{"text_format":"1","workbook":"xlsx","n_sheets":12,"sheets":["Cover Page","Pt 1 Summary of Data","Pt 2 Premium and Claims","Pt 3 Expense Allocation","Pt 4 MLR Calculation","Pt 5 Additional Responses","Attestation","Premium Retrieve - SHCE Method","Claims retrieve","Taxes & assessments retrieve","State allocation","Salary, OGA, etc"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":1,"defined_names":50,"comments":0,"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":"Cover Page","index":0,"n_rows":22,"n_cols":3,"rows_kept":22,"cut":false,"hidden":false,"merged":[]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form "]
[null,"Dental Coverage"]
[]
[]
["1.","MLR Reporting Year","2019"]
["2.","Enter DMHC Health Plan ID. Insurers may leave this field blank"]
["3.","Legal Name","Nationwide Life Insurance Company"]
["4.","DBA"]
["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"]
[]
[]
[null,"Version 4.22.15"]
[null,"Revised Version 5.26.15"]
[null,"Revised Version 4.15.16 corrected dates for Cycle Year (CY)2015-2016 on TABs Parts 1, 2 and 4."]
[null,"Revised Version 5.10.17 12/31 and 3/31 Columns years to be auto populated on TABs Parts 1 and 2."]
[null,"Revised Version 5.20.19 Document Accessible"]

{"sheet":"Pt 1 Summary of Data","index":1,"n_rows":58,"n_cols":16,"rows_kept":58,"cut":false,"hidden":false,"merged":[]}
[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,null,null,{"$f":"'Cover Page'!C7","v":0},null,null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,null,null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"}]
[null,"dBA",null,null,"Part 1"]
[null,null,null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,null,null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[null,null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage"]
[null,null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products"]
[null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group"]
[null,null,null,null,"Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of ","Total as of "]
[null,null,null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(E18)+0,MONTH(E18)+3,DAY(E18)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(G18)+0,MONTH(G18)+3,DAY(G18)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(I18)+0,MONTH(I18)+3,DAY(I18)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(K18)+0,MONTH(K18)+3,DAY(K18)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(M18)+0,MONTH(M18)+3,DAY(M18)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(O18)+0,MONTH(O18)+3,DAY(O18)+0)","v":"2020-03-31"}]
[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",{"$f":"'Pt 2 Premium and Claims'!E22+'Pt 2 Premium and Claims'!E23-'Pt 2 Premium and Claims'!E24-'Pt 2 Premium and Claims'!E25","v":0},{"$f":"'Pt 2 Premium and Claims'!F22+'Pt 2 Premium and Claims'!F23-'Pt 2 Premium and Claims'!F24-'Pt 2 Premium and Claims'!F25","v":0},{"$f":"'Pt 2 Premium and Claims'!G22+'Pt 2 Premium and Claims'!G23-'Pt 2 Premium and Claims'!G24-'Pt 2 Premium and Claims'!G25","v":0},{"$f":"'Pt 2 Premium and Claims'!H22+'Pt 2 Premium and Claims'!H23-'Pt 2 Premium and Claims'!H24-'Pt 2 Premium and Claims'!H25","v":0},{"$f":"'Pt 2 Premium and Claims'!I22+'Pt 2 Premium and Claims'!I23-'Pt 2 Premium and Claims'!I24-'Pt 2 Premium and Claims'!I25","v":0},{"$f":"'Pt 2 Premium and Claims'!J22+'Pt 2 Premium and Claims'!J23-'Pt 2 Premium and Claims'!J24-'Pt 2 Premium and Claims'!J25","v":0},{"$f":"'Pt 2 Premium and Claims'!K22+'Pt 2 Premium and Claims'!K23-'Pt 2 Premium and Claims'!K24-'Pt 2 Premium and Claims'!K25","v":0},{"$f":"'Pt 2 Premium and Claims'!L22+'Pt 2 Premium and Claims'!L23-'Pt 2 Premium and Claims'!L24-'Pt 2 Premium and Claims'!L25","v":0},{"$f":"'Pt 2 Premium and Claims'!M22+'Pt 2 Premium and Claims'!M23-'Pt 2 Premium and Claims'!M24-'Pt 2 Premium and Claims'!M25","v":0},{"$f":"'Pt 2 Premium and Claims'!N22+'Pt 2 Premium and Claims'!N23-'Pt 2 Premium and Claims'!N24-'Pt 2 Premium and Claims'!N25","v":0},{"$f":"'Pt 2 Premium and Claims'!O22+'Pt 2 Premium and Claims'!O23-'Pt 2 Premium and Claims'!O24-'Pt 2 Premium and Claims'!O25","v":1290797.7199999997},{"$f":"'Pt 2 Premium and Claims'!P22+'Pt 2 Premium and Claims'!P23-'Pt 2 Premium and Claims'!P24-'Pt 2 Premium and Claims'!P25","v":1290797.7199999997}]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",{"$f":"'Pt 2 Premium and Claims'!E51","v":0},{"$f":"'Pt 2 Premium and Claims'!F51","v":0},{"$f":"'Pt 2 Premium and Claims'!G51","v":0},{"$f":"'Pt 2 Premium and Claims'!H51","v":0},{"$f":"'Pt 2 Premium and Claims'!I51","v":0},{"$f":"'Pt 2 Premium and Claims'!J51","v":0},{"$f":"'Pt 2 Premium and Claims'!K51","v":0},{"$f":"'Pt 2 Premium and Claims'!L51","v":0},{"$f":"'Pt 2 Premium and Claims'!M51","v":0},{"$f":"'Pt 2 Premium and Claims'!N51","v":0},{"$f":"'Pt 2 Premium and Claims'!O51","v":796216.15},{"$f":"'Pt 2 Premium and Claims'!P51","v":764750.04}]
[]
[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,null,null,null,null,null,null,null,null,{"$f":"'Taxes & assessments retrieve'!F57*0.21","v":65582.701799999995},65583]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium"]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
[null,null,null,"  3.2 a   State income, excise, business, and other taxes"]
[null,null,null,"  3.2 b   State premium taxes ",null,null,null,null,null,null,null,null,null,null,{"$f":"'Taxes & assessments retrieve'!F13","v":31210.230000000003},31210]
[null,null,null,"  3.2 c   Community benefit expenditures "]
[null,null,3.3,"Regulatory authority licenses and fees"]
[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$33)))","v":0},0,0,0,0,0,0,0,0,0,96792.931799999991,96793]
[]
[null,"4.","Non-Claims Costs "]
[null,null,4.0999999999999996,"Direct sales salaries and benefits",null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM('Salary, OGA, etc'!G12:G28)*'State allocation'!C57,2)","v":27699.02},27699]
[null,null,4.2,"Agents and brokers fees and commissions",null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM('Salary, OGA, etc'!G31:G32)*'State allocation'!C57,2)","v":225129.53},225130]
[null,null,4.3,"Other taxes"]
[null,null,null,"4.3a   Taxes and assessments (exclude amounts reported in Section 3 or Line 10) \n"]
[null,null,null,"4.3b   Fines and penalties of regulatory authorities (exclude amounts reported in Line 3.3)"]
[null,null,4.4000000000000004,"Other general and administrative expenses",null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM('Salary, OGA, etc'!G35:G118)*'State allocation'!C57,2)","v":65917.77},65918]
[null,null,4.5,"Total non-claims costs",{"$f":"SUM(SUM(E38:E39)+SUM(E41:E43))","v":0},{"$f":"SUM(SUM(F38:F39)+SUM(F41:F43))","v":0},0,0,0,0,0,0,0,0,318746.32,318747]
[]
[null,"5.","Other Indicators or information "]
[null,null,5.0999999999999996,"Number of covered lives",null,null,null,null,null,null,null,null,null,null,5392,5392]
[null,null,5.2,"Member months",null,null,null,null,null,null,null,null,null,null,30910,30910]
[null,null,5.3,"Number of life-years",{"$f":"E48/12","v":0},{"$f":"F48/12","v":0},0,{"$f":"H48/12","v":0},0,0,0,0,{"$f":"M48/12","v":0},{"$f":"N48/12","v":0},2575.8333333333335,2575.8333333333335]
[null,null,null,null,{"$f":"\"Grand Total as of \"&\"\"&TEXT(E$18,\"MM/DD/YYYY\")&\" for ALL markets in col. 1-12.\"","v":"Grand Total as of 12/31/2019 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 2 Premium and Claims","index":2,"n_rows":58,"n_cols":16,"rows_kept":58,"cut":false,"hidden":false,"merged":[]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims"]
[]
[null,"Health Plan ID"]
[null,null,null,{"$f":"'Cover Page'!C7","v":0}]
[null,"Legal Name"]
[null,null,null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"}]
[null,"dBA",null,null,"Part 2"]
[null,null,null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,null,null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[]
[null,null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage"]
[null,null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products"]
[null,null,null,null,"Individual",null,null,"Small Group","Large Group",null,"Individual",null,"Small Group",null,"Large Group"]
[null,null,null,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 "]
[null,null,null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT ",{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(E19)+0,MONTH(E19)+3,DAY(E19)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(G19)+0,MONTH(G19)+3,DAY(G19)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(I19)+0,MONTH(I19)+3,DAY(I19)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(K19)+0,MONTH(K19)+3,DAY(K19)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(M19)+0,MONTH(M19)+3,DAY(M19)+0)","v":"2020-03-31"},{"$f":"\"12/31/\"&\"\"&'Cover Page'!C$6","v":"12/31/2019"},{"$f":"DATE(YEAR(O19)+0,MONTH(O19)+3,DAY(O19)+0)","v":"2020-03-31"}]
[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,null,null,null,null,null,null,null,null,{"$f":"SUM('[1]Part 2 Line 1.1 (12-31 Column)'!$M$16:$M$129)","v":1287590.9199999997},{"$f":"SUM('[1]Part 2 Line 1.1 (12-31 Column)'!$M$16:$M$129)","v":1287590.9199999997}]
[null,null,1.2,"Unearned premium prior year",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM('[1]Part 2 Line 1.2 (12-31 Column)'!$M$16:$M$27)","v":3206.7999999999993},{"$f":"SUM('[1]Part 2 Line 1.2 (12-31 Column)'!$M$16:$M$27)","v":3206.7999999999993}]
[null,null,1.3,"Unearned premium MLR Reporting year",null,null,null,null,null,null,null,null,null,null,0]
[null,null,1.4,"Premium balances written off"]
[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
[null,null,null,"2.1a  Claims paid during the MLR reporting year regardless of incurred date",null,null,null,null,null,null,null,null,null,null,{"$f":"'Claims retrieve'!F13","v":766348.07000000007}]
[null,null,null,"2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Claims retrieve'!F31+'Claims retrieve'!F32","v":633976.39}]
[null,null,2.2000000000000002,"Direct claim liability"]
[null,null,null,"2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",null,null,null,null,null,null,null,null,null,null,{"$f":"'Claims retrieve'!F43+'Claims retrieve'!F47","v":157413.87}]
[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,null,null,null,null,{"$f":"'Claims retrieve'!F44+'Claims retrieve'!F48","v":130773.65}]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,null,null,null,null,null,null,null,null,null,{"$f":"'Claims retrieve'!F42+'Claims retrieve'!F46","v":127545.79000000002}]
[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,"2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year"]
[null,null,2.5,"Direct claim reserves prior year"]
[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,"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,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,"2.7b Reserves specific to the MLR reporting year through 3/31 of the following year"]
[null,null,"2.8","Reserve for experience rating refunds (rate credits) prior year"]
[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,"2.9b  Accrued dental incentive pools and bonuses MLR Reporting year"]
[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year"]
[null,null,"2.10","Contingent benefit and lawsuit reserves"]
[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},{"$f":"G29+G32-G34+G36-G38+G40+G43-G45+G47+G48-G49+G50","v":0},{"$f":"H30+H33+H37+H41+H44+H47+H48+H50","v":0},{"$f":"I29+I32-I34+I36-I38+I40+I43-I45+I47+I48-I49+I50","v":0},{"$f":"J30+J33+J37+J41+J44+J47+J48+J50","v":0},{"$f":"K29+K32-K34+K36-K38+K40+K43-K45+K47+K48-K49+K50","v":0},{"$f":"L30+L33+L37+L41+L44+L47+L48+L50","v":0},{"$f":"M29+M32-M34+M36-M38+M40+M43-M45+M47+M48-M49+M50","v":0},{"$f":"N30+N33+N37+N41+N44+N47+N48+N50","v":0},{"$f":"O29+O32-O34+O36-O38+O40+O43-O45+O47+O48-O49+O50","v":796216.15},{"$f":"P30+P33+P37+P41+P44+P47+P48+P50","v":764750.04}]
[]
[]
[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":3,"n_rows":87,"n_cols":4,"rows_kept":87,"cut":false,"hidden":false,"merged":[]}
[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,{"$f":"'Cover Page'!C7","v":0},null,"Part 3"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[]
[null,"Description of Expense Element (by Type)","NEW","Detailed Description of Expense Allocation Methods"]
[null,1,2,3]
[null,"1.  Incurred Claims"]
[null,"Expense that is paid to provider for benefits outlined in the policy ",null,"Not allocated, we book the expense to the State claim orginated.  All claims are reported as dental claims and not allocated to any lower coverage levels. "]
[]
[]
[]
[]
[]
[null,"2.  Federal and State Taxes and Licensing or Regulatory Fees"]
[null,"2.a Federal taxes and assessments"]
[null,"Federal tax and Assessments",null,"Allocated to State/product level by premium contribution"]
[]
[]
[]
[]
[]
[null,"2.b State insurance, premium and other taxes"]
[null,"State insurance",null,"Allocated to State/product level by premium contribution"]
[null,"State premium tax",null,"Not allocated, we pay and book to each state as the STAT product filing requires"]
[null,"Other taxes",null,"book other taxes licensing and fees to the State it orginated and allocate to product by premium if needed."]
[]
[]
[]
[null,"2.c Community benefit expenditures "]
[null,"Community benefit expenditures",null,"Muni taxes are assesed, paid, and booked to State/product. Not allocated"]
[]
[]
[]
[]
[]
[null,"2.d Regulatory authority licenses and fees"]
[null,"Licenses and fees",null,"If a license is not State specific the expense is allocated to State/product by premium.  If State/product specific no allocation is needed."]
[]
[]
[]
[]
[]
[null,"3.  Non-Claims costs"]
[null,"3.a Direct sales salaries and benefits"]
[null,"Direct sales salaries and benefits",null,"Direct states salaries and benefits are allocated to product then to state by premium contribution"]
[]
[]
[]
[]
[]
[null,"3.b Agents and brokers fees and commissions"]
[null," Agents and brokers fees and commissions",null,"This charge is a % of premium that is applied to the State/product premium.  No allocation needed."]
[]
[]
[]
[]
[]
[null,"3.c Other taxes"]
[null,"Other taxes",null,"If State tax, allocated to product by premium."]
[]
[]
[]
[]
[]
[null,"3.d Other general and administrative expenses"]
[null," Other general and administrative expenses",null,"General salaries and benefits are allocated to product then to state by premium contribution"]
[]
[]
[]
[]
[]
[]
[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":"Pt 4 MLR Calculation","index":4,"n_rows":41,"n_cols":28,"rows_kept":41,"cut":false,"hidden":false,"merged":[]}
[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage ",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,null,null,{"$f":"'Cover Page'!C7","v":0},null,"Part 4"]
[null,"Legal Name"]
[null,null,null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"}]
[null,"dBA"]
[null,null,null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,null,null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[]
[null,null,null,null,null,null,null,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,"DHMO Products",null,null,null,null,null,null,null,null,null,null,null,"DPPO & Indemnity Products"]
[null,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,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,1.2,"Adjusted incurred claims as of 3/31 of the year following the MLR reporting year (Part 1 Line 2.1)",null,null,{"$f":"'Pt 1 Summary of Data'!F24","v":0},{"$f":"SUM(E22:G22)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!H24","v":0},{"$f":"SUM(I22:K22)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!J24","v":0},{"$f":"SUM(M22:O22)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!L24","v":0},{"$f":"SUM(Q22:S22)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!N24","v":0},{"$f":"SUM(U22:W22)","v":0},910440.44,848375.38000000012,{"$f":"'Pt 1 Summary of Data'!P24","v":764750.04},{"$f":"SUM(Y22:AA22)","v":2523565.8600000003}]
[null,null,1.3,"MLR numerator (Line 1.2)",{"$f":"SUM(E$22)","v":0},{"$f":"SUM(F$22)","v":0},{"$f":"SUM(G$22:G$22)","v":0},{"$f":"SUM(E23:G23)","v":0},{"$f":"SUM(I$22:I$22)","v":0},{"$f":"SUM(J$22:J$22)","v":0},{"$f":"SUM(K$22:K$22)","v":0},{"$f":"SUM(I23:K23)","v":0},{"$f":"SUM(M$22:M$22)","v":0},{"$f":"SUM(N$22:N$22)","v":0},{"$f":"SUM(O$22:O$22)","v":0},{"$f":"SUM(M23:O23)","v":0},{"$f":"SUM(Q$22:Q$22)","v":0},{"$f":"SUM(R$22:R$22)","v":0},{"$f":"SUM(S$22:S$22)","v":0},{"$f":"SUM(Q23:S23)","v":0},{"$f":"SUM(U$22:U$22)","v":0},{"$f":"SUM(V$22:V$22)","v":0},{"$f":"SUM(W$22:W$22)","v":0},{"$f":"SUM(U23:W23)","v":0},{"$f":"SUM(Y$22:Y$22)","v":910440.44},{"$f":"SUM(Z$22:Z$22)","v":848375.38000000012},{"$f":"SUM(AA$22:AA$22)","v":764750.04},{"$f":"SUM(Y23:AA23)","v":2523565.8600000003}]
[null,null,null,"  "]
[null,"2.","Medical Loss Ratio Denominator"]
[null,null,2.1,"Premium earned (Part 1 Line 1.1)",null,null,{"$f":"'Pt 1 Summary of Data'!F21","v":0},{"$f":"SUM(E26:G26)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!H21","v":0},{"$f":"SUM(I26:K26)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!J21","v":0},{"$f":"SUM(M26:O26)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!L21","v":0},{"$f":"SUM(Q26:S26)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!N21","v":0},{"$f":"SUM(U26:W26)","v":0},1589017.8600000627,1481679.11,{"$f":"'Pt 1 Summary of Data'!P21","v":1290797.7199999997},{"$f":"SUM(Y26:AA26)","v":4361494.6900000628}]
[null,null,2.2000000000000002,"Federal and State taxes and licensing or regulatory fees ( Part 1 Line 3.4)",null,null,{"$f":"'Pt 1 Summary of Data'!F35","v":0},{"$f":"SUM(E27:G27)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!H35","v":0},{"$f":"SUM(I27:K27)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!J35","v":0},{"$f":"SUM(M27:O27)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!L35","v":0},{"$f":"SUM(Q27:S27)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!N35","v":0},{"$f":"SUM(U27:W27)","v":0},36273.5,114594.15820000001,{"$f":"'Pt 1 Summary of Data'!P35","v":96793},{"$f":"SUM(Y27:AA27)","v":247660.65820000001}]
[null,null,2.2999999999999998,"MLR Denominator (Line 2.1 - Line 2.2) ",{"$f":"E$26-E$27","v":0},0,0,{"$f":"H$26-H$27","v":0},{"$f":"I$26-I$27","v":0},{"$f":"J$26-J$27","v":0},0,{"$f":"L$26-L$27","v":0},0,0,0,{"$f":"P$26-P$27","v":0},0,0,0,{"$f":"T$26-T$27","v":0},0,0,0,{"$f":"X$26-X$27","v":0},1552744.3600000627,1367084.9518000002,1194004.7199999997,{"$f":"AB$26-AB$27","v":4113834.0318000629}]
[]
[null,"3.",3.1,"Life-years (Part 1 Line 5.3)",null,null,{"$f":"'Pt 1 Summary of Data'!F49","v":0},{"$f":"SUM(E30:G30)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!H49","v":0},{"$f":"SUM(I30:K30)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!J49","v":0},{"$f":"SUM(M30:O30)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!L49","v":0},{"$f":"SUM(Q30:S30)","v":0},null,null,{"$f":"'Pt 1 Summary of Data'!N49","v":0},{"$f":"SUM(U30:W30)","v":0},2759.5,2469,{"$f":"'Pt 1 Summary of Data'!P49","v":2575.8333333333335},{"$f":"SUM(Y30:AA30)","v":7804.3333333333339}]
[]
[null,"4.",null,"MLR Calculation (for Health plans or health insurers with at least 1,000 life years in the Total column of Line 3.1)"]
[null,null,4.0999999999999996,"MLR",null,null,null,{"$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":0.61343404728843198}]
[]
[]
[]
[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 5 Additional Responses","index":5,"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,{"$f":"'Cover Page'!C7","v":0}]
[null,"Legal Name","Part 5"]
[null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[]
[]
[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."]
[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"]
[null,"Deferred experience for current year"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[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,"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":"Attestation","index":6,"n_rows":27,"n_cols":4,"rows_kept":27,"cut":false,"hidden":false,"merged":[]}
[null,"Department of Managed Health Care"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage "]
[null,"Attestation"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":0}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"Nationwide Life Insurance Company"},null,"Attestation"]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":0}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2019"}]
[]
[]
[]
[]
[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,"Chief Executive Officer/President"]
[]
[]
[]
[null,"Chief Financial Officer"]

{"sheet":"Premium Retrieve - SHCE Method","index":7,"n_rows":19,"n_cols":10,"rows_kept":19,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,null,null,null,null,"Legal Entity Stat Summary"]
[null,null,null,null,null,null,null,null,null,"Expense Group"]
[null,null,null,null,null,null,null,null,null,"Actuals"]
[null,null,null,null,null,null,null,null,null,"All Channels"]
[null,null,null,null,null,null,null,null,null,"Statutory Product"]
[null,null,null,null,null,null,null,null,null,"Nationwide Life Insurance Co"]
[null,null,null,null,null,null,null,null,null,"E10124:Dental"]
[null,null,null,null,null,null,null,null,null,"Entity"]
[null,null,null,null,null,null,null,null,null,"Reinsurance IDs"]
[null,null,null,null,null,null,null,null,null,"Direct Reinsurance Type"]
[null,null,null,null,null,null,null,null,null,"California"]
[null,null,null,null,null,null,null,null,null,"Managed Entity"]
["1.1 Direct premium written","12ITD","December ITD","Y2018","Y2018","F4010000","Premiums and Annuity Considerations","All Accident Years","All Accident Years",1494606.53]
["1.1 Direct premium written","3ITD","March ITD","Y2019","Y2019","F4010000","Premiums and Annuity Considerations","All Accident Years","All Accident Years",365463.14]
["1.2 Unearned premium prior year","12ITD","December ITD","Y2017","Y2017","22100001","Unearned Premium Reserve-A&H","All Accident Years","All Accident Years",4172.7600000000057]
[null,"3ITD","March ITD","Y2018","Y2018","22100001","Unearned Premium Reserve-A&H","All Accident Years","All Accident Years",4229.619999999999]
["1.3 Unearned premium MLR Reporting year","12ITD","December ITD","Y2018","Y2018","22100001","Unearned Premium Reserve-A&H","All Accident Years","All Accident Years",2859.93]
[null,"3ITD","March ITD","Y2019","Y2019","22100001","Unearned Premium Reserve-A&H","All Accident Years","All Accident Years",4411.920000000001]
[null,"12ITD","December ITD","Y2018","Y2018","41100000","Insurance Premiums","All Accident Years","All Accident Years",1495919.3599999999]

{"sheet":"Claims retrieve","index":8,"n_rows":51,"n_cols":6,"rows_kept":51,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,"Legal Entity Stat Summary"]
[null,null,null,null,null,"Expense Group"]
[null,null,null,null,null,"Actuals"]
[null,null,null,null,null,"All Channels"]
[null,null,null,null,null,"Statutory Product"]
[null,null,null,null,null,"Nationwide Life Insurance Co"]
[null,null,null,null,null,"E10124:Dental"]
[null,null,null,null,null,"Entity"]
[null,null,null,null,null,"Reinsurance IDs"]
[null,null,null,null,null,"Direct Reinsurance Type"]
[null,null,null,null,null,"California"]
["MLR Line Description (Pt 2 Section 2 - Claims)",null,null,null,null,"Managed Entity"]
["2.1a  Claims paid during the MLR reporting year regardless of incurred date","December ITD","Y2019","A&H Paid Losses","All Accident Years",766348.07000000007]
["2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year","December ITD","Y2019","A&H Chg Net Loss Res-IBNR","All Accident Years",29868.080000000002]
["2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year","December ITD","Y2019","A&H Chg In A&O IBNR Reserve","All Accident Years",0]
["2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date"]
["2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year","December ITD","Y2019","Paid Surrender Benefit-GA","All Accident Years",0]
["2.5 Direct claim reserves prior year","December ITD","Y2019","Death Benf-Life Claim(s) Pndg","All Accident Years",0]
["2.9a Reserved in MLR reporting year regardless of incurred date","December ITD","Y2019","Paid Death Benefits-GA","All Accident Years",0]
["2.9b Reserves specific to the MLR reporting year through 3/31 of the following year","December ITD","Y2019","Chg in Policy Reserves-GA","All Accident Years",0]
["2.10 Reserve for experience rating refunds (rate credits) prior year","December ITD","Y2019","Conversion Fee","All Accident Years",0]
[null,"December ITD","Y2019","Chg in Loss Resv-IBNR-NF","All Accident Years",0]
[null,"December ITD","Y2019","Change in Reserves-SCWOLC","All Accident Years",0]
[null,"December ITD","Y2019","A&H A&O Paid","All Accident Years",0]
[null,"December ITD","Y2019","A&H Chg In Loss Resv-Claim(s)","All Accident Years",0]
[null,"December ITD","Y2019","A&H Chg In Tabular Disc-Case","All Accident Years",0]
[null,"December ITD","Y2019","A&H D&CC Paid-No Detail","All Accident Years",0]
[null,"December ITD","Y2019","Sundry Interest","All Accident Years",0]
[null,"December ITD","Y2019","Policy Benefits & Claims","All Accident Years",798882.62000000011]
[]
[null,"March ITD","Y2020","A&H Paid Losses","Loss Year 2019",2944.7999999999997]
[null,"December ITD","Y2019","A&H Paid Losses","Loss Year 2019",631031.59]
[null,"March ITD","Y2020","A&H Chg Net Loss Res-IBNR","Loss Year 2019",-25848.55]
[null,"March ITD","Y2020","A&H Chg In A&O IBNR Reserve","Loss Year 2019",0]
[]
[null,"March ITD","Y2020","Chg in Loss Resv-IBNR-NF","Loss Year 2019",0]
[null,"March ITD","Y2020","A&H A&O Paid","Loss Year 2019",0]
[null,"March ITD","Y2020","A&H Chg In Loss Resv-Claim(s)","Loss Year 2019",0]
[null,"March ITD","Y2020","A&H D&CC Paid-No Detail","Loss Year 2019",0]
[null,"March ITD","Y2020","Policy Benefits & Claims","Loss Year 2019",-22828.39]
[]
[null,"December ITD","Y2018","Loss Reserve IBNR-A&H","All Accident Years",120896.48000000003]
[null,"December ITD","Y2019","Loss Reserve IBNR-A&H","All Accident Years",149207.46]
[null,"March ITD","Y2020","Loss Reserve IBNR-A&H","Loss Year 2019",123956.06999999999]
[]
[null,"December ITD","Y2018","D&CC IBNR-A&H","All Accident Years",6649.3099999999995]
[null,"December ITD","Y2019","D&CC IBNR-A&H","All Accident Years",8206.41]
[null,"March ITD","Y2020","D&CC IBNR-A&H","Loss Year 2019",6817.579999999999]
[]
[null,"December ITD","Y2019","Experience Rate Credit Resv-A&H","All Accident Years",0]
[null,"March ITD","Y2020","Experience Rate Credit Resv-A&H","Loss Year 2019",0]

{"sheet":"Taxes & assessments retrieve","index":9,"n_rows":58,"n_cols":6,"rows_kept":58,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,"Expense Group"]
[null,null,null,null,null,"Actuals"]
[null,null,null,null,null,"All Channels"]
[null,null,null,null,null,"Statutory Product"]
[null,null,null,null,null,"Nationwide Life Insurance Co"]
[null,null,null,null,null,"E10124:Dental"]
[null,null,null,null,null,"Entity"]
[null,null,null,null,null,"Reinsurance IDs"]
[null,null,null,null,null,"California"]
[null,null,null,null,null,"Managed Entity"]
[null,null,null,null,null,"Legal Entity Stat Summary"]
["Premium Tax - Plan/FCST","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Premium Tax Expense","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",31210.230000000003]
["TL&F-Premium Tax Expense-A&H","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Amort Premium Tax Recvrbl","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Chg in Premium Tax Liab","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Chg in Loss Based Assmt Accrl","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Other TLF - Plan/FCST","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Licenses & Fees-Co","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Agent License & Fees","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Chg In Accrl Ins Dept TL&F Control","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["ACA HIP Fee expense","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["A&H Taxes Lic & Fees","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["State Tax","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["City/Municipality Tax","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Fines & Penalties","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Franchise Tax","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["TL&F-All Other","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Change in All Other Tax (Inactive)","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Chg in Non-Income Tax Reserves","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Federal Fines and Penalties","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
["Guaranty Fund Tax","December ITD","Y2019","All Accident Years","Direct Reinsurance Type",0]
[]
["Premium Tax - Plan/FCST","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Premium Tax Expense","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",9992.2800000000007]
["TL&F-Premium Tax Expense-A&H","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Amort Premium Tax Recvrbl","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Chg in Premium Tax Liab","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Chg in Loss Based Assmt Accrl","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Other TLF - Plan/FCST","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Licenses & Fees-Co","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Agent License & Fees","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Chg In Accrl Ins Dept TL&F Control","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["ACA HIP Fee expense","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["A&H Taxes Lic & Fees","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["State Tax","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["City/Municipality Tax","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-Fines & Penalties","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Franchise Tax","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["TL&F-All Other","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Change in All Other Tax (Inactive)","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Chg in Non-Income Tax Reserves","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Federal Fines and Penalties","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
["Guaranty Fund Tax","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",0]
[]
[]
["Net Operating Income","December YTD","Y2019","All Accident Years","Direct Reinsurance Type",312298.57999999996]
["Net Operating Income","March ITD","Y2020","All Accident Years","Direct Reinsurance Type",33494.840000000011]

{"sheet":"State allocation","index":10,"n_rows":64,"n_cols":3,"rows_kept":64,"cut":false,"hidden":true,"merged":[]}
[null,"Y2019"]
[null,"Management GAAP summary"]
[null,"All Accident Years"]
[null,"Expense Group"]
[null,"Actuals"]
[null,"Managed Entity"]
[null,"All Channels"]
[null,"Statutory Product"]
[null,"Legal Entity"]
[null,"E10124:Dental"]
[null,"Entity"]
[null,"Reinsurance ID"]
[null,"December YTD"]
[null,"Insurance Premiums"]
[null,"Direct Reinsurance Type"]
["Delaware",34193.549999999996]
["District of Columbia",22613.630000000005]
["Kentucky",46994.55]
["Maryland",133144.21]
["Ohio",1040043.6599999999]
["Tennessee",127216.98000000001]
["Virginia",165986.28]
["West Virginia",33915.69]
["Connecticut",58825.68]
["Massachusetts",31269.58]
["Maine",0]
["New Hampshire",16404.62]
["New Jersey",36608.959999999999]
["New York",494187.85000000003]
["Pennsylvania",554895.27]
["Rhode Island",11332.43]
["Alabama",59213.80000000001]
["Arkansas",28124.36]
["Florida",516828.41000000003]
["Georgia",594514.43000000005]
["Mississippi",60207.240000000005]
["North Carolina",264044.07]
["South Carolina",182426.66999999998]
["Iowa",28590.310000000005]
["Illinois",305191.73000000004]
["Indiana",270154.84999999998]
["Kansas",191550.65000000002]
["Michigan",1262292.79]
["Minnesota",10974.310000000001]
["Missouri",425997.63]
["Nebraska",40628.839999999997]
["North Dakota",32167.96]
["Wisconsin",638133.93000000005]
["Arizona",326697.40000000002]
["Colorado",151730.67000000001]
["Montana",116.29999999999998]
["New Mexico",33545.97]
["Oklahoma",108895.84]
["Texas",658542.67999999993]
["Utah",114976.67]
["Wyoming",13596.579999999998]
["California",1516660.46,{"$f":"B57/SUM(B16:B64)","v":0.12849625409420717}]
["Idaho",140347.87]
["Nevada",250676.58000000002]
["Oregon",191484.08]
["Washington",464679.11]
["Alaska",353.78]
["Hawaii",12859.93]
["Louisiana",99310.37]

{"sheet":"Salary, OGA, etc","index":11,"n_rows":225,"n_cols":7,"rows_kept":225,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,null,"Expense Group"]
[null,null,null,null,null,null,"Actuals"]
[null,null,null,null,null,null,"All Channels"]
[null,null,null,null,null,null,"Statutory Product"]
[null,null,null,null,null,null,"Legal Entity"]
[null,null,null,null,null,null,"E10124:Dental"]
[null,null,null,null,null,null,"Entity"]
[null,null,null,null,null,null,"Reinsurance IDs"]
[null,null,null,null,null,null,"Direct Reinsurance Type"]
[null,null,null,null,null,null,"Geography"]
["MLR Line Description (Pt 1 Section 5 - Non-Claims Costs)",null,null,null,null,null,"Managed Entity"]
["5.3 Direct sales salaries and benefits","Salary Expense-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Salary Benefit-401K Co Contrib","Management GAAP summary","All Accident Years","December ITD","Y2019",34190.269999999997]
["5.3 Direct sales salaries and benefits","Salary Benefit-Pension Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",5006.8]
["5.3 Direct sales salaries and benefits","Salary Benefit-OPEB Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",-189.07000000000002]
["5.3 Direct sales salaries and benefits","Salary Benefit-Grp Ins Exp-EE","Management GAAP summary","All Accident Years","December ITD","Y2019",60018.12999999999]
["5.3 Direct sales salaries and benefits","Salary Benefit-Est Benefit Summ","Management GAAP summary","All Accident Years","December ITD","Y2019",-10279.109999999999]
["5.3 Direct sales salaries and benefits","Salary Exp-PIP/LTP","Management GAAP summary","All Accident Years","December ITD","Y2019",126219.05000000002]
["5.3 Direct sales salaries and benefits","Salary Exp-Field/Sales/Fund Mgr","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Recruitment Expense-All Other","Management GAAP summary","All Accident Years","December ITD","Y2019",596.79]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Salary Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Incentives and Bonuses Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Salary Benefit-Est Benefit Summ Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Benefit-Est Benefit Summ Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Benefit-Training/Ed Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Recruitment Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Recruitment Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
[]
[]
["N/A","Comm Expense-Renewal","Management GAAP summary","All Accident Years","December ITD","Y2019",1815522.26]
["N/A","Comm Exp-Chg in Accrl-Renewal","Management GAAP summary","All Accident Years","December ITD","Y2019",-63490.400000000001]
["N/A","Payroll Tax Expense-FUTA","Management GAAP summary","All Accident Years","December ITD","Y2019",2008.8000000000002]
[]
["5.6 Other general and administrative expenses","Reloc Expense-Temporary Living","Management GAAP summary","All Accident Years","December ITD","Y2019",1.23]
["5.6 Other general and administrative expenses","Reloc Exp-Home Buy/Sell Cost","Management GAAP summary","All Accident Years","December ITD","Y2019",-125.64]
["5.6 Other general and administrative expenses","Reloc Exp-Moving/Transportation","Management GAAP summary","All Accident Years","December ITD","Y2019",76.099999999999994]
["5.6 Other general and administrative expenses","Reloc Exp-Cost of Livg Subsidy","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Dues & Subscrptn-Prof Dues & Memb","Management GAAP summary","All Accident Years","December ITD","Y2019",3099.6900000000005]
["5.6 Other general and administrative expenses","Dues & Subscrptn-Subscriptions","Management GAAP summary","All Accident Years","December ITD","Y2019",1078.19]
["5.6 Other general and administrative expenses","Labor Related Overhead Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",32128.629999999997]
["5.6 Other general and administrative expenses","Labor Related Ovrhd Contra Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",-30468.98]
["5.6 Other general and administrative expenses","Travel Exp-Meals & Entertain","Management GAAP summary","All Accident Years","December ITD","Y2019",1065.58]
["5.6 Other general and administrative expenses","Travel Expense-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Auto/Plane Expense-Lease","Management GAAP summary","All Accident Years","December ITD","Y2019",-2196.4699999999998]
["5.6 Other general and administrative expenses","Telecommunications-Cost","Management GAAP summary","All Accident Years","December ITD","Y2019",4310.95]
["5.6 Other general and administrative expenses","Rent Expense-Cleaning-Shred","Management GAAP summary","All Accident Years","December ITD","Y2019",256.05999999999995]
["5.6 Other general and administrative expenses","Intrnl Chrgs from R/E","Management GAAP summary","All Accident Years","December ITD","Y2019",28811.3]
["5.6 Other general and administrative expenses","Rent Expense-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",-0.08]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Legal Fee","Management GAAP summary","All Accident Years","December ITD","Y2019",2038.47]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Consltg Exp Non-Txbl","Management GAAP summary","All Accident Years","December ITD","Y2019",37591.479999999996]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Consltg Exp Txbl","Management GAAP summary","All Accident Years","December ITD","Y2019",4867.4399999999987]
["5.6 Other general and administrative expenses","External Service-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",85124.12999999999]
["5.6 Other general and administrative expenses","External Service-TPA","Management GAAP summary","All Accident Years","December ITD","Y2019",11847.8]
["5.6 Other general and administrative expenses","External Service-Cost Recvry","Management GAAP summary","All Accident Years","December ITD","Y2019",11779.929999999998]
["5.6 Other general and administrative expenses","Printing & Supplies-Print Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",-5588.0599999999995]
["5.6 Other general and administrative expenses","Printing & Supplies-Suppl Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",8614.6300000000028]
["5.6 Other general and administrative expenses","Postage Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",1236.5700000000002]
["5.6 Other general and administrative expenses","Bank Charge/Custodial Fee Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",18445.169999999998]
["5.6 Other general and administrative expenses","Furn & Office Equip-Deprec Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",120.8]
["5.6 Other general and administrative expenses","Furn & Office Equip-Cost/Maint","Management GAAP summary","All Accident Years","December ITD","Y2019",687.49000000000012]
["5.6 Other general and administrative expenses","Furn & Office Equip-Lease Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",105.49]
["5.6 Other general and administrative expenses","EDP Hardware Exp-Cost/Maint","Management GAAP summary","All Accident Years","December ITD","Y2019",18.48]
["5.6 Other general and administrative expenses","EDP Hardware Exp-Depreciation","Management GAAP summary","All Accident Years","December ITD","Y2019",429.69000000000005]
["5.6 Other general and administrative expenses","EDP Hardware Expense-PC Deprec","Management GAAP summary","All Accident Years","December ITD","Y2019",2866.8200000000006]
["5.6 Other general and administrative expenses","EDP/Software Exp-Cost/Maint","Management GAAP summary","All Accident Years","December ITD","Y2019",50689.090000000011]
["5.6 Other general and administrative expenses","Advertising Exp-General","Management GAAP summary","All Accident Years","December ITD","Y2019",155257.09]
["5.6 Other general and administrative expenses","Advertising Exp-Sponsor & Endors","Management GAAP summary","All Accident Years","December ITD","Y2019",6559.2899999999991]
["5.6 Other general and administrative expenses","Advertising Expense-Creative","Management GAAP summary","All Accident Years","December ITD","Y2019",220.33999999999997]
["5.6 Other general and administrative expenses","Advertising Exp-Outdoor Advert","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","BB&A Expense-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",1430.9800000000002]
["5.6 Other general and administrative expenses","Contribution Exp-Charitable","Management GAAP summary","All Accident Years","December ITD","Y2019",1746.25]
["5.6 Other general and administrative expenses","Agent Expense/Allow-Misc","Management GAAP summary","All Accident Years","December ITD","Y2019",560.52]
["5.6 Other general and administrative expenses","Standard Cost IT Associate","Management GAAP summary","All Accident Years","December ITD","Y2019",63715.51999999999]
["5.6 Other general and administrative expenses","Standard Cost Credit IT Associate","Management GAAP summary","All Accident Years","December ITD","Y2019",-40211]
["5.6 Other general and administrative expenses","Misc Intrnl Prod Billing Chrg","Management GAAP summary","All Accident Years","December ITD","Y2019",-22.889999999999997]
["5.6 Other general and administrative expenses","Corporate Expense DSA","Management GAAP summary","All Accident Years","December ITD","Y2019",3315.7400000000002]
["5.6 Other general and administrative expenses","All Other Departmental Exp","Management GAAP summary","All Accident Years","December ITD","Y2019",11622.48]
["5.6 Other general and administrative expenses","Internal Charges From NWIT","Management GAAP summary","All Accident Years","December ITD","Y2019",41209.930000000008]
["5.6 Other general and administrative expenses","Internal Charge-outs for Salary Benefit-Training/Ed Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Survey and Underwriting Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Legal Audit & Consulting Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Legal Audit & Consulting Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Travel Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Travel Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Postage Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Postage Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Telecommunications Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Telecommunications Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Printing & Supplies Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Printing & Supplies Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Equipment Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Equipment Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Equipment-Depreciation Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for EDP and Software Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for EDP and Software Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Dues & Subscription Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Dues & Subscription Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Misc All Other Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Misc All Other Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for External Services Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for External Services Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Relocation Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Relocation Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Labor Related Ovrhd","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Labor Related Ovrhd","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Advertising Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Advertising Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Boards: Bureaus & Assn","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Agency Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Real Estate Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Real Estate Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Director Fees","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Corporate Insurance","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Contribution Expense","Management GAAP summary","All Accident Years","December ITD","Y2019",0]
["5.6 Other general and administrative expenses","Internal Service Recoveries","Management GAAP summary","All Accident Years","December ITD","Y2019",-1071.49]
["5.6 Other general and administrative expenses","Internal Service Fee-Income","Management GAAP summary","All Accident Years","December ITD","Y2019",-177.5]
["5.6 Other general and administrative expenses","Salary Benefit-No Detail","Management GAAP summary","All Accident Years","December ITD","Y2019",-73.56]
[]
["5.3 Direct sales salaries and benefits","Salary Expense-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",1.0000000000000009E-2]
["5.3 Direct sales salaries and benefits","Salary Benefit-401K Co Contrib","Management GAAP summary","All Accident Years","March ITD","Y2020",10924.02]
["5.3 Direct sales salaries and benefits","Salary Benefit-Pension Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",-2669.25]
["5.3 Direct sales salaries and benefits","Salary Benefit-OPEB Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",1198.26]
["5.3 Direct sales salaries and benefits","Salary Benefit-Grp Ins Exp-EE","Management GAAP summary","All Accident Years","March ITD","Y2020",21141.739999999998]
["5.3 Direct sales salaries and benefits","Salary Benefit-Est Benefit Summ","Management GAAP summary","All Accident Years","March ITD","Y2020",2368.9299999999998]
["5.3 Direct sales salaries and benefits","Salary Exp-PIP/LTP","Management GAAP summary","All Accident Years","March ITD","Y2020",174193.42]
["5.3 Direct sales salaries and benefits","Salary Exp-Field/Sales/Fund Mgr","Management GAAP summary","All Accident Years","March ITD","Y2020",4350]
["5.3 Direct sales salaries and benefits","Recruitment Expense-All Other","Management GAAP summary","All Accident Years","March ITD","Y2020",68.13]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Salary Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Incentives and Bonuses Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Salary Benefit-Est Benefit Summ Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Benefit-Est Benefit Summ Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Salary Benefit-Training/Ed Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Charge-outs for Recruitment Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.3 Direct sales salaries and benefits","Internal Recoveries for Recruitment Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
[]
["N/A","Payroll Tax Exp-Chg in Accrual","Management GAAP summary","All Accident Years","March ITD","Y2020",-720.1400000000001]
["N/A","Payroll Tax Expense-FICA","Management GAAP summary","All Accident Years","March ITD","Y2020",24860.129999999997]
["N/A","Payroll Tax Expense-FUTA","Management GAAP summary","All Accident Years","March ITD","Y2020",1864.65]
[]
["5.6 Other general and administrative expenses","Reloc Expense-Temporary Living","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Reloc Exp-Home Buy/Sell Cost","Management GAAP summary","All Accident Years","March ITD","Y2020",-55.02]
["5.6 Other general and administrative expenses","Reloc Exp-Moving/Transportation","Management GAAP summary","All Accident Years","March ITD","Y2020",11.19]
["5.6 Other general and administrative expenses","Reloc Exp-Cost of Livg Subsidy","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Dues & Subscrptn-Prof Dues & Memb","Management GAAP summary","All Accident Years","March ITD","Y2020",526.5]
["5.6 Other general and administrative expenses","Dues & Subscrptn-Subscriptions","Management GAAP summary","All Accident Years","March ITD","Y2020",80.650000000000006]
["5.6 Other general and administrative expenses","Labor Related Overhead Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",5923.86]
["5.6 Other general and administrative expenses","Labor Related Ovrhd Contra Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",-3296.54]
["5.6 Other general and administrative expenses","Travel Exp-Meals & Entertain","Management GAAP summary","All Accident Years","March ITD","Y2020",-2.1]
["5.6 Other general and administrative expenses","Travel Expense-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Auto/Plane Expense-Lease","Management GAAP summary","All Accident Years","March ITD","Y2020",-852.92000000000007]
["5.6 Other general and administrative expenses","Telecommunications-Cost","Management GAAP summary","All Accident Years","March ITD","Y2020",1454.05]
["5.6 Other general and administrative expenses","Rent Expense-Cleaning-Shred","Management GAAP summary","All Accident Years","March ITD","Y2020",3.96]
["5.6 Other general and administrative expenses","Intrnl Chrgs from R/E","Management GAAP summary","All Accident Years","March ITD","Y2020",6878.73]
["5.6 Other general and administrative expenses","Rent Expense-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Legal Fee","Management GAAP summary","All Accident Years","March ITD","Y2020",235.22000000000003]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Consltg Exp Non-Txbl","Management GAAP summary","All Accident Years","March ITD","Y2020",17777.32]
["5.6 Other general and administrative expenses","Legal/Audit/Consltg-Consltg Exp Txbl","Management GAAP summary","All Accident Years","March ITD","Y2020",1366.78]
["5.6 Other general and administrative expenses","External Service-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",662.18999999999994]
["5.6 Other general and administrative expenses","External Service-TPA","Management GAAP summary","All Accident Years","March ITD","Y2020",1150.3699999999999]
["5.6 Other general and administrative expenses","External Service-Cost Recvry","Management GAAP summary","All Accident Years","March ITD","Y2020",-582.79]
["5.6 Other general and administrative expenses","Printing & Supplies-Print Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",-1617.22]
["5.6 Other general and administrative expenses","Printing & Supplies-Suppl Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",532.82000000000005]
["5.6 Other general and administrative expenses","Postage Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",238.36]
["5.6 Other general and administrative expenses","Bank Charge/Custodial Fee Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",2257.4699999999998]
["5.6 Other general and administrative expenses","Furn & Office Equip-Deprec Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",35.53]
["5.6 Other general and administrative expenses","Furn & Office Equip-Cost/Maint","Management GAAP summary","All Accident Years","March ITD","Y2020",325.89999999999998]
["5.6 Other general and administrative expenses","Furn & Office Equip-Lease Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","EDP Hardware Exp-Cost/Maint","Management GAAP summary","All Accident Years","March ITD","Y2020",50.820000000000007]
["5.6 Other general and administrative expenses","EDP Hardware Exp-Depreciation","Management GAAP summary","All Accident Years","March ITD","Y2020",1920.78]
["5.6 Other general and administrative expenses","EDP Hardware Expense-PC Deprec","Management GAAP summary","All Accident Years","March ITD","Y2020",476.15]
["5.6 Other general and administrative expenses","EDP/Software Exp-Cost/Maint","Management GAAP summary","All Accident Years","March ITD","Y2020",12421.509999999998]
["5.6 Other general and administrative expenses","Advertising Exp-General","Management GAAP summary","All Accident Years","March ITD","Y2020",29162.07]
["5.6 Other general and administrative expenses","Advertising Exp-Sponsor & Endors","Management GAAP summary","All Accident Years","March ITD","Y2020",602.17999999999995]
["5.6 Other general and administrative expenses","Advertising Expense-Creative","Management GAAP summary","All Accident Years","March ITD","Y2020",3.54]
["5.6 Other general and administrative expenses","Advertising Exp-Outdoor Advert","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","BB&A Expense-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",108.83]
["5.6 Other general and administrative expenses","Contribution Exp-Charitable","Management GAAP summary","All Accident Years","March ITD","Y2020",4.0599999999999996]
["5.6 Other general and administrative expenses","Agent Expense/Allow-Misc","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Standard Cost IT Associate","Management GAAP summary","All Accident Years","March ITD","Y2020",23756.82]
["5.6 Other general and administrative expenses","Standard Cost Credit IT Associate","Management GAAP summary","All Accident Years","March ITD","Y2020",-11035.55]
["5.6 Other general and administrative expenses","Misc Intrnl Prod Billing Chrg","Management GAAP summary","All Accident Years","March ITD","Y2020",-5.1899999999999995]
["5.6 Other general and administrative expenses","Corporate Expense DSA","Management GAAP summary","All Accident Years","March ITD","Y2020",996]
["5.6 Other general and administrative expenses","All Other Departmental Exp","Management GAAP summary","All Accident Years","March ITD","Y2020",5463.13]
["5.6 Other general and administrative expenses","Internal Charges From NWIT","Management GAAP summary","All Accident Years","March ITD","Y2020",495.01]
["5.6 Other general and administrative expenses","Internal Charge-outs for Salary Benefit-Training/Ed Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Survey and Underwriting Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Legal Audit & Consulting Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Legal Audit & Consulting Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Travel Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Travel Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Postage Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Postage Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Telecommunications Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Telecommunications Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Printing & Supplies Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Printing & Supplies Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Equipment Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Equipment Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Equipment-Depreciation Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for EDP and Software Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for EDP and Software Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Dues & Subscription Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Dues & Subscription Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Misc All Other Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Misc All Other Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for External Services Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for External Services Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Relocation Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Relocation Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Labor Related Ovrhd","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Labor Related Ovrhd","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Advertising Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Advertising Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Boards: Bureaus & Assn","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Agency Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Real Estate Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Recoveries for Real Estate Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Director Fees","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Corporate Insurance","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Charge-outs for Contribution Expense","Management GAAP summary","All Accident Years","March ITD","Y2020",0]
["5.6 Other general and administrative expenses","Internal Service Recoveries","Management GAAP summary","All Accident Years","March ITD","Y2020",-1137.29]
["5.6 Other general and administrative expenses","Internal Service Fee-Income","Management GAAP summary","All Accident Years","March ITD","Y2020",-63.449999999999989]
["5.6 Other general and administrative expenses","Salary Benefit-No Detail","Management GAAP summary","All Accident Years","March ITD","Y2020",0]