB PT 1'!AF22+'EB PT 1'!AF24+'EB PT 1'!AF23)","v":145.33000000000001},{"$f":"+('EB PT 1'!AL21+'EB PT 1'!AL22+'EB PT 1'!AL24+'EB PT 1'!AL23)+('EB PT 1'!AM21+'EB PT 1'!AM22+'EB PT 1'!AM24+'EB PT 1'!AM23)","v":0},{"$f":"+('EB PT 1'!AN21+'EB PT 1'!AN22+'EB PT 1'!AN24+'EB PT 1'!AN23)","v":0},{"$f":"+('EB PT 1'!AX21+'EB PT 1'!AX22+'EB PT 1'!AX24+'EB PT 1'!AX23)","v":-90.52},{"$f":"+('EB PT 1'!AR21+'EB PT 1'!AR22+'EB PT 1'!AR24+'EB PT 1'!AR23)","v":18.649999999999999},{"$f":"+'EB PT 1'!AY21+'EB PT 1'!AY22+'EB PT 1'!AY24+'EB PT 1'!AY23-SUM(V31:AC31)","v":836.93000000000211},{"$f":"SUM(V31:AD31)","v":7346.6400000000012},{"$f":"+('EB PT 1'!AZ21+'EB PT 1'!AZ22+'EB PT 1'!AZ24+'EB PT 1'!AZ23)","v":0},{"$f":"+('EB PT 1'!BA21+'EB PT 1'!BA22+'EB PT 1'!BA24+'EB PT 1'!BA23)","v":0},{"$f":"+('EB PT 1'!BB21+'EB PT 1'!BB22+'EB PT 1'!BB24+'EB PT 1'!BB23)","v":0},{"$f":"+('EB PT 1'!BC21+'EB PT 1'!BC22+'EB PT 1'!BC24+'EB PT 1'!BC23)","v":0},{"$f":"+('EB PT 1'!BD21+'EB PT 1'!BD22+'EB PT 1'!BD24+'EB PT 1'!BD23)","v":0},{"$f":"+('EB PT 1'!BE21+'EB PT 1'!BE22+'EB PT 1'!BE24+'EB PT 1'!BE23)","v":0},{"$f":"SUM(AF31:AK31)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R31:U31,AE31),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R31:U31,AE31,AF31:AG31),SUM(R31:U31,AE31,AL31)))","v":14130.410000000003},{"$f":"+'EB PT 1'!BF21+'EB PT 1'!BF22+'EB PT 1'!BF27+'EB PT 1'!BF23","v":14130.410000000002},{"$f":"AM31-AN31","v":0},"Pt 1, Ln 3.2a"]
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[]
[null,"4.","Non-Claims Costs "]
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[null,"5.","Other Indicators or information "]
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[null,null,5.3,"Number of life-years",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,E48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,F48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,G48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,H48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,I48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,J48/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,K48/12)","v":8770.25},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,L48/12)","v":8765.9166666666661},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",M48/12))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",N48/12))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",O48/12))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",P48/12))","v":""},null,{"$f":"IF(O49=\"\",0,O49)+IF(M49=\"\",0,M49)+IF(K49=\"\",0,K49)+IF(I49=\"\",0,I49)+IF(G49=\"\",0,G49)+IF(E49=\"\",0,E49)","v":8770.25},null,{"$f":"T48/12","v":6739.5},749.91666666666663,0,0,{"$f":"X48/12","v":1184.6666666666667},0,0,0,0,823.5,0,{"$f":"SUM(V49:AD49)","v":2008.1666666666667},{"$f":"AF48/12","v":0},8770.25,0,0,0,0,{"$f":"SUM(AF49:AK49)","v":8770.25},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R49:U49,AE49),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R49:U49,AE49,AF49:AG49),SUM(R49:U49,AE49,AL49)))","v":18267.833333333332},{"$f":"AN48/12","v":18267.833333333332},{"$f":"AM49-AN49","v":0},"Pt 1, Ln 7.5",null,{"$f":"SUM(T49,U49,AE49,AL49,#REF!)","v":{"$error":"#REF!"}}]
[null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!K11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/24 for ALL markets in col. 1-12"}]
[null,"6.","Net investment income and other gain / (loss) ",null,{"$f":"-'EB PT 1'!BG62","v":82861.16}]
[null,"7.","Other Federal income taxes (exclude taxes on Line 3.1a and 3.1b) ",null,{"$f":"-'EB PT 1'!BG63","v":0}]
[]
[null,"Cell Keys:"]
[null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,"Grey cells require no data input "]
[null,null,"Pink cells require no data input - locked down"]
[null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 1 Summary of Data - Adj","index":14,"n_rows":58,"n_cols":39,"rows_kept":58,"cut":false,"hidden":false,"merged":[[7,10,7,11],[9,1,9,3],[9,10,9,11],[11,1,11,3],[5,1,5,3],[7,1,7,3],[15,12,15,13],[15,14,15,15],[13,4,13,9],[13,10,13,15],[14,10,14,15],[14,4,14,9],[57,2,57,3],[15,4,15,5],[15,6,15,7],[15,8,15,9],[15,10,15,11],[54,2,54,3],[13,1,16,3],[14,38,15,38],[13,30,13,31],[13,32,13,35],[14,17,15,17],[14,19,15,19],[14,20,15,20],[14,28,15,28],[14,29,15,29],[14,36,15,36]]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 1 - Summary of Data"]
[]
[null,"Health Plan ID",null,null,null,null,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[null,null,null,null,"INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT",null,"CALC",null,"INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","CALC","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","CALC","CALC","CALC"]
[null,"UHG NOTES SECTION:\nADJustment tab.  This tab is used for topside adjusments not made to the ledger.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nless MISC (1-7)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,null,"Grand Total"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n",null,"Other Health Bus \nper DMHC"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106410",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences","OTHER\n(Not in categories to the left)"]
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[null,null,null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
[null,null,1.1000000000000001,"Total direct premium earned",{"$f":"+'Pt 2 Premium and Claims - Adj'!E22+'Pt 2 Premium and Claims - Adj'!E23-'Pt 2 Premium and Claims - Adj'!E24-'Pt 2 Premium and Claims - Adj'!E25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!F22+'Pt 2 Premium and Claims - Adj'!F23-'Pt 2 Premium and Claims - Adj'!F24-'Pt 2 Premium and Claims - Adj'!F25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!G22+'Pt 2 Premium and Claims - Adj'!G23-'Pt 2 Premium and Claims - Adj'!G24-'Pt 2 Premium and Claims - Adj'!G25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!H22+'Pt 2 Premium and Claims - Adj'!H23-'Pt 2 Premium and Claims - Adj'!H24-'Pt 2 Premium and Claims - Adj'!H25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!I22+'Pt 2 Premium and Claims - Adj'!I23-'Pt 2 Premium and Claims - Adj'!I24-'Pt 2 Premium and Claims - Adj'!I25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!J22+'Pt 2 Premium and Claims - Adj'!J23-'Pt 2 Premium and Claims - Adj'!J24-'Pt 2 Premium and Claims - Adj'!J25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!K22+'Pt 2 Premium and Claims - Adj'!K23-'Pt 2 Premium and Claims - Adj'!K24-'Pt 2 Premium and Claims - Adj'!K25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!L22+'Pt 2 Premium and Claims - Adj'!L23-'Pt 2 Premium and Claims - Adj'!L24-'Pt 2 Premium and Claims - Adj'!L25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!M22+'Pt 2 Premium and Claims - Adj'!M23-'Pt 2 Premium and Claims - Adj'!M24-'Pt 2 Premium and Claims - Adj'!M25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!N22+'Pt 2 Premium and Claims - Adj'!N23-'Pt 2 Premium and Claims - Adj'!N24-'Pt 2 Premium and Claims - Adj'!N25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!O22+'Pt 2 Premium and Claims - Adj'!O23-'Pt 2 Premium and Claims - Adj'!O24-'Pt 2 Premium and Claims - Adj'!O25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!P22+'Pt 2 Premium and Claims - Adj'!P23-'Pt 2 Premium and Claims - Adj'!P24-'Pt 2 Premium and Claims - Adj'!P25","v":0},null,{"$f":"IF(O21=\"\",0,O21)+IF(M21=\"\",0,M21)+IF(K21=\"\",0,K21)+IF(I21=\"\",0,I21)+IF(G21=\"\",0,G21)+IF(E21=\"\",0,E21)","v":0},null,{"$f":"+'Pt 2 Premium and Claims - Adj'!T22+'Pt 2 Premium and Claims - Adj'!T23-'Pt 2 Premium and Claims - Adj'!T24-'Pt 2 Premium and Claims - Adj'!T25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!U22+'Pt 2 Premium and Claims - Adj'!U23-'Pt 2 Premium and Claims - Adj'!U24-'Pt 2 Premium and Claims - Adj'!U25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!V22+'Pt 2 Premium and Claims - Adj'!V23-'Pt 2 Premium and Claims - Adj'!V24-'Pt 2 Premium and Claims - Adj'!V25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!W22+'Pt 2 Premium and Claims - Adj'!W23-'Pt 2 Premium and Claims - Adj'!W24-'Pt 2 Premium and Claims - Adj'!W25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!X22+'Pt 2 Premium and Claims - Adj'!X23-'Pt 2 Premium and Claims - Adj'!X24-'Pt 2 Premium and Claims - Adj'!X25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!Y22+'Pt 2 Premium and Claims - Adj'!Y23-'Pt 2 Premium and Claims - Adj'!Y24-'Pt 2 Premium and Claims - Adj'!Y25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!Z22+'Pt 2 Premium and Claims - Adj'!Z23-'Pt 2 Premium and Claims - Adj'!Z24-'Pt 2 Premium and Claims - Adj'!Z25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AA22+'Pt 2 Premium and Claims - Adj'!AA23-'Pt 2 Premium and Claims - Adj'!AA24-'Pt 2 Premium and Claims - Adj'!AA25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AC22+'Pt 2 Premium and Claims - Adj'!AC23-'Pt 2 Premium and Claims - Adj'!AC24-'Pt 2 Premium and Claims - Adj'!AC25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AD22+'Pt 2 Premium and Claims - Adj'!AD23-'Pt 2 Premium and Claims - Adj'!AD24-'Pt 2 Premium and Claims - Adj'!AD25","v":0},{"$f":"SUM(V21:AC21)","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AF22+'Pt 2 Premium and Claims - Adj'!AF23-'Pt 2 Premium and Claims - Adj'!AF24-'Pt 2 Premium and Claims - Adj'!AF25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AG22+'Pt 2 Premium and Claims - Adj'!AG23-'Pt 2 Premium and Claims - Adj'!AG24-'Pt 2 Premium and Claims - Adj'!AG25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AH22+'Pt 2 Premium and Claims - Adj'!AH23-'Pt 2 Premium and Claims - Adj'!AH24-'Pt 2 Premium and Claims - Adj'!AH25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AI22+'Pt 2 Premium and Claims - Adj'!AI23-'Pt 2 Premium and Claims - Adj'!AI24-'Pt 2 Premium and Claims - Adj'!AI25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AJ22+'Pt 2 Premium and Claims - Adj'!AJ23-'Pt 2 Premium and Claims - Adj'!AJ24-'Pt 2 Premium and Claims - Adj'!AJ25","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AK22+'Pt 2 Premium and Claims - Adj'!AK23-'Pt 2 Premium and Claims - Adj'!AK24-'Pt 2 Premium and Claims - Adj'!AK25","v":0},{"$f":"SUM(AE21:AJ21)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q21:T21,AC21),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q21:T21,AC21,AD21:AE21),SUM(Q21:T21,AC21,AJ21)))","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!AM22+'Pt 2 Premium and Claims - Adj'!AM23-'Pt 2 Premium and Claims - Adj'!AM24-'Pt 2 Premium and Claims - Adj'!AM25","v":0}]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",{"$f":"'Pt 2 Premium and Claims - Adj'!E51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!F51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!G51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!H51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!I51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!J51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!K51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!L51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!M51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!N51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!O51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!P51","v":-1.8189894035458565E-12},null,{"$f":"IF(O24=\"\",0,O24)+IF(M24=\"\",0,M24)+IF(K24=\"\",0,K24)+IF(I24=\"\",0,I24)+IF(G24=\"\",0,G24)+IF(E24=\"\",0,E24)","v":0},null,{"$f":"'Pt 2 Premium and Claims - Adj'!T51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!U51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!V51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!W51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!X51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!Y51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!Z51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AA51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AC51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AD51","v":0},{"$f":"SUM(V24:AC24)","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AF51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AG51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AH51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AI51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AJ51","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AK51","v":0},{"$f":"SUM(AE24:AJ24)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q24:T24,AC24),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q24:T24,AC24,AD24:AE24),SUM(Q24:T24,AC24,AJ24)))","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!AM51","v":0}]
[]
[null,"3.","Federal and State Taxes and Licensing or Regulatory Fees"]
[null,null,3.1,"Federal taxes and assessments incurred by the reporting health plan or health insurer during the MLR reporting year "]
[null,null,null,"  3.1 a  Federal income taxes deductible from premium in MLR calculations ",null,null,{"$f":"-M28","v":0},0,0,0,{"$f":"-28212.77-19369.32","v":-47582.09},{"$f":"K28","v":-47582.09},0,0,0,0,null,{"$f":"IF(O28=\"\",0,O28)+IF(M28=\"\",0,M28)+IF(K28=\"\",0,K28)+IF(I28=\"\",0,I28)+IF(G28=\"\",0,G28)+IF(E28=\"\",0,E28)","v":-47582.09},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V28:AC28)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE28:AJ28)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q28:T28,AC28),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q28:T28,AC28,AD28:AE28),SUM(Q28:T28,AC28,AJ28)))","v":-47582.09}]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",null,null,0,0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O29=\"\",0,O29)+IF(M29=\"\",0,M29)+IF(K29=\"\",0,K29)+IF(I29=\"\",0,I29)+IF(G29=\"\",0,G29)+IF(E29=\"\",0,E29)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V29:AC29)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE29:AJ29)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q29:T29,AC29),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q29:T29,AC29,AD29:AE29),SUM(Q29:T29,AC29,AJ29)))","v":0}]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
[null,null,null,"  3.2 a   State income, excise, business, and other taxes",null,null,{"$f":"-M31","v":0},{"$f":"-N31","v":0},{"$f":"-O31","v":0},{"$f":"-P31","v":0},{"$f":"14999.37+'77071 Alloc'!I11","v":19923.126381840455},{"$f":"K31","v":19923.126381840455},0,0,0,0,null,{"$f":"IF(O31=\"\",0,O31)+IF(M31=\"\",0,M31)+IF(K31=\"\",0,K31)+IF(I31=\"\",0,I31)+IF(G31=\"\",0,G31)+IF(E31=\"\",0,E31)","v":19923.126381840455},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V31:AC31)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE31:AJ31)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q31:T31,AC31),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q31:T31,AC31,AD31:AE31),SUM(Q31:T31,AC31,AJ31)))","v":19923.126381840455}]
[null,null,null,"  3.2 b   State premium taxes ",null,null,null,null,null,null,{"$f":"+'92000 Alloc'!I11+'92010 Alloc'!I11+'92012 Alloc '!I11+'92013 Alloc'!I11","v":216805.29471746524},{"$f":"K32","v":216805.29471746524},null,null,null,null,null,{"$f":"IF(O32=\"\",0,O32)+IF(M32=\"\",0,M32)+IF(K32=\"\",0,K32)+IF(I32=\"\",0,I32)+IF(G32=\"\",0,G32)+IF(E32=\"\",0,E32)","v":216805.29471746524},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V32:AC32)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE32:AJ32)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q32:T32,AC32),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q32:T32,AC32,AD32:AE32),SUM(Q32:T32,AC32,AJ32)))","v":216805.29471746524}]
[null,null,null,"  3.2 c   Community benefit expenditures ",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(O33=\"\",0,O33)+IF(M33=\"\",0,M33)+IF(K33=\"\",0,K33)+IF(I33=\"\",0,I33)+IF(G33=\"\",0,G33)+IF(E33=\"\",0,E33)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V33:AC33)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE33:AJ33)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q33:T33,AC33),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q33:T33,AC33,AD33:AE33),SUM(Q33:T33,AC33,AJ33)))","v":0}]
[null,null,3.3,"Regulatory authority licenses and fees",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(O34=\"\",0,O34)+IF(M34=\"\",0,M34)+IF(K34=\"\",0,K34)+IF(I34=\"\",0,I34)+IF(G34=\"\",0,G34)+IF(E34=\"\",0,E34)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V34:AC34)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE34:AJ34)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q34:T34,AC34),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q34:T34,AC34,AD34:AE34),SUM(Q34:T34,AC34,AJ34)))","v":0}]
[null,null,3.4,"Total Federal and State Taxes and fees to be excluded from premium",{"$f":"SUM(E$28:E$29,E$31,E$34+IF($H$6=\"No\",IF(MAX(E$32:E$33)=0,MIN(E$32:E$33),MAX(E$32:E$33)),SUM(E$32:E$33)))","v":0},0,0,0,0,0,189146.33109930571,189146.33109930571,0,0,0,0,null,{"$f":"IF(O35=\"\",0,O35)+IF(M35=\"\",0,M35)+IF(K35=\"\",0,K35)+IF(I35=\"\",0,I35)+IF(G35=\"\",0,G35)+IF(E35=\"\",0,E35)","v":189146.33109930571},null,{"$f":"SUM(T$28:T$29,T$31,T$34+IF($H$6=\"No\",IF(MAX(T$32:T$33)=0,MIN(T$32:T$33),MAX(T$32:T$33)),SUM(T$32:T$33)))","v":0},0,0,0,0,0,0,0,0,0,{"$f":"SUM(V35:AC35)","v":0},{"$f":"SUM(AE$28:AE$29,AE$31,AE$34+IF($H$6=\"No\",IF(MAX(AE$32:AE$33)=0,MIN(AE$32:AE$33),MAX(AE$32:AE$33)),SUM(AE$32:AE$33)))","v":0},0,0,0,0,0,{"$f":"SUM(AE35:AJ35)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q35:T35,AC35),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q35:T35,AC35,AD35:AE35),SUM(Q35:T35,AC35,AJ35)))","v":189146.33109930571},{"$f":"SUM(AM$28:AM$29,AM$31,AM$34+IF($H$6=\"No\",IF(MAX(AM$32:AM$33)=0,MIN(AM$32:AM$33),MAX(AM$32:AM$33)),SUM(AM$32:AM$33)))","v":0}]
[]
[null,"4.","Non-Claims Costs "]
[null,null,4.0999999999999996,"Direct sales salaries and benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(O38=\"\",0,O38)+IF(M38=\"\",0,M38)+IF(K38=\"\",0,K38)+IF(I38=\"\",0,I38)+IF(G38=\"\",0,G38)+IF(E38=\"\",0,E38)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V38:AC38)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE38:AJ38)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q38:T38,AC38),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q38:T38,AC38,AD38:AE38),SUM(Q38:T38,AC38,AJ38)))","v":0}]
[null,null,4.2,"Agents and brokers fees and commissions",null,null,{"$f":"-M39","v":0},{"$f":"-N39","v":0},{"$f":"-O39","v":0},{"$f":"-P39","v":0},null,null,0,0,0,0,null,{"$f":"IF(O39=\"\",0,O39)+IF(M39=\"\",0,M39)+IF(K39=\"\",0,K39)+IF(I39=\"\",0,I39)+IF(G39=\"\",0,G39)+IF(E39=\"\",0,E39)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V39:AC39)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE39:AJ39)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q39:T39,AC39),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q39:T39,AC39,AD39:AE39),SUM(Q39:T39,AC39,AJ39)))","v":0}]
[null,null,4.3,"Other taxes"]
[null,null,null,"4.3a   Taxes and assessments (exclude amounts reported in Section 3 or Line 10) \n",null,null,{"$f":"-M41","v":0},0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O41=\"\",0,O41)+IF(M41=\"\",0,M41)+IF(K41=\"\",0,K41)+IF(I41=\"\",0,I41)+IF(G41=\"\",0,G41)+IF(E41=\"\",0,E41)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V41:AC41)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE41:AJ41)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q41:T41,AC41),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q41:T41,AC41,AD41:AE41),SUM(Q41:T41,AC41,AJ41)))","v":0}]
[null,null,null,"4.3b   Fines and penalties of regulatory authorities (exclude amounts reported in Line 3.3)",null,null,0,0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O42=\"\",0,O42)+IF(M42=\"\",0,M42)+IF(K42=\"\",0,K42)+IF(I42=\"\",0,I42)+IF(G42=\"\",0,G42)+IF(E42=\"\",0,E42)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V42:AC42)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE42:AJ42)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q42:T42,AC42),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q42:T42,AC42,AD42:AE42),SUM(Q42:T42,AC42,AJ42)))","v":0}]
[null,null,4.4000000000000004,"Other general and administrative expenses",null,null,0,0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O43=\"\",0,O43)+IF(M43=\"\",0,M43)+IF(K43=\"\",0,K43)+IF(I43=\"\",0,I43)+IF(G43=\"\",0,G43)+IF(E43=\"\",0,E43)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V43:AC43)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE43:AJ43)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q43:T43,AC43),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q43:T43,AC43,AD43:AE43),SUM(Q43:T43,AC43,AJ43)))","v":0}]
[null,null,4.5,"Total non-claims costs",{"$f":"SUM(SUM(E38:E39)+SUM(E41:E43))","v":0},0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"IF(O44=\"\",0,O44)+IF(M44=\"\",0,M44)+IF(K44=\"\",0,K44)+IF(I44=\"\",0,I44)+IF(G44=\"\",0,G44)+IF(E44=\"\",0,E44)","v":0},null,{"$f":"SUM(SUM(T38:T39)+SUM(T41:T43))","v":0},0,0,0,0,0,0,0,0,0,{"$f":"SUM(V44:AC44)","v":0},{"$f":"SUM(SUM(AE38:AE39)+SUM(AE41:AE43))","v":0},0,0,0,0,0,{"$f":"SUM(AE44:AJ44)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q44:T44,AC44),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q44:T44,AC44,AD44:AE44),SUM(Q44:T44,AC44,AJ44)))","v":0},{"$f":"SUM(SUM(AM38:AM39)+SUM(AM41:AM43))","v":0}]
[]
[null,"5.","Other Indicators or information "]
[null,null,5.0999999999999996,"Number of covered lives",null,null,{"$f":"-M47","v":0},0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O47=\"\",0,O47)+IF(M47=\"\",0,M47)+IF(K47=\"\",0,K47)+IF(I47=\"\",0,I47)+IF(G47=\"\",0,G47)+IF(E47=\"\",0,E47)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V47:AC47)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE47:AJ47)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q47:T47,AC47),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q47:T47,AC47,AD47:AE47),SUM(Q47:T47,AC47,AJ47)))","v":0}]
[null,null,5.2,"Member months",null,null,0,0,0,0,null,null,0,0,0,0,null,{"$f":"IF(O48=\"\",0,O48)+IF(M48=\"\",0,M48)+IF(K48=\"\",0,K48)+IF(I48=\"\",0,I48)+IF(G48=\"\",0,G48)+IF(E48=\"\",0,E48)","v":0},null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V48:AC48)","v":0},null,null,null,null,null,null,{"$f":"SUM(AE48:AJ48)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q48:T48,AC48),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q48:T48,AC48,AD48:AE48),SUM(Q48:T48,AC48,AJ48)))","v":0}]
[null,null,5.3,"Number of life-years",{"$f":"E48/12","v":0},0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"IF(O49=\"\",0,O49)+IF(M49=\"\",0,M49)+IF(K49=\"\",0,K49)+IF(I49=\"\",0,I49)+IF(G49=\"\",0,G49)+IF(E49=\"\",0,E49)","v":0},null,{"$f":"T48/12","v":0},{"$f":"U48/12","v":0},0,0,0,0,0,0,0,0,{"$f":"SUM(V49:AC49)","v":0},0,0,0,0,0,0,{"$f":"SUM(AE49:AJ49)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(Q49:T49,AC49),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(Q49:T49,AC49,AD49:AE49),SUM(Q49:T49,AC49,AJ49)))","v":0},0]
[null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!K11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/24 for ALL markets in col. 1-12"}]
[null,"6.","Net investment income and other gain / (loss) "]
[null,"7.","Other Federal income taxes (exclude taxes on Line 3.1a and 3.1b) "]
[]
[null,"Cell Keys:"]
[null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,"Grey cells require no data input "]
[null,null,"Pink cells require no data input - locked down"]
[null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 1 Summary of Data - Final","index":15,"n_rows":82,"n_cols":41,"rows_kept":82,"cut":false,"hidden":false,"merged":[[54,2,54,3],[57,2,57,3],[15,10,15,11],[15,12,15,13],[13,1,16,3],[5,1,5,3],[7,1,7,3],[7,10,7,11],[9,1,9,3],[9,10,9,11],[14,17,15,17],[14,28,15,28],[14,36,15,36],[11,1,11,3],[13,4,13,9],[13,10,13,15],[14,4,14,9],[14,10,14,15],[14,19,15,19],[14,20,15,20],[15,4,15,5],[15,6,15,7],[15,8,15,9],[15,14,15,15],[14,29,15,29],[13,30,13,31],[14,37,15,37],[14,38,15,38],[14,39,15,39],[14,40,15,40],[13,32,13,35]]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 1 - Summary of Data"]
[]
[null,"Health Plan ID",null,null,null,null,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[null,"UHG NOTES SECTION:\nFinal tab.  This tab is the final report that will be filed with DMHC.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nless MISC (1-7)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,"Grand Total","Grand Total",null,"Reference"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n","Other Health Bus \nper DMHC","Other Health Bus \nper CMS (Col 41)","DMHC Rpt vs. CMS Rpt\n(Oth Health Bus - Col 41)","CMS Lines"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106410",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences"]
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[null,null,null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
[null,null,1.1000000000000001,"Total direct premium earned",{"$f":"IF('Pt 1 Summary of Data'!E21=\"\",\"\",'Pt 1 Summary of Data'!E21+'Pt 1 Summary of Data - Adj'!E21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F21=\"\",\"\",'Pt 1 Summary of Data'!F21+'Pt 1 Summary of Data - Adj'!F21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G21=\"\",\"\",'Pt 1 Summary of Data'!G21+'Pt 1 Summary of Data - Adj'!G21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H21=\"\",\"\",'Pt 1 Summary of Data'!H21+'Pt 1 Summary of Data - Adj'!H21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I21=\"\",\"\",'Pt 1 Summary of Data'!I21+'Pt 1 Summary of Data - Adj'!I21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J21=\"\",\"\",'Pt 1 Summary of Data'!J21+'Pt 1 Summary of Data - Adj'!J21)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K21=\"\",\"\",'Pt 1 Summary of Data'!K21+'Pt 1 Summary of Data - Adj'!K21)","v":5175089.5100000007},{"$f":"IF('Pt 1 Summary of Data'!L21=\"\",\"\",'Pt 1 Summary of Data'!L21+'Pt 1 Summary of Data - Adj'!L21)","v":5175625.96},{"$f":"IF('Pt 1 Summary of Data'!M21=\"\",\"\",'Pt 1 Summary of Data'!M21+'Pt 1 Summary of Data - Adj'!M21)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N21=\"\",\"\",'Pt 1 Summary of Data'!N21+'Pt 1 Summary of Data - Adj'!N21)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O21=\"\",\"\",'Pt 1 Summary of Data'!O21+'Pt 1 Summary of Data - Adj'!O21)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P21=\"\",\"\",'Pt 1 Summary of Data'!P21+'Pt 1 Summary of Data - Adj'!P21)","v":""},null,{"$f":"IF(O21=\"\",0,O21)+IF(M21=\"\",0,M21)+IF(K21=\"\",0,K21)+IF(I21=\"\",0,I21)+IF(G21=\"\",0,G21)+IF(E21=\"\",0,E21)","v":5175089.5100000007},null,{"$f":"+'Pt 1 Summary of Data'!T21+'Pt 1 Summary of Data - Adj'!T21","v":839842.67},{"$f":"+'Pt 1 Summary of Data'!U21+'Pt 1 Summary of Data - Adj'!U21","v":243674.92},{"$f":"+'Pt 1 Summary of Data'!V21+'Pt 1 Summary of Data - Adj'!V21","v":0},{"$f":"+'Pt 1 Summary of Data'!W21+'Pt 1 Summary of Data - Adj'!W21","v":0},{"$f":"+'Pt 1 Summary of Data'!X21+'Pt 1 Summary of Data - Adj'!X21","v":1534956.9599999997},{"$f":"+'Pt 1 Summary of Data'!Y21+'Pt 1 Summary of Data - Adj'!Y21","v":0},{"$f":"+'Pt 1 Summary of Data'!Z21+'Pt 1 Summary of Data - Adj'!Z21","v":0},{"$f":"+'Pt 1 Summary of Data'!AA21+'Pt 1 Summary of Data - Adj'!AA21","v":0},{"$f":"+'Pt 1 Summary of Data'!AB21+'Pt 1 Summary of Data - Adj'!AB21","v":0},{"$f":"+'Pt 1 Summary of Data'!AD21+'Pt 1 Summary of Data - Adj'!AC21","v":0},{"$f":"+'Pt 1 Summary of Data'!AE21+'Pt 1 Summary of Data - Adj'!AD21","v":1616849.4599999997},{"$f":"+'Pt 1 Summary of Data'!AF21+'Pt 1 Summary of Data - Adj'!AE21","v":0},{"$f":"+'Pt 1 Summary of Data'!AG21+'Pt 1 Summary of Data - Adj'!AF21","v":5175089.5100000007},{"$f":"+'Pt 1 Summary of Data'!AH21+'Pt 1 Summary of Data - Adj'!AG21","v":0},{"$f":"+'Pt 1 Summary of Data'!AI21+'Pt 1 Summary of Data - Adj'!AH21","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ21+'Pt 1 Summary of Data - Adj'!AI21","v":0},{"$f":"+'Pt 1 Summary of Data'!AK21+'Pt 1 Summary of Data - Adj'!AJ21","v":0},{"$f":"+'Pt 1 Summary of Data'!AL21+'Pt 1 Summary of Data - Adj'!AK21","v":5175089.5100000007},{"$f":"+'Pt 1 Summary of Data'!AM21+'Pt 1 Summary of Data - Adj'!AM21","v":7875456.5600000005},{"$f":"+'Pt 1 Summary of Data'!AN21+'Pt 1 Summary of Data - Adj'!AN21","v":7875456.5599999987},{"$f":"+'Pt 1 Summary of Data'!AO21+'Pt 1 Summary of Data - Adj'!AO21","v":0},"Pt 1, Ln 1.1"]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",{"$f":"IF('Pt 1 Summary of Data'!E24=\"\",\"\",'Pt 1 Summary of Data'!E24+'Pt 1 Summary of Data - Adj'!E24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F24=\"\",\"\",'Pt 1 Summary of Data'!F24+'Pt 1 Summary of Data - Adj'!F24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G24=\"\",\"\",'Pt 1 Summary of Data'!G24+'Pt 1 Summary of Data - Adj'!G24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H24=\"\",\"\",'Pt 1 Summary of Data'!H24+'Pt 1 Summary of Data - Adj'!H24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I24=\"\",\"\",'Pt 1 Summary of Data'!I24+'Pt 1 Summary of Data - Adj'!I24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J24=\"\",\"\",'Pt 1 Summary of Data'!J24+'Pt 1 Summary of Data - Adj'!J24)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K24=\"\",\"\",'Pt 1 Summary of Data'!K24+'Pt 1 Summary of Data - Adj'!K24)","v":2732862.4},{"$f":"IF('Pt 1 Summary of Data'!L24=\"\",\"\",'Pt 1 Summary of Data'!L24+'Pt 1 Summary of Data - Adj'!L24)","v":2643968.06},{"$f":"IF('Pt 1 Summary of Data'!M24=\"\",\"\",'Pt 1 Summary of Data'!M24+'Pt 1 Summary of Data - Adj'!M24)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N24=\"\",\"\",'Pt 1 Summary of Data'!N24+'Pt 1 Summary of Data - Adj'!N24)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O24=\"\",\"\",'Pt 1 Summary of Data'!O24+'Pt 1 Summary of Data - Adj'!O24)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P24=\"\",\"\",'Pt 1 Summary of Data'!P24+'Pt 1 Summary of Data - Adj'!P24)","v":""},null,{"$f":"IF(O24=\"\",0,O24)+IF(M24=\"\",0,M24)+IF(K24=\"\",0,K24)+IF(I24=\"\",0,I24)+IF(G24=\"\",0,G24)+IF(E24=\"\",0,E24)","v":2732862.4},null,{"$f":"+'Pt 1 Summary of Data'!T24+'Pt 1 Summary of Data - Adj'!T24","v":405260.15},{"$f":"+'Pt 1 Summary of Data'!U24+'Pt 1 Summary of Data - Adj'!U24","v":16349.829999999998},{"$f":"+'Pt 1 Summary of Data'!V24+'Pt 1 Summary of Data - Adj'!V24","v":0},{"$f":"+'Pt 1 Summary of Data'!W24+'Pt 1 Summary of Data - Adj'!W24","v":0},{"$f":"+'Pt 1 Summary of Data'!X24+'Pt 1 Summary of Data - Adj'!X24","v":425437.72},{"$f":"+'Pt 1 Summary of Data'!Y24+'Pt 1 Summary of Data - Adj'!Y24","v":0},{"$f":"+'Pt 1 Summary of Data'!Z24+'Pt 1 Summary of Data - Adj'!Z24","v":0},{"$f":"+'Pt 1 Summary of Data'!AA24+'Pt 1 Summary of Data - Adj'!AA24","v":0},{"$f":"+'Pt 1 Summary of Data'!AB24+'Pt 1 Summary of Data - Adj'!AB24","v":0},{"$f":"+'Pt 1 Summary of Data'!AD24+'Pt 1 Summary of Data - Adj'!AC24","v":0},{"$f":"+'Pt 1 Summary of Data'!AE24+'Pt 1 Summary of Data - Adj'!AD24","v":432562.72},{"$f":"+'Pt 1 Summary of Data'!AF24+'Pt 1 Summary of Data - Adj'!AE24","v":0},{"$f":"+'Pt 1 Summary of Data'!AG24+'Pt 1 Summary of Data - Adj'!AF24","v":2732862.4},{"$f":"+'Pt 1 Summary of Data'!AH24+'Pt 1 Summary of Data - Adj'!AG24","v":0},{"$f":"+'Pt 1 Summary of Data'!AI24+'Pt 1 Summary of Data - Adj'!AH24","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ24+'Pt 1 Summary of Data - Adj'!AI24","v":0},{"$f":"+'Pt 1 Summary of Data'!AK24+'Pt 1 Summary of Data - Adj'!AJ24","v":0},{"$f":"+'Pt 1 Summary of Data'!AL24+'Pt 1 Summary of Data - Adj'!AK24","v":2732862.4},{"$f":"+'Pt 1 Summary of Data'!AM24+'Pt 1 Summary of Data - Adj'!AM24","v":3587035.0999999996},{"$f":"+'Pt 1 Summary of Data'!AN24+'Pt 1 Summary of Data - Adj'!AN24","v":3587035.0999999996},{"$f":"+'Pt 1 Summary of Data'!AO24+'Pt 1 Summary of Data - Adj'!AO24","v":0},"Pt 1, Ln 2.1"]
[]
[null,"3.","Federal and State Taxes and Licensing or Regulatory Fees"]
[null,null,3.1,"Federal taxes and assessments incurred by the reporting health plan or health insurer during the MLR reporting year "]
[null,null,null,"  3.1 a  Federal income taxes deductible from premium in MLR calculations ",{"$f":"IF('Pt 1 Summary of Data'!E28=\"\",\"\",'Pt 1 Summary of Data'!E28+'Pt 1 Summary of Data - Adj'!E28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F28=\"\",\"\",'Pt 1 Summary of Data'!F28+'Pt 1 Summary of Data - Adj'!F28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G28=\"\",\"\",'Pt 1 Summary of Data'!G28+'Pt 1 Summary of Data - Adj'!G28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H28=\"\",\"\",'Pt 1 Summary of Data'!H28+'Pt 1 Summary of Data - Adj'!H28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I28=\"\",\"\",'Pt 1 Summary of Data'!I28+'Pt 1 Summary of Data - Adj'!I28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J28=\"\",\"\",'Pt 1 Summary of Data'!J28+'Pt 1 Summary of Data - Adj'!J28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K28=\"\",\"\",'Pt 1 Summary of Data'!K28+'Pt 1 Summary of Data - Adj'!K28)","v":142310.30000000019},{"$f":"IF('Pt 1 Summary of Data'!L28=\"\",\"\",'Pt 1 Summary of Data'!L28+'Pt 1 Summary of Data - Adj'!L28)","v":142310.30000000019},{"$f":"IF('Pt 1 Summary of Data'!M28=\"\",\"\",'Pt 1 Summary of Data'!M28+'Pt 1 Summary of Data - Adj'!M28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N28=\"\",\"\",'Pt 1 Summary of Data'!N28+'Pt 1 Summary of Data - Adj'!N28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O28=\"\",\"\",'Pt 1 Summary of Data'!O28+'Pt 1 Summary of Data - Adj'!O28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P28=\"\",\"\",'Pt 1 Summary of Data'!P28+'Pt 1 Summary of Data - Adj'!P28)","v":""},null,{"$f":"IF(O28=\"\",0,O28)+IF(M28=\"\",0,M28)+IF(K28=\"\",0,K28)+IF(I28=\"\",0,I28)+IF(G28=\"\",0,G28)+IF(E28=\"\",0,E28)","v":142310.30000000019},null,{"$f":"+'Pt 1 Summary of Data'!T28+'Pt 1 Summary of Data - Adj'!T28","v":42086.989999999969},{"$f":"+'Pt 1 Summary of Data'!U28+'Pt 1 Summary of Data - Adj'!U28","v":-36916.6},{"$f":"+'Pt 1 Summary of Data'!V28+'Pt 1 Summary of Data - Adj'!V28","v":0},{"$f":"+'Pt 1 Summary of Data'!W28+'Pt 1 Summary of Data - Adj'!W28","v":0},{"$f":"+'Pt 1 Summary of Data'!X28+'Pt 1 Summary of Data - Adj'!X28","v":117535.74000000002},{"$f":"+'Pt 1 Summary of Data'!Y28+'Pt 1 Summary of Data - Adj'!Y28","v":-86.03},{"$f":"+'Pt 1 Summary of Data'!Z28+'Pt 1 Summary of Data - Adj'!Z28","v":0},{"$f":"+'Pt 1 Summary of Data'!AA28+'Pt 1 Summary of Data - Adj'!AA28","v":0},{"$f":"+'Pt 1 Summary of Data'!AB28+'Pt 1 Summary of Data - Adj'!AB28","v":295.78999999999996},{"$f":"+'Pt 1 Summary of Data'!AD28+'Pt 1 Summary of Data - Adj'!AC28","v":459.92000000001281},{"$f":"+'Pt 1 Summary of Data'!AE28+'Pt 1 Summary of Data - Adj'!AD28","v":130733.87000000002},{"$f":"+'Pt 1 Summary of Data'!AF28+'Pt 1 Summary of Data - Adj'!AE28","v":0},{"$f":"+'Pt 1 Summary of Data'!AG28+'Pt 1 Summary of Data - Adj'!AF28","v":347810.18000000011},{"$f":"+'Pt 1 Summary of Data'!AH28+'Pt 1 Summary of Data - Adj'!AG28","v":0},{"$f":"+'Pt 1 Summary of Data'!AI28+'Pt 1 Summary of Data - Adj'!AH28","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ28+'Pt 1 Summary of Data - Adj'!AI28","v":0},{"$f":"+'Pt 1 Summary of Data'!AK28+'Pt 1 Summary of Data - Adj'!AJ28","v":0},{"$f":"+'Pt 1 Summary of Data'!AL28+'Pt 1 Summary of Data - Adj'!AK28","v":347810.18000000011},{"$f":"+'Pt 1 Summary of Data'!AM28+'Pt 1 Summary of Data - Adj'!AM28","v":325796.65000000014},{"$f":"+'Pt 1 Summary of Data'!AN28+'Pt 1 Summary of Data - Adj'!AN28","v":325796.65000000014},{"$f":"+'Pt 1 Summary of Data'!AO28+'Pt 1 Summary of Data - Adj'!AO28","v":0},"Pt 1, Ln 3.1a"]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",{"$f":"IF('Pt 1 Summary of Data'!E29=\"\",\"\",'Pt 1 Summary of Data'!E29+'Pt 1 Summary of Data - Adj'!E29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F29=\"\",\"\",'Pt 1 Summary of Data'!F29+'Pt 1 Summary of Data - Adj'!F29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G29=\"\",\"\",'Pt 1 Summary of Data'!G29+'Pt 1 Summary of Data - Adj'!G29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H29=\"\",\"\",'Pt 1 Summary of Data'!H29+'Pt 1 Summary of Data - Adj'!H29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I29=\"\",\"\",'Pt 1 Summary of Data'!I29+'Pt 1 Summary of Data - Adj'!I29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J29=\"\",\"\",'Pt 1 Summary of Data'!J29+'Pt 1 Summary of Data - Adj'!J29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K29=\"\",\"\",'Pt 1 Summary of Data'!K29+'Pt 1 Summary of Data - Adj'!K29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!L29=\"\",\"\",'Pt 1 Summary of Data'!L29+'Pt 1 Summary of Data - Adj'!L29)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M29=\"\",\"\",'Pt 1 Summary of Data'!M29+'Pt 1 Summary of Data - Adj'!M29)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N29=\"\",\"\",'Pt 1 Summary of Data'!N29+'Pt 1 Summary of Data - Adj'!N29)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O29=\"\",\"\",'Pt 1 Summary of Data'!O29+'Pt 1 Summary of Data - Adj'!O29)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P29=\"\",\"\",'Pt 1 Summary of Data'!P29+'Pt 1 Summary of Data - Adj'!P29)","v":""},null,{"$f":"IF(O29=\"\",0,O29)+IF(M29=\"\",0,M29)+IF(K29=\"\",0,K29)+IF(I29=\"\",0,I29)+IF(G29=\"\",0,G29)+IF(E29=\"\",0,E29)","v":0},null,{"$f":"+'Pt 1 Summary of Data'!T29+'Pt 1 Summary of Data - Adj'!T29","v":0},{"$f":"+'Pt 1 Summary of Data'!U29+'Pt 1 Summary of Data - Adj'!U29","v":0},{"$f":"+'Pt 1 Summary of Data'!V29+'Pt 1 Summary of Data - Adj'!V29","v":0},{"$f":"+'Pt 1 Summary of Data'!W29+'Pt 1 Summary of Data - Adj'!W29","v":0},{"$f":"+'Pt 1 Summary of Data'!X29+'Pt 1 Summary of Data - Adj'!X29","v":0},{"$f":"+'Pt 1 Summary of Data'!Y29+'Pt 1 Summary of Data - Adj'!Y29","v":0},{"$f":"+'Pt 1 Summary of Data'!Z29+'Pt 1 Summary of Data - Adj'!Z29","v":0},{"$f":"+'Pt 1 Summary of Data'!AA29+'Pt 1 Summary of Data - Adj'!AA29","v":0},{"$f":"+'Pt 1 Summary of Data'!AB29+'Pt 1 Summary of Data - Adj'!AB29","v":0},{"$f":"+'Pt 1 Summary of Data'!AD29+'Pt 1 Summary of Data - Adj'!AC29","v":0},{"$f":"+'Pt 1 Summary of Data'!AE29+'Pt 1 Summary of Data - Adj'!AD29","v":0},{"$f":"+'Pt 1 Summary of Data'!AF29+'Pt 1 Summary of Data - Adj'!AE29","v":0},{"$f":"+'Pt 1 Summary of Data'!AG29+'Pt 1 Summary of Data - Adj'!AF29","v":0},{"$f":"+'Pt 1 Summary of Data'!AH29+'Pt 1 Summary of Data - Adj'!AG29","v":0},{"$f":"+'Pt 1 Summary of Data'!AI29+'Pt 1 Summary of Data - Adj'!AH29","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ29+'Pt 1 Summary of Data - Adj'!AI29","v":0},{"$f":"+'Pt 1 Summary of Data'!AK29+'Pt 1 Summary of Data - Adj'!AJ29","v":0},{"$f":"+'Pt 1 Summary of Data'!AL29+'Pt 1 Summary of Data - Adj'!AK29","v":0},{"$f":"+'Pt 1 Summary of Data'!AM29+'Pt 1 Summary of Data - Adj'!AM29","v":0},{"$f":"+'Pt 1 Summary of Data'!AN29+'Pt 1 Summary of Data - Adj'!AN29","v":0},{"$f":"+'Pt 1 Summary of Data'!AO29+'Pt 1 Summary of Data - Adj'!AO29","v":0},"Pt 1, Ln 3.1d"]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
[null,null,null,"  3.2 a   State income, excise, business, and other taxes",{"$f":"IF('Pt 1 Summary of Data'!E31=\"\",\"\",'Pt 1 Summary of Data'!E31+'Pt 1 Summary of Data - Adj'!E31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F31=\"\",\"\",'Pt 1 Summary of Data'!F31+'Pt 1 Summary of Data - Adj'!F31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G31=\"\",\"\",'Pt 1 Summary of Data'!G31+'Pt 1 Summary of Data - Adj'!G31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H31=\"\",\"\",'Pt 1 Summary of Data'!H31+'Pt 1 Summary of Data - Adj'!H31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I31=\"\",\"\",'Pt 1 Summary of Data'!I31+'Pt 1 Summary of Data - Adj'!I31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J31=\"\",\"\",'Pt 1 Summary of Data'!J31+'Pt 1 Summary of Data - Adj'!J31)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K31=\"\",\"\",'Pt 1 Summary of Data'!K31+'Pt 1 Summary of Data - Adj'!K31)","v":21101.496381840454},{"$f":"IF('Pt 1 Summary of Data'!L31=\"\",\"\",'Pt 1 Summary of Data'!L31+'Pt 1 Summary of Data - Adj'!L31)","v":21101.496381840454},{"$f":"IF('Pt 1 Summary of Data'!M31=\"\",\"\",'Pt 1 Summary of Data'!M31+'Pt 1 Summary of Data - Adj'!M31)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N31=\"\",\"\",'Pt 1 Summary of Data'!N31+'Pt 1 Summary of Data - Adj'!N31)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O31=\"\",\"\",'Pt 1 Summary of Data'!O31+'Pt 1 Summary of Data - Adj'!O31)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P31=\"\",\"\",'Pt 1 Summary of Data'!P31+'Pt 1 Summary of Data - Adj'!P31)","v":""},null,{"$f":"IF(O31=\"\",0,O31)+IF(M31=\"\",0,M31)+IF(K31=\"\",0,K31)+IF(I31=\"\",0,I31)+IF(G31=\"\",0,G31)+IF(E31=\"\",0,E31)","v":21101.496381840454},null,{"$f":"+'Pt 1 Summary of Data'!T31+'Pt 1 Summary of Data - Adj'!T31","v":191.22999999999996},{"$f":"+'Pt 1 Summary of Data'!U31+'Pt 1 Summary of Data - Adj'!U31","v":5414.170000000001},{"$f":"+'Pt 1 Summary of Data'!V31+'Pt 1 Summary of Data - Adj'!V31","v":0},{"$f":"+'Pt 1 Summary of Data'!W31+'Pt 1 Summary of Data - Adj'!W31","v":0},{"$f":"+'Pt 1 Summary of Data'!X31+'Pt 1 Summary of Data - Adj'!X31","v":6436.25},{"$f":"+'Pt 1 Summary of Data'!Y31+'Pt 1 Summary of Data - Adj'!Y31","v":145.33000000000001},{"$f":"+'Pt 1 Summary of Data'!Z31+'Pt 1 Summary of Data - Adj'!Z31","v":0},{"$f":"+'Pt 1 Summary of Data'!AA31+'Pt 1 Summary of Data - Adj'!AA31","v":0},{"$f":"+'Pt 1 Summary of Data'!AB31+'Pt 1 Summary of Data - Adj'!AB31","v":-90.52},{"$f":"+'Pt 1 Summary of Data'!AD31+'Pt 1 Summary of Data - Adj'!AC31","v":836.93000000000211},{"$f":"+'Pt 1 Summary of Data'!AE31+'Pt 1 Summary of Data - Adj'!AD31","v":7346.6400000000012},{"$f":"+'Pt 1 Summary of Data'!AF31+'Pt 1 Summary of Data - Adj'!AE31","v":0},{"$f":"+'Pt 1 Summary of Data'!AG31+'Pt 1 Summary of Data - Adj'!AF31","v":0},{"$f":"+'Pt 1 Summary of Data'!AH31+'Pt 1 Summary of Data - Adj'!AG31","v":0},{"$f":"+'Pt 1 Summary of Data'!AI31+'Pt 1 Summary of Data - Adj'!AH31","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ31+'Pt 1 Summary of Data - Adj'!AI31","v":0},{"$f":"+'Pt 1 Summary of Data'!AK31+'Pt 1 Summary of Data - Adj'!AJ31","v":0},{"$f":"+'Pt 1 Summary of Data'!AL31+'Pt 1 Summary of Data - Adj'!AK31","v":0},{"$f":"+'Pt 1 Summary of Data'!AM31+'Pt 1 Summary of Data - Adj'!AM31","v":14130.410000000003},{"$f":"+'Pt 1 Summary of Data'!AN31+'Pt 1 Summary of Data - Adj'!AN31","v":14130.410000000002},{"$f":"+'Pt 1 Summary of Data'!AO31+'Pt 1 Summary of Data - Adj'!AO31","v":0},"Pt 1, Ln 3.2a"]
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[]
[null,"4.","Non-Claims Costs "]
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[null,null,4.3,"Other taxes"]
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[null,"5.","Other Indicators or information "]
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[null,null,5.3,"Number of life-years",{"$f":"IF('Pt 1 Summary of Data'!E49=\"\",\"\",'Pt 1 Summary of Data'!E49+'Pt 1 Summary of Data - Adj'!E49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!F49=\"\",\"\",'Pt 1 Summary of Data'!F49+'Pt 1 Summary of Data - Adj'!F49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!G49=\"\",\"\",'Pt 1 Summary of Data'!G49+'Pt 1 Summary of Data - Adj'!G49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!H49=\"\",\"\",'Pt 1 Summary of Data'!H49+'Pt 1 Summary of Data - Adj'!H49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!I49=\"\",\"\",'Pt 1 Summary of Data'!I49+'Pt 1 Summary of Data - Adj'!I49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!J49=\"\",\"\",'Pt 1 Summary of Data'!J49+'Pt 1 Summary of Data - Adj'!J49)","v":0},{"$f":"IF('Pt 1 Summary of Data'!K49=\"\",\"\",'Pt 1 Summary of Data'!K49+'Pt 1 Summary of Data - Adj'!K49)","v":8770.25},{"$f":"IF('Pt 1 Summary of Data'!L49=\"\",\"\",'Pt 1 Summary of Data'!L49+'Pt 1 Summary of Data - Adj'!L49)","v":8765.9166666666661},{"$f":"IF('Pt 1 Summary of Data'!M49=\"\",\"\",'Pt 1 Summary of Data'!M49+'Pt 1 Summary of Data - Adj'!M49)","v":""},{"$f":"IF('Pt 1 Summary of Data'!N49=\"\",\"\",'Pt 1 Summary of Data'!N49+'Pt 1 Summary of Data - Adj'!N49)","v":""},{"$f":"IF('Pt 1 Summary of Data'!O49=\"\",\"\",'Pt 1 Summary of Data'!O49+'Pt 1 Summary of Data - Adj'!O49)","v":""},{"$f":"IF('Pt 1 Summary of Data'!P49=\"\",\"\",'Pt 1 Summary of Data'!P49+'Pt 1 Summary of Data - Adj'!P49)","v":""},null,{"$f":"IF(O49=\"\",0,O49)+IF(M49=\"\",0,M49)+IF(K49=\"\",0,K49)+IF(I49=\"\",0,I49)+IF(G49=\"\",0,G49)+IF(E49=\"\",0,E49)","v":8770.25},null,{"$f":"+'Pt 1 Summary of Data'!T49+'Pt 1 Summary of Data - Adj'!T49","v":6739.5},{"$f":"+'Pt 1 Summary of Data'!U49+'Pt 1 Summary of Data - Adj'!U49","v":749.91666666666663},{"$f":"+'Pt 1 Summary of Data'!V49+'Pt 1 Summary of Data - Adj'!V49","v":0},{"$f":"+'Pt 1 Summary of Data'!W49+'Pt 1 Summary of Data - Adj'!W49","v":0},{"$f":"+'Pt 1 Summary of Data'!X49+'Pt 1 Summary of Data - Adj'!X49","v":1184.6666666666667},{"$f":"+'Pt 1 Summary of Data'!Y49+'Pt 1 Summary of Data - Adj'!Y49","v":0},{"$f":"+'Pt 1 Summary of Data'!Z49+'Pt 1 Summary of Data - Adj'!Z49","v":0},{"$f":"+'Pt 1 Summary of Data'!AA49+'Pt 1 Summary of Data - Adj'!AA49","v":0},{"$f":"+'Pt 1 Summary of Data'!AB49+'Pt 1 Summary of Data - Adj'!AB49","v":0},{"$f":"+'Pt 1 Summary of Data'!AD49+'Pt 1 Summary of Data - Adj'!AC49","v":0},{"$f":"+'Pt 1 Summary of Data'!AE49+'Pt 1 Summary of Data - Adj'!AD49","v":2008.1666666666667},{"$f":"+'Pt 1 Summary of Data'!AF49+'Pt 1 Summary of Data - Adj'!AE49","v":0},{"$f":"+'Pt 1 Summary of Data'!AG49+'Pt 1 Summary of Data - Adj'!AF49","v":8770.25},{"$f":"+'Pt 1 Summary of Data'!AH49+'Pt 1 Summary of Data - Adj'!AG49","v":0},{"$f":"+'Pt 1 Summary of Data'!AI49+'Pt 1 Summary of Data - Adj'!AH49","v":0},{"$f":"+'Pt 1 Summary of Data'!AJ49+'Pt 1 Summary of Data - Adj'!AI49","v":0},{"$f":"+'Pt 1 Summary of Data'!AK49+'Pt 1 Summary of Data - Adj'!AJ49","v":0},{"$f":"+'Pt 1 Summary of Data'!AL49+'Pt 1 Summary of Data - Adj'!AK49","v":8770.25},{"$f":"+'Pt 1 Summary of Data'!AM49+'Pt 1 Summary of Data - Adj'!AM49","v":18267.833333333332},{"$f":"+'Pt 1 Summary of Data'!AN49+'Pt 1 Summary of Data - Adj'!AN49","v":18267.833333333332},{"$f":"+'Pt 1 Summary of Data'!AO49+'Pt 1 Summary of Data - Adj'!AO49","v":0},"Pt 1, Ln 7.5"]
[null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!K11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/24 for ALL markets in col. 1-12"}]
[null,"6.","Net investment income and other gain / (loss) ",null,{"$f":"IF('Pt 1 Summary of Data'!E51=\"\",\"\",'Pt 1 Summary of Data'!E51+'Pt 1 Summary of Data - Adj'!E51)","v":82861.16}]
[null,"7.","Other Federal income taxes (exclude taxes on Line 3.1a and 3.1b) ",null,{"$f":"IF('Pt 1 Summary of Data'!E52=\"\",\"\",'Pt 1 Summary of Data'!E52+'Pt 1 Summary of Data - Adj'!E52)","v":0}]
[]
[null,"Cell Keys:"]
[null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,"Grey cells require no data input "]
[null,null,"Pink cells require no data input - locked down"]
[null,null,"Blue cells: computed cell (formula cell)"]
[]
[]
[]
[null,null,null,"Expected Tax Rate Analysis completed by Tax"]
[null,null,null,"Income (1-2-3-4 above)",null,null,null,null,null,null,{"$f":"K21-K24-K35-K44","v":565627.17890069494},{"$f":"L21-L24-L35-L44","v":655057.96890069405}]
[null,null,null,"Gross-up for Income Tax",null,null,null,null,null,null,{"$f":"K69","v":142310.30000000019},{"$f":"L69","v":142310.30000000019}]
[null,null,null,"Pre-tax income",null,null,null,null,null,null,{"$f":"SUM(K63:K64)","v":707937.4789006951},{"$f":"SUM(L63:L64)","v":797368.26890069421}]
[]
[null,null,null,"Total Federal Tax on Line 3.1",null,null,null,null,null,null,{"$f":"K28+K29","v":142310.30000000019},{"$f":"L28+L29","v":142310.30000000019}]
[null,null,null,"Back-out Non-income taxes",null,null,null,null,null,null,{"$f":"-K29","v":0},{"$f":"K68","v":0}]
[null,null,null,"Federal Income Tax (account 93000 from Essbase of Tax Accts tab + Manual Adj's)",null,null,null,null,null,null,{"$f":"SUM(K67:K68)","v":142310.30000000019},142310.30000000019]
[]
[null,null,null,"Pre-tax income from above",null,null,null,null,null,null,{"$f":"K65","v":707937.4789006951}]
[null,null,null,"Federal Income Tax Rate",null,null,null,null,null,null,0.20102100000000001]
[null,null,null,"Calculated Federal Income Tax",null,null,null,null,null,null,{"$f":"K71*K72","v":142310.29994609664},{"$f":"K73","v":142310.29994609664}]
[null,null,null,"Federal Income Tax Per Above",null,null,null,null,null,null,{"$f":"K69","v":142310.30000000019},{"$f":"L69","v":142310.30000000019}]
[null,null,null,"Federal Income Tax Difference (amount to be booked)",null,null,null,null,null,null,{"$f":"K73-K74","v":-5.3903553634881973E-5},{"$f":"L73-L74","v":-5.3903553634881973E-5}]
[]
[null,null,null,"Total State Tax on Line 3.2",null,null,null,null,null,null,"N/A","N/A"]
[null,null,null,"Back-out Non-income taxes (see Essbase of Tax Accts tab)",null,null,null,null,null,null,"N/A","N/A"]
[]
[null,null,null,"State Income Tax - NONE",null,null,null,null,null,null,{"$f":"SUM(K77:K78)","v":0},0]
[]
[null,null,null,"State Income Tax Rate",null,null,null,null,null,null,"N/A","N/A"]

{"sheet":"Pt 2 Premium and Claims","index":16,"n_rows":58,"n_cols":42,"rows_kept":58,"cut":false,"hidden":false,"merged":[[5,1,5,3],[7,1,7,3],[9,1,9,3],[11,1,11,3],[15,30,16,30],[14,1,17,3],[15,17,16,17],[15,19,16,19],[15,20,16,20],[15,29,16,29],[15,41,16,41],[15,39,16,39],[15,38,16,38],[14,31,14,32],[14,33,14,36],[15,40,16,40],[15,37,16,37]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"<<<<<",null,null,null,null,null,null,null,null,null,null,null,"NOTE"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"UHG NOTES SECTION:\nBase tab.  This tab is a direct pull from the ledger.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nMISC 8","Other Bus\n(excluded by Statute)\nless MISC (1-7)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,"Grand Total","Grand Total",null,"Reference"]
[null,null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term"," Hearing - Self Funded","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n","Other Health Bus \nper DMHC","Other Health Bus \nper CMS (Col 41)","DMHC Rpt vs. CMS Rpt\n(Oth Health Bus - Col 41)","CMS Lines"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106010,106410, 106411","PROD 321029",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences"]
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[null,null,null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium:"]
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[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
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[null,null,2.2000000000000002,"Direct claim liability"]
[null,null,null,"2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!K32)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!M32)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!O32)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 2'!Q32,-'EB PT 2'!K32))","v":157013.81},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!M32))","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!O32))","v":""},null,null,{"$f":"IF(O32=\"\",0,O32)+IF(M32=\"\",0,M32)+IF(K32=\"\",0,K32)+IF(I32=\"\",0,I32)+IF(G32=\"\",0,G32)+IF(E32=\"\",0,E32)","v":157013.81},null,{"$f":"-'EB PT 2'!S32","v":21118.949999999993},{"$f":"-'EB PT 2'!T32","v":31116.280000000002},{"$f":"-'EB PT 2'!U32-'EB PT 2'!V32-'EB PT 2'!W32","v":0},{"$f":"-'EB PT 2'!Y32-'EB PT 2'!Z32-'EB PT 2'!X32-'EB PT 2'!AA32","v":0},{"$f":"-'EB PT 2'!AC32-'EB PT 2'!AD32-'EB PT 2'!AE32-'EB PT 2'!AB32","v":91022.8},{"$f":"-'EB PT 2'!AH32-'EB PT 2'!AI32-'EB PT 2'!AF32-'EB PT 2'!AK32","v":0},{"$f":"-'EB PT 2'!AM32-'EB PT 2'!AL32","v":0},{"$f":"-'EB PT 2'!AN32","v":0},{"$f":"-SUM('EB PT 2'!AV32:AX32)","v":0},{"$f":"-'EB PT 2'!AX32","v":0},{"$f":"-'EB PT 2'!AY32-SUM(V32:AC32)","v":0},{"$f":"SUM(V32:AD32)","v":91022.8},{"$f":"-'EB PT 2'!AZ32","v":0},{"$f":"-'EB PT 2'!BA32","v":157013.81},{"$f":"-'EB PT 2'!BB32","v":0},{"$f":"-'EB PT 2'!BC32","v":0},{"$f":"-'EB PT 2'!BD32","v":0},{"$f":"-'EB PT 2'!BE32","v":0},{"$f":"SUM(AF32:AK32)","v":157013.81},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R32:U32,AE32),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R32:U32,AE32,AF32:AG32),SUM(R32:U32,AE32,AL32)))","v":300271.83999999997},{"$f":"-'EB PT 2'!BF32","v":300271.83999999997},{"$f":"AM32-AN32","v":0},"Pt 2, Ln 2.2a"]
[null,null,null,"2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!L33)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!N33)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!P33)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 2'!R33,-'EB PT 2'!L33))","v":-133148.57999999999},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!N33))","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!P33))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.2b"]
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[null,null,2.4,"Direct claim reserves"]
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[null,null,2.6,"Experience rating refunds (rate credits) paid"]
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[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
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[null,null,null,"2.7b Reserves specific to the MLR reporting year through 3/31 of the following year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!L45+'EB PT 2'!L46)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!N45+'EB PT 2'!N46)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,-'EB PT 2'!P45+'EB PT 2'!P46)","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 2'!R45+'EB PT 2'!R46,-'EB PT 2'!L45+'EB PT 2'!L46))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!N45+'EB PT 2'!N46))","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",-'EB PT 2'!P45+'EB PT 2'!P46))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.9b"]
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[null,null,2.9,"Incurred dental incentive pool and bonuses"]
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[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input"]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 2 Premium and Claims - Adj","index":17,"n_rows":58,"n_cols":39,"rows_kept":58,"cut":false,"hidden":false,"merged":[[15,37,16,37],[15,38,16,38],[14,31,14,32],[14,33,14,36],[15,19,16,19],[15,20,16,20],[15,30,16,30],[15,29,16,29],[15,17,16,17],[16,4,16,5],[16,6,16,7],[16,8,16,9],[16,10,16,11],[16,12,16,13],[11,10,11,11],[14,4,14,9],[14,10,14,15],[5,1,5,3],[5,10,5,11],[7,1,7,3],[7,10,7,11],[9,1,9,3],[9,10,9,11],[14,1,17,3],[11,1,11,3],[11,4,11,5],[16,14,16,15],[15,4,15,9],[15,10,15,15]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[null,null,null,null,"INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT",null,"CALC",null,"INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","CALC","INPUT","INPUT","INPUT","INPUT","INPUT","INPUT","CALC","CALC"]
[null,"UHG NOTES SECTION:\nADJustment tab.  This tab is used for topside adjusments not made to the ledger.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nMISC 8","Other Bus\n(excluded by Statute)\nless MISC (1-7)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,"Grand Total"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Hearing - Self Funded","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n","Other Health Bus \nper DMHC"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106410","PROD 321029",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences"]
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[null,null,null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium:"]
[null,null,1.1000000000000001,"Direct premium written",null,null,{"$f":"-M22","v":0},{"$f":"-N22","v":0},{"$f":"-O22","v":0},{"$f":"-P22","v":0},null,null,0,0,0,0,null,{"$f":"IF(O22=\"\",0,O22)+IF(M22=\"\",0,M22)+IF(K22=\"\",0,K22)+IF(I22=\"\",0,I22)+IF(G22=\"\",0,G22)+IF(E22=\"\",0,E22)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V22:AD22)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF22:AK22)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R22:U22,AE22),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R22:U22,AE22,AF22:AG22),SUM(R22:U22,AE22,AL22)))","v":0}]
[null,null,1.2,"Unearned premium prior year",null,null,null,null,null,null,null,null,0,0,0,0,null,{"$f":"IF(O23=\"\",0,O23)+IF(M23=\"\",0,M23)+IF(K23=\"\",0,K23)+IF(I23=\"\",0,I23)+IF(G23=\"\",0,G23)+IF(E23=\"\",0,E23)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V23:AD23)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF23:AK23)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R23:U23,AE23),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R23:U23,AE23,AF23:AG23),SUM(R23:U23,AE23,AL23)))","v":0}]
[null,null,1.3,"Unearned premium MLR Reporting year",null,null,null,null,null,null,null,null,0,0,0,0,null,{"$f":"IF(O24=\"\",0,O24)+IF(M24=\"\",0,M24)+IF(K24=\"\",0,K24)+IF(I24=\"\",0,I24)+IF(G24=\"\",0,G24)+IF(E24=\"\",0,E24)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V24:AD24)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF24:AK24)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R24:U24,AE24),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R24:U24,AE24,AF24:AG24),SUM(R24:U24,AE24,AL24)))","v":0}]
[null,null,1.4,"Premium balances written off",null,null,null,null,null,null,null,null,0,0,0,0,null,{"$f":"IF(O25=\"\",0,O25)+IF(M25=\"\",0,M25)+IF(K25=\"\",0,K25)+IF(I25=\"\",0,I25)+IF(G25=\"\",0,G25)+IF(E25=\"\",0,E25)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V25:AD25)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF25:AK25)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R25:U25,AE25),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R25:U25,AE25,AF25:AG25),SUM(R25:U25,AE25,AL25)))","v":0}]
[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
[null,null,null,"2.1a  Claims paid during the MLR reporting year regardless of incurred date",null,null,{"$f":"-M29","v":0},null,{"$f":"-O29","v":0},null,null,null,0,null,0,null,null,{"$f":"IF(O29=\"\",0,O29)+IF(M29=\"\",0,M29)+IF(K29=\"\",0,K29)+IF(I29=\"\",0,I29)+IF(G29=\"\",0,G29)+IF(E29=\"\",0,E29)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V29:AD29)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF29:AK29)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R29:U29,AE29),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R29:U29,AE29,AF29:AG29),SUM(R29:U29,AE29,AL29)))","v":0}]
[null,null,null,"2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",null,null,null,{"$f":"-N30","v":0},null,{"$f":"-P30","v":0},null,-154878.44,null,0,null,0]
[null,null,2.2000000000000002,"Direct claim liability"]
[null,null,null,"2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",null,null,null,null,{"$f":"-O32","v":0},null,null,null,0,null,0,null,null,{"$f":"IF(O32=\"\",0,O32)+IF(M32=\"\",0,M32)+IF(K32=\"\",0,K32)+IF(I32=\"\",0,I32)+IF(G32=\"\",0,G32)+IF(E32=\"\",0,E32)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V32:AD32)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF32:AK32)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R32:U32,AE32),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R32:U32,AE32,AF32:AG32),SUM(R32:U32,AE32,AL32)))","v":0}]
[null,null,null,"2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,null,null,null,null,null,null,154878.44,null,0,null,-1.8189894035458565E-12]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,null,null,null,{"$f":"-O34","v":0},null,null,null,0,null,0,null,null,{"$f":"IF(O34=\"\",0,O34)+IF(M34=\"\",0,M34)+IF(K34=\"\",0,K34)+IF(I34=\"\",0,I34)+IF(G34=\"\",0,G34)+IF(E34=\"\",0,E34)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V34:AD34)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF34:AK34)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R34:U34,AE34),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R34:U34,AE34,AF34:AG34),SUM(R34:U34,AE34,AL34)))","v":0}]
[null,null,2.4,"Direct claim reserves"]
[null,null,null,"2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date",null,null,null,null,null,null,null,null,0,null,0,null,null,{"$f":"IF(O36=\"\",0,O36)+IF(M36=\"\",0,M36)+IF(K36=\"\",0,K36)+IF(I36=\"\",0,I36)+IF(G36=\"\",0,G36)+IF(E36=\"\",0,E36)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V36:AD36)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF36:AK36)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R36:U36,AE36),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R36:U36,AE36,AF36:AG36),SUM(R36:U36,AE36,AL36)))","v":0}]
[null,null,null,"2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,2.5,"Direct claim reserves prior year",null,null,null,null,null,null,null,null,0,null,0,null,null,{"$f":"IF(O38=\"\",0,O38)+IF(M38=\"\",0,M38)+IF(K38=\"\",0,K38)+IF(I38=\"\",0,I38)+IF(G38=\"\",0,G38)+IF(E38=\"\",0,E38)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V38:AD38)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF38:AK38)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R38:U38,AE38),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R38:U38,AE38,AF38:AG38),SUM(R38:U38,AE38,AL38)))","v":0}]
[null,null,2.6,"Experience rating refunds (rate credits) paid"]
[null,null,null,"2.6a Experience rating refunds, with all incurred dates, paid in the MLR reporting year",null,null,null,null,null,null,null,null,0,null,0,null,null,{"$f":"IF(O40=\"\",0,O40)+IF(M40=\"\",0,M40)+IF(K40=\"\",0,K40)+IF(I40=\"\",0,I40)+IF(G40=\"\",0,G40)+IF(E40=\"\",0,E40)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V40:AD40)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF40:AK40)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R40:U40,AE40),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R40:U40,AE40,AF40:AG40),SUM(R40:U40,AE40,AL40)))","v":0}]
[null,null,null,"2.6b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year",null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
[null,null,null,"2.7a Reserved in MLR reporting year regardless of incurred date",null,null,null,null,null,null,null,null,0,null,0,null,null,{"$f":"IF(O43=\"\",0,O43)+IF(M43=\"\",0,M43)+IF(K43=\"\",0,K43)+IF(I43=\"\",0,I43)+IF(G43=\"\",0,G43)+IF(E43=\"\",0,E43)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V43:AD43)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF43:AK43)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R43:U43,AE43),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R43:U43,AE43,AF43:AG43),SUM(R43:U43,AE43,AL43)))","v":0}]
[null,null,null,"2.7b Reserves specific to the MLR reporting year through 3/31 of the following year",null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,"2.8","Reserve for experience rating refunds (rate credits) prior year",null,null,null,null,null,null,null,null,0,null,0,null,null,{"$f":"IF(O45=\"\",0,O45)+IF(M45=\"\",0,M45)+IF(K45=\"\",0,K45)+IF(I45=\"\",0,I45)+IF(G45=\"\",0,G45)+IF(E45=\"\",0,E45)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V45:AD45)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF45:AK45)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R45:U45,AE45),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R45:U45,AE45,AF45:AG45),SUM(R45:U45,AE45,AL45)))","v":0}]
[null,null,2.9,"Incurred dental incentive pool and bonuses"]
[null,null,null,"2.9a  Paid dental incentive pools and bonuses MLR Reporting year",null,null,null,null,null,null,null,null,0,0,0,0,null,{"$f":"IF(O47=\"\",0,O47)+IF(M47=\"\",0,M47)+IF(K47=\"\",0,K47)+IF(I47=\"\",0,I47)+IF(G47=\"\",0,G47)+IF(E47=\"\",0,E47)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V47:AD47)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF47:AK47)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R47:U47,AE47),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R47:U47,AE47,AF47:AG47),SUM(R47:U47,AE47,AL47)))","v":0}]
[null,null,null,"2.9b  Accrued dental incentive pools and bonuses MLR Reporting year",null,null,null,null,null,null,null,null,0,0,0,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,{"$f":"SUM(AF48:AK48)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R48:U48,AE48),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R48:U48,AE48,AF48:AG48),SUM(R48:U48,AE48,AL48)))","v":0}]
[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year",null,null,null,null,null,null,null,null,0,null,0,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,{"$f":"SUM(AF49:AK49)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R49:U49,AE49),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R49:U49,AE49,AF49:AG49),SUM(R49:U49,AE49,AL49)))","v":0}]
[null,null,"2.10","Contingent benefit and lawsuit reserves",null,null,null,null,null,null,null,null,0,0,0,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,{"$f":"SUM(AF50:AK50)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R50:U50,AE50),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R50:U50,AE50,AF50:AG50),SUM(R50:U50,AE50,AL50)))","v":0}]
[null,null,"2.11","Total incurred claims ",{"$f":"E29+E32-E34+E36-E38+E40+E43-E45+E47+E48-E49+E50","v":0},{"$f":"F30+F33+F37+F41+F44+F47+F48+F50","v":0},0,{"$f":"H30+H33+H37+H41+H44+H47+H48+H50","v":0},0,{"$f":"J30+J33+J37+J41+J44+J47+J48+J50","v":0},0,{"$f":"L30+L33+L37+L41+L44+L47+L48+L50","v":0},0,{"$f":"N30+N33+N37+N41+N44+N47+N48+N50","v":0},0,{"$f":"P30+P33+P37+P41+P44+P47+P48+P50","v":-1.8189894035458565E-12},null,{"$f":"IF(O51=\"\",0,O51)+IF(M51=\"\",0,M51)+IF(K51=\"\",0,K51)+IF(I51=\"\",0,I51)+IF(G51=\"\",0,G51)+IF(E51=\"\",0,E51)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V51:AD51)","v":0},null,null,null,null,null,null,{"$f":"SUM(AF51:AK51)","v":0},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),SUM(R51:U51,AE51),IF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",SUM(R51:U51,AE51,AF51:AG51),SUM(R51:U51,AE51,AL51)))","v":0}]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input"]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 2 Premium and Claims - Final","index":18,"n_rows":58,"n_cols":41,"rows_kept":58,"cut":false,"hidden":false,"merged":[[14,31,14,32],[14,33,14,36],[15,37,16,37],[15,39,16,39],[15,20,16,20],[15,29,16,29],[15,30,16,30],[15,38,16,38],[15,40,16,40],[15,17,16,17],[15,19,16,19],[16,14,16,15],[15,4,15,9],[15,10,15,15],[16,4,16,5],[16,6,16,7],[5,1,5,3],[5,10,5,11],[7,1,7,3],[7,10,7,11],[9,1,9,3],[9,10,9,11],[11,1,11,3],[11,4,11,5],[11,10,11,11],[14,4,14,9],[14,10,14,15],[14,1,17,3],[16,8,16,9],[16,10,16,11],[16,12,16,13]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"UHG NOTES SECTION:\nFinal tab.  This tab is the final report that will be filed with DMHC.\nThe base tab plus the \"Adj\" tab makes the \"Final' tab",null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,"Stand Alone \nVision","Non-Stand Alone \nDental/Vision","Other Bus\n(excluded by Statute)\nMISC 1","Other Bus\n(excluded by Statute)\nMISC 2","Other Bus\n(excluded by Statute)\nMISC 3","Other Bus\n(excluded by Statute)\nMISC 4","Other Bus\n(excluded by Statute)\nMISC 5","Other Bus\n(excluded by Statute)\nMISC 6","Other Bus\n(excluded by Statute)\nMISC 7","Other Bus\n(excluded by Statute)\nMISC 8","Other Bus\n(excluded by Statute)\nless MISC (1-7)","Other Bus\n(excluded by Statute)","Stand Alone Dental\nUHC Dom.\nNon-Ind/SG/LG",null,null,null,null,null,null,"Grand Total",null,"Reference"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Dental",null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Hearing - Self Funded","Other Bus\n(\"Catch-All\")","Other Bus\n(excluded by Statute)",null,null,null,null,null,null,"Other\nStand Alone Dent\n","Other Health Bus \nper DMHC","Federal MLR Other Health Total","CMS Lines"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,null,"PROD Range 322***","PROD Range 150***","PROD Range 204***","PROD Range 203***","PROD Range 112/113***","PROD 202080","PROD 106410","PROD 321029",null,null,"UHC Dom.\nStand Alone Dent\nBlank Cust","UHC Dom.\nStand Alone Dent\nNot Comp Health","Optum\nStand Alone Dent\nMLR Customer","Elims Mkt Grp\nStand Alone Dent\nMLR Customer","Corp Mkt Grp\nStand Alone Dent\nMLR Customer","Non-UHG\nStand Alone Dent\nMLR Customer","Other\nDifferences"]
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[null,null,null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"3/31/\"&RIGHT('Essbase Input'!$C$16,2)","v":"3/31/25"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},null,{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"},{"$f":"\"12/31/\"&RIGHT('Essbase Input'!$C$17,2)","v":"12/31/24"}]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium:"]
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[null,null,1.4,"Premium balances written off",{"$f":"IF('Pt 2 Premium and Claims'!E25=\"\",\"\",'Pt 2 Premium and Claims'!E25+'Pt 2 Premium and Claims - Adj'!E25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!F25=\"\",\"\",'Pt 2 Premium and Claims'!F25+'Pt 2 Premium and Claims - Adj'!F25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!G25=\"\",\"\",'Pt 2 Premium and Claims'!G25+'Pt 2 Premium and Claims - Adj'!G25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!H25=\"\",\"\",'Pt 2 Premium and Claims'!H25+'Pt 2 Premium and Claims - Adj'!H25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!I25=\"\",\"\",'Pt 2 Premium and Claims'!I25+'Pt 2 Premium and Claims - Adj'!I25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!J25=\"\",\"\",'Pt 2 Premium and Claims'!J25+'Pt 2 Premium and Claims - Adj'!J25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!K25=\"\",\"\",'Pt 2 Premium and Claims'!K25+'Pt 2 Premium and Claims - Adj'!K25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!L25=\"\",\"\",'Pt 2 Premium and Claims'!L25+'Pt 2 Premium and Claims - Adj'!L25)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!M25=\"\",\"\",'Pt 2 Premium and Claims'!M25+'Pt 2 Premium and Claims - Adj'!M25)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!N25=\"\",\"\",'Pt 2 Premium and Claims'!N25+'Pt 2 Premium and Claims - Adj'!N25)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!O25=\"\",\"\",'Pt 2 Premium and Claims'!O25+'Pt 2 Premium and Claims - Adj'!O25)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!P25=\"\",\"\",'Pt 2 Premium and Claims'!P25+'Pt 2 Premium and Claims - Adj'!P25)","v":""},null,{"$f":"IF(O25=\"\",0,O25)+IF(M25=\"\",0,M25)+IF(K25=\"\",0,K25)+IF(I25=\"\",0,I25)+IF(G25=\"\",0,G25)+IF(E25=\"\",0,E25)","v":0},null,{"$f":"+'Pt 2 Premium and Claims'!T25+'Pt 2 Premium and Claims - Adj'!T25","v":0},{"$f":"+'Pt 2 Premium and Claims'!U25+'Pt 2 Premium and Claims - Adj'!U25","v":0},{"$f":"+'Pt 2 Premium and Claims'!V25+'Pt 2 Premium and Claims - Adj'!V25","v":0},{"$f":"+'Pt 2 Premium and Claims'!W25+'Pt 2 Premium and Claims - Adj'!W25","v":0},{"$f":"+'Pt 2 Premium and Claims'!X25+'Pt 2 Premium and Claims - Adj'!X25","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y25+'Pt 2 Premium and Claims - Adj'!Y25","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z25+'Pt 2 Premium and Claims - Adj'!Z25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA25+'Pt 2 Premium and Claims - Adj'!AA25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB25+'Pt 2 Premium and Claims - Adj'!AB25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC25+'Pt 2 Premium and Claims - Adj'!AC25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD25+'Pt 2 Premium and Claims - Adj'!AD25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE25+'Pt 2 Premium and Claims - Adj'!AE25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AF25+'Pt 2 Premium and Claims - Adj'!AF25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG25+'Pt 2 Premium and Claims - Adj'!AG25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AH25+'Pt 2 Premium and Claims - Adj'!AH25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI25+'Pt 2 Premium and Claims - Adj'!AI25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ25+'Pt 2 Premium and Claims - Adj'!AJ25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK25+'Pt 2 Premium and Claims - Adj'!AK25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL25+'Pt 2 Premium and Claims - Adj'!AL25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AM25+'Pt 2 Premium and Claims - Adj'!AM25","v":0},{"$f":"+'Pt 2 Premium and Claims'!AN25+'Pt 2 Premium and Claims - Adj'!AN25","v":0},"Pt 2, Ln 1.7"]
[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
[null,null,null,"2.1a  Claims paid during the MLR reporting year regardless of incurred date",{"$f":"IF('Pt 2 Premium and Claims'!E29=\"\",\"\",'Pt 2 Premium and Claims'!E29+'Pt 2 Premium and Claims - Adj'!E29)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!G29=\"\",\"\",'Pt 2 Premium and Claims'!G29+'Pt 2 Premium and Claims - Adj'!G29)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!I29=\"\",\"\",'Pt 2 Premium and Claims'!I29+'Pt 2 Premium and Claims - Adj'!I29)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!K29=\"\",\"\",'Pt 2 Premium and Claims'!K29+'Pt 2 Premium and Claims - Adj'!K29)","v":2633088.4699999997},null,{"$f":"IF('Pt 2 Premium and Claims'!M29=\"\",\"\",'Pt 2 Premium and Claims'!M29+'Pt 2 Premium and Claims - Adj'!M29)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!O29=\"\",\"\",'Pt 2 Premium and Claims'!O29+'Pt 2 Premium and Claims - Adj'!O29)","v":""},null,null,{"$f":"IF(O29=\"\",0,O29)+IF(M29=\"\",0,M29)+IF(K29=\"\",0,K29)+IF(I29=\"\",0,I29)+IF(G29=\"\",0,G29)+IF(E29=\"\",0,E29)","v":2633088.4699999997},null,{"$f":"+'Pt 2 Premium and Claims'!T29+'Pt 2 Premium and Claims - Adj'!T29","v":396677.44},{"$f":"+'Pt 2 Premium and Claims'!U29+'Pt 2 Premium and Claims - Adj'!U29","v":10137.319999999998},{"$f":"+'Pt 2 Premium and Claims'!V29+'Pt 2 Premium and Claims - Adj'!V29","v":0},{"$f":"+'Pt 2 Premium and Claims'!W29+'Pt 2 Premium and Claims - Adj'!W29","v":0},{"$f":"+'Pt 2 Premium and Claims'!X29+'Pt 2 Premium and Claims - Adj'!X29","v":382304.07999999996},{"$f":"+'Pt 2 Premium and Claims'!Y29+'Pt 2 Premium and Claims - Adj'!Y29","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z29+'Pt 2 Premium and Claims - Adj'!Z29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA29+'Pt 2 Premium and Claims - Adj'!AA29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB29+'Pt 2 Premium and Claims - Adj'!AB29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC29+'Pt 2 Premium and Claims - Adj'!AC29","v":7125},{"$f":"+'Pt 2 Premium and Claims'!AD29+'Pt 2 Premium and Claims - Adj'!AD29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE29+'Pt 2 Premium and Claims - Adj'!AE29","v":389429.07999999996},{"$f":"+'Pt 2 Premium and Claims'!AF29+'Pt 2 Premium and Claims - Adj'!AF29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG29+'Pt 2 Premium and Claims - Adj'!AG29","v":2633088.4699999997},{"$f":"+'Pt 2 Premium and Claims'!AH29+'Pt 2 Premium and Claims - Adj'!AH29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI29+'Pt 2 Premium and Claims - Adj'!AI29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ29+'Pt 2 Premium and Claims - Adj'!AJ29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK29+'Pt 2 Premium and Claims - Adj'!AK29","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL29+'Pt 2 Premium and Claims - Adj'!AL29","v":2633088.4699999997},{"$f":"+'Pt 2 Premium and Claims'!AM29+'Pt 2 Premium and Claims - Adj'!AM29","v":3429332.3099999996},{"$f":"+'Pt 2 Premium and Claims'!AN29+'Pt 2 Premium and Claims - Adj'!AN29","v":3429332.3099999996},"Pt 2, Ln 2.1a"]
[null,null,null,"2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",null,{"$f":"IF('Pt 2 Premium and Claims'!F30=\"\",\"\",'Pt 2 Premium and Claims'!F30+'Pt 2 Premium and Claims - Adj'!F30)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!H30=\"\",\"\",'Pt 2 Premium and Claims'!H30+'Pt 2 Premium and Claims - Adj'!H30)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!J30=\"\",\"\",'Pt 2 Premium and Claims'!J30+'Pt 2 Premium and Claims - Adj'!J30)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!L30=\"\",\"\",'Pt 2 Premium and Claims'!L30+'Pt 2 Premium and Claims - Adj'!L30)","v":2622238.2000000002},null,{"$f":"IF('Pt 2 Premium and Claims'!N30=\"\",\"\",'Pt 2 Premium and Claims'!N30+'Pt 2 Premium and Claims - Adj'!N30)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!P30=\"\",\"\",'Pt 2 Premium and Claims'!P30+'Pt 2 Premium and Claims - Adj'!P30)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.1b"]
[null,null,2.2000000000000002,"Direct claim liability"]
[null,null,null,"2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",{"$f":"IF('Pt 2 Premium and Claims'!E32=\"\",\"\",'Pt 2 Premium and Claims'!E32+'Pt 2 Premium and Claims - Adj'!E32)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!G32=\"\",\"\",'Pt 2 Premium and Claims'!G32+'Pt 2 Premium and Claims - Adj'!G32)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!I32=\"\",\"\",'Pt 2 Premium and Claims'!I32+'Pt 2 Premium and Claims - Adj'!I32)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!K32=\"\",\"\",'Pt 2 Premium and Claims'!K32+'Pt 2 Premium and Claims - Adj'!K32)","v":157013.81},null,{"$f":"IF('Pt 2 Premium and Claims'!M32=\"\",\"\",'Pt 2 Premium and Claims'!M32+'Pt 2 Premium and Claims - Adj'!M32)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!O32=\"\",\"\",'Pt 2 Premium and Claims'!O32+'Pt 2 Premium and Claims - Adj'!O32)","v":""},null,null,{"$f":"IF(O32=\"\",0,O32)+IF(M32=\"\",0,M32)+IF(K32=\"\",0,K32)+IF(I32=\"\",0,I32)+IF(G32=\"\",0,G32)+IF(E32=\"\",0,E32)","v":157013.81},null,{"$f":"+'Pt 2 Premium and Claims'!T32+'Pt 2 Premium and Claims - Adj'!T32","v":21118.949999999993},{"$f":"+'Pt 2 Premium and Claims'!U32+'Pt 2 Premium and Claims - Adj'!U32","v":31116.280000000002},{"$f":"+'Pt 2 Premium and Claims'!V32+'Pt 2 Premium and Claims - Adj'!V32","v":0},{"$f":"+'Pt 2 Premium and Claims'!W32+'Pt 2 Premium and Claims - Adj'!W32","v":0},{"$f":"+'Pt 2 Premium and Claims'!X32+'Pt 2 Premium and Claims - Adj'!X32","v":91022.8},{"$f":"+'Pt 2 Premium and Claims'!Y32+'Pt 2 Premium and Claims - Adj'!Y32","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z32+'Pt 2 Premium and Claims - Adj'!Z32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA32+'Pt 2 Premium and Claims - Adj'!AA32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB32+'Pt 2 Premium and Claims - Adj'!AB32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC32+'Pt 2 Premium and Claims - Adj'!AC32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD32+'Pt 2 Premium and Claims - Adj'!AD32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE32+'Pt 2 Premium and Claims - Adj'!AE32","v":91022.8},{"$f":"+'Pt 2 Premium and Claims'!AF32+'Pt 2 Premium and Claims - Adj'!AF32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG32+'Pt 2 Premium and Claims - Adj'!AG32","v":157013.81},{"$f":"+'Pt 2 Premium and Claims'!AH32+'Pt 2 Premium and Claims - Adj'!AH32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI32+'Pt 2 Premium and Claims - Adj'!AI32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ32+'Pt 2 Premium and Claims - Adj'!AJ32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK32+'Pt 2 Premium and Claims - Adj'!AK32","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL32+'Pt 2 Premium and Claims - Adj'!AL32","v":157013.81},{"$f":"+'Pt 2 Premium and Claims'!AM32+'Pt 2 Premium and Claims - Adj'!AM32","v":300271.83999999997},{"$f":"+'Pt 2 Premium and Claims'!AN32+'Pt 2 Premium and Claims - Adj'!AN32","v":300271.83999999997},"Pt 2, Ln 2.2a"]
[null,null,null,"2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,{"$f":"IF('Pt 2 Premium and Claims'!F33=\"\",\"\",'Pt 2 Premium and Claims'!F33+'Pt 2 Premium and Claims - Adj'!F33)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!H33=\"\",\"\",'Pt 2 Premium and Claims'!H33+'Pt 2 Premium and Claims - Adj'!H33)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!J33=\"\",\"\",'Pt 2 Premium and Claims'!J33+'Pt 2 Premium and Claims - Adj'!J33)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!L33=\"\",\"\",'Pt 2 Premium and Claims'!L33+'Pt 2 Premium and Claims - Adj'!L33)","v":21729.860000000015},null,{"$f":"IF('Pt 2 Premium and Claims'!N33=\"\",\"\",'Pt 2 Premium and Claims'!N33+'Pt 2 Premium and Claims - Adj'!N33)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!P33=\"\",\"\",'Pt 2 Premium and Claims'!P33+'Pt 2 Premium and Claims - Adj'!P33)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.2b"]
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[null,null,2.4,"Direct claim reserves"]
[null,null,null,"2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date",{"$f":"IF('Pt 2 Premium and Claims'!E36=\"\",\"\",'Pt 2 Premium and Claims'!E36+'Pt 2 Premium and Claims - Adj'!E36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!G36=\"\",\"\",'Pt 2 Premium and Claims'!G36+'Pt 2 Premium and Claims - Adj'!G36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!I36=\"\",\"\",'Pt 2 Premium and Claims'!I36+'Pt 2 Premium and Claims - Adj'!I36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!K36=\"\",\"\",'Pt 2 Premium and Claims'!K36+'Pt 2 Premium and Claims - Adj'!K36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!M36=\"\",\"\",'Pt 2 Premium and Claims'!M36+'Pt 2 Premium and Claims - Adj'!M36)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!O36=\"\",\"\",'Pt 2 Premium and Claims'!O36+'Pt 2 Premium and Claims - Adj'!O36)","v":""},null,null,{"$f":"IF(O36=\"\",0,O36)+IF(M36=\"\",0,M36)+IF(K36=\"\",0,K36)+IF(I36=\"\",0,I36)+IF(G36=\"\",0,G36)+IF(E36=\"\",0,E36)","v":0},null,{"$f":"+'Pt 2 Premium and Claims'!T36+'Pt 2 Premium and Claims - Adj'!T36","v":0},{"$f":"+'Pt 2 Premium and Claims'!U36+'Pt 2 Premium and Claims - Adj'!U36","v":0},{"$f":"+'Pt 2 Premium and Claims'!V36+'Pt 2 Premium and Claims - Adj'!V36","v":0},{"$f":"+'Pt 2 Premium and Claims'!W36+'Pt 2 Premium and Claims - Adj'!W36","v":0},{"$f":"+'Pt 2 Premium and Claims'!X36+'Pt 2 Premium and Claims - Adj'!X36","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y36+'Pt 2 Premium and Claims - Adj'!Y36","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z36+'Pt 2 Premium and Claims - Adj'!Z36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA36+'Pt 2 Premium and Claims - Adj'!AA36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB36+'Pt 2 Premium and Claims - Adj'!AB36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC36+'Pt 2 Premium and Claims - Adj'!AC36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD36+'Pt 2 Premium and Claims - Adj'!AD36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE36+'Pt 2 Premium and Claims - Adj'!AE36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AF36+'Pt 2 Premium and Claims - Adj'!AF36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG36+'Pt 2 Premium and Claims - Adj'!AG36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AH36+'Pt 2 Premium and Claims - Adj'!AH36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI36+'Pt 2 Premium and Claims - Adj'!AI36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ36+'Pt 2 Premium and Claims - Adj'!AJ36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK36+'Pt 2 Premium and Claims - Adj'!AK36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL36+'Pt 2 Premium and Claims - Adj'!AL36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AM36+'Pt 2 Premium and Claims - Adj'!AM36","v":0},{"$f":"+'Pt 2 Premium and Claims'!AN36+'Pt 2 Premium and Claims - Adj'!AN36","v":0},"Pt 2, Ln 2.4a"]
[null,null,null,"2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,{"$f":"IF('Pt 2 Premium and Claims'!F37=\"\",\"\",'Pt 2 Premium and Claims'!F37+'Pt 2 Premium and Claims - Adj'!F37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!H37=\"\",\"\",'Pt 2 Premium and Claims'!H37+'Pt 2 Premium and Claims - Adj'!H37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!J37=\"\",\"\",'Pt 2 Premium and Claims'!J37+'Pt 2 Premium and Claims - Adj'!J37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!L37=\"\",\"\",'Pt 2 Premium and Claims'!L37+'Pt 2 Premium and Claims - Adj'!L37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N37=\"\",\"\",'Pt 2 Premium and Claims'!N37+'Pt 2 Premium and Claims - Adj'!N37)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!P37=\"\",\"\",'Pt 2 Premium and Claims'!P37+'Pt 2 Premium and Claims - Adj'!P37)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.4b"]
[null,null,2.5,"Direct claim reserves prior year",{"$f":"IF('Pt 2 Premium and Claims'!E38=\"\",\"\",'Pt 2 Premium and Claims'!E38+'Pt 2 Premium and Claims - Adj'!E38)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!G38=\"\",\"\",'Pt 2 Premium and Claims'!G38+'Pt 2 Premium and Claims - Adj'!G38)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!I38=\"\",\"\",'Pt 2 Premium and Claims'!I38+'Pt 2 Premium and Claims - Adj'!I38)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!K38=\"\",\"\",'Pt 2 Premium and Claims'!K38+'Pt 2 Premium and Claims - Adj'!K38)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!M38=\"\",\"\",'Pt 2 Premium and Claims'!M38+'Pt 2 Premium and Claims - Adj'!M38)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!O38=\"\",\"\",'Pt 2 Premium and Claims'!O38+'Pt 2 Premium and Claims - Adj'!O38)","v":""},null,null,{"$f":"IF(O38=\"\",0,O38)+IF(M38=\"\",0,M38)+IF(K38=\"\",0,K38)+IF(I38=\"\",0,I38)+IF(G38=\"\",0,G38)+IF(E38=\"\",0,E38)","v":0},null,{"$f":"+'Pt 2 Premium and Claims'!T38+'Pt 2 Premium and Claims - Adj'!T38","v":0},{"$f":"+'Pt 2 Premium and Claims'!U38+'Pt 2 Premium and Claims - Adj'!U38","v":0},{"$f":"+'Pt 2 Premium and Claims'!V38+'Pt 2 Premium and Claims - Adj'!V38","v":0},{"$f":"+'Pt 2 Premium and Claims'!W38+'Pt 2 Premium and Claims - Adj'!W38","v":0},{"$f":"+'Pt 2 Premium and Claims'!X38+'Pt 2 Premium and Claims - Adj'!X38","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y38+'Pt 2 Premium and Claims - Adj'!Y38","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z38+'Pt 2 Premium and Claims - Adj'!Z38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA38+'Pt 2 Premium and Claims - Adj'!AA38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB38+'Pt 2 Premium and Claims - Adj'!AB38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC38+'Pt 2 Premium and Claims - Adj'!AC38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD38+'Pt 2 Premium and Claims - Adj'!AD38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE38+'Pt 2 Premium and Claims - Adj'!AE38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AF38+'Pt 2 Premium and Claims - Adj'!AF38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG38+'Pt 2 Premium and Claims - Adj'!AG38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AH38+'Pt 2 Premium and Claims - Adj'!AH38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI38+'Pt 2 Premium and Claims - Adj'!AI38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ38+'Pt 2 Premium and Claims - Adj'!AJ38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK38+'Pt 2 Premium and Claims - Adj'!AK38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL38+'Pt 2 Premium and Claims - Adj'!AL38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AM38+'Pt 2 Premium and Claims - Adj'!AM38","v":0},{"$f":"+'Pt 2 Premium and Claims'!AN38+'Pt 2 Premium and Claims - Adj'!AN38","v":0},"Pt 2, Ln 2.5"]
[null,null,2.6,"Experience rating refunds (rate credits) paid"]
[null,null,null,"2.6a Experience rating refunds, with all incurred dates, paid in the MLR reporting year",{"$f":"IF('Pt 2 Premium and Claims'!E40=\"\",\"\",'Pt 2 Premium and Claims'!E40+'Pt 2 Premium and Claims - Adj'!E40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!G40=\"\",\"\",'Pt 2 Premium and Claims'!G40+'Pt 2 Premium and Claims - Adj'!G40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!I40=\"\",\"\",'Pt 2 Premium and Claims'!I40+'Pt 2 Premium and Claims - Adj'!I40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!K40=\"\",\"\",'Pt 2 Premium and Claims'!K40+'Pt 2 Premium and Claims - Adj'!K40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!M40=\"\",\"\",'Pt 2 Premium and Claims'!M40+'Pt 2 Premium and Claims - Adj'!M40)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!O40=\"\",\"\",'Pt 2 Premium and Claims'!O40+'Pt 2 Premium and Claims - Adj'!O40)","v":""},null,null,{"$f":"IF(O40=\"\",0,O40)+IF(M40=\"\",0,M40)+IF(K40=\"\",0,K40)+IF(I40=\"\",0,I40)+IF(G40=\"\",0,G40)+IF(E40=\"\",0,E40)","v":0},null,{"$f":"+'Pt 2 Premium and Claims'!T40+'Pt 2 Premium and Claims - Adj'!T40","v":0},{"$f":"+'Pt 2 Premium and Claims'!U40+'Pt 2 Premium and Claims - Adj'!U40","v":0},{"$f":"+'Pt 2 Premium and Claims'!V40+'Pt 2 Premium and Claims - Adj'!V40","v":0},{"$f":"+'Pt 2 Premium and Claims'!W40+'Pt 2 Premium and Claims - Adj'!W40","v":0},{"$f":"+'Pt 2 Premium and Claims'!X40+'Pt 2 Premium and Claims - Adj'!X40","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y40+'Pt 2 Premium and Claims - Adj'!Y40","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z40+'Pt 2 Premium and Claims - Adj'!Z40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA40+'Pt 2 Premium and Claims - Adj'!AA40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB40+'Pt 2 Premium and Claims - Adj'!AB40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC40+'Pt 2 Premium and Claims - Adj'!AC40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD40+'Pt 2 Premium and Claims - Adj'!AD40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE40+'Pt 2 Premium and Claims - Adj'!AE40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AF40+'Pt 2 Premium and Claims - Adj'!AF40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG40+'Pt 2 Premium and Claims - Adj'!AG40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AH40+'Pt 2 Premium and Claims - Adj'!AH40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI40+'Pt 2 Premium and Claims - Adj'!AI40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ40+'Pt 2 Premium and Claims - Adj'!AJ40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK40+'Pt 2 Premium and Claims - Adj'!AK40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL40+'Pt 2 Premium and Claims - Adj'!AL40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AM40+'Pt 2 Premium and Claims - Adj'!AM40","v":0},{"$f":"+'Pt 2 Premium and Claims'!AN40+'Pt 2 Premium and Claims - Adj'!AN40","v":0},"Pt 2, Ln 2.8a"]
[null,null,null,"2.6b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year",null,{"$f":"IF('Pt 2 Premium and Claims'!F41=\"\",\"\",'Pt 2 Premium and Claims'!F41+'Pt 2 Premium and Claims - Adj'!F41)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!H41=\"\",\"\",'Pt 2 Premium and Claims'!H41+'Pt 2 Premium and Claims - Adj'!H41)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!J41=\"\",\"\",'Pt 2 Premium and Claims'!J41+'Pt 2 Premium and Claims - Adj'!J41)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!L41=\"\",\"\",'Pt 2 Premium and Claims'!L41+'Pt 2 Premium and Claims - Adj'!L41)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N41=\"\",\"\",'Pt 2 Premium and Claims'!N41+'Pt 2 Premium and Claims - Adj'!N41)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!P41=\"\",\"\",'Pt 2 Premium and Claims'!P41+'Pt 2 Premium and Claims - Adj'!P41)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pt 2, Ln 2.8b"]
[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
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[null,null,2.9,"Incurred dental incentive pool and bonuses"]
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[null,null,"2.11","Total incurred claims ",{"$f":"IF('Pt 2 Premium and Claims'!E51=\"\",\"\",'Pt 2 Premium and Claims'!E51+'Pt 2 Premium and Claims - Adj'!E51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!F51=\"\",\"\",'Pt 2 Premium and Claims'!F51+'Pt 2 Premium and Claims - Adj'!F51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!G51=\"\",\"\",'Pt 2 Premium and Claims'!G51+'Pt 2 Premium and Claims - Adj'!G51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!H51=\"\",\"\",'Pt 2 Premium and Claims'!H51+'Pt 2 Premium and Claims - Adj'!H51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!I51=\"\",\"\",'Pt 2 Premium and Claims'!I51+'Pt 2 Premium and Claims - Adj'!I51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!J51=\"\",\"\",'Pt 2 Premium and Claims'!J51+'Pt 2 Premium and Claims - Adj'!J51)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!K51=\"\",\"\",'Pt 2 Premium and Claims'!K51+'Pt 2 Premium and Claims - Adj'!K51)","v":2732862.4},{"$f":"IF('Pt 2 Premium and Claims'!L51=\"\",\"\",'Pt 2 Premium and Claims'!L51+'Pt 2 Premium and Claims - Adj'!L51)","v":2643968.06},{"$f":"IF('Pt 2 Premium and Claims'!M51=\"\",\"\",'Pt 2 Premium and Claims'!M51+'Pt 2 Premium and Claims - Adj'!M51)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!N51=\"\",\"\",'Pt 2 Premium and Claims'!N51+'Pt 2 Premium and Claims - Adj'!N51)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!O51=\"\",\"\",'Pt 2 Premium and Claims'!O51+'Pt 2 Premium and Claims - Adj'!O51)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!P51=\"\",\"\",'Pt 2 Premium and Claims'!P51+'Pt 2 Premium and Claims - Adj'!P51)","v":""},null,{"$f":"R29+R32-R34+R36-R38+R40+R43-R45+R47+R48-R49+R50","v":2732862.4},null,{"$f":"+'Pt 2 Premium and Claims'!T51+'Pt 2 Premium and Claims - Adj'!T51","v":405260.15},{"$f":"+'Pt 2 Premium and Claims'!U51+'Pt 2 Premium and Claims - Adj'!U51","v":16349.829999999998},{"$f":"+'Pt 2 Premium and Claims'!V51+'Pt 2 Premium and Claims - Adj'!V51","v":0},{"$f":"+'Pt 2 Premium and Claims'!W51+'Pt 2 Premium and Claims - Adj'!W51","v":0},{"$f":"+'Pt 2 Premium and Claims'!X51+'Pt 2 Premium and Claims - Adj'!X51","v":425437.72},{"$f":"+'Pt 2 Premium and Claims'!Y51+'Pt 2 Premium and Claims - Adj'!Y51","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z51+'Pt 2 Premium and Claims - Adj'!Z51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA51+'Pt 2 Premium and Claims - Adj'!AA51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB51+'Pt 2 Premium and Claims - Adj'!AB51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC51+'Pt 2 Premium and Claims - Adj'!AC51","v":7125},{"$f":"+'Pt 2 Premium and Claims'!AD51+'Pt 2 Premium and Claims - Adj'!AD51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AE51+'Pt 2 Premium and Claims - Adj'!AE51","v":432562.72},{"$f":"+'Pt 2 Premium and Claims'!AF51+'Pt 2 Premium and Claims - Adj'!AF51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AG51+'Pt 2 Premium and Claims - Adj'!AG51","v":2732862.4},{"$f":"+'Pt 2 Premium and Claims'!AH51+'Pt 2 Premium and Claims - Adj'!AH51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AI51+'Pt 2 Premium and Claims - Adj'!AI51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AJ51+'Pt 2 Premium and Claims - Adj'!AJ51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AK51+'Pt 2 Premium and Claims - Adj'!AK51","v":0},{"$f":"+'Pt 2 Premium and Claims'!AL51+'Pt 2 Premium and Claims - Adj'!AL51","v":2732862.4},{"$f":"+'Pt 2 Premium and Claims'!AM51+'Pt 2 Premium and Claims - Adj'!AM51","v":3587035.0999999996},{"$f":"+'Pt 2 Premium and Claims'!AN51+'Pt 2 Premium and Claims - Adj'!AN51","v":3587035.0999999996},"Pt 2, Ln 2.17"]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input"]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 3 Expense Allocation","index":19,"n_rows":87,"n_cols":4,"rows_kept":87,"cut":false,"hidden":false,"merged":[[78,3,78,11],[79,3,79,11],[80,3,80,11],[83,1,83,2],[86,1,86,2],[77,3,77,11],[66,3,66,11],[67,3,67,11],[68,3,68,11],[69,3,69,11],[70,3,70,11],[71,3,71,11],[72,3,72,11],[73,3,73,11],[74,3,74,11],[75,3,75,11],[76,3,76,11],[65,3,65,11],[54,3,54,11],[55,3,55,11],[56,3,56,11],[57,3,57,11],[58,3,58,11],[59,3,59,11],[60,3,60,11],[61,3,61,11],[62,3,62,11],[63,3,63,11],[64,3,64,11],[53,3,53,11],[42,3,42,11],[43,3,43,11],[44,3,44,11],[45,3,45,11],[46,3,46,11],[47,3,47,11],[48,3,48,11],[49,3,49,11],[50,3,50,11],[51,3,51,11],[52,3,52,11],[41,3,41,11],[30,3,30,11],[31,3,31,11],[32,3,32,11],[33,3,33,11],[34,3,34,11],[35,3,35,11],[36,3,36,11],[37,3,37,11],[38,3,38,11],[39,3,39,11],[40,3,40,11],[29,3,29,11],[18,3,18,11],[19,3,19,11],[20,3,20,11],[21,3,21,11],[22,3,22,11],[23,3,23,11],[24,3,24,11],[25,3,25,11],[26,3,26,11],[27,3,27,11],[28,3,28,11],[17,3,17,11],[1,3,1,4],[14,3,14,11],[15,3,15,11],[16,3,16,11]]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage "]
[null,"Part 3 - Expense Allocation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"Description of Expense Element (by Type)","NEW","Detailed Description of Expense Allocation Methods"]
[null,1,2,3]
[null,"1.  Incurred Claims"]
[]
[]
[]
[]
[]
[]
[null,"2.  Federal and State Taxes and Licensing or Regulatory Fees"]
[null,"2.a Federal taxes and assessments"]
[]
[]
[]
[]
[]
[]
[null,"2.b State insurance, premium and other taxes"]
[]
[]
[]
[]
[]
[]
[null,"2.c Community benefit expenditures "]
[]
[]
[]
[]
[]
[]
[null,"2.d Regulatory authority licenses and fees"]
[]
[]
[]
[]
[]
[]
[null,"3.  Non-Claims costs"]
[null,"3.a Direct sales salaries and benefits"]
[]
[]
[]
[]
[]
[]
[null,"3.b Agents and brokers fees and commissions"]
[]
[]
[]
[]
[]
[]
[null,"3.c Other taxes"]
[]
[]
[]
[]
[]
[]
[null,"3.d Other general and administrative expenses"]
[]
[]
[]
[]
[]
[]
[]
[null,"Cell Keys:"]
[null,"Blank cells require input from Health plan or Health insurer"]
[null,"Grey cells require no data input "]
[null,"Pink cells require no data input - locked down"]
[null,"Blue cells: computed cell (formula cell)"]

{"sheet":"EB PT 4 P&C Calcs","index":20,"n_rows":97,"n_cols":20,"rows_kept":97,"cut":false,"hidden":true,"merged":[]}
["Part","Ln","Year",{"$f":"\"Account\"","v":"Account"},{"$f":"\"IDB Period\"","v":"IDB Period"},{"$f":"\"Period\"","v":"Period"},{"$f":"\"Reinsurance\"","v":"Reinsurance"},{"$f":"\"Project\"","v":"Project"},1,2,3,4,5,6,1,2,3,4,5,6]
[{"$f":"\"Not Used\"","v":"Not Used"},null,null,null,null,null,null,null,"Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views"]
[{"$f":"\"Linked Cell\"","v":"Linked Cell"},null,null,null,null,null,null,null,"Sources","Sources","Sources","Sources","Sources","Sources","Sources","Sources","Sources","Sources","Sources","Sources"]
[{"$f":"\"Separate Rows\"","v":"Separate Rows"},null,null,null,null,null,null,null,"Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments"]
["Ties Out",null,null,null,null,null,null,null,{"$f":"'EB PT 1'!K5","v":"NAIC Supp HC Exhibit"},{"$f":"I5","v":"NAIC Supp HC Exhibit"},{"$f":"I5","v":"NAIC Supp HC Exhibit"},{"$f":"J5","v":"NAIC Supp HC Exhibit"},{"$f":"K5","v":"NAIC Supp HC Exhibit"},{"$f":"L5","v":"NAIC Supp HC Exhibit"},{"$f":"'EB PT 1'!#REF!","v":{"$error":"#REF!"}},{"$f":"O5","v":{"$error":"#REF!"}},{"$f":"O5","v":{"$error":"#REF!"}},{"$f":"P5","v":{"$error":"#REF!"}},{"$f":"Q5","v":{"$error":"#REF!"}},{"$f":"R5","v":{"$error":"#REF!"}}]
[{"$f":"\"Question\"","v":"Question"},null,null,null,null,null,null,null,{"$f":"'EB PT 1'!K8","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"'EB PT 1'!#REF!","v":{"$error":"#REF!"}},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"},{"$f":"$I$6","v":"Operating Units"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!K9","v":"Stand Alone Dental"},{"$f":"I7","v":"Stand Alone Dental"},{"$f":"I7","v":"Stand Alone Dental"},{"$f":"K7","v":"Stand Alone Dental"},{"$f":"K7","v":"Stand Alone Dental"},{"$f":"M7","v":"Stand Alone Dental"},{"$f":"'EB PT 1'!#REF!","v":{"$error":"#REF!"}},{"$f":"O7","v":{"$error":"#REF!"}},{"$f":"O7","v":{"$error":"#REF!"}},{"$f":"Q7","v":{"$error":"#REF!"}},{"$f":"Q7","v":{"$error":"#REF!"}},{"$f":"S7","v":{"$error":"#REF!"}}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!$K$10","v":"Individual"},{"$f":"I8","v":"Individual"},{"$f":"'EB PT 1'!$M$10","v":"Small Group Employer"},{"$f":"K8","v":"Small Group Employer"},{"$f":"'EB PT 1'!$O$10","v":"Large Group Employer"},{"$f":"M8","v":"Large Group Employer"},{"$f":"'EB PT 1'!$K$10","v":"Individual"},{"$f":"O8","v":"Individual"},{"$f":"'EB PT 1'!$M$10","v":"Small Group Employer"},{"$f":"Q8","v":"Small Group Employer"},{"$f":"'EB PT 1'!$O$10","v":"Large Group Employer"},{"$f":"S8","v":"Large Group Employer"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!K6","v":"Golden Rule Insurance Company"},{"$f":"I9","v":"Golden Rule Insurance Company"},{"$f":"J9","v":"Golden Rule Insurance Company"},{"$f":"K9","v":"Golden Rule Insurance Company"},{"$f":"L9","v":"Golden Rule Insurance Company"},{"$f":"M9","v":"Golden Rule Insurance Company"},{"$f":"'EB PT 1'!#REF!","v":{"$error":"#REF!"}},{"$f":"O9","v":{"$error":"#REF!"}},{"$f":"P9","v":{"$error":"#REF!"}},{"$f":"Q9","v":{"$error":"#REF!"}},{"$f":"R9","v":{"$error":"#REF!"}},{"$f":"S9","v":{"$error":"#REF!"}}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!K7","v":"California - CA"},{"$f":"I10","v":"California - CA"},{"$f":"J10","v":"California - CA"},{"$f":"K10","v":"California - CA"},{"$f":"L10","v":"California - CA"},{"$f":"M10","v":"California - CA"},{"$f":"'EB PT 1'!#REF!","v":{"$error":"#REF!"}},{"$f":"O10","v":{"$error":"#REF!"}},{"$f":"P10","v":{"$error":"#REF!"}},{"$f":"Q10","v":{"$error":"#REF!"}},{"$f":"R10","v":{"$error":"#REF!"}},{"$f":"S10","v":{"$error":"#REF!"}}]
[null,null,null,null,null,null,null,null,{"$f":"'Essbase Input'!$C19","v":"2022"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C19","v":"2022"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C19","v":"2022"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C17","v":"2024"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C17","v":"2024"},{"$f":"'Essbase Input'!$C18","v":"2023"},{"$f":"'Essbase Input'!$C17","v":"2024"}]
[2,"2.1a",{"$f":"$I$11","v":"2022"},"Total Incurred Claims","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",1004.45,882.15,10072564.449999999,9606037.8499999996,23731736.550000001,40511442.709999986,882.15,-882.13,9606037.8499999996,8126668.1400000006,40511442.709999986,37073307.129999995]
[2,"2.1a",{"$f":"$I$11","v":"2022"},"50307 - Pharmacy Non-MLR Claims","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a",{"$f":"$I$11","v":"2022"},"50010 - Physician Cap Paid - External","IDB Periods","Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a",{"$f":"$I$11","v":"2022"},"50619 - Internal Capitation Pd - Other","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a",{"$f":"$I$11","v":"2022"},"Rate Credits NonTaxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Direct Contract Reserve","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,-115602.99999999999,-388971.56,0,0,0,0,-388971.56,-298933.13999999996]
[null,null,null,"Direct Contract Reserve","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,-138420.59,-115603,0,0,0,0,-115603,-388971.56]
[null,null,null,"Healthcare Receivables","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Healthcare Receivables",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$12)","v":"IDB 2024"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Healthcare Receivables","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b",{"$f":"$J$11","v":"2023"},"Total Incurred Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"Total Year","NO REINSURANCE","All Other Projects",743.4,0,9777283.7899999991,207539.89999999997,23224597.439999998,446054.25000000035,0,0,207539.89999999997,-5437.9,446054.25000000035,-14702.459999999995]
[2,"2.1b","2023","Total Incurred Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",227,0,2377111.7399999998,174917.22999999998,5606087.7300000004,372499.52000000008,0,0,174917.22999999998,-117.35000000000036,372499.52000000008,6478.21]
[2,"2.1b","2023","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b",{"$f":"$I$11","v":"2022"},"Direct Contract Reserve","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,-115602.99999999999,-388971.56,0,0,0,0,-388971.56,-298933.13999999996]
[2,"2.1b",{"$f":"$J$11","v":"2023"},"Healthcare Receivables",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.2a",{"$f":"$I$11","v":"2022"},"Direct Claim Liability","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,-565178.04999999993,-408583.64000000007,-1519075.6700000002,-2351285.3000000003,0,-2.0000000000001822E-2,-408583.64000000007,-501395.44,-2351285.3000000003,-2608200.0599999996]
[2,"2.2b","2023","Direct Claim Liability",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,-388437.97,-112077.5,-1099109.4900000002,-337009.42,0,0,-112077.5,0,-337009.42,0]
[2,2.2999999999999998,{"$f":"$I$11","v":"2022"},"Direct Claim Liability","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",-11.950000000000001,0,-454667.4499999999,-565178.05000000005,-1493585.3300000003,-1519075.67,0,0,-565178.05000000005,-408583.63999999996,-1519075.67,-2351285.2999999998]
[2,"2.4a",{"$f":"$I$11","v":"2022"},"Direct Claim Reserves","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.4b",{"$f":"$J$11","v":"2023"},"Direct Claim Reserves",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,2.5,{"$f":"$I$11","v":"2022"},"Direct Claim Reserves","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Reserve for Rate Credits","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Estimated Rebates Unpaid","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Reserve for Rate Credits","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Estimated Rebates Unpaid","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b","2022","Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Rate Credits Taxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Reserve for Rate Credits",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Estimated Rebates Unpaid",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$I$11","v":"2022"},"Inc Med Inc Pools & Bonuses","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2023"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"December_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2023"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2022"},"Incurred Med Inc Pools & Bonus","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$J$11","v":"2023"},"Incurred Med Inc Pools & Bonus",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$19)","v":"IDB 2022"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2022"},"Incurred Med Inc Pools & Bonus","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a","2022","Total Incurred Claims","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",1004.45,882.15,10072564.449999999,9606037.8499999996,23731736.550000001,40511442.709999986,882.15,-882.13,9606037.8499999996,8126668.1400000006,40511442.709999986,37073307.129999995]
[2,"2.1a","2022","50307 - Pharmacy Non-MLR Claims","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a","2022","50010 - Physician Cap Paid - External","IDB Periods","Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a","2022","50619 - Internal Capitation Pd - Other","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1a","2022","Rate Credits NonTaxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Direct Contract Reserve","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,-115602.99999999999,-388971.56,0,0,0,0,-388971.56,-298933.13999999996]
[null,null,null,"Direct Contract Reserve","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,-138420.59,-115603,0,0,0,0,-115603,-388971.56]
[null,null,null,"Healthcare Receivables","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Healthcare Receivables",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,"Healthcare Receivables","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b",{"$f":"$J$11","v":"2023"},"Total Incurred Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"Total Year","NO REINSURANCE","All Other Projects",0,882.15,0,9410133.7700000014,0,40097457.359999992,882.15,-882.13,9410133.7700000014,302066.07999999996,40097457.359999992,513153.34000000049]
[2,"2.1b","2023","Total Incurred Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,2182850.2200000002,0,8856287.5100000016,0,4.1199999999999992,2182850.2200000002,254751.46000000002,8856287.5100000016,426459.97999999969]
[2,"2.1b","2023","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2023","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b",{"$f":"$I$11","v":"2022"},"Direct Contract Reserve","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,-115602.99999999999,-388971.56,0,0,0,0,-388971.56,-298933.13999999996]
[2,"2.1b",{"$f":"$J$11","v":"2023"},"Healthcare Receivables",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.2a",{"$f":"$I$11","v":"2022"},"Direct Claim Liability","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,-565178.04999999993,-408583.64000000007,-1519075.6700000002,-2351285.3000000003,0,-2.0000000000001822E-2,-408583.64000000007,-501395.44,-2351285.3000000003,-2608200.0599999996]
[2,"2.2b","2023","Direct Claim Liability",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,-487304.81000000006,0,-2118649.2400000002,0,-12.420000000000005,-487304.81000000006,-82650.19,-2118649.2400000002,-485564.88000000006]
[2,2.2999999999999998,{"$f":"$I$11","v":"2022"},"Direct Claim Liability","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",-11.950000000000001,0,-454667.4499999999,-565178.05000000005,-1493585.3300000003,-1519075.67,0,0,-565178.05000000005,-408583.63999999996,-1519075.67,-2351285.2999999998]
[2,"2.4a",{"$f":"$I$11","v":"2022"},"Direct Claim Reserves","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.4b",{"$f":"$J$11","v":"2023"},"Direct Claim Reserves",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,2.5,{"$f":"$I$11","v":"2022"},"Direct Claim Reserves","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Reserve for Rate Credits","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Estimated Rebates Unpaid","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Reserve for Rate Credits","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2022","Estimated Rebates Unpaid","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b","2022","Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Rate Credits Taxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Reserve for Rate Credits",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2023"},"Estimated Rebates Unpaid",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$I$11","v":"2022"},"Inc Med Inc Pools & Bonuses","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2023"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"December_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2023"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2022"},"Incurred Med Inc Pools & Bonus","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$J$11","v":"2023"},"Incurred Med Inc Pools & Bonus",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$18)","v":"IDB 2023"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2022"},"Incurred Med Inc Pools & Bonus","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]

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[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,"Part 2"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
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[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage"]
[null,null,null,null,null,"PY 2",null,null,null,null,null,"PY 1"]
[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group"]
[null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",null,null,null,{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C19,2))","v":"Total as of 12/31/22"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 3/31/23"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C19,2))","v":"Total as of 12/31/22"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 3/31/23"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C19,2))","v":"Total as of 12/31/22"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 3/31/23"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 12/31/23"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C17,2))","v":"Total as of 3/31/24"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 12/31/23"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C17,2))","v":"Total as of 3/31/24"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C18,2))","v":"Total as of 12/31/23"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C17,2))","v":"Total as of 3/31/24"}]
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[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
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[null,null,null,"2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",null,null,{"$f":"'EB PT 4 P&C Calcs'!I22+'EB PT 4 P&C Calcs'!J23-'EB PT 4 P&C Calcs'!I24-'EB PT 4 P&C Calcs'!J25-'EB PT 4 P&C Calcs'!I26-'EB PT 4 P&C Calcs'!J27-'EB PT 4 P&C Calcs'!I28-'EB PT 4 P&C Calcs'!J29-'EB PT 4 P&C Calcs'!I32-'EB PT 4 P&C Calcs'!J31-'EB PT 4 P&C Calcs'!J33-'EB PT 4 P&C Calcs'!I32-G26-G30-G34-G37-G40-G41-G43","v":743.4},null,{"$f":"+'EB PT 4 P&C Calcs'!K22+'EB PT 4 P&C Calcs'!L23-'EB PT 4 P&C Calcs'!K24-'EB PT 4 P&C Calcs'!L25-'EB PT 4 P&C Calcs'!K26-'EB PT 4 P&C Calcs'!L27-'EB PT 4 P&C Calcs'!K28-'EB PT 4 P&C Calcs'!L29-'EB PT 4 P&C Calcs'!K30-'EB PT 4 P&C Calcs'!L31-'EB PT 4 P&C Calcs'!L33-'EB PT 4 P&C Calcs'!K32-I26-I30-I34-I37-I40-I41-I43","v":9840123.5199999996},null,{"$f":"+'EB PT 4 P&C Calcs'!M22+'EB PT 4 P&C Calcs'!N23-'EB PT 4 P&C Calcs'!M24-'EB PT 4 P&C Calcs'!N25-'EB PT 4 P&C Calcs'!M26-'EB PT 4 P&C Calcs'!N27-'EB PT 4 P&C Calcs'!M28-'EB PT 4 P&C Calcs'!N29-'EB PT 4 P&C Calcs'!M30-'EB PT 4 P&C Calcs'!N31-'EB PT 4 P&C Calcs'!N33-'EB PT 4 P&C Calcs'!M32-K26-K30-K34-K37-K40-K41-K43","v":23375690.539999995},null,{"$f":"'EB PT 4 P&C Calcs'!O65+'EB PT 4 P&C Calcs'!P66-'EB PT 4 P&C Calcs'!O67-'EB PT 4 P&C Calcs'!P68-'EB PT 4 P&C Calcs'!O69-'EB PT 4 P&C Calcs'!P70-'EB PT 4 P&C Calcs'!O71-'EB PT 4 P&C Calcs'!P72-'EB PT 4 P&C Calcs'!O75-'EB PT 4 P&C Calcs'!P74-'EB PT 4 P&C Calcs'!P76-'EB PT 4 P&C Calcs'!O75-M26-M30-M34-M37-M40-M41-M43","v":873.85},null,{"$f":"'EB PT 4 P&C Calcs'!Q65+'EB PT 4 P&C Calcs'!R66-'EB PT 4 P&C Calcs'!Q67-'EB PT 4 P&C Calcs'!R68-'EB PT 4 P&C Calcs'!Q69-'EB PT 4 P&C Calcs'!R70-'EB PT 4 P&C Calcs'!Q71-'EB PT 4 P&C Calcs'!R72-'EB PT 4 P&C Calcs'!Q75-'EB PT 4 P&C Calcs'!R74-'EB PT 4 P&C Calcs'!R76-'EB PT 4 P&C Calcs'!Q75-O26-O30-O34-O37-O40-O41-O43","v":9582235.0400000028},null,{"$f":"'EB PT 4 P&C Calcs'!S65+'EB PT 4 P&C Calcs'!T66-'EB PT 4 P&C Calcs'!S67-'EB PT 4 P&C Calcs'!T68-'EB PT 4 P&C Calcs'!S69-'EB PT 4 P&C Calcs'!T70-'EB PT 4 P&C Calcs'!S71-'EB PT 4 P&C Calcs'!T72-'EB PT 4 P&C Calcs'!S75-'EB PT 4 P&C Calcs'!T74-'EB PT 4 P&C Calcs'!T76-'EB PT 4 P&C Calcs'!S75-Q26-Q30-Q34-Q37-Q40-Q41-Q43","v":40816295.579999991}]
[null,null,2.2000000000000002,"Direct claim liability"]
[null,null,null,"2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",null,{"$f":"-'EB PT 4 P&C Calcs'!I34","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K34","v":565178.04999999993},null,{"$f":"-'EB PT 4 P&C Calcs'!M34","v":1519075.6700000002},null,{"$f":"-'EB PT 4 P&C Calcs'!O77","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q77","v":408583.64000000007},null,{"$f":"-'EB PT 4 P&C Calcs'!S77","v":2351285.3000000003}]
[null,null,null,"2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,null,{"$f":"-'EB PT 4 P&C Calcs'!J35","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!L35","v":112077.5},null,{"$f":"-'EB PT 4 P&C Calcs'!N35","v":337009.42},null,{"$f":"-'EB PT 4 P&C Calcs'!P78","v":12.420000000000005},null,{"$f":"-'EB PT 4 P&C Calcs'!R78","v":82650.19},null,{"$f":"-'EB PT 4 P&C Calcs'!T78","v":485564.88000000006}]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,{"$f":"-'EB PT 4 P&C Calcs'!I36","v":11.950000000000001},null,{"$f":"-'EB PT 4 P&C Calcs'!K36","v":454667.4499999999},null,{"$f":"-'EB PT 4 P&C Calcs'!M36","v":1493585.3300000003},null,{"$f":"-'EB PT 4 P&C Calcs'!O79","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q79","v":565178.05000000005},null,{"$f":"-'EB PT 4 P&C Calcs'!S79","v":1519075.67}]
[null,null,2.4,"Direct claim reserves"]
[null,null,null,"2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date",null,{"$f":"-'EB PT 4 P&C Calcs'!I37","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K37","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M37","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O80","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q80","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!S80","v":0}]
[null,null,null,"2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,null,{"$f":"-'EB PT 4 P&C Calcs'!J38","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!L38","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!N38","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!P81","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!R81","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!T81","v":0}]
[null,null,2.5,"Direct claim reserves prior year",null,{"$f":"-'EB PT 4 P&C Calcs'!I39","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K39","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M39","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O82","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q82","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!S82","v":0}]
[null,null,2.6,"Experience rating refunds (rate credits) paid"]
[null,null,null,"2.6a Experience rating refunds, with all incurred dates, paid in the MLR reporting year",null,{"$f":"'EB PT 4 P&C Calcs'!I45-(-'EB PT 4 P&C Calcs'!I41+'EB PT 4 P&C Calcs'!I42-(-'EB PT 4 P&C Calcs'!I43+'EB PT 4 P&C Calcs'!I44))","v":0},null,{"$f":"'EB PT 4 P&C Calcs'!K45-(-'EB PT 4 P&C Calcs'!K41+'EB PT 4 P&C Calcs'!K42-(-'EB PT 4 P&C Calcs'!K43+'EB PT 4 P&C Calcs'!K44))","v":0},null,{"$f":"'EB PT 4 P&C Calcs'!M45-(-'EB PT 4 P&C Calcs'!M41+'EB PT 4 P&C Calcs'!M42-(-'EB PT 4 P&C Calcs'!M43+'EB PT 4 P&C Calcs'!M44))","v":0},null,{"$f":"'EB PT 4 P&C Calcs'!O88-(-'EB PT 4 P&C Calcs'!O84+'EB PT 4 P&C Calcs'!O85-(-'EB PT 4 P&C Calcs'!O86+'EB PT 4 P&C Calcs'!O87))","v":0},null,{"$f":"'EB PT 4 P&C Calcs'!Q88-(-'EB PT 4 P&C Calcs'!Q84+'EB PT 4 P&C Calcs'!Q85-(-'EB PT 4 P&C Calcs'!Q86+'EB PT 4 P&C Calcs'!Q87))","v":0},null,{"$f":"'EB PT 4 P&C Calcs'!S88-(-'EB PT 4 P&C Calcs'!S84+'EB PT 4 P&C Calcs'!S85-(-'EB PT 4 P&C Calcs'!S86+'EB PT 4 P&C Calcs'!S87))","v":0}]
[null,null,null,"2.6b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year",null,null,{"$f":"+'EB PT 4 P&C Calcs'!I45+'EB PT 4 P&C Calcs'!J46-(-'EB PT 4 P&C Calcs'!J47+'EB PT 4 P&C Calcs'!J48)","v":0},null,{"$f":"+'EB PT 4 P&C Calcs'!K45+'EB PT 4 P&C Calcs'!L46-(-'EB PT 4 P&C Calcs'!L47+'EB PT 4 P&C Calcs'!L48)","v":0},null,{"$f":"+'EB PT 4 P&C Calcs'!M45+'EB PT 4 P&C Calcs'!N46-(-'EB PT 4 P&C Calcs'!N47+'EB PT 4 P&C Calcs'!N48)","v":0},null,{"$f":"+'EB PT 4 P&C Calcs'!O88+'EB PT 4 P&C Calcs'!P89-(-'EB PT 4 P&C Calcs'!P90+'EB PT 4 P&C Calcs'!P91)","v":0},null,{"$f":"+'EB PT 4 P&C Calcs'!Q88+'EB PT 4 P&C Calcs'!R89-(-'EB PT 4 P&C Calcs'!R90+'EB PT 4 P&C Calcs'!R91)","v":0},null,{"$f":"+'EB PT 4 P&C Calcs'!S88+'EB PT 4 P&C Calcs'!T89-(-'EB PT 4 P&C Calcs'!T90+'EB PT 4 P&C Calcs'!T91)","v":0}]
[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
[null,null,null,"2.7a Reserved in MLR reporting year regardless of incurred date",null,{"$f":"-'EB PT 4 P&C Calcs'!I41+'EB PT 4 P&C Calcs'!I42","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K41+'EB PT 4 P&C Calcs'!K42","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M41+'EB PT 4 P&C Calcs'!M42","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O84+'EB PT 4 P&C Calcs'!O85","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q84+'EB PT 4 P&C Calcs'!Q85","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!S84+'EB PT 4 P&C Calcs'!S85","v":0}]
[null,null,null,"2.7b Reserves specific to the MLR reporting year through 3/31 of the following year",null,null,{"$f":"-'EB PT 4 P&C Calcs'!J47+'EB PT 4 P&C Calcs'!J48","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!L47+'EB PT 4 P&C Calcs'!L48","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!N47+'EB PT 4 P&C Calcs'!N48","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!P90+'EB PT 4 P&C Calcs'!P91","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!R90+'EB PT 4 P&C Calcs'!R91","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!T90+'EB PT 4 P&C Calcs'!T91","v":0}]
[null,null,"2.8","Reserve for experience rating refunds (rate credits) prior year",null,{"$f":"-'EB PT 4 P&C Calcs'!I43+'EB PT 4 P&C Calcs'!I44","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K43+'EB PT 4 P&C Calcs'!K44","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M43+'EB PT 4 P&C Calcs'!M44","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O86+'EB PT 4 P&C Calcs'!O87","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q86+'EB PT 4 P&C Calcs'!Q87","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!S86+'EB PT 4 P&C Calcs'!S87","v":0}]
[null,null,2.9,"Incurred dental incentive pool and bonuses"]
[null,null,null,"2.9a  Paid dental incentive pools and bonuses MLR Reporting year",null,{"$f":"'EB PT 4 P&C Calcs'!I49-F41+F42","v":0},{"$f":"'EB PT 4 P&C Calcs'!I50+'EB PT 4 P&C Calcs'!J51-G41","v":0},{"$f":"'EB PT 4 P&C Calcs'!K49-H41+H42","v":0},{"$f":"'EB PT 4 P&C Calcs'!K50+'EB PT 4 P&C Calcs'!L51-I41","v":0},{"$f":"'EB PT 4 P&C Calcs'!M49-J41+J42","v":0},{"$f":"'EB PT 4 P&C Calcs'!M50+'EB PT 4 P&C Calcs'!N51-K41","v":0},{"$f":"'EB PT 4 P&C Calcs'!O92-L41+L42","v":0},{"$f":"'EB PT 4 P&C Calcs'!O93+'EB PT 4 P&C Calcs'!P94-M41","v":0},{"$f":"'EB PT 4 P&C Calcs'!Q92-N41+N42","v":0},{"$f":"'EB PT 4 P&C Calcs'!Q93+'EB PT 4 P&C Calcs'!R94-O41","v":0},{"$f":"'EB PT 4 P&C Calcs'!S92-P41+P42","v":0},{"$f":"'EB PT 4 P&C Calcs'!S93+'EB PT 4 P&C Calcs'!T94-Q41","v":0}]
[null,null,null,"2.9b  Accrued dental incentive pools and bonuses MLR Reporting year",null,{"$f":"-'EB PT 4 P&C Calcs'!I52","v":0},{"$f":"-'EB PT 4 P&C Calcs'!J53","v":0},{"$f":"-'EB PT 4 P&C Calcs'!K52","v":0},{"$f":"-'EB PT 4 P&C Calcs'!L53","v":0},{"$f":"-'EB PT 4 P&C Calcs'!M52","v":0},{"$f":"-'EB PT 4 P&C Calcs'!N53","v":0},{"$f":"-'EB PT 4 P&C Calcs'!O95","v":0},{"$f":"-'EB PT 4 P&C Calcs'!P96","v":0},{"$f":"-'EB PT 4 P&C Calcs'!Q95","v":0},{"$f":"-'EB PT 4 P&C Calcs'!R96","v":0},{"$f":"-'EB PT 4 P&C Calcs'!S95","v":0},{"$f":"-'EB PT 4 P&C Calcs'!T96","v":0}]
[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year",null,{"$f":"-'EB PT 4 P&C Calcs'!I54","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K54","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M54","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O97","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q97","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!S97","v":0}]
[null,null,"2.10","Contingent benefit and lawsuit reserves",null,{"$f":"0","v":0},{"$f":"0","v":0},0,0,0,0,{"$f":"0","v":0},{"$f":"0","v":0},{"$f":"0","v":0},{"$f":"0","v":0},{"$f":"0","v":0},{"$f":"0","v":0}]
[null,null,"2.11","Total incurred claims ",null,{"$f":"F22+F25-F27+F29-F31+F33+F36-F38+F40+F41-F42+F43","v":1004.45},{"$f":"G23+G26+G30+G34+G37+G40+G41+G43","v":743.4},{"$f":"H22+H25-H27+H29-H31+H33+H36-H38+H40+H41-H42+H43","v":10072564.449999999},{"$f":"I23+I26+I30+I34+I37+I40+I41+I43","v":9952201.0199999996},{"$f":"J22+J25-J27+J29-J31+J33+J36-J38+J40+J41-J42+J43","v":23731736.550000001},{"$f":"K23+K26+K30+K34+K37+K40+K41+K43","v":23712699.959999997},{"$f":"L22+L25-L27+L29-L31+L33+L36-L38+L40+L41-L42+L43","v":882.15},{"$f":"M23+M26+M30+M34+M37+M40+M41+M43","v":886.27},{"$f":"N22+N25-N27+N29-N31+N33+N36-N38+N40+N41-N42+N43","v":9606037.8499999996},{"$f":"O23+O26+O30+O34+O37+O40+O41+O43","v":9664885.2300000023},{"$f":"P22+P25-P27+P29-P31+P33+P36-P38+P40+P41-P42+P43","v":40511442.709999986},{"$f":"Q23+Q26+Q30+Q34+Q37+Q40+Q41+Q43","v":41301860.459999993}]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input"]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Pt 4 MLR Calculation","index":22,"n_rows":46,"n_cols":55,"rows_kept":46,"cut":false,"hidden":false,"merged":[[37,3,37,4],[40,3,40,4],[11,1,11,3],[14,4,14,15],[14,16,14,27],[15,4,15,15],[15,16,15,27],[16,4,16,7],[16,8,16,11],[16,12,16,15],[16,16,16,19],[16,20,16,23],[14,1,16,3],[14,29,14,32],[14,34,14,37],[14,39,14,42],[14,44,14,47],[15,46,16,46],[15,47,16,47],[15,44,16,44],[15,29,16,32],[5,1,5,3],[5,5,9,6],[7,1,7,3],[9,1,9,3],[16,24,16,27],[15,52,16,52],[14,49,14,52],[15,34,16,34],[15,37,16,37],[15,39,16,39],[15,42,16,42],[15,45,16,45],[15,35,16,35],[15,36,16,36],[15,40,16,40],[15,41,16,41],[15,49,16,49],[15,51,16,51],[15,50,16,50]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage ",null,null,null,"",null,null,"",null,"",null,null,null,null,null,null,null,null,null,null,null,""]
[null,"Part 4 - MLR Calculation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,"Part 4"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"UHG NOTES SECTION:\nFinal tab.  This tab is the final report that will be filed with DMHC.\nThere is no base or \"Adj\" tab.",null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,null,null,null,"ALL OTHER",null,null,null,null,"Total",null,null,null,null,"CMS MLR",null,null,null,null,"Variances"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,null,null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,null,null,null,null,null,null,"Dental"]
[null,null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group",null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group"]
[null,null,null,"Part 4\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total"]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,"1.","Medical Loss Ratio Numerator"]
[null,null,1.1000000000000001,"Adjusted incurred claims as reported on MLR Form for prior year(s)",null,null,null,null,null,null,null,null,null,null,null,null,0,0]
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[null,null,null,"  "]
[null,"2.","Medical Loss Ratio Denominator"]
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[]
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Co.\"),'EB PT 4 CY'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 CY'!Y222/12,\n'EB PT 4 CY'!W222/12))","v":9484},{"$f":"SUM(AI30:AK30)","v":24507},null,{"$f":"AD30+AI30","v":15559},{"$f":"AE30+AJ30","v":15582},{"$f":"AF30+AK30","v":18249.916666666664},{"$f":"SUM(AN30:AP30)","v":49390.916666666664},null,{"$f":"'EB PT 4 PY2'!W18/12","v":15558.5},{"$f":"'EB PT 4 PY1'!W18/12","v":15581.833333333334},{"$f":"'EB PT 4 CY'!W18/12","v":18249.916666666668},{"$f":"SUM(AS30:AU30)","v":49390.25},null,{"$f":"AS30-AN30","v":-0.5},{"$f":"AT30-AO30","v":-0.16666666666606034},{"$f":"AU30-AP30","v":0},{"$f":"AV30-AQ30","v":-0.66666666666424135},null,"T"]
[]
[null,"4.",null,"MLR Calculation (for Health plans or health insurers with at least 1,000 life years in the Total column of Line 3.1)"]
[null,null,4.0999999999999996,"MLR",null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,IF(H30<1000,\"Not Required to Calculate\",H23/H28))","v":0},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,IF(L30<1000,\"Not Required to Calculate\",L23/L28))","v":0},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,IF(P30<1000,\"Not Required to Calculate\",P23/P28))","v":0},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",0,IF(T30<1000,\"Not Required to Calculate\",T23/T28))","v":0.50339046169336676},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,IF(X30<1000,\"Not Required to Calculate\",X23/X28))","v":0},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DPPO\",0,IF(AB30<1000,\"Not Required to Calculate\",AB23/AB28))","v":0}]
[]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input "]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]
[]
[]
[]
[]
[null,null,null,"Must be filled in by looking at the prior year DMHC MLR Dental Form"]

{"sheet":"Pt 4 MLR Calculation - ADj","index":23,"n_rows":46,"n_cols":53,"rows_kept":46,"cut":false,"hidden":false,"merged":[[14,49,14,52],[5,1,5,3],[5,5,9,6],[7,1,7,3],[9,1,9,3],[11,1,11,3],[14,1,16,3],[14,4,14,15],[15,4,15,15],[16,4,16,7],[16,8,16,11],[14,16,14,27],[14,29,14,32],[14,34,14,37],[14,39,14,42],[14,44,14,47],[15,51,16,51],[15,52,16,52],[15,39,16,39],[15,40,16,40],[15,41,16,41],[15,42,16,42],[15,44,16,44],[15,45,16,45],[40,3,40,4],[15,46,16,46],[15,47,16,47],[15,49,16,49],[15,50,16,50],[15,16,15,27],[15,29,16,32],[15,34,16,34],[15,35,16,35],[15,36,16,36],[15,37,16,37],[16,12,16,15],[16,16,16,19],[16,20,16,23],[16,24,16,27],[37,3,37,4]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage ",null,null,null,"",null,null,"",null,"",null,null,null,null,null,null,null,null,null,null,null,""]
[null,"Part 4 - MLR Calculation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,"Part 4"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"UHG NOTES SECTION:\nFinal tab.  This tab is the final report that will be filed with DMHC.\nThere is no base or \"Adj\" tab.",null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,null,null,null,"ALL OTHER",null,null,null,null,"Total",null,null,null,null,"CMS MLR",null,null,null,null,"Variances"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,null,null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,null,null,null,null,null,null,"Dental"]
[null,null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group",null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group"]
[null,null,null,"Part 4\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total"]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,"1.","Medical Loss Ratio Numerator"]
[null,null,1.1000000000000001,"Adjusted incurred claims as reported on MLR Form for prior year(s)",0,0,null,null,0,0,null,null,0,0,null,null,2061819,2233170,null,null,0,0,null,null,0,0]
[null,null,1.2,"Adjusted incurred claims as of 3/31 of the year following the MLR reporting year (Part 1 Line 2.1)",0,0,0,{"$f":"SUM(E22:G22)","v":0},0,0,{"$f":"-W22","v":0},{"$f":"SUM(I22:K22)","v":0},{"$f":"-Y22","v":0},{"$f":"-Z22","v":0},{"$f":"-AA22","v":0},{"$f":"SUM(M22:O22)","v":0},-52.74,7862,0,{"$f":"SUM(Q22:S22)","v":7809.26},0,0,0,{"$f":"SUM(U22:W22)","v":0},0,0,0,{"$f":"SUM(Y22:AA22)","v":0},null,{"$f":"IF(E22=\"\",0,E22)+IF(I22=\"\",0,I22)+IF(M22=\"\",0,M22)+IF(Q22=\"\",0,Q22)+IF(U22=\"\",0,U22)+IF(Y22=\"\",0,Y22)","v":-52.74},7862,0,7809.26,null,{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY2'!X219,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY2'!Y219,\n'EB PT 4 PY2'!W219))","v":647030.19999999995},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY1'!X219,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY1'!Y219,\n'EB PT 4 PY1'!W219))","v":579855.89999999991},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 CY'!X219,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 CY'!Y219,\n'EB PT 4 CY'!W219))","v":852588.91999999993},{"$f":"SUM(AI22:AK22)","v":2079475.0199999998},null,{"$f":"AD22+AI22","v":646977.46},{"$f":"AE22+AJ22","v":587717.89999999991},{"$f":"AF22+AK22","v":852588.91999999993},{"$f":"SUM(AN22:AP22)","v":2087284.2799999998},null,{"$f":"'EB PT 4 PY2'!W13","v":2708902},{"$f":"'EB PT 4 PY1'!W13","v":2805163.45},{"$f":"'EB PT 4 CY'!W13","v":3496556.9799999995},{"$f":"SUM(AS22:AU22)","v":9010622.4299999997},null,{"$f":"AS22-AN22","v":2061924.54},{"$f":"AT22-AO22","v":2217445.5500000003},2643968.0599999996,{"$f":"AV22-AQ22","v":6923338.1500000004}]
[null,null,1.3,"MLR numerator (Line 1.2)",{"$f":"IF(SUM(E22+E21)=0,0,IF(E30<>0,E21+E22,0))","v":0},{"$f":"IF(SUM(F22+F21)=0,0,IF(F30<>0,F21+F22,0))","v":0},{"$f":"SUM(G$22:G$22)","v":0},{"$f":"SUM(E23:G23)","v":0},{"$f":"IF(SUM(I22+I21)=0,0,IF(I30<>0,I21+I22,0))","v":0},{"$f":"IF(SUM(J22+J21)=0,0,IF(J30<>0,J21+J22,0))","v":0},{"$f":"SUM(K$22:K$22)","v":0},{"$f":"SUM(I23:K23)","v":0},{"$f":"IF(SUM(M22+M21)=0,0,IF(M30<>0,M21+M22,0))","v":0},{"$f":"IF(SUM(N22+N21)=0,0,IF(N30<>0,N21+N22,0))","v":0},{"$f":"SUM(O$22:O$22)","v":0},{"$f":"SUM(M23:O23)","v":0},{"$f":"IF(SUM(Q22)=0,0,IF(Q30<>0,Q22,0))","v":0},{"$f":"IF(SUM(R22)=0,0,IF(R30<>0,R22,0))","v":0},{"$f":"SUM(S$22:S$22)","v":0},{"$f":"SUM(Q23:S23)","v":0},{"$f":"IF(SUM(U22+U21)=0,0,IF(U30<>0,U21+U22,0))","v":0},{"$f":"IF(SUM(V22+V21)=0,0,IF(V30<>0,V21+V22,0))","v":0},{"$f":"SUM(W$22:W$22)","v":0},{"$f":"SUM(U23:W23)","v":0},{"$f":"IF(SUM(Y22+Y21)=0,0,IF(Y30<>0,Y21+Y22,0))","v":0},{"$f":"IF(SUM(Z22+Z21)=0,0,IF(Z30<>0,Z21+Z22,0))","v":0},{"$f":"SUM(AA$22:AA$22)","v":0},{"$f":"SUM(Y23:AA23)","v":0},null,0,0,0,0,null,{"$f":"AI22","v":647030.19999999995},{"$f":"AJ22","v":579855.89999999991},{"$f":"AK22","v":852588.91999999993},{"$f":"SUM(AI23:AK23)","v":2079475.0199999998},null,{"$f":"AN22","v":646977.46},{"$f":"AO22","v":587717.89999999991},{"$f":"AP22","v":852588.91999999993},{"$f":"SUM(AN23:AP23)","v":2087284.2799999998},null,{"$f":"AS22","v":2708902},{"$f":"AT22","v":2805163.45},{"$f":"AU22","v":3496556.9799999995},{"$f":"SUM(AS23:AU23)","v":9010622.4299999997},null,{"$f":"AS23-AN23","v":2061924.54},2217445.5500000003,2643968.0599999996,{"$f":"AV23-AQ23","v":6923338.1500000004}]
[null,null,null,"  "]
[null,"2.","Medical Loss Ratio Denominator"]
[null,null,2.1,"Premium earned (Part 1 Line 1.1)",0,0,0,{"$f":"SUM(E26:G26)","v":0},0,0,{"$f":"-W26","v":0},{"$f":"SUM(I26:K26)","v":0},{"$f":"-Y26","v":0},0,0,{"$f":"SUM(M26:O26)","v":0},0,0,0,{"$f":"SUM(Q26:S26)","v":0},0,0,0,{"$f":"SUM(U26:W26)","v":0},0,0,0,{"$f":"SUM(Y26:AA26)","v":0},null,{"$f":"IF(E26=\"\",0,E26)+IF(I26=\"\",0,I26)+IF(M26=\"\",0,M26)+IF(Q26=\"\",0,Q26)+IF(U26=\"\",0,U26)+IF(Y26=\"\",0,Y26)","v":0},{"$f":"IF(F26=\"\",0,F26)+IF(J26=\"\",0,J26)+IF(N26=\"\",0,N26)+IF(R26=\"\",0,R26)+IF(V26=\"\",0,V26)+IF(Z26=\"\",0,Z26)","v":0},0,0,null,{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 4 PY2'!X220,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",-'EB PT 4 PY2'!Y220,\n-'EB PT 4 PY2'!W220))","v":2104753.3299999991},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 4 PY1'!X220,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",-'EB PT 4 PY1'!Y220,\n-'EB PT 4 PY1'!W220))","v":2186203.6399999997},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),-'EB PT 4 CY'!X220,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",-'EB PT 4 CY'!Y220,\n-'EB PT 4 CY'!W220))","v":2693355.6499999994},{"$f":"SUM(AI26:AK26)","v":6984312.6199999982},null,{"$f":"AD26+AI26","v":2104753.3299999991},2186203.6399999997,2693355.6499999994,{"$f":"SUM(AN26:AP26)","v":6984312.6199999982},null,{"$f":"-'EB PT 4 PY2'!W14","v":6774458.6099999994},{"$f":"-'EB PT 4 PY1'!W14","v":7022730.3600000022},{"$f":"-'EB PT 4 CY'!V14","v":7868981.6099999985},{"$f":"SUM(AS26:AU26)","v":21666170.580000002},null,{"$f":"AS26-AN26","v":4669705.28},{"$f":"AT26-AO26","v":4836526.7200000025},{"$f":"AU26-AP26","v":5175625.959999999},{"$f":"AV26-AQ26","v":14681857.960000005}]
[null,null,2.2000000000000002,"Federal and State taxes and licensing or regulatory fees ( Part 1 Line 3.4)",0,0,0,{"$f":"SUM(E27:G27)","v":0},0,0,{"$f":"-W27","v":0},{"$f":"SUM(I27:K27)","v":0},0,0,0,{"$f":"SUM(M27:O27)","v":0},206823.19297299185,211548.79998253944,0,{"$f":"SUM(Q27:S27)","v":418371.99295553128},0,0,0,{"$f":"SUM(U27:W27)","v":0},0,0,0,{"$f":"SUM(Y27:AA27)","v":0},null,206823.19297299185,211548.79998253944,0,418371.99295553128,null,{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY2'!X221,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY2'!Y221,\n'EB PT 4 PY2'!W221))","v":309831.14999999997},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY1'!X221,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY1'!Y221,\n'EB PT 4 PY1'!W221))","v":309986.61},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 CY'!X221,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 CY'!Y221,\n'EB PT 4 CY'!W221))","v":411950.35999999993},{"$f":"SUM(AI27:AK27)","v":1031768.1199999999},null,516654.34297299181,521535.40998253942,411950.35999999993,{"$f":"SUM(AN27:AP27)","v":1450140.1129555311},null,{"$f":"'EB PT 4 PY2'!W17","v":580089.44999999995},{"$f":"'EB PT 4 PY1'!W17","v":572440.4099999998},{"$f":"'EB PT 4 CY'!W17","v":603021.12000000011},{"$f":"SUM(AS27:AU27)","v":1755550.98},null,{"$f":"AS27-AN27","v":63435.10702700814},{"$f":"AT27-AO27","v":50905.000017460377},191070.76000000018,305410.86704446888]
[null,null,2.2999999999999998,"MLR Denominator (Line 2.1 - Line 2.2) ",{"$f":"E26-E27","v":0},0,0,0,0,0,0,0,0,0,0,0,-206823.19297299185,-211548.79998253944,0,-418371.99295553128,0,0,0,0,0,0,0,0,null,-206823.19297299185,-211548.79998253944,0,-418371.99295553128,null,{"$f":"AI26-AI27","v":1794922.1799999992},{"$f":"AJ26-AJ27","v":1876217.0299999998},{"$f":"AK26-AK27","v":2281405.2899999996},{"$f":"SUM(AI28:AK28)","v":5952544.4999999981},null,{"$f":"AN26-AN27","v":1588098.9870270074},{"$f":"AO26-AO27","v":1664668.2300174602},{"$f":"AP26-AP27","v":2281405.2899999996},{"$f":"SUM(AN28:AP28)","v":5534172.5070444671},null,{"$f":"AS26-AS27","v":6194369.1599999992},{"$f":"AT26-AT27","v":6450289.950000002},{"$f":"AU26-AU27","v":7265960.4899999984},{"$f":"SUM(AS28:AU28)","v":19910619.600000001},null,{"$f":"AS28-AN28","v":4606270.1729729921},4785621.7199825421,4984555.1999999993,{"$f":"AV28-AQ28","v":14376447.092955533}]
[]
[null,"3.",3.1,"Life-years (Part 1 Line 5.3)",0,0,0,{"$f":"SUM(E30:G30)","v":0},0,0,{"$f":"-W30","v":0},{"$f":"SUM(I30:K30)","v":0},{"$f":"-Y30","v":0},{"$f":"-Z30","v":0},{"$f":"-AA30","v":0},{"$f":"SUM(M30:O30)","v":0},0,0,0,{"$f":"SUM(Q30:S30)","v":0},0,0,0,{"$f":"SUM(U30:W30)","v":0},0,0,0,{"$f":"SUM(Y30:AA30)","v":0},null,{"$f":"IF(E30=\"\",0,E30)+IF(I30=\"\",0,I30)+IF(M30=\"\",0,M30)+IF(Q30=\"\",0,Q30)+IF(U30=\"\",0,U30)+IF(Y30=\"\",0,Y30)","v":0},{"$f":"IF(F30=\"\",0,F30)+IF(J30=\"\",0,J30)+IF(N30=\"\",0,N30)+IF(R30=\"\",0,R30)+IF(V30=\"\",0,V30)+IF(Z30=\"\",0,Z30)","v":0},{"$f":"IF(G30=\"\",0,G30)+IF(K30=\"\",0,K30)+IF(O30=\"\",0,O30)+IF(S30=\"\",0,S30)+IF(W30=\"\",0,W30)+IF(AA30=\"\",0,AA30)","v":0},{"$f":"IF(H30=\"\",0,H30)+IF(L30=\"\",0,L30)+IF(P30=\"\",0,P30)+IF(T30=\"\",0,T30)+IF(X30=\"\",0,X30)+IF(AB30=\"\",0,AB30)","v":0},null,{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY2'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY2'!Y222/12,\n'EB PT 4 PY2'!W222/12))","v":7552},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY1'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY1'!Y222/12,\n'EB PT 4 PY1'!W222/12))","v":7471},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 CY'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 CY'!Y222/12,\n'EB PT 4 CY'!W222/12))","v":9484},{"$f":"SUM(AI30:AK30)","v":24507},null,{"$f":"AD30+AI30","v":7552},{"$f":"AE30+AJ30","v":7471},{"$f":"AF30+AK30","v":9484},{"$f":"SUM(AN30:AP30)","v":24507},null,{"$f":"'EB PT 4 PY2'!W18/12","v":15558.5},{"$f":"'EB PT 4 PY1'!W18/12","v":15581.833333333334},{"$f":"'EB PT 4 CY'!W18/12","v":18249.916666666668},{"$f":"SUM(AS30:AU30)","v":49390.25},null,{"$f":"AS30-AN30","v":8006.5},{"$f":"AT30-AO30","v":8110.8333333333339},{"$f":"AU30-AP30","v":8765.9166666666679},{"$f":"AV30-AQ30","v":24883.25}]
[]
[null,"4.",null,"MLR Calculation (for Health plans or health insurers with at least 1,000 life years in the Total column of Line 3.1)"]
[null,null,4.0999999999999996,"MLR",null,null,null,{"$f":"IF(H30<1000,\"Not Required to Calculate\",H23/H28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(L30<1000,\"Not Required to Calculate\",L23/L28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(P30<1000,\"Not Required to Calculate\",P23/P28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(T30<1000,\"Not Required to Calculate\",T23/T28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(X30<1000,\"Not Required to Calculate\",X23/X28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(AB30<1000,\"Not Required to Calculate\",AB23/AB28)","v":"Not Required to Calculate"}]
[]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input "]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]
[]
[]
[]
[]
[null,null,null,"Must be filled in by looking at the prior year DMHC MLR Dental Form"]

{"sheet":"Pt 4 MLR Calculation - Final","index":24,"n_rows":46,"n_cols":53,"rows_kept":46,"cut":false,"hidden":false,"merged":[[14,49,14,52],[5,1,5,3],[5,5,9,6],[7,1,7,3],[9,1,9,3],[11,1,11,3],[14,1,16,3],[14,4,14,15],[15,4,15,15],[16,4,16,7],[16,8,16,11],[14,16,14,27],[14,29,14,32],[14,34,14,37],[14,39,14,42],[14,44,14,47],[15,51,16,51],[15,52,16,52],[15,39,16,39],[15,40,16,40],[15,41,16,41],[15,42,16,42],[15,44,16,44],[15,45,16,45],[40,3,40,4],[15,46,16,46],[15,47,16,47],[15,49,16,49],[15,50,16,50],[15,16,15,27],[15,29,16,32],[15,34,16,34],[15,35,16,35],[15,36,16,36],[15,37,16,37],[16,12,16,15],[16,16,16,19],[16,20,16,23],[16,24,16,27],[37,3,37,4]]}
[null,"Department of Managed Health Care/Department of Insurance",null,null,null,null,null,null,null,null,null,null,null,null,null,"<<< DHMO","DPPO >>>"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage ",null,null,null,"",null,null,"",null,"",null,null,null,null,null,null,null,null,null,null,null,""]
[null,"Part 4 - MLR Calculation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,"Part 4"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[null,"UHG NOTES SECTION:\nFinal tab.  This tab is the final report that will be filed with DMHC.\nThere is no base or \"Adj\" tab.",null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,null,"Stand Alone \nDental\n(Ind/SG/LG)",null,null,null,null,"ALL OTHER",null,null,null,null,"Total",null,null,null,null,"CMS MLR",null,null,null,null,"Variances"]
[null,null,null,null,"DHMO Products",null,null,null,null,null,null,null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,null,null,null,null,null,null,"Dental"]
[null,null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group",null,null,null,"Individual",null,null,null,"Small Group",null,null,null,"Large Group"]
[null,null,null,"Part 4\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total","PY2","PY1","CY","Total ","PY2","PY1","CY","Total","PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total",null,"PY2","PY1","CY","Total"]
[null,null,null,"INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,"1.","Medical Loss Ratio Numerator"]
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[null,null,null,"  "]
[null,"2.","Medical Loss Ratio Denominator"]
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[null,null,2.2999999999999998,"MLR Denominator (Line 2.1 - Line 2.2) ",{"$f":"E26-E27","v":0},0,0,0,{"$f":"I26-I27","v":0},0,0,0,0,0,0,0,4192623.7870270084,4362524.1200174615,4795408.868900694,13350556.775945164,0,0,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 1 Summary of Data - Final'!N23))","v":""},0,0,0,{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 1 Summary of Data - Final'!P23))","v":""},0,null,4192623.7870270084,4362524.1200174615,4795408.868900694,13350556.775945164,null,{"$f":"AI26-AI27","v":1794922.1799999992},{"$f":"AJ26-AJ27","v":1876217.0299999998},{"$f":"AK26-AK27","v":2281405.2899999996},{"$f":"SUM(AI28:AK28)","v":5952544.4999999981},null,{"$f":"AN26-AN27","v":5987545.9670270076},{"$f":"AO26-AO27","v":6238741.1500174608},{"$f":"AP26-AP27","v":7076814.1589006931},{"$f":"SUM(AN28:AP28)","v":19303101.275945161},null,{"$f":"AS26-AS27","v":6194369.1599999992},{"$f":"AT26-AT27","v":6450289.950000002},{"$f":"AU26-AU27","v":7265960.4899999984},{"$f":"SUM(AS28:AU28)","v":19910619.600000001},null,{"$f":"AS28-AN28","v":206823.19297299162},211548.79998254124,189146.3310993053,{"$f":"AV28-AQ28","v":607518.32405484095}]
[]
[null,"3.",3.1,"Life-years (Part 1 Line 5.3)",{"$f":"'Pt 4 MLR Calculation'!E30+'Pt 4 MLR Calculation - ADj'!E30","v":0},{"$f":"'Pt 4 MLR Calculation'!F30+'Pt 4 MLR Calculation - ADj'!F30","v":0},{"$f":"'Pt 4 MLR Calculation'!G30+'Pt 4 MLR Calculation - ADj'!G30","v":0},{"$f":"SUM(E30:G30)","v":0},{"$f":"'Pt 4 MLR Calculation'!I30+'Pt 4 MLR Calculation - ADj'!I30","v":0},{"$f":"'Pt 4 MLR Calculation'!J30+'Pt 4 MLR Calculation - ADj'!J30","v":0},{"$f":"'Pt 4 MLR Calculation'!K30+'Pt 4 MLR Calculation - ADj'!K30","v":0},{"$f":"SUM(I30:K30)","v":0},{"$f":"'Pt 4 MLR Calculation'!M30+'Pt 4 MLR Calculation - ADj'!M30","v":0},{"$f":"'Pt 4 MLR Calculation'!N30+'Pt 4 MLR Calculation - ADj'!N30","v":0},{"$f":"'Pt 4 MLR Calculation'!O30+'Pt 4 MLR Calculation - ADj'!O30","v":0},{"$f":"SUM(M30:O30)","v":0},{"$f":"'Pt 4 MLR Calculation'!Q30+'Pt 4 MLR Calculation - ADj'!Q30","v":8007},{"$f":"'Pt 4 MLR Calculation'!R30+'Pt 4 MLR Calculation - ADj'!R30","v":8111},{"$f":"'Pt 4 MLR Calculation'!S30+'Pt 4 MLR Calculation - ADj'!S30","v":8765.9166666666661},{"$f":"SUM(Q30:S30)","v":24883.916666666664},{"$f":"'Pt 4 MLR Calculation'!U30+'Pt 4 MLR Calculation - ADj'!U30","v":0},{"$f":"'Pt 4 MLR Calculation'!V30+'Pt 4 MLR Calculation - ADj'!V30","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 1 Summary of Data - Final'!N25))","v":""},{"$f":"SUM(U30:W30)","v":0},{"$f":"'Pt 4 MLR Calculation'!Y30+'Pt 4 MLR Calculation - ADj'!Y30","v":0},{"$f":"'Pt 4 MLR Calculation'!Z30+'Pt 4 MLR Calculation - ADj'!Z30","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$8,Tables!$B$4:$F$16,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),\"\",'Pt 1 Summary of Data - Final'!P25))","v":""},{"$f":"SUM(Y30:AA30)","v":0},null,{"$f":"IF(E30=\"\",0,E30)+IF(I30=\"\",0,I30)+IF(M30=\"\",0,M30)+IF(Q30=\"\",0,Q30)+IF(U30=\"\",0,U30)+IF(Y30=\"\",0,Y30)","v":8007},{"$f":"IF(F30=\"\",0,F30)+IF(J30=\"\",0,J30)+IF(N30=\"\",0,N30)+IF(R30=\"\",0,R30)+IF(V30=\"\",0,V30)+IF(Z30=\"\",0,Z30)","v":8111},{"$f":"IF(G30=\"\",0,G30)+IF(K30=\"\",0,K30)+IF(O30=\"\",0,O30)+IF(S30=\"\",0,S30)+IF(W30=\"\",0,W30)+IF(AA30=\"\",0,AA30)","v":8765.9166666666661},{"$f":"IF(H30=\"\",0,H30)+IF(L30=\"\",0,L30)+IF(P30=\"\",0,P30)+IF(T30=\"\",0,T30)+IF(X30=\"\",0,X30)+IF(AB30=\"\",0,AB30)","v":24883.916666666664},null,{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY2'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY2'!Y222/12,\n'EB PT 4 PY2'!W222/12))","v":7552},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 PY1'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 PY1'!Y222/12,\n'EB PT 4 PY1'!W222/12))","v":7471},{"$f":"IF(OR('Essbase Input'!$C$8=\"Golden Rule Insurance Company\",'Essbase Input'!$C$8=\"UnitedHealthcare Life Ins Co\",'Essbase Input'!$C$8=\"Mid-West Nat Life Ins Co of TN\",'Essbase Input'!$C$8=\"The Chesapeake Life Ins. Co.\"),'EB PT 4 CY'!X222/12,\nIF('Essbase Input'!$C$8=\"Dental Benefit Prov CA Inc\",'EB PT 4 CY'!Y222/12,\n'EB PT 4 CY'!W222/12))","v":9484},{"$f":"SUM(AI30:AK30)","v":24507},null,{"$f":"AD30+AI30","v":15559},{"$f":"AE30+AJ30","v":15582},{"$f":"AF30+AK30","v":18249.916666666664},{"$f":"SUM(AN30:AP30)","v":49390.916666666664},null,{"$f":"'EB PT 4 PY2'!W18/12","v":15558.5},{"$f":"'EB PT 4 PY1'!W18/12","v":15581.833333333334},{"$f":"'EB PT 4 CY'!W18/12","v":18249.916666666668},{"$f":"SUM(AS30:AU30)","v":49390.25},null,{"$f":"AS30-AN30","v":-0.5},{"$f":"AT30-AO30","v":-0.16666666666606034},{"$f":"AU30-AP30","v":0},{"$f":"AV30-AQ30","v":-0.66666666666424135}]
[]
[null,"4.",null,"MLR Calculation (for Health plans or health insurers with at least 1,000 life years in the Total column of Line 3.1)"]
[null,null,4.0999999999999996,"MLR",null,null,null,{"$f":"IF(H30<1000,\"Not Required to Calculate\",H23/H28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(L30<1000,\"Not Required to Calculate\",L23/L28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(P30<1000,\"Not Required to Calculate\",P23/P28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(T30<1000,\"Not Required to Calculate\",T23/T28)","v":0.51975035846463791},null,null,null,{"$f":"IF(X30<1000,\"Not Required to Calculate\",X23/X28)","v":"Not Required to Calculate"},null,null,null,{"$f":"IF(AB30<1000,\"Not Required to Calculate\",AB23/AB28)","v":"Not Required to Calculate"}]
[]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input "]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]
[]
[]
[]
[]
[null,null,null,"Must be filled in by looking at the prior year DMHC MLR Dental Form"]

{"sheet":"Pt 5 Additional Responses","index":25,"n_rows":49,"n_cols":3,"rows_kept":49,"cut":false,"hidden":false,"merged":[]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage "]
[null,"Part 5 - Additional Responses"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286}]
[null,"Legal Name","Part 5"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[]
[null,null,"Tax Rate "]
[null,"1. If a health plan or health insurer uses the hightest premium tax rate in the State, the health plan or health insurer must report applicabe highest State health premium tax rate.",0]
[null,"2. If the health plan or health insurer included deferred experience for prior year and excluded deferred experience for current year, provide the total direct written premium and total incurred claims for the deferred experience by market."]
[null,"Deferred experience for prior year","Not Applicable"]
[null,"Deferred experience for current year","Not Applicable"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"3. If the health plan or health insurer novated any business in the MLR reporting year effective during the reporting year provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer."]
[null,"Name of Entity to whom business was sold or transferred","Effective date of sale or transfer"]
[null,"Not Applicable"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Cell Keys:"]
[null,"Blank cells require input from Health plan or Health insurer"]
[null,"Grey cells require no data input "]
[null,"Pink cells require no data input - locked down"]
[null,"Blue cells: computed cell (formula cell)"]

{"sheet":"Attestations","index":26,"n_rows":32,"n_cols":7,"rows_kept":32,"cut":false,"hidden":false,"merged":[[5,6,9,8],[17,1,22,10]]}
[null,"Department of Managed Health Care"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage "]
[null,"Attestation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":62286},null,null,null,null,"Attestation"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Golden Rule Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"UnitedHealthOne"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2024"}]
[]
[]
[]
[]
[null,"Attestation Statement"]
[null,"The officers of this reporting Health plan being duly sworn, each attest that he/she is the described officer of the reporting Health plan, and that this MLR Reporting Form, the Company/Health plan Associations, and any supplemental submission that the Health plan includes are full and true statements of all the elements included therein for the MLR reporting year stated above, and that the MLR Reporting Form has been completed in accordance with the Department of Managed Health Care’s guidance and reporting instructions, according to the best of his/her information, knowledge and belief.  Furthermore, the scope of this attestation by the described officer includes any related electronic filings and postings for the MLR reporting year stated above and which are required by Department of Managed Health Care."]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"____________________________ "]
[null,"Chief Executive Officer/President"]
[]
[]
[null,"____________________________  "]
[null,"Chief Financial Officer"]

{"sheet":"92000 Alloc","index":27,"n_rows":60,"n_cols":11,"rows_kept":60,"cut":false,"hidden":false,"merged":[]}
["GRIC Allocation of Premium Taxes to Dental LOB "]
["Calendar Yr 2024 IDB 2024"]
[{"$f":"CELL(\"filename\",B3)","v":"P:\\Dental MLR\\CA DLR\\2024_CA_Dental Filing\\GRI 57200\\[GRIC CA DMHC MLR Reporting Form - RY2024_AM_FINAL.xlsm]92000 Alloc"}]
[]
[null,"Stand Alone Dental","All Other Ancillary",null,"Stand Alone Dental","All Other Ancillary","Total","Check","Reclass Amount"]
[null,"Health Premiums Earned","Health Premiums Earned","Prem Tax Rate","A92000 Prem Tax","A92000 Prem Tax","A92000 Prem Tax","A92000 Prem Tax","A92000 Prem Tax"]
["Alaska - AK",{"$f":"+'G&A Alloc SV'!B8","v":-121906.70999999999},{"$f":"+'G&A Alloc SV'!C8","v":-42640.36},{"$f":"IFERROR((SUM('G&A Alloc SV'!D8:E8)/-SUM('G&A Alloc SV'!B8:C8)),0)","v":2.8132497284819473E-2},{"$f":"+D7*-B7","v":3429.5401880762747},{"$f":"+D7*-C7","v":1199.5798119237249},{"$f":"SUM(E7:F7)","v":4629.12},{"$f":"SUM('G&A Alloc SV'!D8:E8)-'92000 Alloc'!G7","v":0},{"$f":"+E7-'G&A Alloc SV'!D8","v":3429.5401880762747}]
["Alabama - AL",{"$f":"+'G&A Alloc SV'!B9","v":-2802033.87},{"$f":"+'G&A Alloc SV'!C9","v":-883005.94000000006},{"$f":"IFERROR((SUM('G&A Alloc SV'!D9:E9)/-SUM('G&A Alloc SV'!B9:C9)),0)","v":2.4526774379677596E-2},68724.852533704863,21657.287466295133,{"$f":"SUM(E8:F8)","v":90382.14},{"$f":"SUM('G&A Alloc SV'!D9:E9)-'92000 Alloc'!G8","v":0},{"$f":"+E8-'G&A Alloc SV'!D9","v":68724.852533704863}]
["Arkansas - AR",{"$f":"+'G&A Alloc SV'!B10","v":-1072205.58},{"$f":"+'G&A Alloc SV'!C10","v":-492498.38999999996},{"$f":"IFERROR((SUM('G&A Alloc SV'!D10:E10)/-SUM('G&A Alloc SV'!B10:C10)),0)","v":3.1520185891776062E-2},33796.119195799569,15523.640804200424,49319.759999999995,{"$f":"SUM('G&A Alloc SV'!D10:E10)-'92000 Alloc'!G9","v":0},{"$f":"+E9-'G&A Alloc SV'!D10","v":33796.119195799569}]
["Arizona - AZ",{"$f":"+'G&A Alloc SV'!B11","v":-6117445.71},{"$f":"+'G&A Alloc SV'!C11","v":-3314342.9899999993},{"$f":"IFERROR((SUM('G&A Alloc SV'!D11:E11)/-SUM('G&A Alloc SV'!B11:C11)),0)","v":2.4429780747738765E-2},149447.8574314951,80968.672568504917,230416.53000000003,{"$f":"SUM('G&A Alloc SV'!D11:E11)-'92000 Alloc'!G10","v":0},{"$f":"+E10-'G&A Alloc SV'!D11","v":149447.8574314951}]
["California - CA",{"$f":"+'G&A Alloc SV'!B12","v":-5188762.55},{"$f":"+'G&A Alloc SV'!C12","v":-244047.9},{"$f":"IFERROR((SUM('G&A Alloc SV'!D12:E12)/-SUM('G&A Alloc SV'!B12:C12)),0)","v":4.1746192341387503E-2},216611.07942608828,10188.070573911704,226799.15,{"$f":"SUM('G&A Alloc SV'!D12:E12)-'92000 Alloc'!G11","v":0},{"$f":"+E11-'G&A Alloc SV'!D12","v":216611.07942608828}]
["Colorado - CO",{"$f":"+'G&A Alloc SV'!B13","v":-3067028.74},{"$f":"+'G&A Alloc SV'!C13","v":-930046.25},{"$f":"IFERROR((SUM('G&A Alloc SV'!D13:E13)/-SUM('G&A Alloc SV'!B13:C13)),0)","v":2.1116529014633272E-2},64765.001376924134,19639.348623075872,84404.35,{"$f":"SUM('G&A Alloc SV'!D13:E13)-'92000 Alloc'!G12","v":0},{"$f":"+E12-'G&A Alloc SV'!D13","v":64765.001376924134}]
["Connecticut - CT",{"$f":"+'G&A Alloc SV'!B14","v":-1507772.0299999998},{"$f":"+'G&A Alloc SV'!C14","v":-533600.05999999994},{"$f":"IFERROR((SUM('G&A Alloc SV'!D14:E14)/-SUM('G&A Alloc SV'!B14:C14)),0)","v":1.8807820577188359E-2},28357.90581154306,10035.854188456942,38393.760000000002,{"$f":"SUM('G&A Alloc SV'!D14:E14)-'92000 Alloc'!G13","v":0},{"$f":"+E13-'G&A Alloc SV'!D14","v":28357.90581154306}]
["District Of Columbia - DC",{"$f":"+'G&A Alloc SV'!B15","v":-233513.19000000003},{"$f":"+'G&A Alloc SV'!C15","v":-23224.329999999998},{"$f":"IFERROR((SUM('G&A Alloc SV'!D15:E15)/-SUM('G&A Alloc SV'!B15:C15)),0)","v":2.0590056334578596E-2},4808.0497369671557,478.19026303284369,5286.24,{"$f":"SUM('G&A Alloc SV'!D15:E15)-'92000 Alloc'!G14","v":0},{"$f":"+E14-'G&A Alloc SV'!D15","v":4808.0497369671557}]
["Delaware - DE",{"$f":"+'G&A Alloc SV'!B16","v":-409326.49},{"$f":"+'G&A Alloc SV'!C16","v":-78948.89},{"$f":"IFERROR((SUM('G&A Alloc SV'!D16:E16)/-SUM('G&A Alloc SV'!B16:C16)),0)","v":2.4083397364823105E-2},9857.9725106182905,1901.3574893817092,11759.33,{"$f":"SUM('G&A Alloc SV'!D16:E16)-'92000 Alloc'!G15","v":0},{"$f":"+E15-'G&A Alloc SV'!D16","v":9857.9725106182905}]
["Florida - FL",{"$f":"+'G&A Alloc SV'!B17","v":-23635230.039999999},{"$f":"+'G&A Alloc SV'!C17","v":-8758365.4400000013},{"$f":"IFERROR((SUM('G&A Alloc SV'!D17:E17)/-SUM('G&A Alloc SV'!B17:C17)),0)","v":2.1676215609765341E-2},512322.34233344271,189848.21766655732,702170.56,{"$f":"SUM('G&A Alloc SV'!D17:E17)-'92000 Alloc'!G16","v":0},{"$f":"+E16-'G&A Alloc SV'!D17","v":512322.34233344271}]
["Georgia - GA",{"$f":"+'G&A Alloc SV'!B18","v":-8966677.8099999987},{"$f":"+'G&A Alloc SV'!C18","v":-2772089.4800000004},{"$f":"IFERROR((SUM('G&A Alloc SV'!D18:E18)/-SUM('G&A Alloc SV'!B18:C18)),0)","v":3.9763652219056811E-2},356547.85799717391,110228.40200282606,466776.25999999995,{"$f":"SUM('G&A Alloc SV'!D18:E18)-'92000 Alloc'!G17","v":0},{"$f":"+E17-'G&A Alloc SV'!D18","v":356547.85799717391}]
["Hawaii - HI",{"$f":"+'G&A Alloc SV'!B19","v":-215852.56},{"$f":"+'G&A Alloc SV'!C19","v":-67343.47},{"$f":"IFERROR((SUM('G&A Alloc SV'!D19:E19)/-SUM('G&A Alloc SV'!B19:C19)),0)","v":4.4574247739277977E-2},9621.4654845973637,3001.7845154026345,12623.249999999998,{"$f":"SUM('G&A Alloc SV'!D19:E19)-'92000 Alloc'!G18","v":0},{"$f":"+E18-'G&A Alloc SV'!D19","v":9621.4654845973637}]
["Iowa - IA",{"$f":"+'G&A Alloc SV'!B20","v":-1125270.26},{"$f":"+'G&A Alloc SV'!C20","v":-525814.87},{"$f":"IFERROR((SUM('G&A Alloc SV'!D20:E20)/-SUM('G&A Alloc SV'!B20:C20)),0)","v":1.6851093559300603E-2},18962.034430758515,8860.5555692414837,27822.589999999997,{"$f":"SUM('G&A Alloc SV'!D20:E20)-'92000 Alloc'!G19","v":0},{"$f":"+E19-'G&A Alloc SV'!D20","v":18962.034430758515}]
["Idaho - ID",{"$f":"+'G&A Alloc SV'!B21","v":-199222.04000000004},{"$f":"+'G&A Alloc SV'!C21","v":-19090.829999999998},{"$f":"IFERROR((SUM('G&A Alloc SV'!D21:E21)/-SUM('G&A Alloc SV'!B21:C21)),0)","v":2.8618056278587697E-2},5701.3475526550501,546.3424473449503,6247.6900000000005,{"$f":"SUM('G&A Alloc SV'!D21:E21)-'92000 Alloc'!G20","v":0},{"$f":"+E20-'G&A Alloc SV'!D21","v":5701.3475526550501}]
["Illinois - IL",{"$f":"+'G&A Alloc SV'!B22","v":-7536163.8499999996},{"$f":"+'G&A Alloc SV'!C22","v":-2344898.04},{"$f":"IFERROR((SUM('G&A Alloc SV'!D22:E22)/-SUM('G&A Alloc SV'!B22:C22)),0)","v":1.0094184320507274E-2},76071.426971443725,23669.833028556241,99741.259999999966,{"$f":"SUM('G&A Alloc SV'!D22:E22)-'92000 Alloc'!G21","v":0},{"$f":"+E21-'G&A Alloc SV'!D22","v":76071.426971443725}]
["Indiana - IN",{"$f":"+'G&A Alloc SV'!B23","v":-3790078.4999999995},{"$f":"+'G&A Alloc SV'!C23","v":-1293956.52},{"$f":"IFERROR((SUM('G&A Alloc SV'!D23:E23)/-SUM('G&A Alloc SV'!B23:C23)),0)","v":-1.9569102024006123E-4},-741.68432845492089,-253.2156715450792,-994.90000000000009,{"$f":"SUM('G&A Alloc SV'!D23:E23)-'92000 Alloc'!G22","v":0},{"$f":"+E22-'G&A Alloc SV'!D23","v":-741.68432845492089}]
["Kansas - KS",{"$f":"+'G&A Alloc SV'!B24","v":-1622309.6500000001},{"$f":"+'G&A Alloc SV'!C24","v":-577383.01},{"$f":"IFERROR((SUM('G&A Alloc SV'!D24:E24)/-SUM('G&A Alloc SV'!B24:C24)),0)","v":2.3744685314356594E-2},38521.232121693989,13709.777878306008,52231.009999999995,{"$f":"SUM('G&A Alloc SV'!D24:E24)-'92000 Alloc'!G23","v":0},{"$f":"+E23-'G&A Alloc SV'!D24","v":38521.232121693989}]
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["North Carolina - NC",{"$f":"+'G&A Alloc SV'!B35","v":-9657970.1799999997},{"$f":"+'G&A Alloc SV'!C35","v":-2525357.42},{"$f":"IFERROR((SUM('G&A Alloc SV'!D35:E35)/-SUM('G&A Alloc SV'!B35:C35)),0)","v":2.1191125156972714E-2},204663.25484669028,53515.16515330971,258178.41999999998,{"$f":"SUM('G&A Alloc SV'!D35:E35)-'92000 Alloc'!G34","v":0},{"$f":"+E34-'G&A Alloc SV'!D35","v":204663.25484669028}]
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["Pennsylvania - PA",{"$f":"+'G&A Alloc SV'!B46","v":-4757136.3499999996},{"$f":"+'G&A Alloc SV'!C46","v":-2334721.5999999996},{"$f":"IFERROR((SUM('G&A Alloc SV'!D46:E46)/-SUM('G&A Alloc SV'!B46:C46)),0)","v":2.5243303131868285E-2},120085.83492267945,58936.085077320524,179021.91999999998,{"$f":"SUM('G&A Alloc SV'!D46:E46)-'92000 Alloc'!G45","v":0},{"$f":"+E45-'G&A Alloc SV'!D46","v":120085.83492267945}]
["Rhode Island - RI",{"$f":"+'G&A Alloc SV'!B47","v":-239754.56999999998},{"$f":"+'G&A Alloc SV'!C47","v":-53649.08},{"$f":"IFERROR((SUM('G&A Alloc SV'!D47:E47)/-SUM('G&A Alloc SV'!B47:C47)),0)","v":2.1889843565340787E-2},5248.1900313755468,1174.3699686244531,6422.5599999999995,{"$f":"SUM('G&A Alloc SV'!D47:E47)-'92000 Alloc'!G46","v":0},{"$f":"+E46-'G&A Alloc SV'!D47","v":5248.1900313755468}]
["South Carolina - SC",{"$f":"+'G&A Alloc SV'!B48","v":-3999461.5599999996},{"$f":"+'G&A Alloc SV'!C48","v":-1307721.3199999998},{"$f":"IFERROR((SUM('G&A Alloc SV'!D48:E48)/-SUM('G&A Alloc SV'!B48:C48)),0)","v":2.7283815778362634E-2},109120.57241568282,35679.627584317204,144800.20000000001,{"$f":"SUM('G&A Alloc SV'!D48:E48)-'92000 Alloc'!G47","v":0},{"$f":"+E47-'G&A Alloc SV'!D48","v":109120.57241568282}]
["South Dakota - SD",{"$f":"+'G&A Alloc SV'!B49","v":-149653.04999999999},{"$f":"+'G&A Alloc SV'!C49","v":-55685.369999999995},{"$f":"IFERROR((SUM('G&A Alloc SV'!D49:E49)/-SUM('G&A Alloc SV'!B49:C49)),0)","v":3.8764202042657195E-2},5801.1810664998793,2158.5989335001213,7959.7800000000007,{"$f":"SUM('G&A Alloc SV'!D49:E49)-'92000 Alloc'!G48","v":0},{"$f":"+E48-'G&A Alloc SV'!D49","v":5801.1810664998793}]
["Tennessee - TN",{"$f":"+'G&A Alloc SV'!B50","v":-6268661.9499999993},{"$f":"+'G&A Alloc SV'!C50","v":-2339361.41},{"$f":"IFERROR((SUM('G&A Alloc SV'!D50:E50)/-SUM('G&A Alloc SV'!B50:C50)),0)","v":2.2153691042028027E-2},138874.00008721693,51825.489912783058,190699.49,{"$f":"SUM('G&A Alloc SV'!D50:E50)-'92000 Alloc'!G49","v":0},{"$f":"+E49-'G&A Alloc SV'!D50","v":138874.00008721693}]
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["Utah - UT",{"$f":"+'G&A Alloc SV'!B52","v":-1128770.1400000001},{"$f":"+'G&A Alloc SV'!C52","v":-439108.08000000007},{"$f":"IFERROR((SUM('G&A Alloc SV'!D52:E52)/-SUM('G&A Alloc SV'!B52:C52)),0)","v":3.5574102177399973E-2},40154.984295158079,15620.875704841925,55775.86,{"$f":"SUM('G&A Alloc SV'!D52:E52)-'92000 Alloc'!G51","v":0},{"$f":"+E51-'G&A Alloc SV'!D52","v":40154.984295158079}]
["Virginia - VA",{"$f":"+'G&A Alloc SV'!B53","v":-3257522.19},{"$f":"+'G&A Alloc SV'!C53","v":-838418.4},{"$f":"IFERROR((SUM('G&A Alloc SV'!D53:E53)/-SUM('G&A Alloc SV'!B53:C53)),0)","v":2.5470423144003659E-2},82970.468580281478,21354.871419718518,104325.34,{"$f":"SUM('G&A Alloc SV'!D53:E53)-'92000 Alloc'!G52","v":0},{"$f":"+E52-'G&A Alloc SV'!D53","v":82970.468580281478}]
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["GRIC Allocation of MLR Ins, Premium, & Other Assessments to Dental LOB (No Location Change)"]
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[]
[null,"Stand Alone Dental","All Other Ancillary",null,"Stand Alone Dental","All Other Ancillary","Total","Check","Reclass Amount"]
[null,"Health Premiums Earned","Health Premiums Earned","Dental Prem %","A77071 MLR Prem, Oth Assess","A77071 MLR Prem, Oth Assess","A77071 MLR Prem, Oth Assess","A77071 MLR Prem, Oth Assess","A77071 MLR Prem, Oth Assess"]
["Alaska - AK",{"$f":"+'G&A Alloc SV'!B8","v":-121906.70999999999},{"$f":"+'G&A Alloc SV'!C8","v":-42640.36},{"$f":"IFERROR((B7/SUM(B7:C7)),0)","v":0.74086223473927548},{"$f":"SUM('G&A Alloc SV'!F8:G8)*'77071 Alloc'!D7","v":0},{"$f":"SUM('G&A Alloc SV'!F8:G8)-'77071 Alloc'!E7","v":0},{"$f":"SUM(E7:F7)","v":0},{"$f":"SUM('G&A Alloc SV'!F8:G8)-'77071 Alloc'!G7","v":0},{"$f":"+E7-'G&A Alloc SV'!F8","v":0}]
["Alabama - AL",{"$f":"+'G&A Alloc SV'!B9","v":-2802033.87},{"$f":"+'G&A Alloc SV'!C9","v":-883005.94000000006},{"$f":"IFERROR((B8/SUM(B8:C8)),0)","v":0.76038089531521236},{"$f":"SUM('G&A Alloc SV'!F9:G9)*'77071 Alloc'!D8","v":15.49656264652403},{"$f":"SUM('G&A Alloc SV'!F9:G9)-'77071 Alloc'!E8","v":4.8834373534759727},{"$f":"SUM(E8:F8)","v":20.380000000000003},{"$f":"SUM('G&A Alloc SV'!F9:G9)-'77071 Alloc'!G8","v":0},{"$f":"+E8-'G&A Alloc SV'!F9","v":15.49656264652403}]
["Arkansas - AR",{"$f":"+'G&A Alloc SV'!B10","v":-1072205.58},{"$f":"+'G&A Alloc SV'!C10","v":-492498.38999999996},0.68524500516222253,{"$f":"SUM('G&A Alloc SV'!F10:G10)*'77071 Alloc'!D9","v":1.7542272132152892},{"$f":"SUM('G&A Alloc SV'!F10:G10)-'77071 Alloc'!E9","v":0.80577278678470998},2.5599999999999992,{"$f":"SUM('G&A Alloc SV'!F10:G10)-'77071 Alloc'!G9","v":0},{"$f":"+E9-'G&A Alloc SV'!F10","v":1.7542272132152892}]
["Arizona - AZ",{"$f":"+'G&A Alloc SV'!B11","v":-6117445.71},{"$f":"+'G&A Alloc SV'!C11","v":-3314342.9899999993},0.64859868096917828,{"$f":"SUM('G&A Alloc SV'!F11:G11)*'77071 Alloc'!D10","v":20.936765421685074},{"$f":"SUM('G&A Alloc SV'!F11:G11)-'77071 Alloc'!E10","v":11.343234578314927},32.28,{"$f":"SUM('G&A Alloc SV'!F11:G11)-'77071 Alloc'!G10","v":0},{"$f":"+E10-'G&A Alloc SV'!F11","v":20.936765421685074}]
["California - CA",{"$f":"+'G&A Alloc SV'!B12","v":-5188762.55},{"$f":"+'G&A Alloc SV'!C12","v":-244047.9},0.95507888555176812,{"$f":"SUM('G&A Alloc SV'!F12:G12)*'77071 Alloc'!D11","v":4923.7563818404542},{"$f":"SUM('G&A Alloc SV'!F12:G12)-'77071 Alloc'!E11","v":231.58361815954777},5155.340000000002,{"$f":"SUM('G&A Alloc SV'!F12:G12)-'77071 Alloc'!G11","v":0},{"$f":"+E11-'G&A Alloc SV'!F12","v":4923.7563818404542}]
["Colorado - CO",{"$f":"+'G&A Alloc SV'!B13","v":-3067028.74},{"$f":"+'G&A Alloc SV'!C13","v":-930046.25},0.76731828841670047,{"$f":"SUM('G&A Alloc SV'!F13:G13)*'77071 Alloc'!D12","v":0},{"$f":"SUM('G&A Alloc SV'!F13:G13)-'77071 Alloc'!E12","v":0},0,{"$f":"SUM('G&A Alloc SV'!F13:G13)-'77071 Alloc'!G12","v":0},{"$f":"+E12-'G&A Alloc SV'!F13","v":0}]
["Connecticut - CT",{"$f":"+'G&A Alloc SV'!B14","v":-1507772.0299999998},{"$f":"+'G&A Alloc SV'!C14","v":-533600.05999999994},0.73860715417148659,{"$f":"SUM('G&A Alloc SV'!F14:G14)*'77071 Alloc'!D13","v":0},{"$f":"SUM('G&A Alloc SV'!F14:G14)-'77071 Alloc'!E13","v":0},0,{"$f":"SUM('G&A Alloc SV'!F14:G14)-'77071 Alloc'!G13","v":0},{"$f":"+E13-'G&A Alloc SV'!F14","v":0}]
["District Of Columbia - DC",{"$f":"+'G&A Alloc SV'!B15","v":-233513.19000000003},{"$f":"+'G&A Alloc SV'!C15","v":-23224.329999999998},0.90954056890477097,{"$f":"SUM('G&A Alloc SV'!F15:G15)*'77071 Alloc'!D14","v":0},{"$f":"SUM('G&A Alloc SV'!F15:G15)-'77071 Alloc'!E14","v":0},0,{"$f":"SUM('G&A Alloc SV'!F15:G15)-'77071 Alloc'!G14","v":0},{"$f":"+E14-'G&A Alloc SV'!F15","v":0}]
["Delaware - DE",{"$f":"+'G&A Alloc SV'!B16","v":-409326.49},{"$f":"+'G&A Alloc SV'!C16","v":-78948.89},0.83831072949039531,{"$f":"SUM('G&A Alloc SV'!F16:G16)*'77071 Alloc'!D15","v":0},{"$f":"SUM('G&A Alloc SV'!F16:G16)-'77071 Alloc'!E15","v":0},0,{"$f":"SUM('G&A Alloc SV'!F16:G16)-'77071 Alloc'!G15","v":0},{"$f":"+E15-'G&A Alloc SV'!F16","v":0}]
["Florida - FL",{"$f":"+'G&A Alloc SV'!B17","v":-23635230.039999999},{"$f":"+'G&A Alloc SV'!C17","v":-8758365.4400000013},0.72962663420899143,{"$f":"SUM('G&A Alloc SV'!F17:G17)*'77071 Alloc'!D16","v":0},{"$f":"SUM('G&A Alloc SV'!F17:G17)-'77071 Alloc'!E16","v":0},0,{"$f":"SUM('G&A Alloc SV'!F17:G17)-'77071 Alloc'!G16","v":0},{"$f":"+E16-'G&A Alloc SV'!F17","v":0}]
["Georgia - GA",{"$f":"+'G&A Alloc SV'!B18","v":-8966677.8099999987},{"$f":"+'G&A Alloc SV'!C18","v":-2772089.4800000004},0.76385173915480176,{"$f":"SUM('G&A Alloc SV'!F18:G18)*'77071 Alloc'!D17","v":5169.5041380431676},{"$f":"SUM('G&A Alloc SV'!F18:G18)-'77071 Alloc'!E17","v":1598.1758619568309},6767.6799999999985,{"$f":"SUM('G&A Alloc SV'!F18:G18)-'77071 Alloc'!G17","v":0},{"$f":"+E17-'G&A Alloc SV'!F18","v":5169.5041380431676}]
["Hawaii - HI",{"$f":"+'G&A Alloc SV'!B19","v":-215852.56},{"$f":"+'G&A Alloc SV'!C19","v":-67343.47},0.76220192776007478,{"$f":"SUM('G&A Alloc SV'!F19:G19)*'77071 Alloc'!D18","v":0},{"$f":"SUM('G&A Alloc SV'!F19:G19)-'77071 Alloc'!E18","v":0},0,{"$f":"SUM('G&A Alloc SV'!F19:G19)-'77071 Alloc'!G18","v":0},{"$f":"+E18-'G&A Alloc SV'!F19","v":0}]
["Iowa - IA",{"$f":"+'G&A Alloc SV'!B20","v":-1125270.26},{"$f":"+'G&A Alloc SV'!C20","v":-525814.87},0.68153376198112814,{"$f":"SUM('G&A Alloc SV'!F20:G20)*'77071 Alloc'!D19","v":0},{"$f":"SUM('G&A Alloc SV'!F20:G20)-'77071 Alloc'!E19","v":0},0,{"$f":"SUM('G&A Alloc SV'!F20:G20)-'77071 Alloc'!G19","v":0},{"$f":"+E19-'G&A Alloc SV'!F20","v":0}]
["Idaho - ID",{"$f":"+'G&A Alloc SV'!B21","v":-199222.04000000004},{"$f":"+'G&A Alloc SV'!C21","v":-19090.829999999998},0.91255288797220258,{"$f":"SUM('G&A Alloc SV'!F21:G21)*'77071 Alloc'!D20","v":0},{"$f":"SUM('G&A Alloc SV'!F21:G21)-'77071 Alloc'!E20","v":0},0,{"$f":"SUM('G&A Alloc SV'!F21:G21)-'77071 Alloc'!G20","v":0},{"$f":"+E20-'G&A Alloc SV'!F21","v":0}]
["Illinois - IL",{"$f":"+'G&A Alloc SV'!B22","v":-7536163.8499999996},{"$f":"+'G&A Alloc SV'!C22","v":-2344898.04},0.76268764773418485,{"$f":"SUM('G&A Alloc SV'!F22:G22)*'77071 Alloc'!D21","v":0},{"$f":"SUM('G&A Alloc SV'!F22:G22)-'77071 Alloc'!E21","v":0},0,{"$f":"SUM('G&A Alloc SV'!F22:G22)-'77071 Alloc'!G21","v":0},{"$f":"+E21-'G&A Alloc SV'!F22","v":0}]
["Indiana - IN",{"$f":"+'G&A Alloc SV'!B23","v":-3790078.4999999995},{"$f":"+'G&A Alloc SV'!C23","v":-1293956.52},0.7454863086289284,{"$f":"SUM('G&A Alloc SV'!F23:G23)*'77071 Alloc'!D22","v":0},{"$f":"SUM('G&A Alloc SV'!F23:G23)-'77071 Alloc'!E22","v":0},0,{"$f":"SUM('G&A Alloc SV'!F23:G23)-'77071 Alloc'!G22","v":0},{"$f":"+E22-'G&A Alloc SV'!F23","v":0}]
["Kansas - KS",{"$f":"+'G&A Alloc SV'!B24","v":-1622309.6500000001},{"$f":"+'G&A Alloc SV'!C24","v":-577383.01},0.73751650832894089,{"$f":"SUM('G&A Alloc SV'!F24:G24)*'77071 Alloc'!D23","v":0},{"$f":"SUM('G&A Alloc SV'!F24:G24)-'77071 Alloc'!E23","v":0},0,{"$f":"SUM('G&A Alloc SV'!F24:G24)-'77071 Alloc'!G23","v":0},{"$f":"+E23-'G&A Alloc SV'!F24","v":0}]
["Kentucky - KY",{"$f":"+'G&A Alloc SV'!B25","v":-1411525.8199999998},{"$f":"+'G&A Alloc SV'!C25","v":-547170.77},0.72064546760659853,{"$f":"SUM('G&A Alloc SV'!F25:G25)*'77071 Alloc'!D24","v":0},{"$f":"SUM('G&A Alloc SV'!F25:G25)-'77071 Alloc'!E24","v":0},0,{"$f":"SUM('G&A Alloc SV'!F25:G25)-'77071 Alloc'!G24","v":0},{"$f":"+E24-'G&A Alloc SV'!F25","v":0}]
["Louisiana - LA",{"$f":"+'G&A Alloc SV'!B26","v":-2466814.2999999998},{"$f":"+'G&A Alloc SV'!C26","v":-789018.90999999992},0.75765991096331375,{"$f":"SUM('G&A Alloc SV'!F26:G26)*'77071 Alloc'!D25","v":48.92967705001081},{"$f":"SUM('G&A Alloc SV'!F26:G26)-'77071 Alloc'!E25","v":15.650322949989203},64.580000000000013,{"$f":"SUM('G&A Alloc SV'!F26:G26)-'77071 Alloc'!G25","v":0},{"$f":"+E25-'G&A Alloc SV'!F26","v":48.92967705001081}]
["Massachusetts - MA",{"$f":"+'G&A Alloc SV'!B27","v":0},{"$f":"+'G&A Alloc SV'!C27","v":0},0,{"$f":"SUM('G&A Alloc SV'!F27:G27)*'77071 Alloc'!D26","v":0},{"$f":"SUM('G&A Alloc SV'!F27:G27)-'77071 Alloc'!E26","v":0},0,{"$f":"SUM('G&A Alloc SV'!F27:G27)-'77071 Alloc'!G26","v":0},{"$f":"+E26-'G&A Alloc SV'!F27","v":0}]
["Maryland - MD",{"$f":"+'G&A Alloc SV'!B28","v":-5304815.57},{"$f":"+'G&A Alloc SV'!C28","v":-1205087.7600000002},0.81488392393685516,{"$f":"SUM('G&A Alloc SV'!F28:G28)*'77071 Alloc'!D27","v":0},{"$f":"SUM('G&A Alloc SV'!F28:G28)-'77071 Alloc'!E27","v":0},0,{"$f":"SUM('G&A Alloc SV'!F28:G28)-'77071 Alloc'!G27","v":0},{"$f":"+E27-'G&A Alloc SV'!F28","v":0}]
["Maine - ME",{"$f":"+'G&A Alloc SV'!B29","v":-474601.87},{"$f":"+'G&A Alloc SV'!C29","v":-357192.49},0.57057596543453359,{"$f":"SUM('G&A Alloc SV'!F29:G29)*'77071 Alloc'!D28","v":0},{"$f":"SUM('G&A Alloc SV'!F29:G29)-'77071 Alloc'!E28","v":0},0,{"$f":"SUM('G&A Alloc SV'!F29:G29)-'77071 Alloc'!G28","v":0},{"$f":"+E28-'G&A Alloc SV'!F29","v":0}]
["Michigan - MI",{"$f":"+'G&A Alloc SV'!B30","v":-3604935.2199999997},{"$f":"+'G&A Alloc SV'!C30","v":-1191009.7000000002},0.75166318215347638,{"$f":"SUM('G&A Alloc SV'!F30:G30)*'77071 Alloc'!D29","v":2072.0046613969866},{"$f":"SUM('G&A Alloc SV'!F30:G30)-'77071 Alloc'!E29","v":684.55533860301284},2756.5599999999995,{"$f":"SUM('G&A Alloc SV'!F30:G30)-'77071 Alloc'!G29","v":0},{"$f":"+E29-'G&A Alloc SV'!F30","v":2072.0046613969866}]
["Minnesota - MN",{"$f":"+'G&A Alloc SV'!B31","v":-1290863.1500000001},{"$f":"+'G&A Alloc SV'!C31","v":-447780.1},0.74245429589997836,{"$f":"SUM('G&A Alloc SV'!F31:G31)*'77071 Alloc'!D30","v":34.05637855293201},{"$f":"SUM('G&A Alloc SV'!F31:G31)-'77071 Alloc'!E30","v":11.813621447067995},45.870000000000005,{"$f":"SUM('G&A Alloc SV'!F31:G31)-'77071 Alloc'!G30","v":0},{"$f":"+E30-'G&A Alloc SV'!F31","v":34.05637855293201}]
["Missouri - MO",{"$f":"+'G&A Alloc SV'!B32","v":-5374169.3399999999},{"$f":"+'G&A Alloc SV'!C32","v":-2389390.2599999998},0.69223006158154565,{"$f":"SUM('G&A Alloc SV'!F32:G32)*'77071 Alloc'!D31","v":0},{"$f":"SUM('G&A Alloc SV'!F32:G32)-'77071 Alloc'!E31","v":0},0,{"$f":"SUM('G&A Alloc SV'!F32:G32)-'77071 Alloc'!G31","v":0},{"$f":"+E31-'G&A Alloc SV'!F32","v":0}]
["Mississippi - MS",{"$f":"+'G&A Alloc SV'!B33","v":-3064437.8},{"$f":"+'G&A Alloc SV'!C33","v":-1019834.0599999999},0.75030211137806091,{"$f":"SUM('G&A Alloc SV'!F33:G33)*'77071 Alloc'!D32","v":0},{"$f":"SUM('G&A Alloc SV'!F33:G33)-'77071 Alloc'!E32","v":0},0,{"$f":"SUM('G&A Alloc SV'!F33:G33)-'77071 Alloc'!G32","v":0},{"$f":"+E32-'G&A Alloc SV'!F33","v":0}]
["Montana - MT",{"$f":"+'G&A Alloc SV'!B34","v":-2957.68},{"$f":"+'G&A Alloc SV'!C34","v":-244758.98},1.193977021973411E-2,{"$f":"SUM('G&A Alloc SV'!F34:G34)*'77071 Alloc'!D33","v":0},{"$f":"SUM('G&A Alloc SV'!F34:G34)-'77071 Alloc'!E33","v":0},0,{"$f":"SUM('G&A Alloc SV'!F34:G34)-'77071 Alloc'!G33","v":0},{"$f":"+E33-'G&A Alloc SV'!F34","v":0}]
["North Carolina - NC",{"$f":"+'G&A Alloc SV'!B35","v":-9657970.1799999997},{"$f":"+'G&A Alloc SV'!C35","v":-2525357.42},0.79272022366040618,{"$f":"SUM('G&A Alloc SV'!F35:G35)*'77071 Alloc'!D34","v":0},{"$f":"SUM('G&A Alloc SV'!F35:G35)-'77071 Alloc'!E34","v":0},0,{"$f":"SUM('G&A Alloc SV'!F35:G35)-'77071 Alloc'!G34","v":0},{"$f":"+E34-'G&A Alloc SV'!F35","v":0}]
["North Dakota - ND",{"$f":"+'G&A Alloc SV'!B36","v":-130056.63999999998},{"$f":"+'G&A Alloc SV'!C36","v":-17093.879999999997},0.88383404965201617,{"$f":"SUM('G&A Alloc SV'!F36:G36)*'77071 Alloc'!D35","v":0},{"$f":"SUM('G&A Alloc SV'!F36:G36)-'77071 Alloc'!E35","v":0},0,{"$f":"SUM('G&A Alloc SV'!F36:G36)-'77071 Alloc'!G35","v":0},{"$f":"+E35-'G&A Alloc SV'!F36","v":0}]
["Nebraska - NE",{"$f":"+'G&A Alloc SV'!B37","v":-2323828.48},{"$f":"+'G&A Alloc SV'!C37","v":-1029507.1699999999},0.69299012164201335,{"$f":"SUM('G&A Alloc SV'!F37:G37)*'77071 Alloc'!D36","v":0},{"$f":"SUM('G&A Alloc SV'!F37:G37)-'77071 Alloc'!E36","v":0},0,{"$f":"SUM('G&A Alloc SV'!F37:G37)-'77071 Alloc'!G36","v":0},{"$f":"+E36-'G&A Alloc SV'!F37","v":0}]
["New Hampshire - NH",{"$f":"+'G&A Alloc SV'!B38","v":-334137.74},{"$f":"+'G&A Alloc SV'!C38","v":-56147.929999999993},0.85613632701400488,{"$f":"SUM('G&A Alloc SV'!F38:G38)*'77071 Alloc'!D37","v":0},{"$f":"SUM('G&A Alloc SV'!F38:G38)-'77071 Alloc'!E37","v":0},0,{"$f":"SUM('G&A Alloc SV'!F38:G38)-'77071 Alloc'!G37","v":0},{"$f":"+E37-'G&A Alloc SV'!F38","v":0}]
["New Jersey - NJ",{"$f":"+'G&A Alloc SV'!B39","v":-1020189.94},{"$f":"+'G&A Alloc SV'!C39","v":-182.28},0.99982135930748872,{"$f":"SUM('G&A Alloc SV'!F39:G39)*'77071 Alloc'!D38","v":2241.2495500916325},{"$f":"SUM('G&A Alloc SV'!F39:G39)-'77071 Alloc'!E38","v":0.40044990836804573},2241.6500000000005,{"$f":"SUM('G&A Alloc SV'!F39:G39)-'77071 Alloc'!G38","v":0},{"$f":"+E38-'G&A Alloc SV'!F39","v":2241.2495500916325}]
["New Mexico - NM",{"$f":"+'G&A Alloc SV'!B40","v":-250590.59999999998},{"$f":"+'G&A Alloc SV'!C40","v":-925.35000000000014},0.99632090927036632,{"$f":"SUM('G&A Alloc SV'!F40:G40)*'77071 Alloc'!D39","v":47.75366118132866},{"$f":"SUM('G&A Alloc SV'!F40:G40)-'77071 Alloc'!E39","v":0.17633881867133994},47.93,{"$f":"SUM('G&A Alloc SV'!F40:G40)-'77071 Alloc'!G39","v":0},{"$f":"+E39-'G&A Alloc SV'!F40","v":47.75366118132866}]
["Nevada - NV",{"$f":"+'G&A Alloc SV'!B41","v":-985144.75},{"$f":"+'G&A Alloc SV'!C41","v":-593846.18999999994},0.62390779138986063,{"$f":"SUM('G&A Alloc SV'!F41:G41)*'77071 Alloc'!D40","v":97.953523248208114},{"$f":"SUM('G&A Alloc SV'!F41:G41)-'77071 Alloc'!E40","v":59.046476751791886},157,{"$f":"SUM('G&A Alloc SV'!F41:G41)-'77071 Alloc'!G40","v":0},{"$f":"+E40-'G&A Alloc SV'!F41","v":97.953523248208114}]
["New York - NY",{"$f":"+'G&A Alloc SV'!B42","v":0},{"$f":"+'G&A Alloc SV'!C42","v":-10},0,{"$f":"SUM('G&A Alloc SV'!F42:G42)*'77071 Alloc'!D41","v":0},{"$f":"SUM('G&A Alloc SV'!F42:G42)-'77071 Alloc'!E41","v":0},0,{"$f":"SUM('G&A Alloc SV'!F42:G42)-'77071 Alloc'!G41","v":0},{"$f":"+E41-'G&A Alloc SV'!F42","v":0}]
["Ohio - OH",{"$f":"+'G&A Alloc SV'!B43","v":-7094034.9300000006},{"$f":"+'G&A Alloc SV'!C43","v":-3125185.36},0.69418553751521095,{"$f":"SUM('G&A Alloc SV'!F43:G43)*'77071 Alloc'!D42","v":0},{"$f":"SUM('G&A Alloc SV'!F43:G43)-'77071 Alloc'!E42","v":0},0,{"$f":"SUM('G&A Alloc SV'!F43:G43)-'77071 Alloc'!G42","v":0},{"$f":"+E42-'G&A Alloc SV'!F43","v":0}]
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{"sheet":"92010 Alloc","index":29,"n_rows":60,"n_cols":9,"rows_kept":60,"cut":false,"hidden":false,"merged":[]}
["GRIC Allocation of Other Assessments to Dental LOB (No Location Change)"]
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[null,"Stand Alone Dental","All Other Ancillary",null,"Stand Alone Dental","All Other Ancillary","Total","Check","Reclass Amount"]
[null,"Health Premiums Earned","Health Premiums Earned","Dental Prem %","A92010 Oth Prem Assess","A92010 Oth Prem Assess","A92010 Oth Prem Assess","A92010 Oth Prem Assess","A92010 Oth Prem Assess"]
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["New Hampshire - NH",{"$f":"+'G&A Alloc SV'!B38","v":-334137.74},{"$f":"+'G&A Alloc SV'!C38","v":-56147.929999999993},0.85613632701400488,{"$f":"SUM('G&A Alloc SV'!H38:I38)*'92010 Alloc'!D37","v":542.22538135104992},{"$f":"SUM('G&A Alloc SV'!H38:I38)-'92010 Alloc'!E37","v":91.114618648950113},633.34,{"$f":"SUM('G&A Alloc SV'!H38:I38)-'92010 Alloc'!G37","v":0},{"$f":"+E37-'G&A Alloc SV'!H38","v":542.22538135104992}]
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["Nevada - NV",{"$f":"+'G&A Alloc SV'!B41","v":-985144.75},{"$f":"+'G&A Alloc SV'!C41","v":-593846.18999999994},0.62390779138986063,{"$f":"SUM('G&A Alloc SV'!H41:I41)*'92010 Alloc'!D40","v":192.86861555234759},{"$f":"SUM('G&A Alloc SV'!H41:I41)-'92010 Alloc'!E40","v":116.26138444765235},309.12999999999994,{"$f":"SUM('G&A Alloc SV'!H41:I41)-'92010 Alloc'!G40","v":0},{"$f":"+E40-'G&A Alloc SV'!H41","v":192.86861555234759}]
["New York - NY",{"$f":"+'G&A Alloc SV'!B42","v":0},{"$f":"+'G&A Alloc SV'!C42","v":-10},0,{"$f":"SUM('G&A Alloc SV'!H42:I42)*'92010 Alloc'!D41","v":0},{"$f":"SUM('G&A Alloc SV'!H42:I42)-'92010 Alloc'!E41","v":144.41},144.41,{"$f":"SUM('G&A Alloc SV'!H42:I42)-'92010 Alloc'!G41","v":0},{"$f":"+E41-'G&A Alloc SV'!H42","v":0}]
["Ohio - OH",{"$f":"+'G&A Alloc SV'!B43","v":-7094034.9300000006},{"$f":"+'G&A Alloc SV'!C43","v":-3125185.36},0.69418553751521095,{"$f":"SUM('G&A Alloc SV'!H43:I43)*'92010 Alloc'!D42","v":932.61744408555239},{"$f":"SUM('G&A Alloc SV'!H43:I43)-'92010 Alloc'!E42","v":410.85255591443604},1343.4699999999884,{"$f":"SUM('G&A Alloc SV'!H43:I43)-'92010 Alloc'!G42","v":0},{"$f":"+E42-'G&A Alloc SV'!H43","v":932.61744408555239}]
["Oklahoma - OK",{"$f":"+'G&A Alloc SV'!B44","v":-2322979.9400000004},{"$f":"+'G&A Alloc SV'!C44","v":-763462.49},0.75263997067329069,{"$f":"SUM('G&A Alloc SV'!H44:I44)*'92010 Alloc'!D43","v":2823.4234803849645},{"$f":"SUM('G&A Alloc SV'!H44:I44)-'92010 Alloc'!E43","v":927.93651961504702},3751.3600000000115,{"$f":"SUM('G&A Alloc SV'!H44:I44)-'92010 Alloc'!G43","v":0},{"$f":"+E43-'G&A Alloc SV'!H44","v":2823.4234803849645}]
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["Pennsylvania - PA",{"$f":"+'G&A Alloc SV'!B46","v":-4757136.3499999996},{"$f":"+'G&A Alloc SV'!C46","v":-2334721.5999999996},0.67078844268165305,{"$f":"SUM('G&A Alloc SV'!H46:I46)*'92010 Alloc'!D45","v":70.754764934061257},{"$f":"SUM('G&A Alloc SV'!H46:I46)-'92010 Alloc'!E45","v":34.725235065939472},105.48000000000073,{"$f":"SUM('G&A Alloc SV'!H46:I46)-'92010 Alloc'!G45","v":0},{"$f":"+E45-'G&A Alloc SV'!H46","v":70.754764934061257}]
["Rhode Island - RI",{"$f":"+'G&A Alloc SV'!B47","v":-239754.56999999998},{"$f":"+'G&A Alloc SV'!C47","v":-53649.08},0.81714924132675248,{"$f":"SUM('G&A Alloc SV'!H47:I47)*'92010 Alloc'!D46","v":738.96440191660895},{"$f":"SUM('G&A Alloc SV'!H47:I47)-'92010 Alloc'!E46","v":165.35559808339121},904.32000000000016,{"$f":"SUM('G&A Alloc SV'!H47:I47)-'92010 Alloc'!G46","v":0},{"$f":"+E46-'G&A Alloc SV'!H47","v":738.96440191660895}]
["South Carolina - SC",{"$f":"+'G&A Alloc SV'!B48","v":-3999461.5599999996},{"$f":"+'G&A Alloc SV'!C48","v":-1307721.3199999998},0.75359407249218446,{"$f":"SUM('G&A Alloc SV'!H48:I48)*'92010 Alloc'!D47","v":141.28381671083716},{"$f":"SUM('G&A Alloc SV'!H48:I48)-'92010 Alloc'!E47","v":46.196183289166044},187.4800000000032,{"$f":"SUM('G&A Alloc SV'!H48:I48)-'92010 Alloc'!G47","v":0},{"$f":"+E47-'G&A Alloc SV'!H48","v":141.28381671083716}]
["South Dakota - SD",{"$f":"+'G&A Alloc SV'!B49","v":-149653.04999999999},{"$f":"+'G&A Alloc SV'!C49","v":-55685.369999999995},0.72881173430671187,{"$f":"SUM('G&A Alloc SV'!H49:I49)*'92010 Alloc'!D48","v":1588.6783946764572},{"$f":"SUM('G&A Alloc SV'!H49:I49)-'92010 Alloc'!E48","v":591.14160532354344},2179.8200000000006,{"$f":"SUM('G&A Alloc SV'!H49:I49)-'92010 Alloc'!G48","v":0},{"$f":"+E48-'G&A Alloc SV'!H49","v":1588.6783946764572}]
["Tennessee - TN",{"$f":"+'G&A Alloc SV'!B50","v":-6268661.9499999993},{"$f":"+'G&A Alloc SV'!C50","v":-2339361.41},0.72823477444652285,{"$f":"SUM('G&A Alloc SV'!H50:I50)*'92010 Alloc'!D49","v":7647.7322601960213},{"$f":"SUM('G&A Alloc SV'!H50:I50)-'92010 Alloc'!E49","v":2854.0077398039712},10501.739999999993,{"$f":"SUM('G&A Alloc SV'!H50:I50)-'92010 Alloc'!G49","v":0},{"$f":"+E49-'G&A Alloc SV'!H50","v":7647.7322601960213}]
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["Utah - UT",{"$f":"+'G&A Alloc SV'!B52","v":-1128770.1400000001},{"$f":"+'G&A Alloc SV'!C52","v":-439108.08000000007},0.71993483014261139,{"$f":"SUM('G&A Alloc SV'!H52:I52)*'92010 Alloc'!D51","v":54.218292058040035},{"$f":"SUM('G&A Alloc SV'!H52:I52)-'92010 Alloc'!E51","v":21.091707941959925},75.30999999999996,{"$f":"SUM('G&A Alloc SV'!H52:I52)-'92010 Alloc'!G51","v":0},{"$f":"+E51-'G&A Alloc SV'!H52","v":54.218292058040035}]
["Virginia - VA",{"$f":"+'G&A Alloc SV'!B53","v":-3257522.19},{"$f":"+'G&A Alloc SV'!C53","v":-838418.4},0.79530503883602477,{"$f":"SUM('G&A Alloc SV'!H53:I53)*'92010 Alloc'!D52","v":1018.5789754388538},{"$f":"SUM('G&A Alloc SV'!H53:I53)-'92010 Alloc'!E52","v":262.1610245611505},1280.7400000000043,{"$f":"SUM('G&A Alloc SV'!H53:I53)-'92010 Alloc'!G52","v":0},{"$f":"+E52-'G&A Alloc SV'!H53","v":1018.5789754388538}]
["Vermont - VT",{"$f":"+'G&A Alloc SV'!B54","v":-24763.42},{"$f":"+'G&A Alloc SV'!C54","v":0},1,{"$f":"SUM('G&A Alloc SV'!H54:I54)*'92010 Alloc'!D53","v":41.699999999999996},{"$f":"SUM('G&A Alloc SV'!H54:I54)-'92010 Alloc'!E53","v":0},41.699999999999996,{"$f":"SUM('G&A Alloc SV'!H54:I54)-'92010 Alloc'!G53","v":0},{"$f":"+E53-'G&A Alloc SV'!H54","v":41.699999999999996}]
["Washington - WA",{"$f":"+'G&A Alloc SV'!B55","v":-2485179.7699999996},{"$f":"+'G&A Alloc SV'!C55","v":-4713.6799999999994},0.99810687481426152,{"$f":"SUM('G&A Alloc SV'!H55:I55)*'92010 Alloc'!D54","v":320.29249612789698},{"$f":"SUM('G&A Alloc SV'!H55:I55)-'92010 Alloc'!E54","v":0.60750387210345025},320.90000000000043,{"$f":"SUM('G&A Alloc SV'!H55:I55)-'92010 Alloc'!G54","v":0},{"$f":"+E54-'G&A Alloc SV'!H55","v":320.29249612789698}]
["Wisconsin - WI",{"$f":"+'G&A Alloc SV'!B56","v":-2931191.0300000003},{"$f":"+'G&A Alloc SV'!C56","v":-1074880.99},0.7316870528952697,{"$f":"SUM('G&A Alloc SV'!H56:I56)*'92010 Alloc'!D55","v":-175.79513132861155},{"$f":"SUM('G&A Alloc SV'!H56:I56)-'92010 Alloc'!E55","v":-64.464868671380316},-240.25999999999186,{"$f":"SUM('G&A Alloc SV'!H56:I56)-'92010 Alloc'!G55","v":0},{"$f":"+E55-'G&A Alloc SV'!H56","v":-175.79513132861155}]
["West Virginia - WV",{"$f":"+'G&A Alloc SV'!B57","v":-496942.26},{"$f":"+'G&A Alloc SV'!C57","v":-256751.1},0.65934275976638568,{"$f":"SUM('G&A Alloc SV'!H57:I57)*'92010 Alloc'!D56","v":279.23825218866199},{"$f":"SUM('G&A Alloc SV'!H57:I57)-'92010 Alloc'!E56","v":144.271747811338},423.51,{"$f":"SUM('G&A Alloc SV'!H57:I57)-'92010 Alloc'!G56","v":0},{"$f":"+E56-'G&A Alloc SV'!H57","v":279.23825218866199}]
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["GRIC Allocation of Other Assessments to Dental LOB (No Location Change)"]
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["GRIC Allocation of State 1332 Assessments to Dental LOB (No Location Change)"]
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["GRIC Allocation of MLR Reg Lic & Fees to Dental LOB (No Location Change)"]
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[null,"Health Premiums Earned","Health Premiums Earned","Dental Prem %","A92014 MLR Reg Lic & Fees","A92014 MLR Reg Lic & Fees","A92014 MLR Reg Lic & Fees","A92014 MLR Reg Lic & Fees","A92014 MLR Reg Lic & Fees"]
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["Alabama - AL",{"$f":"+'G&A Alloc SV'!B9","v":-2802033.87},{"$f":"+'G&A Alloc SV'!C9","v":-883005.94000000006},{"$f":"IFERROR((B8/SUM(B8:C8)),0)","v":0.76038089531521236},{"$f":"SUM('G&A Alloc SV'!N9:O9)*'92014 Alloc'!D8","v":0},{"$f":"SUM('G&A Alloc SV'!N9:O9)-'92014 Alloc'!E8","v":0},{"$f":"SUM(E8:F8)","v":0},{"$f":"SUM('G&A Alloc SV'!N9:O9)-'92014 Alloc'!G8","v":0},{"$f":"+E8-'G&A Alloc SV'!N9","v":0}]
["Arkansas - AR",{"$f":"+'G&A Alloc SV'!B10","v":-1072205.58},{"$f":"+'G&A Alloc SV'!C10","v":-492498.38999999996},0.68524500516222253,{"$f":"SUM('G&A Alloc SV'!N10:O10)*'92014 Alloc'!D9","v":177.32084998582832},{"$f":"SUM('G&A Alloc SV'!N10:O10)-'92014 Alloc'!E9","v":81.449150014171664},258.77,{"$f":"SUM('G&A Alloc SV'!N10:O10)-'92014 Alloc'!G9","v":0},{"$f":"+E9-'G&A Alloc SV'!N10","v":177.32084998582832}]
["Arizona - AZ",{"$f":"+'G&A Alloc SV'!B11","v":-6117445.71},{"$f":"+'G&A Alloc SV'!C11","v":-3314342.9899999993},0.64859868096917828,{"$f":"SUM('G&A Alloc SV'!N11:O11)*'92014 Alloc'!D10","v":4.1510315582027406},{"$f":"SUM('G&A Alloc SV'!N11:O11)-'92014 Alloc'!E10","v":2.2489684417972589},6.3999999999999995,{"$f":"SUM('G&A Alloc SV'!N11:O11)-'92014 Alloc'!G10","v":0},{"$f":"+E10-'G&A Alloc SV'!N11","v":4.1510315582027406}]
["California - CA",{"$f":"+'G&A Alloc SV'!B12","v":-5188762.55},{"$f":"+'G&A Alloc SV'!C12","v":-244047.9},0.95507888555176812,{"$f":"SUM('G&A Alloc SV'!N12:O12)*'92014 Alloc'!D11","v":0},{"$f":"SUM('G&A Alloc SV'!N12:O12)-'92014 Alloc'!E11","v":0},0,{"$f":"SUM('G&A Alloc SV'!N12:O12)-'92014 Alloc'!G11","v":0},{"$f":"+E11-'G&A Alloc SV'!N12","v":0}]
["Colorado - CO",{"$f":"+'G&A Alloc SV'!B13","v":-3067028.74},{"$f":"+'G&A Alloc SV'!C13","v":-930046.25},0.76731828841670047,{"$f":"SUM('G&A Alloc SV'!N13:O13)*'92014 Alloc'!D12","v":0},{"$f":"SUM('G&A Alloc SV'!N13:O13)-'92014 Alloc'!E12","v":0},0,{"$f":"SUM('G&A Alloc SV'!N13:O13)-'92014 Alloc'!G12","v":0},{"$f":"+E12-'G&A Alloc SV'!N13","v":0}]
["Connecticut - CT",{"$f":"+'G&A Alloc SV'!B14","v":-1507772.0299999998},{"$f":"+'G&A Alloc SV'!C14","v":-533600.05999999994},0.73860715417148659,{"$f":"SUM('G&A Alloc SV'!N14:O14)*'92014 Alloc'!D13","v":4905.2599904983017},{"$f":"SUM('G&A Alloc SV'!N14:O14)-'92014 Alloc'!E13","v":1735.9700095016979},6641.23,{"$f":"SUM('G&A Alloc SV'!N14:O14)-'92014 Alloc'!G13","v":0},{"$f":"+E13-'G&A Alloc SV'!N14","v":4905.2599904983017}]
["District Of Columbia - DC",{"$f":"+'G&A Alloc SV'!B15","v":-233513.19000000003},{"$f":"+'G&A Alloc SV'!C15","v":-23224.329999999998},0.90954056890477097,{"$f":"SUM('G&A Alloc SV'!N15:O15)*'92014 Alloc'!D14","v":280.42954820471903},{"$f":"SUM('G&A Alloc SV'!N15:O15)-'92014 Alloc'!E14","v":27.890451795281024},308.32000000000005,{"$f":"SUM('G&A Alloc SV'!N15:O15)-'92014 Alloc'!G14","v":0},{"$f":"+E14-'G&A Alloc SV'!N15","v":280.42954820471903}]
["Delaware - DE",{"$f":"+'G&A Alloc SV'!B16","v":-409326.49},{"$f":"+'G&A Alloc SV'!C16","v":-78948.89},0.83831072949039531,{"$f":"SUM('G&A Alloc SV'!N16:O16)*'92014 Alloc'!D15","v":0},{"$f":"SUM('G&A Alloc SV'!N16:O16)-'92014 Alloc'!E15","v":0},0,{"$f":"SUM('G&A Alloc SV'!N16:O16)-'92014 Alloc'!G15","v":0},{"$f":"+E15-'G&A Alloc SV'!N16","v":0}]
["Florida - FL",{"$f":"+'G&A Alloc SV'!B17","v":-23635230.039999999},{"$f":"+'G&A Alloc SV'!C17","v":-8758365.4400000013},0.72962663420899143,{"$f":"SUM('G&A Alloc SV'!N17:O17)*'92014 Alloc'!D16","v":0},{"$f":"SUM('G&A Alloc SV'!N17:O17)-'92014 Alloc'!E16","v":0},0,{"$f":"SUM('G&A Alloc SV'!N17:O17)-'92014 Alloc'!G16","v":0},{"$f":"+E16-'G&A Alloc SV'!N17","v":0}]
["Georgia - GA",{"$f":"+'G&A Alloc SV'!B18","v":-8966677.8099999987},{"$f":"+'G&A Alloc SV'!C18","v":-2772089.4800000004},0.76385173915480176,{"$f":"SUM('G&A Alloc SV'!N18:O18)*'92014 Alloc'!D17","v":0},{"$f":"SUM('G&A Alloc SV'!N18:O18)-'92014 Alloc'!E17","v":0},0,{"$f":"SUM('G&A Alloc SV'!N18:O18)-'92014 Alloc'!G17","v":0},{"$f":"+E17-'G&A Alloc SV'!N18","v":0}]
["Hawaii - HI",{"$f":"+'G&A Alloc SV'!B19","v":-215852.56},{"$f":"+'G&A Alloc SV'!C19","v":-67343.47},0.76220192776007478,{"$f":"SUM('G&A Alloc SV'!N19:O19)*'92014 Alloc'!D18","v":35.244217139625853},{"$f":"SUM('G&A Alloc SV'!N19:O19)-'92014 Alloc'!E18","v":10.995782860374142},46.239999999999995,{"$f":"SUM('G&A Alloc SV'!N19:O19)-'92014 Alloc'!G18","v":0},{"$f":"+E18-'G&A Alloc SV'!N19","v":35.244217139625853}]
["Iowa - IA",{"$f":"+'G&A Alloc SV'!B20","v":-1125270.26},{"$f":"+'G&A Alloc SV'!C20","v":-525814.87},0.68153376198112814,{"$f":"SUM('G&A Alloc SV'!N20:O20)*'92014 Alloc'!D19","v":0},{"$f":"SUM('G&A Alloc SV'!N20:O20)-'92014 Alloc'!E19","v":0},0,{"$f":"SUM('G&A Alloc SV'!N20:O20)-'92014 Alloc'!G19","v":0},{"$f":"+E19-'G&A Alloc SV'!N20","v":0}]
["Idaho - ID",{"$f":"+'G&A Alloc SV'!B21","v":-199222.04000000004},{"$f":"+'G&A Alloc SV'!C21","v":-19090.829999999998},0.91255288797220258,{"$f":"SUM('G&A Alloc SV'!N21:O21)*'92014 Alloc'!D20","v":0},{"$f":"SUM('G&A Alloc SV'!N21:O21)-'92014 Alloc'!E20","v":0},0,{"$f":"SUM('G&A Alloc SV'!N21:O21)-'92014 Alloc'!G20","v":0},{"$f":"+E20-'G&A Alloc SV'!N21","v":0}]
["Illinois - IL",{"$f":"+'G&A Alloc SV'!B22","v":-7536163.8499999996},{"$f":"+'G&A Alloc SV'!C22","v":-2344898.04},0.76268764773418485,{"$f":"SUM('G&A Alloc SV'!N22:O22)*'92014 Alloc'!D21","v":808.7692354102843},{"$f":"SUM('G&A Alloc SV'!N22:O22)-'92014 Alloc'!E21","v":251.65076458971578},1060.42,{"$f":"SUM('G&A Alloc SV'!N22:O22)-'92014 Alloc'!G21","v":0},{"$f":"+E21-'G&A Alloc SV'!N22","v":808.7692354102843}]
["Indiana - IN",{"$f":"+'G&A Alloc SV'!B23","v":-3790078.4999999995},{"$f":"+'G&A Alloc SV'!C23","v":-1293956.52},0.7454863086289284,{"$f":"SUM('G&A Alloc SV'!N23:O23)*'92014 Alloc'!D22","v":0},{"$f":"SUM('G&A Alloc SV'!N23:O23)-'92014 Alloc'!E22","v":0},0,{"$f":"SUM('G&A Alloc SV'!N23:O23)-'92014 Alloc'!G22","v":0},{"$f":"+E22-'G&A Alloc SV'!N23","v":0}]
["Kansas - KS",{"$f":"+'G&A Alloc SV'!B24","v":-1622309.6500000001},{"$f":"+'G&A Alloc SV'!C24","v":-577383.01},0.73751650832894089,{"$f":"SUM('G&A Alloc SV'!N24:O24)*'92014 Alloc'!D23","v":8.0094292804522969},{"$f":"SUM('G&A Alloc SV'!N24:O24)-'92014 Alloc'!E23","v":2.8505707195477026},10.86,{"$f":"SUM('G&A Alloc SV'!N24:O24)-'92014 Alloc'!G23","v":0},{"$f":"+E23-'G&A Alloc SV'!N24","v":8.0094292804522969}]
["Kentucky - KY",{"$f":"+'G&A Alloc SV'!B25","v":-1411525.8199999998},{"$f":"+'G&A Alloc SV'!C25","v":-547170.77},0.72064546760659853,{"$f":"SUM('G&A Alloc SV'!N25:O25)*'92014 Alloc'!D24","v":1796.3097183749121},{"$f":"SUM('G&A Alloc SV'!N25:O25)-'92014 Alloc'!E24","v":696.33028162508822},2492.6400000000003,{"$f":"SUM('G&A Alloc SV'!N25:O25)-'92014 Alloc'!G24","v":0},{"$f":"+E24-'G&A Alloc SV'!N25","v":1796.3097183749121}]
["Louisiana - LA",{"$f":"+'G&A Alloc SV'!B26","v":-2466814.2999999998},{"$f":"+'G&A Alloc SV'!C26","v":-789018.90999999992},0.75765991096331375,{"$f":"SUM('G&A Alloc SV'!N26:O26)*'92014 Alloc'!D25","v":0},{"$f":"SUM('G&A Alloc SV'!N26:O26)-'92014 Alloc'!E25","v":0},0,{"$f":"SUM('G&A Alloc SV'!N26:O26)-'92014 Alloc'!G25","v":0},{"$f":"+E25-'G&A Alloc SV'!N26","v":0}]
["Massachusetts - MA",{"$f":"+'G&A Alloc SV'!B27","v":0},{"$f":"+'G&A Alloc SV'!C27","v":0},0,{"$f":"SUM('G&A Alloc SV'!N27:O27)*'92014 Alloc'!D26","v":0},{"$f":"SUM('G&A Alloc SV'!N27:O27)-'92014 Alloc'!E26","v":481.19},481.19,{"$f":"SUM('G&A Alloc SV'!N27:O27)-'92014 Alloc'!G26","v":0},{"$f":"+E26-'G&A Alloc SV'!N27","v":0}]
["Maryland - MD",{"$f":"+'G&A Alloc SV'!B28","v":-5304815.57},{"$f":"+'G&A Alloc SV'!C28","v":-1205087.7600000002},0.81488392393685516,{"$f":"SUM('G&A Alloc SV'!N28:O28)*'92014 Alloc'!D27","v":5419.3284942673799},{"$f":"SUM('G&A Alloc SV'!N28:O28)-'92014 Alloc'!E27","v":1231.1015057326204},6650.43,{"$f":"SUM('G&A Alloc SV'!N28:O28)-'92014 Alloc'!G27","v":0},{"$f":"+E27-'G&A Alloc SV'!N28","v":5419.3284942673799}]
["Maine - ME",{"$f":"+'G&A Alloc SV'!B29","v":-474601.87},{"$f":"+'G&A Alloc SV'!C29","v":-357192.49},0.57057596543453359,{"$f":"SUM('G&A Alloc SV'!N29:O29)*'92014 Alloc'!D28","v":-11.171877403208168},{"$f":"SUM('G&A Alloc SV'!N29:O29)-'92014 Alloc'!E28","v":-8.4081225967918307},-19.579999999999998,{"$f":"SUM('G&A Alloc SV'!N29:O29)-'92014 Alloc'!G28","v":0},{"$f":"+E28-'G&A Alloc SV'!N29","v":-11.171877403208168}]
["Michigan - MI",{"$f":"+'G&A Alloc SV'!B30","v":-3604935.2199999997},{"$f":"+'G&A Alloc SV'!C30","v":-1191009.7000000002},0.75166318215347638,{"$f":"SUM('G&A Alloc SV'!N30:O30)*'92014 Alloc'!D29","v":0},{"$f":"SUM('G&A Alloc SV'!N30:O30)-'92014 Alloc'!E29","v":0},0,{"$f":"SUM('G&A Alloc SV'!N30:O30)-'92014 Alloc'!G29","v":0},{"$f":"+E29-'G&A Alloc SV'!N30","v":0}]
["Minnesota - MN",{"$f":"+'G&A Alloc SV'!B31","v":-1290863.1500000001},{"$f":"+'G&A Alloc SV'!C31","v":-447780.1},0.74245429589997836,{"$f":"SUM('G&A Alloc SV'!N31:O31)*'92014 Alloc'!D30","v":0},{"$f":"SUM('G&A Alloc SV'!N31:O31)-'92014 Alloc'!E30","v":0},0,{"$f":"SUM('G&A Alloc SV'!N31:O31)-'92014 Alloc'!G30","v":0},{"$f":"+E30-'G&A Alloc SV'!N31","v":0}]
["Missouri - MO",{"$f":"+'G&A Alloc SV'!B32","v":-5374169.3399999999},{"$f":"+'G&A Alloc SV'!C32","v":-2389390.2599999998},0.69223006158154565,{"$f":"SUM('G&A Alloc SV'!N32:O32)*'92014 Alloc'!D31","v":0},{"$f":"SUM('G&A Alloc SV'!N32:O32)-'92014 Alloc'!E31","v":0},0,{"$f":"SUM('G&A Alloc SV'!N32:O32)-'92014 Alloc'!G31","v":0},{"$f":"+E31-'G&A Alloc SV'!N32","v":0}]
["Mississippi - MS",{"$f":"+'G&A Alloc SV'!B33","v":-3064437.8},{"$f":"+'G&A Alloc SV'!C33","v":-1019834.0599999999},0.75030211137806091,{"$f":"SUM('G&A Alloc SV'!N33:O33)*'92014 Alloc'!D32","v":88.708218628228124},{"$f":"SUM('G&A Alloc SV'!N33:O33)-'92014 Alloc'!E32","v":29.521781371771851},118.22999999999998,{"$f":"SUM('G&A Alloc SV'!N33:O33)-'92014 Alloc'!G32","v":0},{"$f":"+E32-'G&A Alloc SV'!N33","v":88.708218628228124}]
["Montana - MT",{"$f":"+'G&A Alloc SV'!B34","v":-2957.68},{"$f":"+'G&A Alloc SV'!C34","v":-244758.98},1.193977021973411E-2,{"$f":"SUM('G&A Alloc SV'!N34:O34)*'92014 Alloc'!D33","v":0},{"$f":"SUM('G&A Alloc SV'!N34:O34)-'92014 Alloc'!E33","v":0},0,{"$f":"SUM('G&A Alloc SV'!N34:O34)-'92014 Alloc'!G33","v":0},{"$f":"+E33-'G&A Alloc SV'!N34","v":0}]
["North Carolina - NC",{"$f":"+'G&A Alloc SV'!B35","v":-9657970.1799999997},{"$f":"+'G&A Alloc SV'!C35","v":-2525357.42},0.79272022366040618,{"$f":"SUM('G&A Alloc SV'!N35:O35)*'92014 Alloc'!D34","v":0},{"$f":"SUM('G&A Alloc SV'!N35:O35)-'92014 Alloc'!E34","v":0},0,{"$f":"SUM('G&A Alloc SV'!N35:O35)-'92014 Alloc'!G34","v":0},{"$f":"+E34-'G&A Alloc SV'!N35","v":0}]
["North Dakota - ND",{"$f":"+'G&A Alloc SV'!B36","v":-130056.63999999998},{"$f":"+'G&A Alloc SV'!C36","v":-17093.879999999997},0.88383404965201617,{"$f":"SUM('G&A Alloc SV'!N36:O36)*'92014 Alloc'!D35","v":0},{"$f":"SUM('G&A Alloc SV'!N36:O36)-'92014 Alloc'!E35","v":0},0,{"$f":"SUM('G&A Alloc SV'!N36:O36)-'92014 Alloc'!G35","v":0},{"$f":"+E35-'G&A Alloc SV'!N36","v":0}]
["Nebraska - NE",{"$f":"+'G&A Alloc SV'!B37","v":-2323828.48},{"$f":"+'G&A Alloc SV'!C37","v":-1029507.1699999999},0.69299012164201335,{"$f":"SUM('G&A Alloc SV'!N37:O37)*'92014 Alloc'!D36","v":0},{"$f":"SUM('G&A Alloc SV'!N37:O37)-'92014 Alloc'!E36","v":0},0,{"$f":"SUM('G&A Alloc SV'!N37:O37)-'92014 Alloc'!G36","v":0},{"$f":"+E36-'G&A Alloc SV'!N37","v":0}]
["New Hampshire - NH",{"$f":"+'G&A Alloc SV'!B38","v":-334137.74},{"$f":"+'G&A Alloc SV'!C38","v":-56147.929999999993},0.85613632701400488,{"$f":"SUM('G&A Alloc SV'!N38:O38)*'92014 Alloc'!D37","v":688.93290234816982},{"$f":"SUM('G&A Alloc SV'!N38:O38)-'92014 Alloc'!E37","v":115.76709765183023},804.7,{"$f":"SUM('G&A Alloc SV'!N38:O38)-'92014 Alloc'!G37","v":0},{"$f":"+E37-'G&A Alloc SV'!N38","v":688.93290234816982}]
["New Jersey - NJ",{"$f":"+'G&A Alloc SV'!B39","v":-1020189.94},{"$f":"+'G&A Alloc SV'!C39","v":-182.28},0.99982135930748872,{"$f":"SUM('G&A Alloc SV'!N39:O39)*'92014 Alloc'!D38","v":748.67623206304074},{"$f":"SUM('G&A Alloc SV'!N39:O39)-'92014 Alloc'!E38","v":0.1337679369593161},748.81000000000006,{"$f":"SUM('G&A Alloc SV'!N39:O39)-'92014 Alloc'!G38","v":0},{"$f":"+E38-'G&A Alloc SV'!N39","v":748.67623206304074}]
["New Mexico - NM",{"$f":"+'G&A Alloc SV'!B40","v":-250590.59999999998},{"$f":"+'G&A Alloc SV'!C40","v":-925.35000000000014},0.99632090927036632,{"$f":"SUM('G&A Alloc SV'!N40:O40)*'92014 Alloc'!D39","v":0},{"$f":"SUM('G&A Alloc SV'!N40:O40)-'92014 Alloc'!E39","v":0},0,{"$f":"SUM('G&A Alloc SV'!N40:O40)-'92014 Alloc'!G39","v":0},{"$f":"+E39-'G&A Alloc SV'!N40","v":0}]
["Nevada - NV",{"$f":"+'G&A Alloc SV'!B41","v":-985144.75},{"$f":"+'G&A Alloc SV'!C41","v":-593846.18999999994},0.62390779138986063,{"$f":"SUM('G&A Alloc SV'!N41:O41)*'92014 Alloc'!D40","v":0},{"$f":"SUM('G&A Alloc SV'!N41:O41)-'92014 Alloc'!E40","v":0},0,{"$f":"SUM('G&A Alloc SV'!N41:O41)-'92014 Alloc'!G40","v":0},{"$f":"+E40-'G&A Alloc SV'!N41","v":0}]
["New York - NY",{"$f":"+'G&A Alloc SV'!B42","v":0},{"$f":"+'G&A Alloc SV'!C42","v":-10},0,{"$f":"SUM('G&A Alloc SV'!N42:O42)*'92014 Alloc'!D41","v":0},{"$f":"SUM('G&A Alloc SV'!N42:O42)-'92014 Alloc'!E41","v":0},0,{"$f":"SUM('G&A Alloc SV'!N42:O42)-'92014 Alloc'!G41","v":0},{"$f":"+E41-'G&A Alloc SV'!N42","v":0}]
["Ohio - OH",{"$f":"+'G&A Alloc SV'!B43","v":-7094034.9300000006},{"$f":"+'G&A Alloc SV'!C43","v":-3125185.36},0.69418553751521095,{"$f":"SUM('G&A Alloc SV'!N43:O43)*'92014 Alloc'!D42","v":0},{"$f":"SUM('G&A Alloc SV'!N43:O43)-'92014 Alloc'!E42","v":0},0,{"$f":"SUM('G&A Alloc SV'!N43:O43)-'92014 Alloc'!G42","v":0},{"$f":"+E42-'G&A Alloc SV'!N43","v":0}]
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["GRIC Allocation of State & Local Taxes to Dental LOB (No Location Change)"]
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["Connecticut - CT",{"$f":"+'G&A Alloc SV'!B14","v":-1507772.0299999998},{"$f":"+'G&A Alloc SV'!C14","v":-533600.05999999994},0.73860715417148659,{"$f":"SUM('G&A Alloc SV'!R14:S14)*'93010 Alloc'!D13","v":0},{"$f":"SUM('G&A Alloc SV'!R14:S14)-'93010 Alloc'!E13","v":0},0,{"$f":"SUM('G&A Alloc SV'!R14:S14)-'93010 Alloc'!G13","v":0}]
["District Of Columbia - DC",{"$f":"+'G&A Alloc SV'!B15","v":-233513.19000000003},{"$f":"+'G&A Alloc SV'!C15","v":-23224.329999999998},0.90954056890477097,{"$f":"SUM('G&A Alloc SV'!R15:S15)*'93010 Alloc'!D14","v":0},{"$f":"SUM('G&A Alloc SV'!R15:S15)-'93010 Alloc'!E14","v":0},0,{"$f":"SUM('G&A Alloc SV'!R15:S15)-'93010 Alloc'!G14","v":0}]
["Delaware - DE",{"$f":"+'G&A Alloc SV'!B16","v":-409326.49},{"$f":"+'G&A Alloc SV'!C16","v":-78948.89},0.83831072949039531,{"$f":"SUM('G&A Alloc SV'!R16:S16)*'93010 Alloc'!D15","v":0},{"$f":"SUM('G&A Alloc SV'!R16:S16)-'93010 Alloc'!E15","v":0},0,{"$f":"SUM('G&A Alloc SV'!R16:S16)-'93010 Alloc'!G15","v":0}]
["Florida - FL",{"$f":"+'G&A Alloc SV'!B17","v":-23635230.039999999},{"$f":"+'G&A Alloc SV'!C17","v":-8758365.4400000013},0.72962663420899143,{"$f":"SUM('G&A Alloc SV'!R17:S17)*'93010 Alloc'!D16","v":107442.65845877877},{"$f":"SUM('G&A Alloc SV'!R17:S17)-'93010 Alloc'!E16","v":39814.381541221155},147257.03999999992,{"$f":"SUM('G&A Alloc SV'!R17:S17)-'93010 Alloc'!G16","v":0}]
["Georgia - GA",{"$f":"+'G&A Alloc SV'!B18","v":-8966677.8099999987},{"$f":"+'G&A Alloc SV'!C18","v":-2772089.4800000004},0.76385173915480176,{"$f":"SUM('G&A Alloc SV'!R18:S18)*'93010 Alloc'!D17","v":0},{"$f":"SUM('G&A Alloc SV'!R18:S18)-'93010 Alloc'!E17","v":0},0,{"$f":"SUM('G&A Alloc SV'!R18:S18)-'93010 Alloc'!G17","v":0}]
["Hawaii - HI",{"$f":"+'G&A Alloc SV'!B19","v":-215852.56},{"$f":"+'G&A Alloc SV'!C19","v":-67343.47},0.76220192776007478,{"$f":"SUM('G&A Alloc SV'!R19:S19)*'93010 Alloc'!D18","v":0},{"$f":"SUM('G&A Alloc SV'!R19:S19)-'93010 Alloc'!E18","v":0},0,{"$f":"SUM('G&A Alloc SV'!R19:S19)-'93010 Alloc'!G18","v":0}]
["Iowa - IA",{"$f":"+'G&A Alloc SV'!B20","v":-1125270.26},{"$f":"+'G&A Alloc SV'!C20","v":-525814.87},0.68153376198112814,{"$f":"SUM('G&A Alloc SV'!R20:S20)*'93010 Alloc'!D19","v":0},{"$f":"SUM('G&A Alloc SV'!R20:S20)-'93010 Alloc'!E19","v":0},0,{"$f":"SUM('G&A Alloc SV'!R20:S20)-'93010 Alloc'!G19","v":0}]
["Idaho - ID",{"$f":"+'G&A Alloc SV'!B21","v":-199222.04000000004},{"$f":"+'G&A Alloc SV'!C21","v":-19090.829999999998},0.91255288797220258,{"$f":"SUM('G&A Alloc SV'!R21:S21)*'93010 Alloc'!D20","v":0},{"$f":"SUM('G&A Alloc SV'!R21:S21)-'93010 Alloc'!E20","v":0},0,{"$f":"SUM('G&A Alloc SV'!R21:S21)-'93010 Alloc'!G20","v":0}]
["Illinois - IL",{"$f":"+'G&A Alloc SV'!B22","v":-7536163.8499999996},{"$f":"+'G&A Alloc SV'!C22","v":-2344898.04},0.76268764773418485,{"$f":"SUM('G&A Alloc SV'!R22:S22)*'93010 Alloc'!D21","v":73050.405945015649},{"$f":"SUM('G&A Alloc SV'!R22:S22)-'93010 Alloc'!E21","v":22729.834054984312},95780.239999999962,{"$f":"SUM('G&A Alloc SV'!R22:S22)-'93010 Alloc'!G21","v":0}]
["Indiana - IN",{"$f":"+'G&A Alloc SV'!B23","v":-3790078.4999999995},{"$f":"+'G&A Alloc SV'!C23","v":-1293956.52},0.7454863086289284,{"$f":"SUM('G&A Alloc SV'!R23:S23)*'93010 Alloc'!D22","v":-61198.961523792779},{"$f":"SUM('G&A Alloc SV'!R23:S23)-'93010 Alloc'!E22","v":-20893.708476207234},-82092.670000000013,{"$f":"SUM('G&A Alloc SV'!R23:S23)-'93010 Alloc'!G22","v":0}]
["Kansas - KS",{"$f":"+'G&A Alloc SV'!B24","v":-1622309.6500000001},{"$f":"+'G&A Alloc SV'!C24","v":-577383.01},0.73751650832894089,{"$f":"SUM('G&A Alloc SV'!R24:S24)*'93010 Alloc'!D23","v":0},{"$f":"SUM('G&A Alloc SV'!R24:S24)-'93010 Alloc'!E23","v":0},0,{"$f":"SUM('G&A Alloc SV'!R24:S24)-'93010 Alloc'!G23","v":0}]
["Kentucky - KY",{"$f":"+'G&A Alloc SV'!B25","v":-1411525.8199999998},{"$f":"+'G&A Alloc SV'!C25","v":-547170.77},0.72064546760659853,{"$f":"SUM('G&A Alloc SV'!R25:S25)*'93010 Alloc'!D24","v":0},{"$f":"SUM('G&A Alloc SV'!R25:S25)-'93010 Alloc'!E24","v":0},0,{"$f":"SUM('G&A Alloc SV'!R25:S25)-'93010 Alloc'!G24","v":0}]
["Louisiana - LA",{"$f":"+'G&A Alloc SV'!B26","v":-2466814.2999999998},{"$f":"+'G&A Alloc SV'!C26","v":-789018.90999999992},0.75765991096331375,{"$f":"SUM('G&A Alloc SV'!R26:S26)*'93010 Alloc'!D25","v":-1.7227191869172061E-12},{"$f":"SUM('G&A Alloc SV'!R26:S26)-'93010 Alloc'!E25","v":-5.5101756751511448E-13},-2.2737367544323206E-12,{"$f":"SUM('G&A Alloc SV'!R26:S26)-'93010 Alloc'!G25","v":0}]
["Massachusetts - MA",{"$f":"+'G&A Alloc SV'!B27","v":0},{"$f":"+'G&A Alloc SV'!C27","v":0},0,{"$f":"SUM('G&A Alloc SV'!R27:S27)*'93010 Alloc'!D26","v":0},{"$f":"SUM('G&A Alloc SV'!R27:S27)-'93010 Alloc'!E26","v":0},0,{"$f":"SUM('G&A Alloc SV'!R27:S27)-'93010 Alloc'!G26","v":0}]
["Maryland - MD",{"$f":"+'G&A Alloc SV'!B28","v":-5304815.57},{"$f":"+'G&A Alloc SV'!C28","v":-1205087.7600000002},0.81488392393685516,{"$f":"SUM('G&A Alloc SV'!R28:S28)*'93010 Alloc'!D27","v":0},{"$f":"SUM('G&A Alloc SV'!R28:S28)-'93010 Alloc'!E27","v":0},0,{"$f":"SUM('G&A Alloc SV'!R28:S28)-'93010 Alloc'!G27","v":0}]
["Maine - ME",{"$f":"+'G&A Alloc SV'!B29","v":-474601.87},{"$f":"+'G&A Alloc SV'!C29","v":-357192.49},0.57057596543453359,{"$f":"SUM('G&A Alloc SV'!R29:S29)*'93010 Alloc'!D28","v":0},{"$f":"SUM('G&A Alloc SV'!R29:S29)-'93010 Alloc'!E28","v":0},0,{"$f":"SUM('G&A Alloc SV'!R29:S29)-'93010 Alloc'!G28","v":0}]
["Michigan - MI",{"$f":"+'G&A Alloc SV'!B30","v":-3604935.2199999997},{"$f":"+'G&A Alloc SV'!C30","v":-1191009.7000000002},0.75166318215347638,{"$f":"SUM('G&A Alloc SV'!R30:S30)*'93010 Alloc'!D29","v":0},{"$f":"SUM('G&A Alloc SV'!R30:S30)-'93010 Alloc'!E29","v":0},0,{"$f":"SUM('G&A Alloc SV'!R30:S30)-'93010 Alloc'!G29","v":0}]
["Minnesota - MN",{"$f":"+'G&A Alloc SV'!B31","v":-1290863.1500000001},{"$f":"+'G&A Alloc SV'!C31","v":-447780.1},0.74245429589997836,{"$f":"SUM('G&A Alloc SV'!R31:S31)*'93010 Alloc'!D30","v":0},{"$f":"SUM('G&A Alloc SV'!R31:S31)-'93010 Alloc'!E30","v":0},0,{"$f":"SUM('G&A Alloc SV'!R31:S31)-'93010 Alloc'!G30","v":0}]
["Missouri - MO",{"$f":"+'G&A Alloc SV'!B32","v":-5374169.3399999999},{"$f":"+'G&A Alloc SV'!C32","v":-2389390.2599999998},0.69223006158154565,{"$f":"SUM('G&A Alloc SV'!R32:S32)*'93010 Alloc'!D31","v":0},{"$f":"SUM('G&A Alloc SV'!R32:S32)-'93010 Alloc'!E31","v":0},0,{"$f":"SUM('G&A Alloc SV'!R32:S32)-'93010 Alloc'!G31","v":0}]
["Mississippi - MS",{"$f":"+'G&A Alloc SV'!B33","v":-3064437.8},{"$f":"+'G&A Alloc SV'!C33","v":-1019834.0599999999},0.75030211137806091,{"$f":"SUM('G&A Alloc SV'!R33:S33)*'93010 Alloc'!D32","v":8513.7305789546463},{"$f":"SUM('G&A Alloc SV'!R33:S33)-'93010 Alloc'!E32","v":2833.3394210453444},11347.069999999991,{"$f":"SUM('G&A Alloc SV'!R33:S33)-'93010 Alloc'!G32","v":0}]
["Montana - MT",{"$f":"+'G&A Alloc SV'!B34","v":-2957.68},{"$f":"+'G&A Alloc SV'!C34","v":-244758.98},1.193977021973411E-2,{"$f":"SUM('G&A Alloc SV'!R34:S34)*'93010 Alloc'!D33","v":0},{"$f":"SUM('G&A Alloc SV'!R34:S34)-'93010 Alloc'!E33","v":0},0,{"$f":"SUM('G&A Alloc SV'!R34:S34)-'93010 Alloc'!G33","v":0}]
["North Carolina - NC",{"$f":"+'G&A Alloc SV'!B35","v":-9657970.1799999997},{"$f":"+'G&A Alloc SV'!C35","v":-2525357.42},0.79272022366040618,{"$f":"SUM('G&A Alloc SV'!R35:S35)*'93010 Alloc'!D34","v":0},{"$f":"SUM('G&A Alloc SV'!R35:S35)-'93010 Alloc'!E34","v":0},0,{"$f":"SUM('G&A Alloc SV'!R35:S35)-'93010 Alloc'!G34","v":0}]
["North Dakota - ND",{"$f":"+'G&A Alloc SV'!B36","v":-130056.63999999998},{"$f":"+'G&A Alloc SV'!C36","v":-17093.879999999997},0.88383404965201617,{"$f":"SUM('G&A Alloc SV'!R36:S36)*'93010 Alloc'!D35","v":0},{"$f":"SUM('G&A Alloc SV'!R36:S36)-'93010 Alloc'!E35","v":0},0,{"$f":"SUM('G&A Alloc SV'!R36:S36)-'93010 Alloc'!G35","v":0}]
["Nebraska - NE",{"$f":"+'G&A Alloc SV'!B37","v":-2323828.48},{"$f":"+'G&A Alloc SV'!C37","v":-1029507.1699999999},0.69299012164201335,{"$f":"SUM('G&A Alloc SV'!R37:S37)*'93010 Alloc'!D36","v":0},{"$f":"SUM('G&A Alloc SV'!R37:S37)-'93010 Alloc'!E36","v":0},0,{"$f":"SUM('G&A Alloc SV'!R37:S37)-'93010 Alloc'!G36","v":0}]
["New Hampshire - NH",{"$f":"+'G&A Alloc SV'!B38","v":-334137.74},{"$f":"+'G&A Alloc SV'!C38","v":-56147.929999999993},0.85613632701400488,{"$f":"SUM('G&A Alloc SV'!R38:S38)*'93010 Alloc'!D37","v":0},{"$f":"SUM('G&A Alloc SV'!R38:S38)-'93010 Alloc'!E37","v":0},0,{"$f":"SUM('G&A Alloc SV'!R38:S38)-'93010 Alloc'!G37","v":0}]
["New Jersey - NJ",{"$f":"+'G&A Alloc SV'!B39","v":-1020189.94},{"$f":"+'G&A Alloc SV'!C39","v":-182.28},0.99982135930748872,{"$f":"SUM('G&A Alloc SV'!R39:S39)*'93010 Alloc'!D38","v":0},{"$f":"SUM('G&A Alloc SV'!R39:S39)-'93010 Alloc'!E38","v":0},0,{"$f":"SUM('G&A Alloc SV'!R39:S39)-'93010 Alloc'!G38","v":0}]
["New Mexico - NM",{"$f":"+'G&A Alloc SV'!B40","v":-250590.59999999998},{"$f":"+'G&A Alloc SV'!C40","v":-925.35000000000014},0.99632090927036632,{"$f":"SUM('G&A Alloc SV'!R40:S40)*'93010 Alloc'!D39","v":0},{"$f":"SUM('G&A Alloc SV'!R40:S40)-'93010 Alloc'!E39","v":0},0,{"$f":"SUM('G&A Alloc SV'!R40:S40)-'93010 Alloc'!G39","v":0}]
["Nevada - NV",{"$f":"+'G&A Alloc SV'!B41","v":-985144.75},{"$f":"+'G&A Alloc SV'!C41","v":-593846.18999999994},0.62390779138986063,{"$f":"SUM('G&A Alloc SV'!R41:S41)*'93010 Alloc'!D40","v":0},{"$f":"SUM('G&A Alloc SV'!R41:S41)-'93010 Alloc'!E40","v":0},0,{"$f":"SUM('G&A Alloc SV'!R41:S41)-'93010 Alloc'!G40","v":0}]
["New York - NY",{"$f":"+'G&A Alloc SV'!B42","v":0},{"$f":"+'G&A Alloc SV'!C42","v":-10},0,{"$f":"SUM('G&A Alloc SV'!R42:S42)*'93010 Alloc'!D41","v":0},{"$f":"SUM('G&A Alloc SV'!R42:S42)-'93010 Alloc'!E41","v":0},0,{"$f":"SUM('G&A Alloc SV'!R42:S42)-'93010 Alloc'!G41","v":0}]
["Ohio - OH",{"$f":"+'G&A Alloc SV'!B43","v":-7094034.9300000006},{"$f":"+'G&A Alloc SV'!C43","v":-3125185.36},0.69418553751521095,{"$f":"SUM('G&A Alloc SV'!R43:S43)*'93010 Alloc'!D42","v":0},{"$f":"SUM('G&A Alloc SV'!R43:S43)-'93010 Alloc'!E42","v":0},0,{"$f":"SUM('G&A Alloc SV'!R43:S43)-'93010 Alloc'!G42","v":0}]
["Oklahoma - OK",{"$f":"+'G&A Alloc SV'!B44","v":-2322979.9400000004},{"$f":"+'G&A Alloc SV'!C44","v":-763462.49},0.75263997067329069,{"$f":"SUM('G&A Alloc SV'!R44:S44)*'93010 Alloc'!D43","v":0},{"$f":"SUM('G&A Alloc SV'!R44:S44)-'93010 Alloc'!E43","v":0},0,{"$f":"SUM('G&A Alloc SV'!R44:S44)-'93010 Alloc'!G43","v":0}]
["Oregon - OR",{"$f":"+'G&A Alloc SV'!B45","v":-926527.94000000006},{"$f":"+'G&A Alloc SV'!C45","v":-206709.78},0.81759362898721732,{"$f":"SUM('G&A Alloc SV'!R45:S45)*'93010 Alloc'!D44","v":6543.6678411532248},{"$f":"SUM('G&A Alloc SV'!R45:S45)-'93010 Alloc'!E44","v":1459.9021588467776},8003.5700000000024,{"$f":"SUM('G&A Alloc SV'!R45:S45)-'93010 Alloc'!G44","v":0}]
["Pennsylvania - PA",{"$f":"+'G&A Alloc SV'!B46","v":-4757136.3499999996},{"$f":"+'G&A Alloc SV'!C46","v":-2334721.5999999996},0.67078844268165305,{"$f":"SUM('G&A Alloc SV'!R46:S46)*'93010 Alloc'!D45","v":0},{"$f":"SUM('G&A Alloc SV'!R46:S46)-'93010 Alloc'!E45","v":0},0,{"$f":"SUM('G&A Alloc SV'!R46:S46)-'93010 Alloc'!G45","v":0}]
["Rhode Island - RI",{"$f":"+'G&A Alloc SV'!B47","v":-239754.56999999998},{"$f":"+'G&A Alloc SV'!C47","v":-53649.08},0.81714924132675248,{"$f":"SUM('G&A Alloc SV'!R47:S47)*'93010 Alloc'!D46","v":0},{"$f":"SUM('G&A Alloc SV'!R47:S47)-'93010 Alloc'!E46","v":0},0,{"$f":"SUM('G&A Alloc SV'!R47:S47)-'93010 Alloc'!G46","v":0}]
["South Carolina - SC",{"$f":"+'G&A Alloc SV'!B48","v":-3999461.5599999996},{"$f":"+'G&A Alloc SV'!C48","v":-1307721.3199999998},0.75359407249218446,{"$f":"SUM('G&A Alloc SV'!R48:S48)*'93010 Alloc'!D47","v":0},{"$f":"SUM('G&A Alloc SV'!R48:S48)-'93010 Alloc'!E47","v":0},0,{"$f":"SUM('G&A Alloc SV'!R48:S48)-'93010 Alloc'!G47","v":0}]
["South Dakota - SD",{"$f":"+'G&A Alloc SV'!B49","v":-149653.04999999999},{"$f":"+'G&A Alloc SV'!C49","v":-55685.369999999995},0.72881173430671187,{"$f":"SUM('G&A Alloc SV'!R49:S49)*'93010 Alloc'!D48","v":0},{"$f":"SUM('G&A Alloc SV'!R49:S49)-'93010 Alloc'!E48","v":0},0,{"$f":"SUM('G&A Alloc SV'!R49:S49)-'93010 Alloc'!G48","v":0}]
["Tennessee - TN",{"$f":"+'G&A Alloc SV'!B50","v":-6268661.9499999993},{"$f":"+'G&A Alloc SV'!C50","v":-2339361.41},0.72823477444652285,{"$f":"SUM('G&A Alloc SV'!R50:S50)*'93010 Alloc'!D49","v":0},{"$f":"SUM('G&A Alloc SV'!R50:S50)-'93010 Alloc'!E49","v":0},0,{"$f":"SUM('G&A Alloc SV'!R50:S50)-'93010 Alloc'!G49","v":0}]
["Texas - TX",{"$f":"+'G&A Alloc SV'!B51","v":-22443373.989999998},{"$f":"+'G&A Alloc SV'!C51","v":-7017337.6899999995},0.76180691877977058,{"$f":"SUM('G&A Alloc SV'!R51:S51)*'93010 Alloc'!D50","v":0},{"$f":"SUM('G&A Alloc SV'!R51:S51)-'93010 Alloc'!E50","v":0},0,{"$f":"SUM('G&A Alloc SV'!R51:S51)-'93010 Alloc'!G50","v":0}]
["Utah - UT",{"$f":"+'G&A Alloc SV'!B52","v":-1128770.1400000001},{"$f":"+'G&A Alloc SV'!C52","v":-439108.08000000007},0.71993483014261139,{"$f":"SUM('G&A Alloc SV'!R52:S52)*'93010 Alloc'!D51","v":0},{"$f":"SUM('G&A Alloc SV'!R52:S52)-'93010 Alloc'!E51","v":0},0,{"$f":"SUM('G&A Alloc SV'!R52:S52)-'93010 Alloc'!G51","v":0}]
["Virginia - VA",{"$f":"+'G&A Alloc SV'!B53","v":-3257522.19},{"$f":"+'G&A Alloc SV'!C53","v":-838418.4},0.79530503883602477,{"$f":"SUM('G&A Alloc SV'!R53:S53)*'93010 Alloc'!D52","v":0},{"$f":"SUM('G&A Alloc SV'!R53:S53)-'93010 Alloc'!E52","v":0},0,{"$f":"SUM('G&A Alloc SV'!R53:S53)-'93010 Alloc'!G52","v":0}]
["Vermont - VT",{"$f":"+'G&A Alloc SV'!B54","v":-24763.42},{"$f":"+'G&A Alloc SV'!C54","v":0},1,{"$f":"SUM('G&A Alloc SV'!R54:S54)*'93010 Alloc'!D53","v":0},{"$f":"SUM('G&A Alloc SV'!R54:S54)-'93010 Alloc'!E53","v":0},0,{"$f":"SUM('G&A Alloc SV'!R54:S54)-'93010 Alloc'!G53","v":0}]
["Washington - WA",{"$f":"+'G&A Alloc SV'!B55","v":-2485179.7699999996},{"$f":"+'G&A Alloc SV'!C55","v":-4713.6799999999994},0.99810687481426152,{"$f":"SUM('G&A Alloc SV'!R55:S55)*'93010 Alloc'!D54","v":0},{"$f":"SUM('G&A Alloc SV'!R55:S55)-'93010 Alloc'!E54","v":0},0,{"$f":"SUM('G&A Alloc SV'!R55:S55)-'93010 Alloc'!G54","v":0}]
["Wisconsin - WI",{"$f":"+'G&A Alloc SV'!B56","v":-2931191.0300000003},{"$f":"+'G&A Alloc SV'!C56","v":-1074880.99},0.7316870528952697,{"$f":"SUM('G&A Alloc SV'!R56:S56)*'93010 Alloc'!D55","v":0},{"$f":"SUM('G&A Alloc SV'!R56:S56)-'93010 Alloc'!E55","v":0},0,{"$f":"SUM('G&A Alloc SV'!R56:S56)-'93010 Alloc'!G55","v":0}]
["West Virginia - WV",{"$f":"+'G&A Alloc SV'!B57","v":-496942.26},{"$f":"+'G&A Alloc SV'!C57","v":-256751.1},0.65934275976638568,{"$f":"SUM('G&A Alloc SV'!R57:S57)*'93010 Alloc'!D56","v":0},{"$f":"SUM('G&A Alloc SV'!R57:S57)-'93010 Alloc'!E56","v":0},0,{"$f":"SUM('G&A Alloc SV'!R57:S57)-'93010 Alloc'!G56","v":0}]
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[null,"Views","NAIC Supp HC Exhibit","57200 - Golden Rule Insurance Company","Operating Units","Projects","Departments","NO REINSURANCE","Sources"]
[null,"2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024","2024"]
[null,"IDB 2024","IDB 2024","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods","IDB Periods"]
[null,"Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision","Stand Alone Dental","Non Stand Alone Dental/Vision"]
[null,"MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers","MLR Customers"]
[null,"Health Premiums Earned","Health Premiums Earned","92000 - Premium Taxes","92000 - Premium Taxes","77071 - MLR Ins, Prem,Other Tax Assess","77071 - MLR Ins, Prem,Other Tax Assess","92010 - Other Premium Assessments","92010 - Other Premium Assessments","92012 - MLR State High Risk Pools","92012 - MLR State High Risk Pools","92013 - STATE 1332 ASSESSMENTS","92013 - STATE 1332 ASSESSMENTS","92014 - MLR Reg Authority Lic and Fees","92014 - MLR Reg Authority Lic and Fees","93000 - Federal Income Taxes Expense","93000 - Federal Income Taxes Expense","93010 - State Income Taxes Expense","93010 - State Income Taxes Expense","74661 - Prof Fees subject to HSR","74661 - Prof Fees subject to HSR"]
[null,"December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD","December_YTD"]
["Alaska - AK",-121906.70999999999,-42640.36,0,4629.12,0,0,0,39.330000000000005,0,1.8900000000000006,0,0,0,0,-278.53999999999951,3429.76,0,0,0,0]
["Alabama - AL",-2802033.87,-883005.94000000006,0,90382.14,0,20.380000000000003,0,47.789999999998258,0,0,0,0,0,0,25971.140000000003,51407.839999999997,0,0,0,0]
["Arkansas - AR",-1072205.58,-492498.38999999996,0,49319.759999999995,0,2.5599999999999992,0,578.29999999999995,0,0,0,0,0,258.77,19931.98,21117.7,0,0,0,0]
["Arizona - AZ",-6117445.71,-3314342.9899999993,0,230416.53,0,32.28,0,-407.84999999999388,0,0,0,0,0,6.3999999999999995,88723.220000000074,214352.19999999998,0,0,0,0]
["California - CA",-5188762.55,-244047.9,0,226799.15,0,5155.340000000002,0,203.35,0,0,0,0,0,0,189892.38999999998,-36916.599999999991,0,0,0,0]
["Colorado - CO",-3067028.74,-930046.25,0,84404.35,0,0,0,-163.02000000000015,0,2.9,0,6626.9600000000009,0,0,21011.70999999993,23189.25,0,0,0,0]
["Connecticut - CT",-1507772.0299999998,-533600.05999999994,0,38393.760000000002,0,0,0,365.4,0,0,0,0,0,6641.23,23787.309999999979,32677.809999999998,0,0,0,0]
["District Of Columbia - DC",-233513.19000000003,-23224.329999999998,0,5286.24,0,0,0,688.13,0,0,0,0,0,308.32000000000005,-914.50000000000273,1634.8099999999997,0,0,0,0]
["Delaware - DE",-409326.49,-78948.89,0,11759.33,0,0,0,442.8,0,0,0,0,0,0,5429.15,1918.5700000000002,0,0,0,0]
["Florida - FL",-23635230.039999999,-8758365.4400000013,0,702170.56,0,0,0,-5939.0399999999372,0,4.0299999999999994,0,0,0,0,278875.93999999994,193219.59999999998,90684.219999999914,56572.82,0,0]
["Georgia - GA",-8966677.8099999987,-2772089.4800000004,0,466776.25999999995,0,6767.6799999999985,0,-2815.2300000000023,0,0,0,0,0,0,1118.2699999999568,2318.7499999999941,0,0,0,0]
["Hawaii - HI",-215852.56,-67343.47,0,12623.25,0,0,0,33.280000000000051,0,0,0,0,0,46.239999999999995,9844.2599999999984,3965.11,0,0,0,0]
["Iowa - IA",-1125270.26,-525814.87,0,27822.59,0,0,0,2118.890000000004,0,3579.8599999999997,0,0,0,0,5150.6399999999967,37519.440000000002,0,0,0,0]
["Idaho - ID",-199222.04000000004,-19090.829999999998,0,6247.6900000000005,0,0,0,284.5600000000029,0,8.3000000000000007,0,0,0,0,85.730000000001496,202.75999999999991,0,0,0,0]
["Illinois - IL",-7536163.8499999996,-2344898.04,0,99741.25999999998,0,0,0,415.55,0,140.32,0,0,0,1060.42,182120.44999999995,126771.57,58012.879999999954,37767.360000000001,0,0]
["Indiana - IN",-3790078.4999999995,-1293956.52,0,-994.9,0,0,0,713.87999999999181,0,0,0,0,0,0,60253.789999999979,105557.76999999999,-32645.760000000013,-49446.91,0,0]
["Kansas - KS",-1622309.6500000001,-577383.01,0,52231.009999999995,0,0,0,1412.6899999999964,0,-8.0500000000000007,0,0,0,10.86,16961.739999999998,47521.68,0,0,0,0]
["Kentucky - KY",-1411525.8199999998,-547170.77,0,33670.839999999997,0,0,0,2977.900000000006,0,0,0,0,0,2492.6400000000003,37605.910000000011,25885.119999999999,0,0,0,0]
["Louisiana - LA",-2466814.2999999998,-789018.90999999992,0,121081.05,0,64.580000000000013,0,-1714.7299999999998,0,-520.21,0,0,0,0,64656.339999999982,-2432.0899999999992,-2.2737367544323206E-12,0,0,0]
["Massachusetts - MA",0,0,0,137.77000000000001,0,0,0,627.40999999999474,0,0,0,0,0,481.19,-316.2199999999998,-340.90000000000009,0,0,0,0]
["Maryland - MD",-5304815.57,-1205087.7600000002,0,147654.78999999998,0,0,0,1615.21,0,0,0,0,0,6650.43,60322.600000000035,64516.130000000005,0,0,0,0]
["Maine - ME",-474601.87,-357192.49,0,20563.239999999998,0,0,0,62.95,0,0,0,0,0,-19.579999999999998,28811.750000000004,31471.379999999997,0,0,0,0]
["Michigan - MI",-3604935.2199999997,-1191009.7000000002,0,84928.81,0,2756.5599999999995,0,76672.609999999986,0,0,0,0,0,0,31957.939999999995,40436.119999999995,0,0,0,0]
["Minnesota - MN",-1290863.1500000001,-447780.1,0,32996.93,0,45.870000000000005,0,25.33999999999709,0,0,0,0,0,0,21317.820000000007,39559.279999999999,0,0,0,0]
["Missouri - MO",-5374169.3399999999,-2389390.2599999998,0,193797.58999999997,0,0,0,184.17000000001863,0,0,0,0,0,0,52651.600000000006,143382.66999999998,0,0,0,0]
["Mississippi - MS",-3064437.8,-1019834.0599999999,0,161794.56,0,0,0,-47.080000000001021,0,0,0,0,0,118.22999999999998,46200.539999999994,3288.1899999999973,10155.549999999992,1191.5199999999986,0,0]
["Montana - MT",-2957.68,-244758.98,0,7502.99,0,0,0,1031.8399999999997,0,0,0,0,0,0,-80.059999999999945,17979.52,0,0,0,0]
["North Carolina - NC",-9657970.1799999997,-2525357.42,0,258178.42,0,0,0,2982.4699999999984,0,0,0,0,0,0,167497.33999999994,62948.570000000007,0,0,0,0]
["North Dakota - ND",-130056.63999999998,-17093.879999999997,0,3456.85,0,0,0,18.390000000000438,0,0,0,0,0,0,-3654.130000000001,897.65999999999985,0,0,0,0]
["Nebraska - NE",-2323828.48,-1029507.1699999999,0,54715.23,0,0,0,38.959999999997962,0,0,0,0,0,0,-23840.86,35305.25,0,0,0,0]
["New Hampshire - NH",-334137.74,-56147.929999999993,0,13853.51,0,0,0,633.34,0,0,0,0,0,804.7,11209.140000000003,729.01999999999964,0,0,0,0]
["New Jersey - NJ",-1020189.94,-182.28,0,25412.28,0,2241.6500000000005,0,215.71999999999997,0,3294.51,0,0,0,748.81000000000006,45158.579999999994,-7606.2199999999993,0,0,0,0]
["New Mexico - NM",-250590.59999999998,-925.35000000000014,0,12447.9,0,47.93,0,4613.03,0,2028.4499999999998,0,0,0,0,3359.5599999999986,-4569.18,0,0,0,0]
["Nevada - NV",-985144.75,-593846.18999999994,0,69763.170000000013,0,157,0,309.12999999999994,0,0,0,0,0,0,26845.21,43465.680000000008,0,0,0,0]
["New York - NY",0,-10,0,-15.24,0,0,0,144.41,0,0,0,0,0,0,-1439.5200000000004,-24.270000000000003,0,0,0,0]
["Ohio - OH",-7094034.9300000006,-3125185.36,0,180349.25,0,0,0,1343.4699999999884,0,0,0,0,0,0,52271.349999999955,241775.61,0,0,0,0]
["Oklahoma - OK",-2322979.9400000004,-763462.49,0,93386.03,0,19.57,0,3751.3600000000115,0,0,0,0,0,0,19413.389999999996,23111.439999999995,0,0,0,0]
["Oregon - OR",-926527.94000000006,-206709.78,0,-4361.55,0,0,0,438.29000000000019,0,86.670000000000016,0,0,0,40.94,35689.81,24363.279999999999,4858.6900000000023,3144.88,0,0]
["Pennsylvania - PA",-4757136.3499999996,-2334721.5999999996,0,179021.91999999998,0,959.03,0,105.48000000000073,0,0,0,0,0,0,116857.36000000002,131377.35999999999,0,0,0,0]
["Rhode Island - RI",-239754.56999999998,-53649.08,0,6422.5599999999995,0,0,0,904.32000000000016,0,0,0,0,0,-19.580000000000016,8368.3099999999977,4429.0600000000004,0,0,0,0]
["South Carolina - SC",-3999461.5599999996,-1307721.3199999998,0,144800.20000000001,0,0,0,187.4800000000032,0,125.57999999999998,0,0,0,0,46204.999999999985,53076.13,0,0,0,0]
["South Dakota - SD",-149653.04999999999,-55685.369999999995,0,7959.7800000000007,0,6.2899999999999991,0,2179.8200000000006,0,0,0,0,0,0,-3119.09,5142.46,0,0,0,0]
["Tennessee - TN",-6268661.9499999993,-2339361.41,0,190699.49,0,0,0,10501.739999999993,0,0,0,0,0,0,45710.139999999985,116840.57999999999,0,0,0,0]
["Texas - TX",-22443373.989999998,-7017337.6899999995,0,656629.09,0,0,0,-1489.3300000000231,0,-85.13,0,0,0,3132.2599999999998,166890.28999999998,239568.90000000002,0,0,0,0]
["Utah - UT",-1128770.1400000001,-439108.08000000007,0,55775.86,0,38.330000000000013,0,75.30999999999996,0,0,0,0,0,0,-13703.010000000009,29726.699999999997,0,0,0,0]
["Virginia - VA",-3257522.19,-838418.4,0,104325.34,0,0,0,1280.7400000000043,0,0,0,0,0,1124.9099999999999,-25144.149999999994,49790.710000000006,0,0,0,0]
["Vermont - VT",-24763.42,0,0,812.33000000000015,0,0,0,41.699999999999996,0,0,0,0,0,0,1225.0900000000001,-390.4,0,0,0,0]
["Washington - WA",-2485179.7699999996,-4713.6799999999994,0,52465.16,0,0,0,320.90000000000043,0,-253.05,0,0,0,675.93999999999994,13841.989999999994,-13176.18,0,0,0,0]
["Wisconsin - WI",-2931191.0300000003,-1074880.99,0,56422.99,0,1.6700000000000015,0,-240.25999999999186,0,0,0,0,0,0,11053.450000000044,73406.399999999994,0,0,0,0]
["West Virginia - WV",-496942.26,-256751.1,0,30403.16,0,26.839999999999996,0,423.51,0,0,0,0,0,0,22447.75,12472.759999999998,0,0,0,0]
["Wyoming - WY",-272306.32999999996,-135075.78,0,6409.12,0,0,0,29.310000000000215,0,130.05000000000001,0,0,0,39.86,11468.060000000001,6412.5599999999995,0,0,0,0]
["USANS809 - Unidentified Location",0,0,0,0,0,0,0,0,0,0,0,0,0,0,-1.9999999999999574E-2,0,0,0,0,0]
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