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{"sheet":"Directions","index":0,"n_rows":5,"n_cols":2,"rows_kept":5,"cut":false,"hidden":false,"merged":[]}
["DIRECTIONS:"]
[]
["1.","In the \"Essbase Input\" tab select a 'Legal Entity', a 'Location', a 'Reporting Year', and a 'Period' ."]
["2.","Click the Retrieve Button"]
["3.","Review the data in the \"Pt X ….. \" tabs."]

{"sheet":"Essbase Input","index":1,"n_rows":22,"n_cols":8,"rows_kept":22,"cut":false,"hidden":false,"merged":[[25,5,26,5],[15,5,15,7]]}
["Essbase Input"]
[]
["Smart View Retrieve Values (All 'EB PT x' tabs)",null,null,null,null,"Recommended Legal Entity / Location Combinations"]
["Legal Entity",null,"UnitedHealthcare Ins Co","Select One",null,"Dental Benefit Prov CA Inc",null,"Locations"]
["Location",null,{"$f":"VLOOKUP(C4,Tables!B:K,9,FALSE)","v":"California - CA"},"Verify Location",null,"Unimerica Insurance Company",null,"California - CA"]
["Operating Unit",null,{"$f":"VLOOKUP(C4,Tables!B:I,6,FALSE)","v":"UnitedHealthcare Domestic"},"Verify OU",null,"UnitedHealthcare Ins Co",null,"California - CA"]
["Product",null,{"$f":"VLOOKUP(C4,Tables!B:H,7,FALSE)","v":"Stand Alone Dental"},"Verify Product",null,"Golden Rule Insurance Company",null,"California - CA"]
["Reporting Year",null,"2017","Select One",null,"UnitedHealthcare Life Ins Co",null,"California - CA"]
["Period",null,"4th Quarter","Select One"]
[]
["For Use in 'EB PT 4' tab only"]
["Current Year",null,{"$f":"VLOOKUP($C$8,Tables!$P$3:$R$7,3,FALSE)","v":"2018"},null,null,"Directions to Retrieve Smart View Data"]
["Reporting Year",null,{"$f":"+C8","v":"2017"},null,null,"1.  Update the appropriate Smart View values in cells C4-C9."]
["PY 1",null,{"$f":"VLOOKUP($C$8,Tables!$P$3:$R$7,2,FALSE)","v":"2016"},null,null,"2.  Click on the Smart View menu above."]
["PY 2",null,{"$f":"VLOOKUP($C$8,Tables!$P$3:$S$7,4,FALSE)","v":"2015"},null,null,"3.  Under \"Refresh\", select \"Refresh all Worksheets\""]
[null,null,null,null,null,"(Note: The tabs containing Smart View pulls do not need to be unhid before retrieving the data.)"]
[]
[]
[]
[]
[]
[null,"View Pre-Adjusted Forms Only","View Final Forms Only","View All Financial Forms",null,"View Smart View Tabs Only"]

{"sheet":"Tables","index":2,"n_rows":81,"n_cols":23,"rows_kept":81,"cut":false,"hidden":true,"merged":[]}
[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","DMHC #","DBAs","DPPO/DHMO","Operating Unit","Product","OU","Location",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","Operating Units","Stand Alone Dental","07210 - UHIC - Dental","Locations",null,"Alabama - AL",{"$f":"RIGHT(L3,2)","v":"AL"},null,"Individual","2017","2016","2018","2015","January","January_Bal","January","January_YTD"]
["BLUE","Golden Rule Insurance Company","Golden Rule Insurance Company",null,"UnitedHealthOne","DPPO","UnitedHealthcare Domestic","Stand Alone Dental","07211 - UHIC-AMSLIC-DENTAL","California - CA",null,"Alaska - AK",{"$f":"RIGHT(L4,2)","v":"AK"},null,"Small Group Employer","2016","2015","2017","2014","February","February_Bal","February","February_YTD"]
["BLUE","Unimerica Insurance Company","Unimerica Insurance Company",null,"Unimerica Life Insurance Company","DPPO","UnitedHealthcare Domestic","Stand Alone Dental","UHIC Dental","California - CA",null,"Arizona - AZ","AZ",null,"Large Group Employer","2015","2014","2016","2013","1st Quarter","March_Bal","March","March_YTD"]
["BLUE","UnitedHealthcare Ins Co","UnitedHealthcare Insurance Company",null,"N/A","DPPO","UnitedHealthcare Domestic","Stand Alone Dental","07220 - NATL PACIFIC DENTAL, INC. TX","California - CA",null,"Arkansas - AR","AR",null,"Blank Customer","2014","2013","2015","2012","April","April_Bal","April","April_YTD"]
["BLUE","UnitedHealthcare Life Ins Co","UnitedHealthcare Life Insurance Company",null,"N/A","DPPO","UnitedHealthcare Domestic","Stand Alone Dental","07221 - NATL PACIFIC DENTAL, INC. MD","California - CA",null,"California - CA","CA",null,null,"2013","2012","2014","2011","May","May_Bal","May","May_YTD"]
[null,null,null,null,null,null,null,null,"National Pacifice Dental, Inc.",null,null,"Colorado - CO","CO",null,null,"2012","2011","2013","2010","2nd Quarter","June_Bal","June","June_YTD"]
[null,null,null,null,null,null,null,null,"07230 - PACIFIC UNION DENTAL, INC.",null,null,"Connecticut - CT","CT",null,null,null,null,null,null,"July","July_Bal","July","July_YTD"]
[null,null,null,null,null,null,null,null,"07231 - DENTAL BENEFIT PROVIDERS, INC.",null,null,"Delaware - DE","DE",null,null,null,null,null,null,"August","August_Bal","August","August_YTD"]
[null,null,null,null,null,null,null,null,"07232 - PACIFICARE DENTAL",null,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,"Dental Benefit Providers of CA",null,null,"Georgia - GA","GA",null,null,null,null,null,null,"October","October_Bal","October","October_YTD"]
["DMHC","ACN Group of California, Inc.","ACN Group of California, Inc.",null,null,null,null,null,"07200 - Dental E&I",null,null,"Hawaii - HI","HI",null,null,null,null,null,null,"November","November_Bal","November","November_YTD"]
["BLUE","All Savers Insurance Company","All Savers Insurance Company",null,null,null,null,null,"07234 - Dental C&S",null,null,"Idaho - ID","ID",null,null,null,null,null,null,"4th Quarter","December_Bal","December","December_YTD"]
["BLUE","All Savers Life Ins Co of CA","All Savers Life Insurance Company of California",null,null,null,null,null,"07235 - Dental M&R",null,null,"Illinois - IL","IL"]
["ORANGE","AmeriChoice of Georgia, Inc.","AmeriChoice of Georgia, Inc.",null,null,null,null,null,"27200 - Dental Exchanges",null,null,"Indiana - IN","IN"]
["ORANGE","AmeriChoice of New Jersey Inc","AmeriChoice of New Jersey, Inc.",null,null,null,null,null,"Dental OU",null,null,"Iowa - IA","IA"]
["ORANGE","Care Improve Plus of Tx Insur","Care Improvement Plus of Texas Insurance Company",null,null,null,null,null,"Operating Units",null,null,"Kansas - KS","KS"]
["ORANGE","Care Improve Plus S Cntrl Insu","Care Improvement Plus South Central Insurance Company",null,null,null,null,null,null,null,null,"Kentucky - KY","KY"]
["ORANGE","Care Improve Plus Wisc Insu Co","Care Improvement Plus Wisconsin Insurance Company",null,null,null,null,null,null,null,null,"Louisiana - LA","LA"]
["ORANGE","Dental Benefit Prov IL Inc","Dental Benefit Providers of Illinois, Inc.",null,null,null,null,null,null,null,null,"Maine - ME","ME"]
["ORANGE","Health Plan of Nevada, Inc.","Health Plan of Nevada, Inc.",null,null,null,null,null,null,null,null,"Maryland - MD","MD"]
["ORANGE","MAMSI Life and Health Ins Co","MAMSI Life and Health Insurance Company",null,null,null,null,null,null,null,null,"Massachusetts - MA","MA"]
["ORANGE","MD-Individ Practice Assoc Inc","MD-Individual Practice Association, Inc.",null,null,null,null,null,null,null,null,"Michigan - MI","MI"]
["ORANGE","Medica Health Plans of FL Inc.","Medica Health Plans of Florida, Inc.",null,null,null,null,null,null,null,null,"Minnesota - MN","MN"]
["ORANGE","Medica HealthCare Plans, Inc.","Medica HealthCare Plans, Inc.",null,null,null,null,null,null,null,null,"Mississippi - MS","MS"]
["BLUE","Midwest Security Life Ins Co","Midwest Security Life Insurance Company",null,null,null,null,null,null,null,null,"Missouri - MO","MO"]
["ORANGE","National Pacific Dental, Inc.","National Pacific Dental, Inc.",null,null,null,null,null,null,null,null,"Montana - MT","MT"]
["ORANGE","Neighborhood Hlth Partnership","Neighborhood Health Partnership, Inc.",null,null,null,null,null,null,null,null,"Nebraska - NE","NE"]
["ORANGE","Nevada Pacific Dental","Nevada Pacific Dental",null,null,null,null,null,null,null,null,"Nevada - NV","NV"]
["ORANGE","Optimum Choice, Inc.","Optimum Choice, Inc.",null,null,null,null,null,null,null,null,"New Hampshire - NH","NH"]
["ORANGE","Oxford Health Insurance, Inc.","Oxford Health Insurance, Inc.",null,null,null,null,null,null,null,null,"New Jersey - NJ","NJ"]
["ORANGE","Oxford Health Plans (CT), Inc.","Oxford Health Plans (CT), Inc.",null,null,null,null,null,null,null,null,"New Mexico - NM","NM"]
["ORANGE","Oxford Health Plans (NJ), Inc.","Oxford Health Plans (NJ), Inc.",null,null,null,null,null,null,null,null,"New York - NY","NY"]
["ORANGE","Oxford Hlth Plns (NY) Inc","Oxford Health Plans (NY), Inc.",null,null,null,null,null,null,null,null,"North Carolina - NC","NC"]
["BLUE","PacifiCare Life & Hlth Ins Co","Pacificare Life and Health Insurance Company",null,null,null,null,null,null,null,null,"North Dakota - ND","ND"]
["ORANGE","PacifiCare Life Assurance Co","PacifiCare Life Assurance Company",null,null,null,null,null,null,null,null,"Ohio - OH","OH"]
["ORANGE","PacifiCare of Arizona, Inc.","PacifiCare of Arizona, Inc.",null,null,null,null,null,null,null,null,"Oklahoma - OK","OK"]
["ORANGE","PacifiCare of Colorado, Inc.","PacifiCare of Colorado, Inc.",null,null,null,null,null,null,null,null,"Oregon - OR","OR"]
["ORANGE","PacifiCare of Nevada, Inc.","PacifiCare of Nevada, Inc.",null,null,null,null,null,null,null,null,"Pennsylvania - PA","PA"]
["ORANGE","Phys Health Choice of TX, LLC","Physicians Health Choice of Texas, LLC",null,null,null,null,null,null,null,null,"Rhode Island - RI","RI"]
["ORANGE","Pref Care Partners, Inc.","Preferred Care Partners, Inc.",null,null,null,null,null,null,null,null,"South Carolina - SC","SC"]
["ORANGE","Sierra Hlth & Life Ins Co Inc","Sierra Health and Life Insurance Company, Inc.",null,null,null,null,null,null,null,null,"South Dakota - SD","SD"]
["ORANGE","UHC Benefits of Texas, Inc.","UnitedHealthcare Benefits of Texas, Inc.",null,null,null,null,null,null,null,null,"Tennessee - TN","TN"]
["ORANGE","UHC Community Plan of OH, Inc.","UnitedHealthcare Community Plan of Ohio, Inc.",null,null,null,null,null,null,null,null,"Texas - TX","TX"]
["ORANGE","UHC Community Plan Texas LLC","UnitedHealthcare Community Plan of Texas, L.L.C.",null,null,null,null,null,null,null,null,"Utah - UT","UT"]
["ORANGE","UHC Community Plan, Inc.","UnitedHealthcare Community Plan, Inc.",null,null,null,null,null,null,null,null,"Vermont - VT","VT"]
["ORANGE","UHC Ins Co of the River Valley","UnitedHealthcare Insurance Company of the River Valley",null,null,null,null,null,null,null,null,"Virginia - VA","VA"]
["ORANGE","UHC of Alabama Inc","UnitedHealthcare of Alabama, Inc.",null,null,null,null,null,null,null,null,"Washington - WA","WA"]
["ORANGE","UHC of Arizona Inc","UnitedHealthcare of Arizona, Inc.",null,null,null,null,null,null,null,null,"West Virginia - WV","WV"]
["ORANGE","UHC of Arkansas Inc","UnitedHealthcare of Arkansas, Inc.",null,null,null,null,null,null,null,null,"Wisconsin - WI","WI"]
["DMHC","UHC of California","UHC of California",null,null,null,null,null,null,null,null,"Wyoming - WY","WY"]
["ORANGE","UHC of Colorado Inc","UnitedHealthcare of Colorado, Inc.",null,null,null,null,null,null,null,null,"District Of Columbia - DC","DC"]
["ORANGE","UHC of Florida Inc","UnitedHealthcare of Florida, Inc."]
["ORANGE","UHC of Georgia Inc","UnitedHealthcare of Georgia, Inc.",null,null,null,null,null,null,null,null,"American Samoa","AS"]
["ORANGE","UHC of Illinois Inc","UnitedHealthcare of Illinois, Inc.",null,null,null,null,null,null,null,null,"Canada","CA"]
["ORANGE","UHC of Kentucky Ltd","UnitedHealthcare of Kentucky, Ltd.",null,null,null,null,null,null,null,null,"Virgin Islands","VI"]
["ORANGE","UHC of Louisiana Inc","UnitedHealthcare of Louisiana, Inc."]
["ORANGE","UHC of Mississippi Inc","UnitedHealthcare of Mississippi, Inc.",null,null,null,null,null,null,null,null,"Total Central Regional","XX"]
["ORANGE","UHC of New England Inc","UnitedHealthcare of New England, Inc.",null,null,null,null,null,null,null,null,"Total Northeast Regional","XX"]
["ORANGE","UHC of New York Inc","UnitedHealthcare of New York, Inc.",null,null,null,null,null,null,null,null,"Total Southeast Regional","XX"]
["ORANGE","UHC of North Carolina Inc","UnitedHealthcare of North Carolina, Inc.",null,null,null,null,null,null,null,null,"Total West Regional","XX"]
["ORANGE","UHC of Oklahoma, Inc.","UnitedHealthcare of Oklahoma, Inc."]
["ORANGE","UHC of Oregon, Inc.","UnitedHealthcare of Oregon, Inc.",null,null,null,null,null,null,null,null,"US Regions States","XX"]
["ORANGE","UHC of the Mid-Atlantic Inc","UnitedHealthcare of the Mid-Atlantic, Inc.",null,null,null,null,null,null,null,null,"US Regions Other","XX"]
["ORANGE","UHC of the Midlands Inc","UnitedHealthcare of the Midlands, Inc."]
["ORANGE","UHC of the Midwest Inc","UnitedHealthcare of the Midwest, Inc.",null,null,null,null,null,null,null,null,"Central Region US","XX"]
["ORANGE","UHC of Washington, Inc.","UnitedHealthcare of Washington, Inc.",null,null,null,null,null,null,null,null,"Northeast Region US","XX"]
["ORANGE","UHC of Wisconsin Inc","UnitedHealthcare of Wisconsin, Inc.",null,null,null,null,null,null,null,null,"Southeast Region US","XX"]
["ORANGE","UHC Plan River Valley Inc","UnitedHealthcare Plan of the River Valley, Inc.",null,null,null,null,null,null,null,null,"West Region US","XX"]
["BLUE","Unimerica Life Ins Co of NY","Unimerica Life Insurance Company of New York"]
["ORANGE","Unison HP of the Cptl Area Inc","Unison Health Plan of the Capital Area, Inc.",null,null,null,null,null,null,null,null,"Corporate Other Region","XX"]
["ORANGE","UnitedHealthcare Ins Co of IL","UnitedHealthcare Insurance Company of Illinois",null,null,null,null,null,null,null,null,"Segment Support","XX"]
["ORANGE","UnitedHealthcare Ins Co of NY","UnitedHealthcare Insurance Company of New York",null,null,null,null,null,null,null,null,"Corporate Segment","XX"]
["BLUE","UnitedHealthcare Life Ins Co","UnitedHealthcare Life Insurance Company"]
["ORANGE","UnitedHealthcare of New Mexico","UnitedHealthcare of New Mexico, Inc."]
["ORANGE","UnitedHealthcare of Ohio, Inc.","UnitedHealthcare of Ohio, Inc."]
["ORANGE","UnitedHealthcare of PA, Inc.","UnitedHealthcare of Pennsylvania, Inc."]
["ORANGE","UnitedHealthcare of Texas Inc","UnitedHealthcare of Texas, Inc."]
["ORANGE","UnitedHealthcare of Utah, Inc.","UnitedHealthcare of Utah, Inc."]
["DMHC","US Behavioral Health Plan CA","U.S. Behavioral Health Plan, California"]

{"sheet":"Essbase Changes","index":3,"n_rows":7,"n_cols":4,"rows_kept":7,"cut":false,"hidden":true,"merged":[]}
["Changes made to Essbase pulls between Federal MLR Form and DMHC MLR Form"]
[]
["Comment",null,null,"Reason"]
["1.","Part 1, Line 1.1, changed the Essbase pull from Account Node 'Health Premiums Earned' to 'Prem Earned Inc Risk Prgms'",null,"Federal form included Federal and State High Risk Pools in the MLR calculation (Part 4).  The DMHC Form doesn't mention High Risk Pools, however, to include these, we took the next node up in the MLR Tree to include the two pools."]
["2.","Part 1, Line 4.4, changed the Project Essbase pull from 'Improving HC Quality Expenses' to 'Health Care Reform'",null,"To capture all other HCR G&A expenses on Line 4.4 not included in other lines.  The federal form had the Cost Containment and Other in separate lines."]
["3.","Part 2, Line 2.1b, added Accounts 'Direct Contract Reserve' and 'Healthcare Receivables' Essbase retrieves to this line. ",null,"These were separate lines in the federal MLR form but are not included in the DMHC form.  Part of the calculation in the federal form to reach 'Total Incurred Claims'"]
["4."]

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[{"$f":"'Essbase Input'!C4","v":"UnitedHealthcare Ins Co"}]
[{"$f":"+'Essbase Input'!C5","v":"California - CA"}]
[{"$f":"+'Essbase Input'!C7","v":"Stand Alone Dental"}]
[{"$f":"'Essbase Input'!C8","v":"2017"}]
[]
[null,"Health Insurance Coverage",null,null,null,null,null,null,null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Subtotal of CA Dental Business","Vision","Life/Disability","Other Health","Federal MLR Other Health Total","Tie out to Federal MLR Lines","Corporate Market OU","Other Dental Product Diff. Total","CA Dental MLR vs. Fed Other Health"]
[null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group"]
["Metrics",{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$G$17","v":"Total as of 3/31/18"},null,{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"},null,null,null,{"$f":"'Pt 1 Summary of Data'!$F$17","v":"Total as of 12/31/17"}]
["Gross Margin"]
["Health Premiums Earned PMPM (Line 1.1 / Member Months)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F20/'Pt 1 Summary of Data - Final'!F47),0,'Pt 1 Summary of Data - Final'!F20/'Pt 1 Summary of Data - Final'!F47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G20/'Pt 1 Summary of Data - Final'!G47),0,'Pt 1 Summary of Data - Final'!G20/'Pt 1 Summary of Data - Final'!G47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H20/'Pt 1 Summary of Data - Final'!H47),0,'Pt 1 Summary of Data - Final'!H20/'Pt 1 Summary of Data - Final'!H47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I20/'Pt 1 Summary of Data - Final'!I47),0,'Pt 1 Summary of Data - Final'!I20/'Pt 1 Summary of Data - Final'!I47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J20/'Pt 1 Summary of Data - Final'!J47),0,'Pt 1 Summary of Data - Final'!J20/'Pt 1 Summary of Data - Final'!J47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K20/'Pt 1 Summary of Data - Final'!K47),0,'Pt 1 Summary of Data - Final'!K20/'Pt 1 Summary of Data - Final'!K47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L20/'Pt 1 Summary of Data - Final'!L47),0,'Pt 1 Summary of Data - Final'!L20/'Pt 1 Summary of Data - Final'!L47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M20/'Pt 1 Summary of Data - Final'!M47),0,'Pt 1 Summary of Data - Final'!M20/'Pt 1 Summary of Data - Final'!M47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N20/'Pt 1 Summary of Data - Final'!N47),0,'Pt 1 Summary of Data - Final'!N20/'Pt 1 Summary of Data - Final'!N47)","v":40.951621202720347},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O20/'Pt 1 Summary of Data - Final'!O47),0,'Pt 1 Summary of Data - Final'!O20/'Pt 1 Summary of Data - Final'!O47)","v":40.427882745750345},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P20/'Pt 1 Summary of Data - Final'!P47),0,'Pt 1 Summary of Data - Final'!P20/'Pt 1 Summary of Data - Final'!P47)","v":36.937103867239287},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!Q20/'Pt 1 Summary of Data - Final'!Q47),0,'Pt 1 Summary of Data - Final'!Q20/'Pt 1 Summary of Data - Final'!Q47)","v":37.199307174745257},null,{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!S20/'Pt 1 Summary of Data - Final'!S47),0,'Pt 1 Summary of Data - Final'!S20/'Pt 1 Summary of Data - Final'!S47)","v":38.121050114488817},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!T20/'Pt 1 Summary of Data - Final'!T47),0,'Pt 1 Summary of Data - Final'!T20/'Pt 1 Summary of Data - Final'!T47)","v":4.2996541481043069},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!U20/'Pt 1 Summary of Data - Final'!U47),0,'Pt 1 Summary of Data - Final'!U20/'Pt 1 Summary of Data - Final'!U47)","v":21.821900070059943},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AD20/'Pt 1 Summary of Data - Final'!AD47),0,'Pt 1 Summary of Data - Final'!AD20/'Pt 1 Summary of Data - Final'!AD47)","v":176.89909455868133},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AE20/'Pt 1 Summary of Data - Final'!AE47),0,'Pt 1 Summary of Data - Final'!AE20/'Pt 1 Summary of Data - Final'!AE47)","v":103.70497979368645},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AF20/'Pt 1 Summary of Data - Final'!AF47),0,'Pt 1 Summary of Data - Final'!AF20/'Pt 1 Summary of Data - Final'!AF47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AG20/'Pt 1 Summary of Data - Final'!AG47),0,'Pt 1 Summary of Data - Final'!AG20/'Pt 1 Summary of Data - Final'!AG47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AH20/'Pt 1 Summary of Data - Final'!AH47),0,'Pt 1 Summary of Data - Final'!AH20/'Pt 1 Summary of Data - Final'!AH47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AI20/'Pt 1 Summary of Data - Final'!AI47),0,'Pt 1 Summary of Data - Final'!AI20/'Pt 1 Summary of Data - Final'!AI47)","v":0}]
["Total Incurred Claims PMPM (Line 2.1 / Member Months)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F23/'Pt 1 Summary of Data - Final'!F47),0,'Pt 1 Summary of Data - Final'!F23/'Pt 1 Summary of Data - Final'!F47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G23/'Pt 1 Summary of Data - Final'!G47),0,'Pt 1 Summary of Data - Final'!G23/'Pt 1 Summary of Data - Final'!G47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H23/'Pt 1 Summary of Data - Final'!H47),0,'Pt 1 Summary of Data - Final'!H23/'Pt 1 Summary of Data - Final'!H47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I23/'Pt 1 Summary of Data - Final'!I47),0,'Pt 1 Summary of Data - Final'!I23/'Pt 1 Summary of Data - Final'!I47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J23/'Pt 1 Summary of Data - Final'!J47),0,'Pt 1 Summary of Data - Final'!J23/'Pt 1 Summary of Data - Final'!J47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K23/'Pt 1 Summary of Data - Final'!K47),0,'Pt 1 Summary of Data - Final'!K23/'Pt 1 Summary of Data - Final'!K47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L23/'Pt 1 Summary of Data - Final'!L47),0,'Pt 1 Summary of Data - Final'!L23/'Pt 1 Summary of Data - Final'!L47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M23/'Pt 1 Summary of Data - Final'!M47),0,'Pt 1 Summary of Data - Final'!M23/'Pt 1 Summary of Data - Final'!M47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N23/'Pt 1 Summary of Data - Final'!N47),0,'Pt 1 Summary of Data - Final'!N23/'Pt 1 Summary of Data - Final'!N47)","v":22.470108254005808},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O23/'Pt 1 Summary of Data - Final'!O47),0,'Pt 1 Summary of Data - Final'!O23/'Pt 1 Summary of Data - Final'!O47)","v":22.297749818329304},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P23/'Pt 1 Summary of Data - Final'!P47),0,'Pt 1 Summary of Data - Final'!P23/'Pt 1 Summary of Data - Final'!P47)","v":28.603974419691955},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!Q23/'Pt 1 Summary of Data - Final'!Q47),0,'Pt 1 Summary of Data - Final'!Q23/'Pt 1 Summary of Data - Final'!Q47)","v":28.704311713805915},null,{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!S23/'Pt 1 Summary of Data - Final'!S47),0,'Pt 1 Summary of Data - Final'!S23/'Pt 1 Summary of Data - Final'!S47)","v":26.794997842654777},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!T23/'Pt 1 Summary of Data - Final'!T47),0,'Pt 1 Summary of Data - Final'!T23/'Pt 1 Summary of Data - Final'!T47)","v":2.1979160186285545},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!U23/'Pt 1 Summary of Data - Final'!U47),0,'Pt 1 Summary of Data - Final'!U23/'Pt 1 Summary of Data - Final'!U47)","v":16.477688021974359},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AD23/'Pt 1 Summary of Data - Final'!AD47),0,'Pt 1 Summary of Data - Final'!AD23/'Pt 1 Summary of Data - Final'!AD47)","v":154.76771203059167},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AE23/'Pt 1 Summary of Data - Final'!AE47),0,'Pt 1 Summary of Data - Final'!AE23/'Pt 1 Summary of Data - Final'!AE47)","v":89.351339508322354},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AF23/'Pt 1 Summary of Data - Final'!AF47),0,'Pt 1 Summary of Data - Final'!AF23/'Pt 1 Summary of Data - Final'!AF47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AG23/'Pt 1 Summary of Data - Final'!AG47),0,'Pt 1 Summary of Data - Final'!AG23/'Pt 1 Summary of Data - Final'!AG47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AH23/'Pt 1 Summary of Data - Final'!AH47),0,'Pt 1 Summary of Data - Final'!AH23/'Pt 1 Summary of Data - Final'!AH47)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AI23/'Pt 1 Summary of Data - Final'!AI47),0,'Pt 1 Summary of Data - Final'!AI23/'Pt 1 Summary of Data - Final'!AI47)","v":0}]
["Non-Claims Costs"]
["Total Non-Claims Costs % of Premiums (Line 4.5 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F43/'Pt 1 Summary of Data - Final'!F20),0,'Pt 1 Summary of Data - Final'!F43/'Pt 1 Summary of Data - Final'!F20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G43/'Pt 1 Summary of Data - Final'!G20),0,'Pt 1 Summary of Data - Final'!G43/'Pt 1 Summary of Data - Final'!G20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H43/'Pt 1 Summary of Data - Final'!H20),0,'Pt 1 Summary of Data - Final'!H43/'Pt 1 Summary of Data - Final'!H20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I43/'Pt 1 Summary of Data - Final'!I20),0,'Pt 1 Summary of Data - Final'!I43/'Pt 1 Summary of Data - Final'!I20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J43/'Pt 1 Summary of Data - Final'!J20),0,'Pt 1 Summary of Data - Final'!J43/'Pt 1 Summary of Data - Final'!J20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K43/'Pt 1 Summary of Data - Final'!K20),0,'Pt 1 Summary of Data - Final'!K43/'Pt 1 Summary of Data - Final'!K20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L43/'Pt 1 Summary of Data - Final'!L20),0,'Pt 1 Summary of Data - Final'!L43/'Pt 1 Summary of Data - Final'!L20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M43/'Pt 1 Summary of Data - Final'!M20),0,'Pt 1 Summary of Data - Final'!M43/'Pt 1 Summary of Data - Final'!M20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N43/'Pt 1 Summary of Data - Final'!N20),0,'Pt 1 Summary of Data - Final'!N43/'Pt 1 Summary of Data - Final'!N20)","v":0.22314229471310068},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O43/'Pt 1 Summary of Data - Final'!O20),0,'Pt 1 Summary of Data - Final'!O43/'Pt 1 Summary of Data - Final'!O20)","v":0.22603307684613411},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P43/'Pt 1 Summary of Data - Final'!P20),0,'Pt 1 Summary of Data - Final'!P43/'Pt 1 Summary of Data - Final'!P20)","v":0.1684923710980202},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!Q43/'Pt 1 Summary of Data - Final'!Q20),0,'Pt 1 Summary of Data - Final'!Q43/'Pt 1 Summary of Data - Final'!Q20)","v":0.16730473454382608},null,{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!S43/'Pt 1 Summary of Data - Final'!S20),0,'Pt 1 Summary of Data - Final'!S43/'Pt 1 Summary of Data - Final'!S20)","v":0.18580625766434425},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!T43/'Pt 1 Summary of Data - Final'!T20),0,'Pt 1 Summary of Data - Final'!T43/'Pt 1 Summary of Data - Final'!T20)","v":0.19518176448374586},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!U43/'Pt 1 Summary of Data - Final'!U20),0,'Pt 1 Summary of Data - Final'!U43/'Pt 1 Summary of Data - Final'!U20)","v":0.15740159541701346},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AD43/'Pt 1 Summary of Data - Final'!AD20),0,'Pt 1 Summary of Data - Final'!AD43/'Pt 1 Summary of Data - Final'!AD20)","v":0.15512000465380149},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AE43/'Pt 1 Summary of Data - Final'!AE20),0,'Pt 1 Summary of Data - Final'!AE43/'Pt 1 Summary of Data - Final'!AE20)","v":0.15709327718100558},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AF43/'Pt 1 Summary of Data - Final'!AF20),0,'Pt 1 Summary of Data - Final'!AF43/'Pt 1 Summary of Data - Final'!AF20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AG43/'Pt 1 Summary of Data - Final'!AG20),0,'Pt 1 Summary of Data - Final'!AG43/'Pt 1 Summary of Data - Final'!AG20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AH43/'Pt 1 Summary of Data - Final'!AH20),0,'Pt 1 Summary of Data - Final'!AH43/'Pt 1 Summary of Data - Final'!AH20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AI43/'Pt 1 Summary of Data - Final'!AI20),0,'Pt 1 Summary of Data - Final'!AI43/'Pt 1 Summary of Data - Final'!AI20)","v":0.81823187873752545}]
["Direct Sal. & Benefits % of Premiums (Line 4.1 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F37/'Pt 1 Summary of Data - Final'!F$20),0,'Pt 1 Summary of Data - Final'!F37/'Pt 1 Summary of Data - Final'!F$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G37/'Pt 1 Summary of Data - Final'!G$20),0,'Pt 1 Summary of Data - Final'!G37/'Pt 1 Summary of Data - Final'!G$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H37/'Pt 1 Summary of Data - Final'!H$20),0,'Pt 1 Summary of Data - Final'!H37/'Pt 1 Summary of Data - Final'!H$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I37/'Pt 1 Summary of Data - Final'!I$20),0,'Pt 1 Summary of Data - Final'!I37/'Pt 1 Summary of Data - Final'!I$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J37/'Pt 1 Summary of Data - Final'!J$20),0,'Pt 1 Summary of Data - Final'!J37/'Pt 1 Summary of Data - Final'!J$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K37/'Pt 1 Summary of Data - Final'!K$20),0,'Pt 1 Summary of Data - Final'!K37/'Pt 1 Summary of Data - Final'!K$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L37/'Pt 1 Summary of Data - Final'!L$20),0,'Pt 1 Summary of Data - Final'!L37/'Pt 1 Summary of Data - Final'!L$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M37/'Pt 1 Summary of Data - Final'!M$20),0,'Pt 1 Summary of Data - Final'!M37/'Pt 1 Summary of Data - Final'!M$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N37/'Pt 1 Summary of Data - Final'!N$20),0,'Pt 1 Summary of Data - Final'!N37/'Pt 1 Summary of Data - Final'!N$20)","v":7.759791922246473E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O37/'Pt 1 Summary of Data - Final'!O$20),0,'Pt 1 Summary of Data - Final'!O37/'Pt 1 Summary of Data - Final'!O$20)","v":7.8603191121892329E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P37/'Pt 1 Summary of Data - Final'!P$20),0,'Pt 1 Summary of Data - Final'!P37/'Pt 1 Summary of Data - Final'!P$20)","v":7.8799148162913141E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!Q37/'Pt 1 Summary of Data - Final'!Q$20),0,'Pt 1 Summary of Data - Final'!Q37/'Pt 1 Summary of Data - Final'!Q$20)","v":7.8243723913211105E-3},null,{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!S37/'Pt 1 Summary of Data - Final'!S$20),0,'Pt 1 Summary of Data - Final'!S37/'Pt 1 Summary of Data - Final'!S$20)","v":7.8418581555854492E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!T37/'Pt 1 Summary of Data - Final'!T$20),0,'Pt 1 Summary of Data - Final'!T37/'Pt 1 Summary of Data - Final'!T$20)","v":5.7491993013279626E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!U37/'Pt 1 Summary of Data - Final'!U$20),0,'Pt 1 Summary of Data - Final'!U37/'Pt 1 Summary of Data - Final'!U$20)","v":1.1843846461241991E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AD37/'Pt 1 Summary of Data - Final'!AD$20),0,'Pt 1 Summary of Data - Final'!AD37/'Pt 1 Summary of Data - Final'!AD$20)","v":1.0673339679384229E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AE37/'Pt 1 Summary of Data - Final'!AE$20),0,'Pt 1 Summary of Data - Final'!AE37/'Pt 1 Summary of Data - Final'!AE$20)","v":1.4826497936390947E-3},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AF37/'Pt 1 Summary of Data - Final'!AF$20),0,'Pt 1 Summary of Data - Final'!AF37/'Pt 1 Summary of Data - Final'!AF$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AG37/'Pt 1 Summary of Data - Final'!AG$20),0,'Pt 1 Summary of Data - Final'!AG37/'Pt 1 Summary of Data - Final'!AG$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AH37/'Pt 1 Summary of Data - Final'!AH$20),0,'Pt 1 Summary of Data - Final'!AH37/'Pt 1 Summary of Data - Final'!AH$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AI37/'Pt 1 Summary of Data - Final'!AI$20),0,'Pt 1 Summary of Data - Final'!AI37/'Pt 1 Summary of Data - Final'!AI$20)","v":0}]
["Agents, Broker Fees & Comm. % of Premiums (Line 4.2 / Line 1.1)",{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!F38/'Pt 1 Summary of Data - Final'!F$20),0,'Pt 1 Summary of Data - Final'!F38/'Pt 1 Summary of Data - Final'!F$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!G38/'Pt 1 Summary of Data - Final'!G$20),0,'Pt 1 Summary of Data - Final'!G38/'Pt 1 Summary of Data - Final'!G$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!H38/'Pt 1 Summary of Data - Final'!H$20),0,'Pt 1 Summary of Data - Final'!H38/'Pt 1 Summary of Data - Final'!H$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!I38/'Pt 1 Summary of Data - Final'!I$20),0,'Pt 1 Summary of Data - Final'!I38/'Pt 1 Summary of Data - Final'!I$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!J38/'Pt 1 Summary of Data - Final'!J$20),0,'Pt 1 Summary of Data - Final'!J38/'Pt 1 Summary of Data - Final'!J$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!K38/'Pt 1 Summary of Data - Final'!K$20),0,'Pt 1 Summary of Data - Final'!K38/'Pt 1 Summary of Data - Final'!K$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!L38/'Pt 1 Summary of Data - Final'!L$20),0,'Pt 1 Summary of Data - Final'!L38/'Pt 1 Summary of Data - Final'!L$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!M38/'Pt 1 Summary of Data - Final'!M$20),0,'Pt 1 Summary of Data - Final'!M38/'Pt 1 Summary of Data - Final'!M$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!N38/'Pt 1 Summary of Data - Final'!N$20),0,'Pt 1 Summary of Data - Final'!N38/'Pt 1 Summary of Data - Final'!N$20)","v":0.11752952750000331},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!O38/'Pt 1 Summary of Data - Final'!O$20),0,'Pt 1 Summary of Data - Final'!O38/'Pt 1 Summary of Data - Final'!O$20)","v":0.11905210867914597},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!P38/'Pt 1 Summary of Data - Final'!P$20),0,'Pt 1 Summary of Data - Final'!P38/'Pt 1 Summary of Data - Final'!P$20)","v":6.0670797567910502E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!Q38/'Pt 1 Summary of Data - Final'!Q$20),0,'Pt 1 Summary of Data - Final'!Q38/'Pt 1 Summary of Data - Final'!Q$20)","v":6.0243152942256524E-2},null,{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!S38/'Pt 1 Summary of Data - Final'!S$20),0,'Pt 1 Summary of Data - Final'!S38/'Pt 1 Summary of Data - Final'!S$20)","v":7.8684461078084994E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!T38/'Pt 1 Summary of Data - Final'!T$20),0,'Pt 1 Summary of Data - Final'!T38/'Pt 1 Summary of Data - Final'!T$20)","v":7.0267112485170896E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!U38/'Pt 1 Summary of Data - Final'!U$20),0,'Pt 1 Summary of Data - Final'!U38/'Pt 1 Summary of Data - Final'!U$20)","v":9.8771302348104648E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AD38/'Pt 1 Summary of Data - Final'!AD$20),0,'Pt 1 Summary of Data - Final'!AD38/'Pt 1 Summary of Data - Final'!AD$20)","v":3.1061356283197828E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AE38/'Pt 1 Summary of Data - Final'!AE$20),0,'Pt 1 Summary of Data - Final'!AE38/'Pt 1 Summary of Data - Final'!AE$20)","v":3.4046902792604194E-2},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AF38/'Pt 1 Summary of Data - Final'!AF$20),0,'Pt 1 Summary of Data - Final'!AF38/'Pt 1 Summary of Data - Final'!AF$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AG38/'Pt 1 Summary of Data - Final'!AG$20),0,'Pt 1 Summary of Data - Final'!AG38/'Pt 1 Summary of Data - Final'!AG$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AH38/'Pt 1 Summary of Data - Final'!AH$20),0,'Pt 1 Summary of Data - Final'!AH38/'Pt 1 Summary of Data - Final'!AH$20)","v":0},{"$f":"IF(ISERROR('Pt 1 Summary of Data - Final'!AI38/'Pt 1 Summary of Data - Final'!AI$20),0,'Pt 1 Summary of Data - Final'!AI38/'Pt 1 Summary of Data - Final'!AI$20)","v":2.050989749881655E-2}]
["Management Fee % of Premiums (Acct 76000 / Line 1.1)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!$I$51/'Pt 1 Summary of Data - Final'!F20),0,'EB PT 1'!$I$51/'Pt 1 Summary of Data - Final'!F20))","v":0},{"$f":"+B17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!$K$51/'Pt 1 Summary of Data - Final'!H20),0,'EB PT 1'!$K$51/'Pt 1 Summary of Data - Final'!H20))","v":0},{"$f":"+D17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('EB PT 1'!$M$51/'Pt 1 Summary of Data - Final'!J20),0,'EB PT 1'!$M$51/'Pt 1 Summary of Data - Final'!J20))","v":0},{"$f":"+F17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'EB PT 1'!$R$51/'Pt 1 Summary of Data - Final'!L20,IF(ISERROR('EB PT 1'!$I$51/'Pt 1 Summary of Data - Final'!L20),0,'EB PT 1'!$I$51/'Pt 1 Summary of Data - Final'!L20)))","v":0},{"$f":"+H17","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR('EB PT 1'!$K$51/'Pt 1 Summary of Data - Final'!N20),0,'EB PT 1'!$K$51/'Pt 1 Summary of Data - Final'!N20)))","v":-1.0332250601169498E-18},{"$f":"+J17","v":-1.0332250601169498E-18},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR('EB PT 1'!$M$51/'Pt 1 Summary of Data - Final'!P20),0,'EB PT 1'!$M$51/'Pt 1 Summary of Data - Final'!P20)))","v":0.15333628976501354},{"$f":"+L17","v":0.15333628976501354},null,{"$f":"IF(ISERROR('EB PT 1'!O51/'Pt 1 Summary of Data - Final'!S20),0,'EB PT 1'!O51/'Pt 1 Summary of Data - Final'!S20)","v":0.1047571475466692},{"$f":"IF(ISERROR('EB PT 1'!T51/'Pt 1 Summary of Data - Final'!T20),0,'EB PT 1'!T51/'Pt 1 Summary of Data - Final'!T20)","v":0.12522053619966111},{"$f":"IF(ISERROR('EB PT 1'!U51/'Pt 1 Summary of Data - Final'!U20),0,'EB PT 1'!U51/'Pt 1 Summary of Data - Final'!U20)","v":0.13039999496099131},{"$f":"IF(ISERROR('EB PT 1'!AO51/'Pt 1 Summary of Data - Final'!AD20),0,'EB PT 1'!AO51/'Pt 1 Summary of Data - Final'!AD20)","v":5.6119485564860794E-2}]
["Salaries as a % of MGMT Fees (Line 4.1 / Acct 76000)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!F37/'EB PT 1'!$I$51),0,'Pt 1 Summary of Data - Final'!F37/'EB PT 1'!$I$51))","v":0},{"$f":"+B18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!H37/'EB PT 1'!$K$51),0,'Pt 1 Summary of Data - Final'!H37/'EB PT 1'!$K$51))","v":0},{"$f":"+D18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!J37/'EB PT 1'!$M$51),0,'Pt 1 Summary of Data - Final'!J37/'EB PT 1'!$M$51))","v":0},0,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Pt 1 Summary of Data - Final'!L37/'EB PT 1'!$R$51,IF(ISERROR('Pt 1 Summary of Data - Final'!L37/'EB PT 1'!$I$51),0,'Pt 1 Summary of Data - Final'!L37/'EB PT 1'!$I$51)))","v":0},{"$f":"+H18","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!N37/'EB PT 1'!$K$51),0,'Pt 1 Summary of Data - Final'!N37/'EB PT 1'!$K$51)))","v":-7510262983137622},-7510262983137622,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR('Pt 1 Summary of Data - Final'!P37/'EB PT 1'!$M$51),0,'Pt 1 Summary of Data - Final'!P37/'EB PT 1'!$M$51)))","v":5.1389757952062173E-2},5.1389757952062173E-2,null,{"$f":"+'Pt 1 Summary of Data - Final'!S37/'EB PT 1'!O51","v":7.4857499838776237E-2},{"$f":"'Pt 1 Summary of Data - Final'!T37/'EB PT 1'!T51","v":4.5912591303402535E-2},{"$f":"'Pt 1 Summary of Data - Final'!U37/'EB PT 1'!U51","v":9.0827046924235197E-2},{"$f":"'Pt 1 Summary of Data - Final'!AD37/'EB PT 1'!AO51","v":1.9018954952907372E-2}]
["Taxes"]
["Effective Tax Rate - Federal (Line 3.1 / (Line 1.1 - 2.1 - 4.5))",{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!F27:F28)/('Pt 1 Summary of Data - Final'!F20-'Pt 1 Summary of Data - Final'!F23-'Pt 1 Summary of Data - Final'!F43)),0,SUM('Pt 1 Summary of Data - Final'!F27:F28)/('Pt 1 Summary of Data - Final'!F20-'Pt 1 Summary of Data - Final'!F23-'Pt 1 Summary of Data - Final'!F43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!G27:G28)/('Pt 1 Summary of Data - Final'!G20-'Pt 1 Summary of Data - Final'!G23-'Pt 1 Summary of Data - Final'!G43)),0,SUM('Pt 1 Summary of Data - Final'!G27:G28)/('Pt 1 Summary of Data - Final'!G20-'Pt 1 Summary of Data - Final'!G23-'Pt 1 Summary of Data - Final'!G43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!H27:H28)/('Pt 1 Summary of Data - Final'!H20-'Pt 1 Summary of Data - Final'!H23-'Pt 1 Summary of Data - Final'!H43)),0,SUM('Pt 1 Summary of Data - Final'!H27:H28)/('Pt 1 Summary of Data - Final'!H20-'Pt 1 Summary of Data - 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["Effective Tax Rate - State & Local (Line 3.2 / (Line 1.1 - 2.1 - 4.5))",{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!F30:F33)/('Pt 1 Summary of Data - Final'!F20-'Pt 1 Summary of Data - Final'!F23-'Pt 1 Summary of Data - Final'!F43)),0,SUM('Pt 1 Summary of Data - Final'!F30:F33)/('Pt 1 Summary of Data - Final'!F20-'Pt 1 Summary of Data - Final'!F23-'Pt 1 Summary of Data - Final'!F43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!G30:G33)/('Pt 1 Summary of Data - Final'!G20-'Pt 1 Summary of Data - Final'!G23-'Pt 1 Summary of Data - Final'!G43)),0,SUM('Pt 1 Summary of Data - Final'!G30:G33)/('Pt 1 Summary of Data - Final'!G20-'Pt 1 Summary of Data - Final'!G23-'Pt 1 Summary of Data - Final'!G43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!H30:H33)/('Pt 1 Summary of Data - Final'!H20-'Pt 1 Summary of Data - Final'!H23-'Pt 1 Summary of Data - Final'!H43)),0,SUM('Pt 1 Summary of Data - Final'!H30:H33)/('Pt 1 Summary of Data - Final'!H20-'Pt 1 Summary of Data - 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Final'!K43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!L30:L33)/('Pt 1 Summary of Data - Final'!L20-'Pt 1 Summary of Data - Final'!L23-'Pt 1 Summary of Data - Final'!L43)),0,SUM('Pt 1 Summary of Data - Final'!L30:L33)/('Pt 1 Summary of Data - Final'!L20-'Pt 1 Summary of Data - Final'!L23-'Pt 1 Summary of Data - Final'!L43))","v":-0.4},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!M30:M33)/('Pt 1 Summary of Data - Final'!M20-'Pt 1 Summary of Data - Final'!M23-'Pt 1 Summary of Data - Final'!M43)),0,SUM('Pt 1 Summary of Data - Final'!M30:M33)/('Pt 1 Summary of Data - Final'!M20-'Pt 1 Summary of Data - Final'!M23-'Pt 1 Summary of Data - Final'!M43))","v":-0.4},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!N30:N33)/('Pt 1 Summary of Data - Final'!N20-'Pt 1 Summary of Data - Final'!N23-'Pt 1 Summary of Data - Final'!N43)),0,SUM('Pt 1 Summary of Data - Final'!N30:N33)/('Pt 1 Summary of Data - Final'!N20-'Pt 1 Summary of Data - Final'!N23-'Pt 1 Summary of Data - 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Final'!AF30:AF33)/('Pt 1 Summary of Data - Final'!AF20-'Pt 1 Summary of Data - Final'!AF23-'Pt 1 Summary of Data - Final'!AF43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!AG30:AG33)/('Pt 1 Summary of Data - Final'!AG20-'Pt 1 Summary of Data - Final'!AG23-'Pt 1 Summary of Data - Final'!AG43)),0,SUM('Pt 1 Summary of Data - Final'!AG30:AG33)/('Pt 1 Summary of Data - Final'!AG20-'Pt 1 Summary of Data - Final'!AG23-'Pt 1 Summary of Data - Final'!AG43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!AH30:AH33)/('Pt 1 Summary of Data - Final'!AH20-'Pt 1 Summary of Data - Final'!AH23-'Pt 1 Summary of Data - Final'!AH43)),0,SUM('Pt 1 Summary of Data - Final'!AH30:AH33)/('Pt 1 Summary of Data - Final'!AH20-'Pt 1 Summary of Data - Final'!AH23-'Pt 1 Summary of Data - Final'!AH43))","v":0},{"$f":"IF(ISERROR(SUM('Pt 1 Summary of Data - Final'!AI30:AI33)/('Pt 1 Summary of Data - Final'!AI20-'Pt 1 Summary of Data - Final'!AI23-'Pt 1 Summary of Data - Final'!AI43)),0,SUM('Pt 1 Summary of Data - Final'!AI30:AI33)/('Pt 1 Summary of Data - Final'!AI20-'Pt 1 Summary of Data - Final'!AI23-'Pt 1 Summary of Data - Final'!AI43))","v":4.2587422514550702E-4}]
["Non-Claims Costs - QI/HIT"]
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["QI/HIT % of Non-Claims Costs",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!F43),0,SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!F43))","v":0},{"$f":"+B24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!H43),0,SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!H43))","v":0},{"$f":"+D24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!J43),0,SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!J43))","v":0},{"$f":"+F24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",SUM('EB PT 1'!$R$38:$R$43)/'Pt 1 Summary of Data - Final'!L43,IF(ISERROR(SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!L43),0,SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!L43)))","v":0},{"$f":"+H24","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!N43),0,SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!N43)))","v":1.5031848719543726E-18},{"$f":"+J24","v":1.5031848719543726E-18},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!P43),0,SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!P43)))","v":0.15713931993657154},{"$f":"+L24","v":0.15713931993657154},null,{"$f":"IF(ISERROR(SUM('EB PT 1'!$O$38:$O$43)/'Pt 1 Summary of Data - Final'!S43),0,SUM('EB PT 1'!$O$38:$O$43)/'Pt 1 Summary of Data - Final'!S43)","v":9.7351688576753692E-2},{"$f":"IF(ISERROR(SUM('EB PT 1'!T38:T43)/'Pt 1 Summary of Data - Final'!T43),0,SUM('EB PT 1'!T38:T43)/'Pt 1 Summary of Data - Final'!T43)","v":6.3393626516707033E-2},{"$f":"IF(ISERROR(SUM('EB PT 1'!U38:U43)/'Pt 1 Summary of Data - Final'!U43),0,SUM('EB PT 1'!U38:U43)/'Pt 1 Summary of Data - Final'!U43)","v":0},{"$f":"IF(ISERROR(SUM('EB PT 1'!AO38:AO43)/'Pt 1 Summary of Data - Final'!AD43),0,SUM('EB PT 1'!AO38:AO43)/'Pt 1 Summary of Data - Final'!AD43)","v":8.9319910624463206E-2}]
["QI/HIT PMPM",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!F47),0,SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!F47))","v":0},{"$f":"+B25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!H47),0,SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!H47))","v":0},{"$f":"+D25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DPPO\",0,IF(ISERROR(SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!J47),0,SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!J47))","v":0},{"$f":"+F25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",SUM('EB PT 1'!$R$38:$R$43)/'Pt 1 Summary of Data - Final'!L47,IF(ISERROR(SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!L47),0,SUM('EB PT 1'!$I$38:$I$43)/'Pt 1 Summary of Data - Final'!L47)))","v":0},{"$f":"+H25","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!N47),0,SUM('EB PT 1'!$K$38:$K$43)/'Pt 1 Summary of Data - Final'!N47)))","v":1.3736161574355886E-17},{"$f":"+J25","v":1.3736161574355886E-17},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$6,5,FALSE)=\"DHMO\",0,IF('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",0,IF(ISERROR(SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!P47),0,SUM('EB PT 1'!$M$38:$M$43)/'Pt 1 Summary of Data - Final'!P47)))","v":0.97797544767053801},{"$f":"+L25","v":0.97797544767053801},null,{"$f":"IF(ISERROR(SUM('EB PT 1'!$O$38:$O$43)/'Pt 1 Summary of Data - Final'!S47),0,SUM('EB PT 1'!$O$38:$O$43)/'Pt 1 Summary of Data - Final'!S47)","v":0.68955463280987461},{"$f":"IF(ISERROR(SUM('EB PT 1'!T38:T43)/'Pt 1 Summary of Data - Final'!T47),0,SUM('EB PT 1'!T38:T43)/'Pt 1 Summary of Data - Final'!T47)","v":5.3200824164081541E-2},{"$f":"IF(ISERROR(SUM('EB PT 1'!U38:U43)/'Pt 1 Summary of Data - Final'!U47),0,SUM('EB PT 1'!U38:U43)/'Pt 1 Summary of Data - Final'!U47)","v":0},{"$f":"IF(ISERROR(SUM('EB PT 1'!AO38:AO43)/'Pt 1 Summary of Data - Final'!AD47),0,SUM('EB PT 1'!AO38:AO43)/'Pt 1 Summary of Data - Final'!AD47)","v":2.4509909007979038}]
["MLR"]
["MLR % (Part 4 Line 4.1)",{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$H$33),0,'Pt 4 MLR Calculation - Final'!$H$33)","v":""},{"$f":"+B27","v":""},{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$L$33),0,'Pt 4 MLR Calculation - Final'!$L$33)","v":""},{"$f":"+D27","v":""},{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$P$33),0,'Pt 4 MLR Calculation - Final'!$P$33)","v":""},{"$f":"+F27","v":""},{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$T$33),0,'Pt 4 MLR Calculation - Final'!$T$33)","v":0},{"$f":"+H27","v":0},{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$X$33),0,'Pt 4 MLR Calculation - Final'!$X$33)","v":0.61247829676524701},{"$f":"+J27","v":0.61247829676524701},{"$f":"IF(ISERROR('Pt 4 MLR Calculation - Final'!$AB$33),0,'Pt 4 MLR Calculation - Final'!$AB$33)","v":0.84647513168384081},{"$f":"+L27","v":0.84647513168384081}]
["Membership"]
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[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form "]
[null,"Dental Coverage"]
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[]
["1.","MLR Reporting Year",{"$f":"'Essbase Input'!$C$8","v":"2017"}]
["2.","Enter DMHC Health Plan ID. Insurers may leave this field blank",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$E$12,3,FALSE)=\"\",\"\",VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$E$12,3,FALSE))","v":""}]
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["5.","Federal Tax Exempt Status? Please enter Yes or No","No"]
[]
[]
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[null,"Cell Key:"]
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[null,"version 4.22.15"]

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[1,4.4000000000000004,{"$f":"$J$11","v":"2018"},"General & Admin Expenses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"Total Year","REINSURANCE GROUP","Health Care Reform",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[5,"2.b","2017","RC022 - Number Subscribers Paid Rebate",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"December","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[5,"4.g","2017","RC029 - Amt Unclaimed Rebates Prior Yr",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8-1)","v":"IDB 2016"},"December","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[4,5.0999999999999996,{"$f":"$I$11","v":"2017"},"RC016 - Standard & Exception MLR Pct","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[4,3.3,{"$f":"I11","v":"2017"},"RC011 - Weighted Average Deductible","IDB Periods","Total Year","Reinsurance","All Other Projects",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]

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[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,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 1",null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"UHG Other Health Reconciliation"]
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[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,"Prdct Range 322000","Prdct Range 150000","Prdct Range 204000","Prdct Range 203000","Prdct Rng 112/3000","Prdct 202080","Prdct 106410",null,null,null,"Federal MLR Lines","Market OU"]
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[null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
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1.1",null,{"$f":"SUM(AG20:AG20)","v":0},{"$f":"ROUND((S20+T20+U20+AC20+V20+W20+X20+Y20+Z20+AA20+AB20)-AE20+AH20,0)","v":50772}]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!F50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!G50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!H50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!I50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!J50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 2 Premium and Claims'!K50)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",'Pt 2 Premium and Claims'!L50)","v":2318.35},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",'Pt 2 Premium and Claims'!M50)","v":2517},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 2 Premium and Claims'!N50))","v":9261613.6400000006},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 2 Premium and Claims'!O50))","v":9257288.4499999993},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 2 Premium and Claims'!P50))","v":28372068.010000005},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 2 Premium and Claims'!Q50))","v":28383427.830000002},null,{"$f":"IF(P23=\"\",0,P23)+IF(N23=\"\",0,N23)+IF(L23=\"\",0,L23)+IF(J23=\"\",0,J23)+IF(H23=\"\",0,H23)+IF(F23=\"\",0,F23)","v":37636000.000000007},{"$f":"+'Pt 2 Premium and Claims'!T50","v":7044731.8500000006},{"$f":"+'Pt 2 Premium and Claims'!U50","v":1481723.1400000001},{"$f":"+'Pt 2 Premium and Claims'!V50","v":0},{"$f":"+'Pt 2 Premium and Claims'!W50","v":27927366.150000006},{"$f":"+'Pt 2 Premium and Claims'!X50","v":3794940.640000063},{"$f":"+'Pt 2 Premium and Claims'!Y50","v":683749908.35000002},{"$f":"+'Pt 2 Premium and Claims'!Z50","v":30031.579999999976},{"$f":"+'Pt 2 Premium and Claims'!AA50","v":168762806.33000001},{"$f":"+'Pt 2 Premium and Claims'!AB50","v":-4054.2199999999721},{"$f":"+'Pt 2 Premium and Claims'!AC50","v":-628.70999970589764},{"$f":"SUM(V23:AC23)","v":884260370.12000048},{"$f":"+'Pt 2 Premium and Claims'!AE50","v":930422825.11000037}," Sec 2 - 2.1",null,{"$f":"SUM(AG23:AG23)","v":0},{"$f":"ROUND((S23+T23+U23+AC23+V23+W23+X23+Y23+Z23+AA23+AB23)-AE23+AH23,0)","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,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I12)","v":""},{"$f":"F27","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K12)","v":""},{"$f":"H27","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M12)","v":""},{"$f":"J27","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R12,'EB PT 1'!I12))","v":0},{"$f":"L27","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K12))","v":0},{"$f":"N27","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M12))","v":2330375.08},{"$f":"P27","v":2330375.08},null,{"$f":"IF(P27=\"\",0,P27)+IF(N27=\"\",0,N27)+IF(L27=\"\",0,L27)+IF(J27=\"\",0,J27)+IF(H27=\"\",0,H27)+IF(F27=\"\",0,F27)","v":2330375.08},{"$f":"+'EB PT 1'!T12","v":1360911.4200000002},{"$f":"+'EB PT 1'!U12","v":223011.69},{"$f":"+'EB PT 1'!V12+'EB PT 1'!W12+'EB PT 1'!X12","v":0},{"$f":"+'EB PT 1'!AB12+'EB PT 1'!Z12+'EB PT 1'!Y12+'EB PT 1'!AA12","v":263461.59000000003},{"$f":"+'EB PT 1'!AC12+'EB PT 1'!AD12+'EB PT 1'!AE12+'EB PT 1'!AF12","v":74640.44},{"$f":"+'EB PT 1'!AH12+'EB PT 1'!AI12+'EB PT 1'!AJ12+'EB PT 1'!AG12","v":3977824.1599999992},{"$f":"+'EB PT 1'!AK12+'EB PT 1'!AL12","v":12151.29},{"$f":"+'EB PT 1'!AM12","v":-6014884.0899999989},{"$f":"+'EB PT 1'!AN12","v":-60015.63},{"$f":"+'EB PT 1'!AO12-SUM(V27:AB27)","v":81701.319999999367},{"$f":"SUM(V27:AC27)","v":-1665120.92},{"$f":"+'EB PT 1'!S12","v":2227496.2299999995}," Sec 2 - 3.1a & 3.1c",{"$f":"+'EB PT 1'!AP12","v":0},{"$f":"SUM(AG27:AG27)","v":0},{"$f":"ROUND((S27+T27+U27+AC27+V27+W27+X27+Y27+Z27+AA27+AB27)-AE27+AH27,0)","v":21681}]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I13-'EB PT 1'!I16)","v":""},{"$f":"F28","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K13-'EB PT 1'!K16)","v":""},{"$f":"H28","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M13-'EB PT 1'!M16)","v":""},{"$f":"J28","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R13-'EB PT 1'!R16,'EB PT 1'!I13-'EB PT 1'!I16))","v":0},{"$f":"L28","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K13-'EB PT 1'!K16))","v":0},{"$f":"N28","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M13-'EB PT 1'!M16))","v":0},{"$f":"P28","v":0},null,{"$f":"IF(P28=\"\",0,P28)+IF(N28=\"\",0,N28)+IF(L28=\"\",0,L28)+IF(J28=\"\",0,J28)+IF(H28=\"\",0,H28)+IF(F28=\"\",0,F28)","v":0},{"$f":"+'EB PT 1'!T13-'EB PT 1'!T16","v":0},{"$f":"+'EB PT 1'!U13-'EB PT 1'!U16","v":0},{"$f":"+('EB PT 1'!V13-'EB PT 1'!V16)+('EB PT 1'!W13-'EB PT 1'!W16)+('EB PT 1'!X13-'EB PT 1'!X16)","v":0},{"$f":"+('EB PT 1'!Z13-'EB PT 1'!Z16)+('EB PT 1'!AB13-'EB PT 1'!AB16)+('EB PT 1'!Y13-'EB PT 1'!Y16)+('EB PT 1'!AA13-'EB PT 1'!AA16)","v":0},{"$f":"+('EB PT 1'!AD13-'EB PT 1'!AD16)+('EB PT 1'!AC13-'EB PT 1'!AC16)+('EB PT 1'!AE13-'EB PT 1'!AE16)+('EB PT 1'!AF13-'EB PT 1'!AF16)","v":0},{"$f":"+('EB PT 1'!AH13-'EB PT 1'!AH16)+('EB PT 1'!AI13-'EB PT 1'!AI16)+('EB PT 1'!AJ13-'EB PT 1'!AJ16)+('EB PT 1'!AG13-'EB PT 1'!AG16)","v":9394.9},{"$f":"('EB PT 1'!AK13-'EB PT 1'!AK16)+('EB PT 1'!AL13-'EB PT 1'!AL16)","v":0},{"$f":"('EB PT 1'!AM13-'EB PT 1'!AM16)","v":291335.87},{"$f":"('EB PT 1'!AN13-'EB PT 1'!AN16)","v":-6.4799999999999898},{"$f":"+'EB PT 1'!AO13-'EB PT 1'!AO16-SUM(V28:AB28)","v":0},{"$f":"SUM(V28:AC28)","v":300724.29000000004},{"$f":"+'EB PT 1'!S13-'EB PT 1'!S16","v":300724.28999999998}," Sec 2 - 3.1b & 3.1d",{"$f":"+'EB PT 1'!AP13-'EB PT 1'!AP16","v":0},{"$f":"SUM(AG28:AG28)","v":0},{"$f":"ROUND((S28+T28+U28+AC28+V28+W28+X28+Y28+Z28+AA28+AB28)-AE28+AH28,0)","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,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I14+'EB PT 1'!I15+'EB PT 1'!I18+'EB PT 1'!I16)","v":""},{"$f":"F30","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K14+'EB PT 1'!K15+'EB PT 1'!K18+'EB PT 1'!K16)","v":""},{"$f":"H30","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M14+'EB PT 1'!M15+'EB PT 1'!M18+'EB PT 1'!M16)","v":""},{"$f":"J30","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R14+'EB PT 1'!R15+'EB PT 1'!R18,'EB PT 1'!I14+'EB PT 1'!I15+'EB PT 1'!I18+'EB PT 1'!I16))","v":0},{"$f":"L30","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K14+'EB PT 1'!K15+'EB PT 1'!K18+'EB PT 1'!K16))","v":17285.340000000091},{"$f":"N30","v":17285.340000000091},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M14+'EB PT 1'!M15+'EB PT 1'!M18+'EB PT 1'!M16))","v":63166.150000000183},{"$f":"P30","v":63166.150000000183},null,{"$f":"IF(P30=\"\",0,P30)+IF(N30=\"\",0,N30)+IF(L30=\"\",0,L30)+IF(J30=\"\",0,J30)+IF(H30=\"\",0,H30)+IF(F30=\"\",0,F30)","v":80451.490000000282},{"$f":"+'EB PT 1'!T14+'EB PT 1'!T15+'EB PT 1'!T18","v":29511.109999999971},{"$f":"+'EB PT 1'!U14+'EB PT 1'!U15+'EB PT 1'!U18+'EB PT 1'!U16","v":-20181.370000000003},{"$f":"+('EB PT 1'!V14+'EB PT 1'!V15+'EB PT 1'!V18+'EB PT 1'!V16)+('EB PT 1'!W14+'EB PT 1'!W15+'EB PT 1'!W18+'EB PT 1'!W16)+('EB PT 1'!X14+'EB PT 1'!X15+'EB PT 1'!X18+'EB PT 1'!X16)","v":0},{"$f":"+('EB PT 1'!Z14+'EB PT 1'!Z15+'EB PT 1'!Z18+'EB PT 1'!Z16)+('EB PT 1'!AB14+'EB PT 1'!AB15+'EB PT 1'!AB18+'EB PT 1'!AB16)+('EB PT 1'!Y14+'EB PT 1'!Y15+'EB PT 1'!Y18+'EB PT 1'!Y16)+('EB PT 1'!AA14+'EB PT 1'!AA15+'EB PT 1'!AA18+'EB PT 1'!AA16)","v":13059.570000000002},{"$f":"+('EB PT 1'!AD14+'EB PT 1'!AD15+'EB PT 1'!AD18+'EB PT 1'!AD16)+('EB PT 1'!AC14+'EB PT 1'!AC15+'EB PT 1'!AC18+'EB PT 1'!AC16)+('EB PT 1'!AE14+'EB PT 1'!AE15+'EB PT 1'!AE18+'EB PT 1'!AE16)+('EB PT 1'!AF14+'EB PT 1'!AF15+'EB PT 1'!AF18+'EB PT 1'!AF16)","v":-291156.55},{"$f":"+('EB PT 1'!AH14+'EB PT 1'!AH15+'EB PT 1'!AH18+'EB PT 1'!AH16)+('EB PT 1'!AI14+'EB PT 1'!AI15+'EB PT 1'!AI18+'EB PT 1'!AI16)+('EB PT 1'!AJ14+'EB PT 1'!AJ15+'EB PT 1'!AJ18+'EB PT 1'!AJ16)+('EB PT 1'!AG14+'EB PT 1'!AG15+'EB PT 1'!AG18+'EB PT 1'!AG16)","v":-28381556.780000001},{"$f":"+('EB PT 1'!AK14+'EB PT 1'!AK15+'EB PT 1'!AK18+'EB PT 1'!AK16)+('EB PT 1'!AL14+'EB PT 1'!AL15+'EB PT 1'!AL18+'EB PT 1'!AL16)","v":74379.489999999991},{"$f":"+('EB PT 1'!AM14+'EB PT 1'!AM15+'EB PT 1'!AM18+'EB PT 1'!AM16)","v":-365272.41000000003},{"$f":"+('EB PT 1'!AN14+'EB PT 1'!AN15+'EB PT 1'!AN18+'EB PT 1'!AN16)","v":182777.01},{"$f":"+'EB PT 1'!AO14+'EB PT 1'!AO15+'EB PT 1'!AO18+'EB PT 1'!AO16-SUM(V30:AB30)","v":14849.239999998361},{"$f":"SUM(V30:AC30)","v":-28752920.430000003},{"$f":"+'EB PT 1'!S14+'EB PT 1'!S15+'EB PT 1'!S18+'EB PT 1'!S16","v":-28663139.199999999}," Sec 2 - 3.2a",{"$f":"+'EB PT 1'!AP14+'EB PT 1'!AP15+'EB PT 1'!AP18+'EB PT 1'!AP16","v":0},{"$f":"SUM(AG30:AG30)","v":0},{"$f":"ROUND((S30+T30+U30+AC30+V30+W30+X30+Y30+Z30+AA30+AB30)-AE30+AH30,0)","v":0}]
[null,null,null,"  3.2 b   State premium taxes ",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I17-'EB PT 1'!I18)","v":""},{"$f":"F31","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K17-'EB PT 1'!K18)","v":""},{"$f":"H31","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M17-'EB PT 1'!M18)","v":""},{"$f":"J31","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R17-'EB PT 1'!R18,'EB PT 1'!I17-'EB PT 1'!I18))","v":0.1},{"$f":"L31","v":0.1},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K17-'EB PT 1'!K18))","v":986.94000000001324},{"$f":"N31","v":986.94000000001324},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M17-'EB PT 1'!M18))","v":2198.4899999999834},{"$f":"P31","v":2198.4899999999834},null,{"$f":"IF(P31=\"\",0,P31)+IF(N31=\"\",0,N31)+IF(L31=\"\",0,L31)+IF(J31=\"\",0,J31)+IF(H31=\"\",0,H31)+IF(F31=\"\",0,F31)","v":3185.5299999999966},{"$f":"+'EB PT 1'!T17-'EB PT 1'!T18","v":7991.6300000000047},{"$f":"+'EB PT 1'!U17-'EB PT 1'!U18","v":244.56000000000131},{"$f":"+('EB PT 1'!V17-'EB PT 1'!V18)+('EB PT 1'!W17-'EB PT 1'!W18)+('EB PT 1'!X17-'EB PT 1'!X18)","v":0},{"$f":"+('EB PT 1'!Z17-'EB PT 1'!Z18)+('EB PT 1'!AB17-'EB PT 1'!AB18)+('EB PT 1'!Y17-'EB PT 1'!Y18)+('EB PT 1'!AA17-'EB PT 1'!AA18)","v":386301.56999999995},{"$f":"+('EB PT 1'!AD17-'EB PT 1'!AD18)+('EB PT 1'!AC17-'EB PT 1'!AC18)+('EB PT 1'!AE17-'EB PT 1'!AE18)+('EB PT 1'!AF17-'EB PT 1'!AF18)","v":9259.3299999999963},{"$f":"+('EB PT 1'!AH17-'EB PT 1'!AH18)+('EB PT 1'!AI17-'EB PT 1'!AI18)+('EB PT 1'!AJ17-'EB PT 1'!AJ18)+('EB PT 1'!AG17-'EB PT 1'!AG18)","v":1208372.6400000006},{"$f":"('EB PT 1'!AK17-'EB PT 1'!AK18)+('EB PT 1'!AL17-'EB PT 1'!AL18)","v":3.5},{"$f":"('EB PT 1'!AM17-'EB PT 1'!AM18)","v":1271813.55},{"$f":"('EB PT 1'!AN17-'EB PT 1'!AN18)","v":24.839999999996508},{"$f":"+'EB PT 1'!AO17-'EB PT 1'!AO18-SUM(V31:AB31)","v":0},{"$f":"SUM(V31:AC31)","v":2875775.4300000006},{"$f":"+'EB PT 1'!S17-'EB PT 1'!S18","v":2887188.6099999994}," Sec 2 - 3.2b",{"$f":"+'EB PT 1'!AP17-'EB PT 1'!AP18","v":0},{"$f":"SUM(AG31:AG31)","v":0},{"$f":"ROUND((S31+T31+U31+AC31+V31+W31+X31+Y31+Z31+AA31+AB31)-AE31+AH31,0)","v":9}]
[null,null,null,"  3.2 c   Community benefit expenditures ",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"F32","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"H32","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"J32","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),0,0))","v":0},{"$f":"L32","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"N32","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"P32","v":0},null,{"$f":"IF(P32=\"\",0,P32)+IF(N32=\"\",0,N32)+IF(L32=\"\",0,L32)+IF(J32=\"\",0,J32)+IF(H32=\"\",0,H32)+IF(F32=\"\",0,F32)","v":0},0,0,0,0,0,0,0,0,0,0,{"$f":"SUM(V32:AC32)","v":0},0," Sec 2 - 3.2c",0,{"$f":"SUM(AG32:AG32)","v":0},{"$f":"ROUND((S32+T32+U32+AC32+V32+W32+X32+Y32+Z32+AA32+AB32)-AE32+AH32,0)","v":0}]
[null,null,3.3,"Regulatory authority licenses and fees",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I19)","v":""},{"$f":"F33","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K19)","v":""},{"$f":"H33","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M19)","v":""},{"$f":"J33","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R19,'EB PT 1'!I19))","v":0},{"$f":"L33","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K19))","v":1240.45},{"$f":"N33","v":1240.45},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M19))","v":3112.1899999999996},{"$f":"P33","v":3112.1899999999996},null,{"$f":"IF(P33=\"\",0,P33)+IF(N33=\"\",0,N33)+IF(L33=\"\",0,L33)+IF(J33=\"\",0,J33)+IF(H33=\"\",0,H33)+IF(F33=\"\",0,F33)","v":4352.6399999999994},{"$f":"+'EB PT 1'!T19","v":1176.8799999999999},{"$f":"+'EB PT 1'!U19","v":7.0000000000000007E-2},{"$f":"+'EB PT 1'!V19+'EB PT 1'!W19+'EB PT 1'!X19","v":0},{"$f":"+'EB PT 1'!Y19+'EB PT 1'!Z19+'EB PT 1'!AA19+'EB PT 1'!AB19","v":16719.400000000001},{"$f":"+'EB PT 1'!AD19+'EB PT 1'!AE19+'EB PT 1'!AF19+'EB PT 1'!AC19","v":185.75},{"$f":"+'EB PT 1'!AH19+'EB PT 1'!AI19+'EB PT 1'!AJ19+'EB PT 1'!AG19","v":23981.830000000013},{"$f":"+'EB PT 1'!AK19+'EB PT 1'!AL19","v":0},{"$f":"+'EB PT 1'!AM19","v":10417.82},{"$f":"+'EB PT 1'!AN19","v":0},{"$f":"+'EB PT 1'!AO19-SUM(V33:AB33)","v":0},{"$f":"SUM(V33:AC33)","v":51304.80000000001},{"$f":"+'EB PT 1'!S19","v":56834.390000000014}," Sec 2 - 3.3b",{"$f":"+'EB PT 1'!AP19","v":0},{"$f":"SUM(AG33:AG33)","v":0},{"$f":"ROUND((S33+T33+U33+AC33+V33+W33+X33+Y33+Z33+AA33+AB33)-AE33+AH33,0)","v":0}]
[null,null,3.4,"Total Federal and State Taxes and fees to be excluded from premium",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(F$27:F$28,F$30,F$33+IF($I$6=\"No\",IF(MAX(F$31:F$32)=0,MIN(F$31:F$32),MAX(F$31:F$32)),SUM(F$31:F$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(G$27:G$28,G$30,G$33+IF($I$6=\"No\",IF(MAX(G$31:G$32)=0,MIN(G$31:G$32),MAX(G$31:G$32)),SUM(G$31:G$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(H$27:H$28,H$30,H$33+IF($I$6=\"No\",IF(MAX(H$31:H$32)=0,MIN(H$31:H$32),MAX(H$31:H$32)),SUM(H$31:H$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(I$27:I$28,I$30,I$33+IF($I$6=\"No\",IF(MAX(I$31:I$32)=0,MIN(I$31:I$32),MAX(I$31:I$32)),SUM(I$31:I$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(J$27:J$28,J$30,J$33+IF($I$6=\"No\",IF(MAX(J$31:J$32)=0,MIN(J$31:J$32),MAX(J$31:J$32)),SUM(J$31:J$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(K$27:K$28,K$30,K$33+IF($I$6=\"No\",IF(MAX(K$31:K$32)=0,MIN(K$31:K$32),MAX(K$31:K$32)),SUM(K$31:K$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(L$27:L$28,L$30,L$33+IF($I$6=\"No\",IF(MAX(L$31:L$32)=0,MIN(L$31:L$32),MAX(L$31:L$32)),SUM(L$31:L$32))))","v":0.1},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(M$27:M$28,M$30,M$33+IF($I$6=\"No\",IF(MAX(M$31:M$32)=0,MIN(M$31:M$32),MAX(M$31:M$32)),SUM(M$31:M$32))))","v":0.1},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(N$27:N$28,N$30,N$33+IF($I$6=\"No\",IF(MAX(N$31:N$32)=0,MIN(N$31:N$32),MAX(N$31:N$32)),SUM(N$31:N$32)))))","v":19512.730000000105},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(O$27:O$28,O$30,O$33+IF($I$6=\"No\",IF(MAX(O$31:O$32)=0,MIN(O$31:O$32),MAX(O$31:O$32)),SUM(O$31:O$32)))))","v":19512.730000000105},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(P$27:P$28,P$30,P$33+IF($I$6=\"No\",IF(MAX(P$31:P$32)=0,MIN(P$31:P$32),MAX(P$31:P$32)),SUM(P$31:P$32)))))","v":2398851.9100000006},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(Q$27:Q$28,Q$30,Q$33+IF($I$6=\"No\",IF(MAX(Q$31:Q$32)=0,MIN(Q$31:Q$32),MAX(Q$31:Q$32)),SUM(Q$31:Q$32)))))","v":2398851.9100000006},null,{"$f":"IF(P34=\"\",0,P34)+IF(N34=\"\",0,N34)+IF(L34=\"\",0,L34)+IF(J34=\"\",0,J34)+IF(H34=\"\",0,H34)+IF(F34=\"\",0,F34)","v":2418364.7400000007},{"$f":"SUM(T$27:T$28,T$30,T$33+IF($I$6=\"No\",IF(MAX(T$31:T$32)=0,MIN(T$31:T$32),MAX(T$31:T$32)),SUM(T$31:T$32)))","v":1399591.04},{"$f":"SUM(U$27:U$28,U$30,U$33+IF($I$6=\"No\",IF(MAX(U$31:U$32)=0,MIN(U$31:U$32),MAX(U$31:U$32)),SUM(U$31:U$32)))","v":203074.95},{"$f":"SUM(V$27:V$28,V$30,V$33+IF($I$6=\"No\",IF(MAX(V$31:V$32)=0,MIN(V$31:V$32),MAX(V$31:V$32)),SUM(V$31:V$32)))","v":0},679542.13,-207071.03,-23161983.25,86534.28,-4806589.2599999988,122779.74,96550.559999997728,{"$f":"SUM(V34:AC34)","v":-27190236.829999998},{"$f":"SUM(AE$27:AE$28,AE$30,AE$33+IF($I$6=\"No\",IF(MAX(AE$31:AE$32)=0,MIN(AE$31:AE$32),MAX(AE$31:AE$32)),SUM(AE$31:AE$32)))","v":-23190895.68},null,{"$f":"SUM(AG$27:AG$28,AG$30,AG$33+IF($I$6=\"No\",IF(MAX(AG$31:AG$32)=0,MIN(AG$31:AG$32),MAX(AG$31:AG$32)),SUM(AG$31:AG$32)))","v":0},{"$f":"SUM(AG34:AG34)","v":0},{"$f":"ROUND((S34+T34+U34+AC34+V34+W34+X34+Y34+Z34+AA34+AB34)-AE34+AH34,0)","v":21690}]
[]
[null,"4.","Non-Claims Costs "]
[null,null,4.0999999999999996,"Direct sales salaries and benefits",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I20)","v":""},{"$f":"F37","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K20)","v":""},{"$f":"H37","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M20)","v":""},{"$f":"J37","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R20,'EB PT 1'!I20))","v":0},{"$f":"L37","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K20))","v":0},{"$f":"N37","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M20))","v":419862.24},{"$f":"P37","v":419862.24},null,{"$f":"IF(P37=\"\",0,P37)+IF(N37=\"\",0,N37)+IF(L37=\"\",0,L37)+IF(J37=\"\",0,J37)+IF(H37=\"\",0,H37)+IF(F37=\"\",0,F37)","v":419862.24},{"$f":"+'EB PT 1'!T20","v":79230.840000000011},{"$f":"+'EB PT 1'!U20","v":23241.07},{"$f":"+'EB PT 1'!V20+'EB PT 1'!W20+'EB PT 1'!X20","v":0},{"$f":"+'EB PT 1'!Z20+'EB PT 1'!AB20+'EB PT 1'!Y20+'EB PT 1'!AA20","v":0},{"$f":"+'EB PT 1'!AD20+'EB PT 1'!AC20+'EB PT 1'!AE20+'EB PT 1'!AF20","v":40271.230000000003},{"$f":"+'EB PT 1'!AH20+'EB PT 1'!AI20+'EB PT 1'!AJ20+'EB PT 1'!AG20","v":1037508.26},{"$f":"+'EB PT 1'!AK20+'EB PT 1'!AL20","v":975.17},{"$f":"+'EB PT 1'!AM20","v":0},{"$f":"+'EB PT 1'!AN20","v":7.59},{"$f":"+'EB PT 1'!AO20-SUM(V37:AB37)","v":0},{"$f":"SUM(V37:AC37)","v":1078762.25},{"$f":"+'EB PT 1'!S20","v":1601096.4000000001}," Sec 2 - 5.3",{"$f":"+'EB PT 1'!AP20","v":0},{"$f":"SUM(AG37:AG37)","v":0},{"$f":"ROUND((S37+T37+U37+AC37+V37+W37+X37+Y37+Z37+AA37+AB37)-AE37+AH37,0)","v":0}]
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[null,null,4.3,"Other taxes"]
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[null,null,null,"4.3b   Fines and penalties of regulatory authorities (exclude amounts reported in Line 3.3)",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"F41","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"H41","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"J41","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),0,0))","v":0},{"$f":"L41","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"N41","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"P41","v":0},null,{"$f":"IF(P41=\"\",0,P41)+IF(N41=\"\",0,N41)+IF(L41=\"\",0,L41)+IF(J41=\"\",0,J41)+IF(H41=\"\",0,H41)+IF(F41=\"\",0,F41)","v":0},0,0,0,0,0,0,0,0,0,0,{"$f":"SUM(V41:AC41)","v":0},0," Sec 2 - 5.5b",0,{"$f":"SUM(AG41:AG41)","v":0},{"$f":"ROUND((S41+T41+U41+AC41+V41+W41+X41+Y41+Z41+AA41+AB41)-AE41+AH41,0)","v":0}]
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[null,null,4.5,"Total non-claims costs",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(F37:F38)+SUM(F40:F42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(G37:G38)+SUM(G40:G42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(H37:H38)+SUM(H40:H42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(I37:I38)+SUM(I40:I42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(J37:J38)+SUM(J40:J42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(K37:K38)+SUM(K40:K42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(SUM(L37:L38)+SUM(L40:L42)))","v":327.55},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(SUM(M37:M38)+SUM(M40:M42)))","v":327.55},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(N37:N38)+SUM(N40:N42))))","v":2019343.2200000002},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(O37:O38)+SUM(O40:O42))))","v":2019343.2200000002},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(P37:P38)+SUM(P40:P42))))","v":7825851.4899999993},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(Q37:Q38)+SUM(Q40:Q42))))","v":7825851.4899999993},null,{"$f":"IF(P43=\"\",0,P43)+IF(N43=\"\",0,N43)+IF(L43=\"\",0,L43)+IF(J43=\"\",0,J43)+IF(H43=\"\",0,H43)+IF(F43=\"\",0,F43)","v":9845522.2599999998},{"$f":"SUM(SUM(T37:T38)+SUM(T40:T42))","v":2689838.0699999994},308867.69000000006,0,3182447.05,{"$f":"SUM(SUM(X37:X38)+SUM(X40:X42))","v":2405748.6699999995},139766670.81999999,{"$f":"SUM(SUM(Z37:Z38)+SUM(Z40:Z42))","v":27340618.469999999},11415120.16,{"$f":"SUM(SUM(AB37:AB38)+SUM(AB40:AB42))","v":-810.26},-27328871.349999994,{"$f":"SUM(V43:AC43)","v":156780923.56},{"$f":"SUM(SUM(AE37:AE38)+SUM(AE40:AE42))","v":169643216.92000002},null,{"$f":"SUM(SUM(AG37:AG38)+SUM(AG40:AG42))","v":0},{"$f":"SUM(AG43:AG43)","v":0},{"$f":"SUM(SUM(AI37:AI38)+SUM(AI40:AI42))","v":-18065}]
[]
[null,"5.","Other Indicators or information "]
[null,null,5.0999999999999996,"Number of covered lives",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!I45)","v":""},{"$f":"F46","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!K45)","v":""},{"$f":"H46","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'EB PT 1'!M45)","v":""},{"$f":"J46","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R45,'EB PT 1'!I45))","v":0},{"$f":"L46","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!K45))","v":36656},{"$f":"N46","v":36656},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'EB PT 1'!M45))","v":101492},{"$f":"P46","v":101492},null,{"$f":"IF(P46=\"\",0,P46)+IF(N46=\"\",0,N46)+IF(L46=\"\",0,L46)+IF(J46=\"\",0,J46)+IF(H46=\"\",0,H46)+IF(F46=\"\",0,F46)","v":138148},{"$f":"+'EB PT 1'!T45","v":267558},{"$f":"+'EB PT 1'!U45","v":837},{"$f":"+'EB PT 1'!V45+'EB PT 1'!W45+'EB PT 1'!X45","v":0},{"$f":"+'EB PT 1'!Z45+'EB PT 1'!AB45+'EB PT 1'!Y45+'EB PT 1'!AA45","v":84023},{"$f":"+'EB PT 1'!AD45+'EB PT 1'!AC45+'EB PT 1'!AE45+'EB PT 1'!AF45","v":30859},{"$f":"+'EB PT 1'!AH45+'EB PT 1'!AI45+'EB PT 1'!AJ45+'EB PT 1'!AG45","v":9173},{"$f":"+'EB PT 1'!AK45+'EB PT 1'!AL45","v":0},{"$f":"+'EB PT 1'!AM45","v":0},{"$f":"+'EB PT 1'!AN45","v":0},{"$f":"+'EB PT 1'!AO45-SUM(V46:AB46)","v":360949},{"$f":"SUM(V46:AC46)","v":485004},{"$f":"+'EB PT 1'!S45","v":891547}," Sec 2 - 7.2",{"$f":"+'EB PT 1'!AP45","v":0},{"$f":"SUM(AG46:AG46)","v":0},{"$f":"ROUND((S46+T46+U46+AC46+V46+W46+X46+Y46+Z46+AA46+AB46)-AE46+AH46,0)","v":0}]
[null,null,5.2,"Member months",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND('EB PT 1'!I46,0))","v":""},{"$f":"F47","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND('EB PT 1'!K46,0))","v":""},{"$f":"H47","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND('EB PT 1'!M46,0))","v":""},{"$f":"J47","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),'EB PT 1'!R46,ROUND('EB PT 1'!I46,0)))","v":0},{"$f":"L47","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",ROUND('EB PT 1'!K46,0)))","v":409116},{"$f":"N47","v":409116},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",ROUND('EB PT 1'!M46,0)))","v":995388},{"$f":"P47","v":995388},null,{"$f":"IF(P47=\"\",0,P47)+IF(N47=\"\",0,N47)+IF(L47=\"\",0,L47)+IF(J47=\"\",0,J47)+IF(H47=\"\",0,H47)+IF(F47=\"\",0,F47)","v":1404504},{"$f":"ROUND('EB PT 1'!T46,0)","v":3205187},{"$f":"ROUND('EB PT 1'!U46,0)","v":89923},{"$f":"ROUND('EB PT 1'!V46,0)+ROUND('EB PT 1'!W46,0)+ROUND('EB PT 1'!X46,0)","v":0},{"$f":"ROUND('EB PT 1'!Z46,0)+ROUND('EB PT 1'!AB46,0)+ROUND('EB PT 1'!Y46,0)+ROUND('EB PT 1'!AA46,0)","v":1014865},{"$f":"ROUND('EB PT 1'!AD46,0)+ROUND('EB PT 1'!AC46,0)+ROUND('EB PT 1'!AE46,0)+ROUND('EB PT 1'!AF46,0)","v":388681},{"$f":"ROUND('EB PT 1'!AH46,0)+ROUND('EB PT 1'!AI46,0)+ROUND('EB PT 1'!AJ46,0)+ROUND('EB PT 1'!AG46,0)","v":116912},{"$f":"ROUND('EB PT 1'!AK46,0)+ROUND('EB PT 1'!AL46,0)","v":0},{"$f":"ROUND('EB PT 1'!AM46,0)","v":0},{"$f":"ROUND('EB PT 1'!AN46,0)","v":0},{"$f":"ROUND('EB PT 1'!AO46,0)-SUM(V47:AB47)","v":4193010},{"$f":"SUM(V47:AC47)","v":5713468},{"$f":"ROUND('EB PT 1'!S46,0)","v":10413082}," Sec 2 - 7.4",{"$f":"ROUND('EB PT 1'!AP46,0)","v":0},{"$f":"SUM(AG47:AG47)","v":0},{"$f":"ROUND((S47+T47+U47+AC47+V47+W47+X47+Y47+Z47+AA47+AB47)-AE47+AH47,0)","v":0}]
[null,null,5.3,"Number of life-years",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",F47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",G47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",H47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",I47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",J47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",K47/12)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",L47/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",M47/12)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",N47/12))","v":34093},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",O47/12))","v":34093},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",P47/12))","v":82949},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",Q47/12))","v":82949},null,{"$f":"IF(P48=\"\",0,P48)+IF(N48=\"\",0,N48)+IF(L48=\"\",0,L48)+IF(J48=\"\",0,J48)+IF(H48=\"\",0,H48)+IF(F48=\"\",0,F48)","v":117042},{"$f":"T47/12","v":267098.91666666669},7493.583333333333,0,84572.083333333328,{"$f":"X47/12","v":32390.083333333332},9742.6666666666661,{"$f":"Z47/12","v":0},0,{"$f":"AB47/12","v":0},349417.5,{"$f":"SUM(V48:AC48)","v":476122.33333333331},{"$f":"AE47/12","v":867756.83333333337}," Sec 2 - 7.5",{"$f":"AG47/12","v":0},{"$f":"SUM(AG48:AG48)","v":0},{"$f":"ROUND((S48+T48+U48+AC48+V48+W48+X48+Y48+Z48+AA48+AB48)-AE48+AH48,0)","v":0}]
[null,null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!I11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/17 for ALL markets in col. 1-12"}]
[]
[null,"6.","Net investment income and other gain / (loss) ",null,null,{"$f":"-'EB PT 1'!Q49","v":673739.41999999993}]
[null,"7.","Other Federal income taxes (exclude taxes on Line 3.1a and 3.1b) ",null,null,{"$f":"-'EB PT 1'!Q50","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)"]
[]
["Business Rules:"]
[null,null,null,"Line 1.1",null,{"$f":"+F20","v":""},{"$f":"+G20","v":""},"","","","",2802.08,0,16768561.83,16796596.569999997,36717063.759999998,36731721.660000004,null,53488427.669999994,13781195.58,1962290.7200000002,{"$f":"+V20","v":0},32317971.219999995,6139364.9300000006,808164871.66999996,152168,163672167.06999999,1183,259590.10000002381,null,1079888458.4000001,null,0,0,50772]
[null,null,null,"Line 2.1",null,{"$f":"+F23","v":""},{"$f":"+G23","v":""},"","","","",2318.35,2517,9261613.6400000006,9257288.4499999993,28372068.010000005,28383427.830000002,null,37636000.000000007,7044731.8500000006,1481723.1400000001,{"$f":"+V23","v":0},27927366.150000006,3794940.640000063,683749908.35000002,30031.579999999976,168762806.33000001,-4054.2199999999721,-628.70999970589764,null,930422825.11000037,null,0,0,0]
[null,null,null,"Line 4.5",null,{"$f":"+F43","v":""},{"$f":"+G43","v":""},"","","","",327.55,327.55,2019343.2200000002,2019343.2200000002,7825851.4899999993,7825851.4899999993,null,9845522.2599999998,2689838.0699999994,308867.69000000006,{"$f":"+V43","v":0},3182447.05,2405748.6699999995,139766670.81999999,27340618.469999999,11415120.16,-810.26,-27328871.349999994,null,169643216.92000002,null,0,0,-18065]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},{"$f":"+G47","v":""},"","","","",0,0,409116,409116,995388,995388,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,null,10413082,null,0,0,0]
[{"$f":"IF(AJ65=0,\"\",IF(AJ65=1,AJ65&\" FAILURE\",AJ65&\" FAILURES\"))","v":"6 FAILURES"},null,null,"Question 1: Why is there not data on all of the following lines: 1.1, 2.1, 4.5, & Other Indicators Line 5.2?",null,{"$f":"IF(OR(SUM(F66:F69)=0,SUM(F66:F69)=4),\"PASS\",\"FAIL\")","v":"PASS"},{"$f":"IF(OR(SUM(G66:G69)=0,SUM(G66:G69)=4),\"PASS\",\"FAIL\")","v":"PASS"},"PASS","PASS","PASS","PASS","FAIL","FAIL","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(SUM(V66:V69)=0,SUM(V66:V69)=4),\"PASS\",\"FAIL\")","v":"PASS"},"PASS","PASS","PASS","FAIL","FAIL","FAIL","PASS",null,"PASS",null,"PASS","PASS","FAIL",{"$f":"COUNTIF(F65:AI65,\"FAIL\")","v":6},{"$f":"IF(AJ65>0,\"x\",\"\")","v":"x"}]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(F61),IF(F61<>0,1,0),0)","v":0},{"$f":"IF(ISNUMBER(G61),IF(G61<>0,1,0),0)","v":0},0,0,0,0,1,0,1,1,1,1,null,1,1,1,{"$f":"IF(ISNUMBER(V61),IF(V61<>0,1,0),0)","v":0},1,1,1,1,1,1,1,null,1,null,0,0,1]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(F62),IF(F62<>0,1,0),0)","v":0},0,0,0,0,0,1,1,1,1,1,1,null,1,1,1,{"$f":"IF(ISNUMBER(V62),IF(V62<>0,1,0),0)","v":0},1,1,1,1,1,1,1,null,1,null,0,0,0]
[null,null,null,null,null,0,0,0,0,0,0,1,1,1,1,1,1,null,1,1,1,{"$f":"IF(ISNUMBER(V63),IF(V63<>0,1,0),0)","v":0},1,1,1,1,1,1,1,null,1,null,0,0,1]
[null,null,null,null,null,0,0,0,0,0,0,0,0,1,1,1,1,null,1,1,1,{"$f":"IF(ISNUMBER(V64),IF(V64<>0,1,0),0)","v":0},1,1,1,0,0,0,1,null,1,null,0,0,0]
[]
[null,null,null,"Line 3.1",null,{"$f":"+F26","v":0},{"$f":"+G26","v":0},0,0,0,0,0,0,0,0,0,0,null,0,0,0,{"$f":"+V26","v":0},0,0,0,0,0,0,0,null,0,null,0,0,0]
[null,null,null,"Underwritting Gain/(Loss)",null,{"$f":"IF(ISNUMBER(F20-F23-F34-F43),F20-F23-F34-F43,0)","v":0},{"$f":"IF(ISNUMBER(G20-G23-G34-G43),G20-G23-G34-G43,0)","v":0},0,0,0,0,156.07999999999998,-2844.65,5468092.2399999984,5500452.1699999962,-1879707.6500000069,-1876409.5699999975,null,3588540.6699999869,2647034.62,-31375.059999999998,{"$f":"IF(ISNUMBER(V20-V23-V34-V43),V20-V23-V34-V43,0)","v":0},528615.88999998942,145746.64999993797,7810275.7499999404,-27305016.329999998,-11699170.160000023,-116732.26000000004,27492539.599999726,null,3013312.0499997139,null,0,0,47147]
[{"$f":"IF(AJ73=0,\"\",IF(AJ73=1,AJ73&\" FAILURE\",AJ73&\" FAILURES\"))","v":""},null,null,"Question 2: Why is there federal tax data on Line 3.1, but no underwriting gain/loss?",null,{"$f":"IF(AND(F71<>0,F72=0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(AND(G71<>0,G72=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(AND(V71<>0,V72=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F73:AI73,\"FAIL\")","v":0},{"$f":"IF(AJ73>0,\"x\",\"\")","v":""}]
[]
[null,null,null,"Covered Lives (Line 5.1)",null,{"$f":"+F46","v":""},{"$f":"+G46","v":""},"","","","",0,0,36656,36656,101492,101492,null,138148,267558,837,{"$f":"+V46","v":0},84023,30859,9173,0,0,0,360949,null,891547,null,0,0,0]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},"","","","","",0,0,409116,409116,995388,995388,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,null,10413082,null,0,0,0]
[{"$f":"IF(AJ77=0,\"\",IF(AJ77=1,AJ77&\" FAILURE\",AJ77&\" FAILURES\"))","v":""},null,null,"Question 3: Why is there not data for both covered lives (Line 5.1) and member months (Line 5.2)?",null,{"$f":"IF(OR(AND(F75=0,F76<>0),AND(F76=0,F75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(OR(AND(G75=0,G76<>0),AND(G76=0,G75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(AND(V75=0,V76<>0),AND(V76=0,V75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F77:AI77,\"FAIL\")","v":0},{"$f":"IF(AJ77>0,\"x\",\"\")","v":""}]
[]
[null,null,null,"Covered Lives (Line 5.1)",null,{"$f":"+F46","v":""},{"$f":"+G46","v":""},"","","","",0,0,36656,36656,101492,101492,null,138148,267558,837,{"$f":"+V46","v":0},84023,30859,9173,0,0,0,360949,null,891547,null,0,0,0]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},"","","","","",0,0,409116,409116,995388,995388,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,null,10413082,null,0,0,0]
[null,null,null,"Life Years (Line 5.3)",null,{"$f":"+F48","v":""},"","","","","",0,0,34093,34093,82949,82949,null,117042,267098.91666666669,7493.583333333333,{"$f":"+V48","v":0},84572.083333333328,32390.083333333332,9742.6666666666661,0,0,0,349417.5,null,867756.83333333337,null,0,0,0]
[{"$f":"IF(AJ82=0,\"\",IF(AJ82=1,AJ82&\" FAILURE\",AJ82&\" FAILURES\"))","v":""},null,null,"Question 4: Why is a membership indicator negative?",null,{"$f":"IF(OR(F79<0,F80<0,F81<0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(OR(G79<0,G80<0,G81<0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(V79<0,V80<0,V81<0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F82:AI82,\"FAIL\")","v":0},{"$f":"IF(AJ82>0,\"x\",\"\")","v":""}]

{"sheet":"Pt 1 Summary of Data - Adj","index":8,"n_rows":58,"n_cols":31,"rows_kept":58,"cut":false,"hidden":true,"merged":[[14,28,15,28],[57,2,57,3],[13,19,13,30],[14,19,15,19],[14,20,15,20],[14,29,15,29],[15,5,15,6],[15,7,15,8],[15,9,15,10],[15,11,15,12],[15,13,15,14],[15,15,15,16],[13,5,13,10],[13,11,13,16],[14,11,14,16],[48,5,49,5],[54,2,54,3],[0,1,1,3],[16,1,17,3],[16,4,17,4],[7,11,7,12],[9,1,9,3],[9,11,9,12],[11,1,11,3],[5,1,5,3],[5,5,10,6],[7,1,7,3],[14,5,14,10]]}
[null,"UHG Adjustments"]
[]
[]
[]
[null,"Health Plan ID",null,null,null,null,null,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 1",null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Health","Total Other Health","Corporate"]
[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,"Prdct Range 322000","Prdct Range 150000","Prdct Range 204000","Prdct Range 203000","Prdct Rng 112/3000","Prdct 202080","Prdct 106410",null,null,"Market OU"]
[null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",null,null,null,{"$f":"\"Total as of 12/31/\"&RIGHT('Essbase Input'!C13,2)","v":"Total as of 12/31/17"},{"$f":"\"Total as of 3/31/\"&RIGHT('Essbase Input'!C12,2)","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},null,null,{"$f":"+$F$17","v":"Total as of 12/31/17"},"Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17"]
[null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
[null,null,1.1000000000000001,"Total direct premium earned",null,{"$f":"+'Pt 2 Premium and Claims - Adj'!F21+'Pt 2 Premium and Claims - Adj'!F22-'Pt 2 Premium and Claims - Adj'!F23-'Pt 2 Premium and Claims - Adj'!F24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!G21+'Pt 2 Premium and Claims - Adj'!G22-'Pt 2 Premium and Claims - Adj'!G23-'Pt 2 Premium and Claims - Adj'!G24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!H21+'Pt 2 Premium and Claims - Adj'!H22-'Pt 2 Premium and Claims - Adj'!H23-'Pt 2 Premium and Claims - Adj'!H24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!I21+'Pt 2 Premium and Claims - Adj'!I22-'Pt 2 Premium and Claims - Adj'!I23-'Pt 2 Premium and Claims - Adj'!I24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!J21+'Pt 2 Premium and Claims - Adj'!J22-'Pt 2 Premium and Claims - Adj'!J23-'Pt 2 Premium and Claims - Adj'!J24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!K21+'Pt 2 Premium and Claims - Adj'!K22-'Pt 2 Premium and Claims - Adj'!K23-'Pt 2 Premium and Claims - Adj'!K24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!L21+'Pt 2 Premium and Claims - Adj'!L22-'Pt 2 Premium and Claims - Adj'!L23-'Pt 2 Premium and Claims - Adj'!L24","v":-2802.08},{"$f":"+'Pt 2 Premium and Claims - Adj'!M21+'Pt 2 Premium and Claims - Adj'!M22-'Pt 2 Premium and Claims - Adj'!M23-'Pt 2 Premium and Claims - Adj'!M24","v":0},{"$f":"+'Pt 2 Premium and Claims - Adj'!N21+'Pt 2 Premium and Claims - Adj'!N22-'Pt 2 Premium and Claims - Adj'!N23-'Pt 2 Premium and Claims - Adj'!N24","v":194050.13999999998},{"$f":"+'Pt 2 Premium and Claims - Adj'!O21+'Pt 2 Premium and Claims - Adj'!O22-'Pt 2 Premium and Claims - Adj'!O23-'Pt 2 Premium and Claims - Adj'!O24","v":-50922.829999999994},{"$f":"+'Pt 2 Premium and Claims - Adj'!P21+'Pt 2 Premium and Claims - Adj'!P22-'Pt 2 Premium and Claims - Adj'!P23-'Pt 2 Premium and Claims - Adj'!P24","v":-138508.35999999999},{"$f":"+'Pt 2 Premium and Claims - Adj'!Q21+'Pt 2 Premium and Claims - Adj'!Q22-'Pt 2 Premium and Claims - Adj'!Q23-'Pt 2 Premium and Claims - Adj'!Q24","v":106491.84},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V20:AC20)","v":0}]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",null,{"$f":"'Pt 2 Premium and Claims - Adj'!F50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!G50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!H50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!I50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!J50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!K50","v":0},{"$f":"'Pt 2 Premium and Claims - Adj'!L50","v":-2318.35},{"$f":"'Pt 2 Premium and Claims - Adj'!M50","v":-2517},{"$f":"'Pt 2 Premium and Claims - Adj'!N50","v":45752.37000000001},{"$f":"'Pt 2 Premium and Claims - Adj'!O50","v":-21315.199999999997},{"$f":"'Pt 2 Premium and Claims - Adj'!P50","v":-45752.369999999719},{"$f":"'Pt 2 Premium and Claims - Adj'!Q50","v":42251.129999999903},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V23:AC23)","v":0}]
[]
[null,"3.","Federal and State Taxes and Licensing or Regulatory Fees"]
[null,null,3.1,"Federal taxes and assessments incurred by the reporting health plan or health insurer during the MLR reporting year "]
[null,null,null,"  3.1 a  Federal income taxes deductible from premium in MLR calculations ",null,null,null,null,null,null,null,null,null,1307509.8616368831,1307509.8616368831,-1644285.3913860356,-1644285.3913860356,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V27:AC27)","v":0}]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",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,{"$f":"SUM(V28:AC28)","v":0}]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
[null,null,null,"  3.2 a   State income, excise, business, and other taxes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V30:AC30)","v":0}]
[null,null,null,"  3.2 b   State premium taxes ",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,{"$f":"SUM(V31:AC31)","v":0}]
[null,null,null,"  3.2 c   Community benefit expenditures ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V32:AC32)","v":0}]
[null,null,3.3,"Regulatory authority licenses and fees",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,{"$f":"SUM(V33:AC33)","v":0}]
[null,null,3.4,"Total Federal and State Taxes and fees to be excluded from premium",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(F$27:F$28,F$30,F$33+IF($I$6=\"No\",IF(MAX(F$31:F$32)=0,MIN(F$31:F$32),MAX(F$31:F$32)),SUM(F$31:F$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(G$27:G$28,G$30,G$33+IF($I$6=\"No\",IF(MAX(G$31:G$32)=0,MIN(G$31:G$32),MAX(G$31:G$32)),SUM(G$31:G$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(H$27:H$28,H$30,H$33+IF($I$6=\"No\",IF(MAX(H$31:H$32)=0,MIN(H$31:H$32),MAX(H$31:H$32)),SUM(H$31:H$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(I$27:I$28,I$30,I$33+IF($I$6=\"No\",IF(MAX(I$31:I$32)=0,MIN(I$31:I$32),MAX(I$31:I$32)),SUM(I$31:I$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(J$27:J$28,J$30,J$33+IF($I$6=\"No\",IF(MAX(J$31:J$32)=0,MIN(J$31:J$32),MAX(J$31:J$32)),SUM(J$31:J$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(K$27:K$28,K$30,K$33+IF($I$6=\"No\",IF(MAX(K$31:K$32)=0,MIN(K$31:K$32),MAX(K$31:K$32)),SUM(K$31:K$32))))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(L$27:L$28,L$30,L$33+IF($I$6=\"No\",IF(MAX(L$31:L$32)=0,MIN(L$31:L$32),MAX(L$31:L$32)),SUM(L$31:L$32))))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(M$27:M$28,M$30,M$33+IF($I$6=\"No\",IF(MAX(M$31:M$32)=0,MIN(M$31:M$32),MAX(M$31:M$32)),SUM(M$31:M$32))))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(N$27:N$28,N$30,N$33+IF($I$6=\"No\",IF(MAX(N$31:N$32)=0,MIN(N$31:N$32),MAX(N$31:N$32)),SUM(N$31:N$32)))))","v":1307509.8616368831},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(O$27:O$28,O$30,O$33+IF($I$6=\"No\",IF(MAX(O$31:O$32)=0,MIN(O$31:O$32),MAX(O$31:O$32)),SUM(O$31:O$32)))))","v":1307509.8616368831},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(P$27:P$28,P$30,P$33+IF($I$6=\"No\",IF(MAX(P$31:P$32)=0,MIN(P$31:P$32),MAX(P$31:P$32)),SUM(P$31:P$32)))))","v":-1644285.3913860356},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(Q$27:Q$28,Q$30,Q$33+IF($I$6=\"No\",IF(MAX(Q$31:Q$32)=0,MIN(Q$31:Q$32),MAX(Q$31:Q$32)),SUM(Q$31:Q$32)))))","v":-1644285.3913860356},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V34:AC34)","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,131626.33934500732,131626.33934500732,-131626.33934500732,-131626.33934500732,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V37:AC37)","v":0}]
[null,null,4.2,"Agents and brokers fees and commissions",null,null,null,null,null,null,null,-327.3,-327.3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V38:AC38)","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V40:AC40)","v":0}]
[null,null,null,"4.3b   Fines and penalties of regulatory authorities (exclude amounts reported in Line 3.3)",null,null,null,null,null,null,null,null,null,32319.972255215303,32319.972255215303,70769.0077447847,70769.0077447847,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V41:AC41)","v":0}]
[null,null,4.4000000000000004,"Other general and administrative expenses",null,null,null,null,null,null,null,null,null,1601786.6277134863,1601786.6277134863,-1601786.6277134863,-1601786.6277134863,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V42:AC42)","v":0}]
[null,null,4.5,"Total non-claims costs",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(F37:F38)+SUM(F40:F42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(G37:G38)+SUM(G40:G42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(H37:H38)+SUM(H40:H42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(I37:I38)+SUM(I40:I42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(J37:J38)+SUM(J40:J42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(SUM(K37:K38)+SUM(K40:K42)))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(SUM(L37:L38)+SUM(L40:L42)))","v":-327.3},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(SUM(M37:M38)+SUM(M40:M42)))","v":-327.3},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(N37:N38)+SUM(N40:N42))))","v":1765732.9393137088},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(O37:O38)+SUM(O40:O42))))","v":1765732.9393137088},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(P37:P38)+SUM(P40:P42))))","v":-1662643.9593137088},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(SUM(Q37:Q38)+SUM(Q40:Q42))))","v":-1662643.9593137088},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V43:AC43)","v":0}]
[]
[null,"5.","Other Indicators or information "]
[null,null,5.0999999999999996,"Number of covered lives",null,null,null,null,null,null,null,null,null,{"$f":"-P46","v":364},{"$f":"N46","v":364},-364,{"$f":"P46","v":-364},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V46:AC46)","v":0}]
[null,null,5.2,"Member months",null,null,null,null,null,null,null,null,null,{"$f":"-P47","v":5095},{"$f":"N47","v":5095},-5095,{"$f":"P47","v":-5095},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V47:AC47)","v":0}]
[null,null,5.3,"Number of life-years",null,{"$f":"F47/12","v":0},0,0,0,0,0,0,0,424.58333333333331,424.58333333333331,-424.58333333333331,-424.58333333333331,null,null,{"$f":"T47/12","v":0},0,0,0,0,0,0,0,0,0,0,0]
[null,null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!I11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/17 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":9,"n_rows":82,"n_cols":37,"rows_kept":82,"cut":false,"hidden":false,"merged":[[11,1,11,3],[13,5,13,10],[13,11,13,16],[5,1,5,3],[5,5,10,6],[7,1,7,3],[7,11,7,12],[9,1,9,3],[9,11,9,12],[13,18,13,34],[14,5,14,10],[14,11,14,16],[14,18,15,18],[14,19,15,19],[14,20,15,20],[14,29,15,29],[14,30,15,30],[14,33,15,33],[14,34,15,34],[15,5,15,6],[15,7,15,8],[15,9,15,10],[15,15,15,16],[14,28,15,28],[48,5,49,5],[54,2,54,3],[57,2,57,3],[15,11,15,12],[15,13,15,14],[16,1,17,3],[16,4,17,4]]}
[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,null,"Federal Tax Exempt "]
[null,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 1",null,null,{"$f":"'Cover Page'!C10","v":"No"}]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Subtotal of CA Dental Business","Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Health","Total Other Health","Federal MLR Other Health Total","Tie out to","Corporate","Other Dental Product Diff. Total","CA Dental MLR vs. Fed Other Health"]
[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,"Prdct Range 322000","Prdct Range 150000","Prdct Range 204000","Prdct Range 203000","Prdct Rng 112/3000","Prdct 202080","Prdct 106410",null,null,null,"Federal MLR Lines","Market OU"]
[null,"Part 1\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",null,null,null,{"$f":"\"Total as of 12/31/\"&RIGHT('Essbase Input'!C13,2)","v":"Total as of 12/31/17"},{"$f":"\"Total as of 3/31/\"&RIGHT('Essbase Input'!C12,2)","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},{"$f":"+$F$17","v":"Total as of 12/31/17"},{"$f":"+$G$17","v":"Total as of 3/31/18"},null,{"$f":"+$F$17","v":"Total as of 12/31/17"},"Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17"]
[null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium"]
[null,null,1.1000000000000001,"Total direct premium earned",null,{"$f":"IF('Pt 1 Summary of Data'!F20=\"\",\"\",'Pt 1 Summary of Data'!F20+'Pt 1 Summary of Data - Adj'!F20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G20=\"\",\"\",'Pt 1 Summary of Data'!G20+'Pt 1 Summary of Data - Adj'!G20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H20=\"\",\"\",'Pt 1 Summary of Data'!H20+'Pt 1 Summary of Data - Adj'!H20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I20=\"\",\"\",'Pt 1 Summary of Data'!I20+'Pt 1 Summary of Data - Adj'!I20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J20=\"\",\"\",'Pt 1 Summary of Data'!J20+'Pt 1 Summary of Data - Adj'!J20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K20=\"\",\"\",'Pt 1 Summary of Data'!K20+'Pt 1 Summary of Data - Adj'!K20)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L20=\"\",\"\",'Pt 1 Summary of Data'!L20+'Pt 1 Summary of Data - Adj'!L20)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M20=\"\",\"\",'Pt 1 Summary of Data'!M20+'Pt 1 Summary of Data - Adj'!M20)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N20=\"\",\"\",'Pt 1 Summary of Data'!N20+'Pt 1 Summary of Data - Adj'!N20)","v":16962611.969999999},{"$f":"IF('Pt 1 Summary of Data'!O20=\"\",\"\",'Pt 1 Summary of Data'!O20+'Pt 1 Summary of Data - Adj'!O20)","v":16745673.739999996},{"$f":"IF('Pt 1 Summary of Data'!P20=\"\",\"\",'Pt 1 Summary of Data'!P20+'Pt 1 Summary of Data - Adj'!P20)","v":36578555.399999999},{"$f":"IF('Pt 1 Summary of Data'!Q20=\"\",\"\",'Pt 1 Summary of Data'!Q20+'Pt 1 Summary of Data - Adj'!Q20)","v":36838213.500000007},null,{"$f":"IF(P20=\"\",0,P20)+IF(N20=\"\",0,N20)+IF(L20=\"\",0,L20)+IF(J20=\"\",0,J20)+IF(H20=\"\",0,H20)+IF(F20=\"\",0,F20)","v":53541167.369999997},{"$f":"+'Pt 1 Summary of Data'!T20+'Pt 1 Summary of Data - Adj'!T20","v":13781195.58},{"$f":"+'Pt 1 Summary of Data'!U20+'Pt 1 Summary of Data - Adj'!U20","v":1962290.7200000002},{"$f":"+'Pt 1 Summary of Data'!V20+'Pt 1 Summary of Data - Adj'!V20","v":0},{"$f":"+'Pt 1 Summary of Data'!W20+'Pt 1 Summary of Data - Adj'!W20","v":32317971.219999995},{"$f":"+'Pt 1 Summary of Data'!X20+'Pt 1 Summary of Data - Adj'!X20","v":6139364.9300000006},{"$f":"+'Pt 1 Summary of Data'!Y20+'Pt 1 Summary of Data - Adj'!Y20","v":808164871.66999996},{"$f":"+'Pt 1 Summary of Data'!Z20+'Pt 1 Summary of Data - Adj'!Z20","v":152168},{"$f":"+'Pt 1 Summary of Data'!AA20+'Pt 1 Summary of Data - Adj'!AA20","v":163672167.06999999},{"$f":"+'Pt 1 Summary of Data'!AB20+'Pt 1 Summary of Data - Adj'!AB20","v":1183},{"$f":"+'Pt 1 Summary of Data'!AC20+'Pt 1 Summary of Data - Adj'!AC20","v":259590.10000002381},{"$f":"+'Pt 1 Summary of Data'!AD20+'Pt 1 Summary of Data - Adj'!AD20","v":1010707315.9899999},{"$f":"+'Pt 2 Premium and Claims - Final'!AE21+'Pt 2 Premium and Claims - Final'!AE22-'Pt 2 Premium and Claims - Final'!AE23-'Pt 2 Premium and Claims - Final'!AE24","v":1079888458.4000001}," Sec 1 - 1.1",{"$f":"+'Pt 1 Summary of Data'!AG20+'Pt 1 Summary of Data - Adj'!AE20","v":0},{"$f":"SUM(AG20:AG20)","v":0},{"$f":"ROUND((S20+T20+U20+AD20)-AE20+AH20,0)","v":103511}]
[]
[null,"2.","Claims"]
[null,null,2.1,"Total incurred claims (MLR Form Part 2, Line 2.11)",null,{"$f":"IF('Pt 1 Summary of Data'!F23=\"\",\"\",'Pt 1 Summary of Data'!F23+'Pt 1 Summary of Data - Adj'!F23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G23=\"\",\"\",'Pt 1 Summary of Data'!G23+'Pt 1 Summary of Data - Adj'!G23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H23=\"\",\"\",'Pt 1 Summary of Data'!H23+'Pt 1 Summary of Data - Adj'!H23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I23=\"\",\"\",'Pt 1 Summary of Data'!I23+'Pt 1 Summary of Data - Adj'!I23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J23=\"\",\"\",'Pt 1 Summary of Data'!J23+'Pt 1 Summary of Data - Adj'!J23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K23=\"\",\"\",'Pt 1 Summary of Data'!K23+'Pt 1 Summary of Data - Adj'!K23)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L23=\"\",\"\",'Pt 1 Summary of Data'!L23+'Pt 1 Summary of Data - Adj'!L23)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M23=\"\",\"\",'Pt 1 Summary of Data'!M23+'Pt 1 Summary of Data - Adj'!M23)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N23=\"\",\"\",'Pt 1 Summary of Data'!N23+'Pt 1 Summary of Data - Adj'!N23)","v":9307366.0099999998},{"$f":"IF('Pt 1 Summary of Data'!O23=\"\",\"\",'Pt 1 Summary of Data'!O23+'Pt 1 Summary of Data - Adj'!O23)","v":9235973.25},{"$f":"IF('Pt 1 Summary of Data'!P23=\"\",\"\",'Pt 1 Summary of Data'!P23+'Pt 1 Summary of Data - Adj'!P23)","v":28326315.640000004},{"$f":"IF('Pt 1 Summary of Data'!Q23=\"\",\"\",'Pt 1 Summary of Data'!Q23+'Pt 1 Summary of Data - Adj'!Q23)","v":28425678.960000001},null,{"$f":"IF(P23=\"\",0,P23)+IF(N23=\"\",0,N23)+IF(L23=\"\",0,L23)+IF(J23=\"\",0,J23)+IF(H23=\"\",0,H23)+IF(F23=\"\",0,F23)","v":37633681.650000006},{"$f":"+'Pt 1 Summary of Data'!T23+'Pt 1 Summary of Data - Adj'!T23","v":7044731.8500000006},{"$f":"+'Pt 1 Summary of Data'!U23+'Pt 1 Summary of Data - Adj'!U23","v":1481723.1400000001},{"$f":"+'Pt 1 Summary of Data'!V23+'Pt 1 Summary of Data - Adj'!V23","v":0},{"$f":"+'Pt 1 Summary of Data'!W23+'Pt 1 Summary of Data - Adj'!W23","v":27927366.150000006},{"$f":"+'Pt 1 Summary of Data'!X23+'Pt 1 Summary of Data - Adj'!X23","v":3794940.640000063},{"$f":"+'Pt 1 Summary of Data'!Y23+'Pt 1 Summary of Data - Adj'!Y23","v":683749908.35000002},{"$f":"+'Pt 1 Summary of Data'!Z23+'Pt 1 Summary of Data - Adj'!Z23","v":30031.579999999976},{"$f":"+'Pt 1 Summary of Data'!AA23+'Pt 1 Summary of Data - Adj'!AA23","v":168762806.33000001},{"$f":"+'Pt 1 Summary of Data'!AB23+'Pt 1 Summary of Data - Adj'!AB23","v":-4054.2199999999721},{"$f":"+'Pt 1 Summary of Data'!AC23+'Pt 1 Summary of Data - Adj'!AC23","v":-628.70999970589764},{"$f":"+'Pt 1 Summary of Data'!AD23+'Pt 1 Summary of Data - Adj'!AD23","v":884260370.12000048},{"$f":"+'Pt 2 Premium and Claims - Final'!AE50","v":930422825.11000037}," Sec 2 - 2.1",{"$f":"+'Pt 1 Summary of Data'!AG23+'Pt 1 Summary of Data - Adj'!AE23","v":0},{"$f":"SUM(AG23:AG23)","v":0},{"$f":"ROUND((S23+T23+U23+AD23)-AE23+AH23,0)","v":-2318}]
[]
[null,"3.","Federal and State Taxes and Licensing or Regulatory Fees"]
[null,null,3.1,"Federal taxes and assessments incurred by the reporting health plan or health insurer during the MLR reporting year "]
[null,null,null,"  3.1 a  Federal income taxes deductible from premium in MLR calculations ",null,{"$f":"IF('Pt 1 Summary of Data'!F27=\"\",\"\",'Pt 1 Summary of Data'!F27+'Pt 1 Summary of Data - Adj'!F27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G27=\"\",\"\",'Pt 1 Summary of Data'!G27+'Pt 1 Summary of Data - Adj'!G27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H27=\"\",\"\",'Pt 1 Summary of Data'!H27+'Pt 1 Summary of Data - Adj'!H27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I27=\"\",\"\",'Pt 1 Summary of Data'!I27+'Pt 1 Summary of Data - Adj'!I27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J27=\"\",\"\",'Pt 1 Summary of Data'!J27+'Pt 1 Summary of Data - Adj'!J27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K27=\"\",\"\",'Pt 1 Summary of Data'!K27+'Pt 1 Summary of Data - Adj'!K27)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L27=\"\",\"\",'Pt 1 Summary of Data'!L27+'Pt 1 Summary of Data - Adj'!L27)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M27=\"\",\"\",'Pt 1 Summary of Data'!M27+'Pt 1 Summary of Data - Adj'!M27)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N27=\"\",\"\",'Pt 1 Summary of Data'!N27+'Pt 1 Summary of Data - Adj'!N27)","v":1307509.8616368831},{"$f":"IF('Pt 1 Summary of Data'!O27=\"\",\"\",'Pt 1 Summary of Data'!O27+'Pt 1 Summary of Data - Adj'!O27)","v":1307509.8616368831},{"$f":"IF('Pt 1 Summary of Data'!P27=\"\",\"\",'Pt 1 Summary of Data'!P27+'Pt 1 Summary of Data - Adj'!P27)","v":686089.68861396448},{"$f":"IF('Pt 1 Summary of Data'!Q27=\"\",\"\",'Pt 1 Summary of Data'!Q27+'Pt 1 Summary of Data - Adj'!Q27)","v":686089.68861396448},null,{"$f":"IF(P27=\"\",0,P27)+IF(N27=\"\",0,N27)+IF(L27=\"\",0,L27)+IF(J27=\"\",0,J27)+IF(H27=\"\",0,H27)+IF(F27=\"\",0,F27)","v":1993599.5502508476},{"$f":"+'Pt 1 Summary of Data'!T27+'Pt 1 Summary of Data - Adj'!T27","v":1360911.4200000002},{"$f":"+'Pt 1 Summary of Data'!U27+'Pt 1 Summary of Data - Adj'!U27","v":223011.69},{"$f":"+'Pt 1 Summary of Data'!V27+'Pt 1 Summary of Data - Adj'!V27","v":0},{"$f":"+'Pt 1 Summary of Data'!W27+'Pt 1 Summary of Data - Adj'!W27","v":263461.59000000003},{"$f":"+'Pt 1 Summary of Data'!X27+'Pt 1 Summary of Data - Adj'!X27","v":74640.44},{"$f":"+'Pt 1 Summary of Data'!Y27+'Pt 1 Summary of Data - Adj'!Y27","v":3977824.1599999992},{"$f":"+'Pt 1 Summary of Data'!Z27+'Pt 1 Summary of Data - Adj'!Z27","v":12151.29},{"$f":"+'Pt 1 Summary of Data'!AA27+'Pt 1 Summary of Data - Adj'!AA27","v":-6014884.0899999989},{"$f":"+'Pt 1 Summary of Data'!AB27+'Pt 1 Summary of Data - Adj'!AB27","v":-60015.63},{"$f":"+'Pt 1 Summary of Data'!AC27+'Pt 1 Summary of Data - Adj'!AC27","v":81701.319999999367},{"$f":"+'Pt 1 Summary of Data'!AD27+'Pt 1 Summary of Data - Adj'!AD27","v":-1665120.92},{"$f":"+'EB PT 1'!S12","v":2227496.2299999995}," Sec 2 - 3.1a & 3.1c",{"$f":"+'Pt 1 Summary of Data'!AG27+'Pt 1 Summary of Data - Adj'!AE27","v":0},{"$f":"SUM(AG27:AG27)","v":0},{"$f":"ROUND((S27+T27+U27+AD27)-AE27+AH27,0)","v":-315094}]
[null,null,null,"  3.1 b  Other Federal Taxes (other than income tax) and assessments deductible from premium",null,{"$f":"IF('Pt 1 Summary of Data'!F28=\"\",\"\",'Pt 1 Summary of Data'!F28+'Pt 1 Summary of Data - Adj'!F28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G28=\"\",\"\",'Pt 1 Summary of Data'!G28+'Pt 1 Summary of Data - Adj'!G28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H28=\"\",\"\",'Pt 1 Summary of Data'!H28+'Pt 1 Summary of Data - Adj'!H28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I28=\"\",\"\",'Pt 1 Summary of Data'!I28+'Pt 1 Summary of Data - Adj'!I28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J28=\"\",\"\",'Pt 1 Summary of Data'!J28+'Pt 1 Summary of Data - Adj'!J28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K28=\"\",\"\",'Pt 1 Summary of Data'!K28+'Pt 1 Summary of Data - Adj'!K28)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L28=\"\",\"\",'Pt 1 Summary of Data'!L28+'Pt 1 Summary of Data - Adj'!L28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M28=\"\",\"\",'Pt 1 Summary of Data'!M28+'Pt 1 Summary of Data - Adj'!M28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N28=\"\",\"\",'Pt 1 Summary of Data'!N28+'Pt 1 Summary of Data - Adj'!N28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!O28=\"\",\"\",'Pt 1 Summary of Data'!O28+'Pt 1 Summary of Data - Adj'!O28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!P28=\"\",\"\",'Pt 1 Summary of Data'!P28+'Pt 1 Summary of Data - Adj'!P28)","v":0},{"$f":"IF('Pt 1 Summary of Data'!Q28=\"\",\"\",'Pt 1 Summary of Data'!Q28+'Pt 1 Summary of Data - Adj'!Q28)","v":0},null,{"$f":"IF(P28=\"\",0,P28)+IF(N28=\"\",0,N28)+IF(L28=\"\",0,L28)+IF(J28=\"\",0,J28)+IF(H28=\"\",0,H28)+IF(F28=\"\",0,F28)","v":0},{"$f":"+'Pt 1 Summary of Data'!T28+'Pt 1 Summary of Data - Adj'!T28","v":0},{"$f":"+'Pt 1 Summary of Data'!U28+'Pt 1 Summary of Data - Adj'!U28","v":0},{"$f":"+'Pt 1 Summary of Data'!V28+'Pt 1 Summary of Data - Adj'!V28","v":0},{"$f":"+'Pt 1 Summary of Data'!W28+'Pt 1 Summary of Data - Adj'!W28","v":0},{"$f":"+'Pt 1 Summary of Data'!X28+'Pt 1 Summary of Data - Adj'!X28","v":0},{"$f":"+'Pt 1 Summary of Data'!Y28+'Pt 1 Summary of Data - Adj'!Y28","v":9394.9},{"$f":"+'Pt 1 Summary of Data'!Z28+'Pt 1 Summary of Data - Adj'!Z28","v":0},{"$f":"+'Pt 1 Summary of Data'!AA28+'Pt 1 Summary of Data - Adj'!AA28","v":291335.87},{"$f":"+'Pt 1 Summary of Data'!AB28+'Pt 1 Summary of Data - Adj'!AB28","v":-6.4799999999999898},{"$f":"+'Pt 1 Summary of Data'!AC28+'Pt 1 Summary of Data - Adj'!AC28","v":0},{"$f":"+'Pt 1 Summary of Data'!AD28+'Pt 1 Summary of Data - Adj'!AD28","v":300724.29000000004},{"$f":"+'EB PT 1'!S13-'EB PT 1'!S16","v":300724.28999999998}," Sec 2 - 3.1b & 3.1d",{"$f":"+'Pt 1 Summary of Data'!AG28+'Pt 1 Summary of Data - Adj'!AE28","v":0},{"$f":"SUM(AG28:AG28)","v":0},{"$f":"ROUND((S28+T28+U28+AD28)-AE28+AH28,0)","v":0}]
[null,null,3.2,"State insurance, premium and other taxes incurred by the reporting health plan or heath insurer during the MLR reporting year (deductible from premium in MLR calculation)"]
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[]
[null,"4.","Non-Claims Costs "]
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[null,null,4.3,"Other taxes"]
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[]
[null,"5.","Other Indicators or information "]
[null,null,5.0999999999999996,"Number of covered lives",null,{"$f":"IF('Pt 1 Summary of Data'!F46=\"\",\"\",'Pt 1 Summary of Data'!F46+'Pt 1 Summary of Data - Adj'!F46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G46=\"\",\"\",'Pt 1 Summary of Data'!G46+'Pt 1 Summary of Data - Adj'!G46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H46=\"\",\"\",'Pt 1 Summary of Data'!H46+'Pt 1 Summary of Data - Adj'!H46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I46=\"\",\"\",'Pt 1 Summary of Data'!I46+'Pt 1 Summary of Data - Adj'!I46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J46=\"\",\"\",'Pt 1 Summary of Data'!J46+'Pt 1 Summary of Data - Adj'!J46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K46=\"\",\"\",'Pt 1 Summary of Data'!K46+'Pt 1 Summary of Data - Adj'!K46)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L46=\"\",\"\",'Pt 1 Summary of Data'!L46+'Pt 1 Summary of Data - Adj'!L46)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M46=\"\",\"\",'Pt 1 Summary of Data'!M46+'Pt 1 Summary of Data - Adj'!M46)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N46=\"\",\"\",'Pt 1 Summary of Data'!N46+'Pt 1 Summary of Data - Adj'!N46)","v":37020},{"$f":"IF('Pt 1 Summary of Data'!O46=\"\",\"\",'Pt 1 Summary of Data'!O46+'Pt 1 Summary of Data - Adj'!O46)","v":37020},{"$f":"IF('Pt 1 Summary of Data'!P46=\"\",\"\",'Pt 1 Summary of Data'!P46+'Pt 1 Summary of Data - Adj'!P46)","v":101128},{"$f":"IF('Pt 1 Summary of Data'!Q46=\"\",\"\",'Pt 1 Summary of Data'!Q46+'Pt 1 Summary of Data - Adj'!Q46)","v":101128},null,{"$f":"IF(P46=\"\",0,P46)+IF(N46=\"\",0,N46)+IF(L46=\"\",0,L46)+IF(J46=\"\",0,J46)+IF(H46=\"\",0,H46)+IF(F46=\"\",0,F46)","v":138148},{"$f":"+'Pt 1 Summary of Data'!T46+'Pt 1 Summary of Data - Adj'!T46","v":267558},{"$f":"+'Pt 1 Summary of Data'!U46+'Pt 1 Summary of Data - Adj'!U46","v":837},{"$f":"+'Pt 1 Summary of Data'!V46+'Pt 1 Summary of Data - Adj'!V46","v":0},{"$f":"+'Pt 1 Summary of Data'!W46+'Pt 1 Summary of Data - Adj'!W46","v":84023},{"$f":"+'Pt 1 Summary of Data'!X46+'Pt 1 Summary of Data - Adj'!X46","v":30859},{"$f":"+'Pt 1 Summary of Data'!Y46+'Pt 1 Summary of Data - Adj'!Y46","v":9173},{"$f":"+'Pt 1 Summary of Data'!Z46+'Pt 1 Summary of Data - Adj'!Z46","v":0},{"$f":"+'Pt 1 Summary of Data'!AA46+'Pt 1 Summary of Data - Adj'!AA46","v":0},{"$f":"+'Pt 1 Summary of Data'!AB46+'Pt 1 Summary of Data - Adj'!AB46","v":0},{"$f":"+'Pt 1 Summary of Data'!AC46+'Pt 1 Summary of Data - Adj'!AC46","v":360949},{"$f":"+'Pt 1 Summary of Data'!AD46+'Pt 1 Summary of Data - Adj'!AD46","v":485004},{"$f":"+'EB PT 1'!S45","v":891547}," Sec 2 - 7.2",{"$f":"+'Pt 1 Summary of Data'!AG46+'Pt 1 Summary of Data - Adj'!AE46","v":0},{"$f":"SUM(AG46:AG46)","v":0},{"$f":"ROUND((S46+T46+U46+AD46)-AE46+AH46,0)","v":0}]
[null,null,5.2,"Member months",null,{"$f":"IF('Pt 1 Summary of Data'!F47=\"\",\"\",'Pt 1 Summary of Data'!F47+'Pt 1 Summary of Data - Adj'!F47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G47=\"\",\"\",'Pt 1 Summary of Data'!G47+'Pt 1 Summary of Data - Adj'!G47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H47=\"\",\"\",'Pt 1 Summary of Data'!H47+'Pt 1 Summary of Data - Adj'!H47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I47=\"\",\"\",'Pt 1 Summary of Data'!I47+'Pt 1 Summary of Data - Adj'!I47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J47=\"\",\"\",'Pt 1 Summary of Data'!J47+'Pt 1 Summary of Data - Adj'!J47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K47=\"\",\"\",'Pt 1 Summary of Data'!K47+'Pt 1 Summary of Data - Adj'!K47)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L47=\"\",\"\",'Pt 1 Summary of Data'!L47+'Pt 1 Summary of Data - Adj'!L47)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M47=\"\",\"\",'Pt 1 Summary of Data'!M47+'Pt 1 Summary of Data - Adj'!M47)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N47=\"\",\"\",'Pt 1 Summary of Data'!N47+'Pt 1 Summary of Data - Adj'!N47)","v":414211},{"$f":"IF('Pt 1 Summary of Data'!O47=\"\",\"\",'Pt 1 Summary of Data'!O47+'Pt 1 Summary of Data - Adj'!O47)","v":414211},{"$f":"IF('Pt 1 Summary of Data'!P47=\"\",\"\",'Pt 1 Summary of Data'!P47+'Pt 1 Summary of Data - Adj'!P47)","v":990293},{"$f":"IF('Pt 1 Summary of Data'!Q47=\"\",\"\",'Pt 1 Summary of Data'!Q47+'Pt 1 Summary of Data - Adj'!Q47)","v":990293},null,{"$f":"IF(P47=\"\",0,P47)+IF(N47=\"\",0,N47)+IF(L47=\"\",0,L47)+IF(J47=\"\",0,J47)+IF(H47=\"\",0,H47)+IF(F47=\"\",0,F47)","v":1404504},{"$f":"+'Pt 1 Summary of Data'!T47+'Pt 1 Summary of Data - Adj'!T47","v":3205187},{"$f":"+'Pt 1 Summary of Data'!U47+'Pt 1 Summary of Data - Adj'!U47","v":89923},{"$f":"+'Pt 1 Summary of Data'!V47+'Pt 1 Summary of Data - Adj'!V47","v":0},{"$f":"+'Pt 1 Summary of Data'!W47+'Pt 1 Summary of Data - Adj'!W47","v":1014865},{"$f":"+'Pt 1 Summary of Data'!X47+'Pt 1 Summary of Data - Adj'!X47","v":388681},{"$f":"+'Pt 1 Summary of Data'!Y47+'Pt 1 Summary of Data - Adj'!Y47","v":116912},{"$f":"+'Pt 1 Summary of Data'!Z47+'Pt 1 Summary of Data - Adj'!Z47","v":0},{"$f":"+'Pt 1 Summary of Data'!AA47+'Pt 1 Summary of Data - Adj'!AA47","v":0},{"$f":"+'Pt 1 Summary of Data'!AB47+'Pt 1 Summary of Data - Adj'!AB47","v":0},{"$f":"+'Pt 1 Summary of Data'!AC47+'Pt 1 Summary of Data - Adj'!AC47","v":4193010},{"$f":"+'Pt 1 Summary of Data'!AD47+'Pt 1 Summary of Data - Adj'!AD47","v":5713468},{"$f":"ROUND('EB PT 1'!S46,0)","v":10413082}," Sec 2 - 7.4",{"$f":"+'Pt 1 Summary of Data'!AG47+'Pt 1 Summary of Data - Adj'!AE47","v":0},{"$f":"SUM(AG47:AG47)","v":0},{"$f":"ROUND((S47+T47+U47+AD47)-AE47+AH47,0)","v":0}]
[null,null,5.3,"Number of life-years",null,{"$f":"IF('Pt 1 Summary of Data'!F48=\"\",\"\",'Pt 1 Summary of Data'!F48+'Pt 1 Summary of Data - Adj'!F48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!G48=\"\",\"\",'Pt 1 Summary of Data'!G48+'Pt 1 Summary of Data - Adj'!G48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!H48=\"\",\"\",'Pt 1 Summary of Data'!H48+'Pt 1 Summary of Data - Adj'!H48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!I48=\"\",\"\",'Pt 1 Summary of Data'!I48+'Pt 1 Summary of Data - Adj'!I48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!J48=\"\",\"\",'Pt 1 Summary of Data'!J48+'Pt 1 Summary of Data - Adj'!J48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!K48=\"\",\"\",'Pt 1 Summary of Data'!K48+'Pt 1 Summary of Data - Adj'!K48)","v":""},{"$f":"IF('Pt 1 Summary of Data'!L48=\"\",\"\",'Pt 1 Summary of Data'!L48+'Pt 1 Summary of Data - Adj'!L48)","v":0},{"$f":"IF('Pt 1 Summary of Data'!M48=\"\",\"\",'Pt 1 Summary of Data'!M48+'Pt 1 Summary of Data - Adj'!M48)","v":0},{"$f":"IF('Pt 1 Summary of Data'!N48=\"\",\"\",'Pt 1 Summary of Data'!N48+'Pt 1 Summary of Data - Adj'!N48)","v":34517.583333333336},{"$f":"IF('Pt 1 Summary of Data'!O48=\"\",\"\",'Pt 1 Summary of Data'!O48+'Pt 1 Summary of Data - Adj'!O48)","v":34517.583333333336},{"$f":"IF('Pt 1 Summary of Data'!P48=\"\",\"\",'Pt 1 Summary of Data'!P48+'Pt 1 Summary of Data - Adj'!P48)","v":82524.416666666672},{"$f":"IF('Pt 1 Summary of Data'!Q48=\"\",\"\",'Pt 1 Summary of Data'!Q48+'Pt 1 Summary of Data - Adj'!Q48)","v":82524.416666666672},null,{"$f":"IF(P48=\"\",0,P48)+IF(N48=\"\",0,N48)+IF(L48=\"\",0,L48)+IF(J48=\"\",0,J48)+IF(H48=\"\",0,H48)+IF(F48=\"\",0,F48)","v":117042},{"$f":"+'Pt 1 Summary of Data'!T48+'Pt 1 Summary of Data - Adj'!T48","v":267098.91666666669},{"$f":"+'Pt 1 Summary of Data'!U48+'Pt 1 Summary of Data - Adj'!U48","v":7493.583333333333},{"$f":"+'Pt 1 Summary of Data'!V48+'Pt 1 Summary of Data - Adj'!V48","v":0},{"$f":"+'Pt 1 Summary of Data'!W48+'Pt 1 Summary of Data - Adj'!W48","v":84572.083333333328},{"$f":"+'Pt 1 Summary of Data'!X48+'Pt 1 Summary of Data - Adj'!X48","v":32390.083333333332},{"$f":"+'Pt 1 Summary of Data'!Y48+'Pt 1 Summary of Data - Adj'!Y48","v":9742.6666666666661},{"$f":"+'Pt 1 Summary of Data'!Z48+'Pt 1 Summary of Data - Adj'!Z48","v":0},{"$f":"+'Pt 1 Summary of Data'!AA48+'Pt 1 Summary of Data - Adj'!AA48","v":0},{"$f":"+'Pt 1 Summary of Data'!AB48+'Pt 1 Summary of Data - Adj'!AB48","v":0},{"$f":"+'Pt 1 Summary of Data'!AC48+'Pt 1 Summary of Data - Adj'!AC48","v":349417.5},{"$f":"+'Pt 1 Summary of Data'!AD48+'Pt 1 Summary of Data - Adj'!AD48","v":476122.33333333331},{"$f":"AE47/12","v":867756.83333333337}," Sec 2 - 7.5",{"$f":"+'Pt 1 Summary of Data'!AG48+'Pt 1 Summary of Data - Adj'!AE48","v":0},{"$f":"SUM(AG48:AG48)","v":0},{"$f":"ROUND((S48+T48+U48+AD48)-AE48+AH48,0)","v":0}]
[null,null,null,null,null,{"$f":"CONCATENATE(\"Grand Total as of 12/31/\",RIGHT('EB PT 1'!I11,2),\" for ALL markets in col. 1-12\")","v":"Grand Total as of 12/31/17 for ALL markets in col. 1-12"}]
[]
[null,"6.","Net investment income and other gain / (loss) ",null,null,{"$f":"IF('Pt 1 Summary of Data'!F51=\"\",\"\",'Pt 1 Summary of Data'!F51+'Pt 1 Summary of Data - Adj'!F51)","v":673739.41999999993}]
[null,"7.","Other Federal income taxes (exclude taxes on Line 3.1a and 3.1b) ",null,null,{"$f":"IF('Pt 1 Summary of Data'!F52=\"\",\"\",'Pt 1 Summary of Data'!F52+'Pt 1 Summary of Data - Adj'!F52)","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)"]
[]
["Business Rules:"]
[null,null,null,"Line 1.1",null,{"$f":"+F20","v":""},{"$f":"+G20","v":""},"","","","",0,0,16962611.969999999,16745673.739999996,36578555.399999999,36838213.500000007,null,53541167.369999997,13781195.58,1962290.7200000002,{"$f":"+V20","v":0},32317971.219999995,6139364.9300000006,808164871.66999996,152168,163672167.06999999,1183,259590.10000002381,1010707315.9899999,1079888458.4000001,null,0,0,103511]
[null,null,null,"Line 2.1",null,{"$f":"+F23","v":""},{"$f":"+G23","v":""},"","","","",0,0,9307366.0099999998,9235973.25,28326315.640000004,28425678.960000001,null,37633681.650000006,7044731.8500000006,1481723.1400000001,{"$f":"+V23","v":0},27927366.150000006,3794940.640000063,683749908.35000002,30031.579999999976,168762806.33000001,-4054.2199999999721,-628.70999970589764,884260370.12000048,930422825.11000037,null,0,0,-2318]
[null,null,null,"Line 4.5",null,{"$f":"+F43","v":""},{"$f":"+G43","v":""},"","","","",0.25,0.25,3785076.159313709,3785076.159313709,6163207.5306862909,6163207.5306862909,null,9948283.9399999995,2689838.0699999994,308867.69000000006,{"$f":"+V43","v":0},3182447.05,2405748.6699999995,139766670.81999999,27340618.469999999,11415120.16,-810.26,-27328871.349999994,156780923.56,169643216.92000002,null,0,0,84696]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},{"$f":"+G47","v":""},"","","","",0,0,414211,414211,990293,990293,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,5713468,10413082,null,0,0,0]
[{"$f":"IF(AJ65=0,\"\",IF(AJ65=1,AJ65&\" FAILURE\",AJ65&\" FAILURES\"))","v":"3 FAILURES"},null,null,"Question 1: Why is there not data on all of the following lines: 1.1, 2.1, 4.5, & Other Indicators Line 5.2?",null,{"$f":"IF(OR(SUM(F66:F69)=0,SUM(F66:F69)=4),\"PASS\",\"FAIL\")","v":"PASS"},{"$f":"IF(OR(SUM(G66:G69)=0,SUM(G66:G69)=4),\"PASS\",\"FAIL\")","v":"PASS"},"PASS","PASS","PASS","PASS","FAIL","FAIL","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(SUM(V66:V69)=0,SUM(V66:V69)=4),\"PASS\",\"FAIL\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","FAIL",{"$f":"COUNTIF(F65:AI65,\"FAIL\")","v":3},{"$f":"IF(AJ65>0,\"x\",\"\")","v":"x"}]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(F61),IF(F61<>0,1,0),0)","v":0},{"$f":"IF(ISNUMBER(G61),IF(G61<>0,1,0),0)","v":0},0,0,0,0,0,0,1,1,1,1,null,1,1,1,null,null,null,null,null,null,null,null,1,1,null,0,0,1]
[null,null,null,null,null,{"$f":"IF(ISNUMBER(F62),IF(F62<>0,1,0),0)","v":0},0,0,0,0,0,0,0,1,1,1,1,null,1,1,1,null,null,null,null,null,null,null,null,1,1,null,0,0,1]
[null,null,null,null,null,0,0,0,0,0,0,1,1,1,1,1,1,null,1,1,1,null,null,null,null,null,null,null,null,1,1,null,0,0,1]
[null,null,null,null,null,0,0,0,0,0,0,0,0,1,1,1,1,null,1,1,1,null,null,null,null,null,null,null,null,1,1,null,0,0,0]
[]
[null,null,null,"Line 3.1",null,{"$f":"+F26","v":0},{"$f":"+G26","v":0},0,0,0,0,0,0,0,0,0,0,null,0,0,0,{"$f":"+V26","v":0},0,0,0,0,0,0,0,0,0,null,0,0,0]
[null,null,null,"Underwritting Gain/(Loss)",null,{"$f":"IF(ISNUMBER(F20-F23-F34-F43),F20-F23-F34-F43,0)","v":0},{"$f":"IF(ISNUMBER(G20-G23-G34-G43),G20-G23-G34-G43,0)","v":0},0,0,0,0,-0.35,-0.35,2543147.2090494069,2397601.7390494044,1334465.710699738,1494760.4906997504,null,3877612.569749143,2647034.62,-31375.059999999998,{"$f":"IF(ISNUMBER(V20-V23-V34-V43),V20-V23-V34-V43,0)","v":0},528615.88999998942,145746.64999993797,7810275.7499999404,-27305016.329999998,-11699170.160000023,-116732.26000000004,27492539.599999726,-3143740.8600006104,3013312.0499997139,null,0,0,336219]
[{"$f":"IF(AJ73=0,\"\",IF(AJ73=1,AJ73&\" FAILURE\",AJ73&\" FAILURES\"))","v":""},null,null,"Question 2: Why is there federal tax data on Line 3.1, but no underwriting gain/loss?",null,{"$f":"IF(AND(F71<>0,F72=0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(AND(G71<>0,G72=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(AND(V71<>0,V72=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F73:AI73,\"FAIL\")","v":0},{"$f":"IF(AJ73>0,\"x\",\"\")","v":""}]
[]
[null,null,null,"Covered Lives (Line 5.1)",null,{"$f":"+F46","v":""},{"$f":"+G46","v":""},"","","","",0,{"$f":"+M46","v":0},37020,37020,101128,101128,null,138148,267558,837,{"$f":"+V46","v":0},84023,30859,9173,0,0,0,360949,485004,891547,null,0,0,0]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},{"$f":"+G47","v":""},"","","","",0,0,414211,414211,990293,990293,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,5713468,10413082,null,0,0,0]
[{"$f":"IF(AJ77=0,\"\",IF(AJ77=1,AJ77&\" FAILURE\",AJ77&\" FAILURES\"))","v":""},null,null,"Question 3: Why is there not data for both covered lives (Line 5.1) and member months (Line 5.2)?",null,{"$f":"IF(OR(AND(F75=0,F76<>0),AND(F76=0,F75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(OR(AND(G75=0,G76<>0),AND(G76=0,G75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS",{"$f":"IF(OR(AND(M75=0,M76<>0),AND(M76=0,M75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(AND(V75=0,V76<>0),AND(V76=0,V75<>0)),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F77:AI77,\"FAIL\")","v":0},{"$f":"IF(AJ77>0,\"x\",\"\")","v":""}]
[]
[null,null,null,"Covered Lives (Line 5.1)",null,{"$f":"+F46","v":""},{"$f":"+G46","v":""},"","","","",0,0,37020,37020,101128,101128,null,138148,267558,837,{"$f":"+V46","v":0},84023,30859,9173,0,0,0,360949,485004,891547,null,0,0,0]
[null,null,null,"Member Months (Line 5.2)",null,{"$f":"+F47","v":""},{"$f":"+G47","v":""},"","","","",0,0,414211,414211,990293,990293,null,1404504,3205187,89923,{"$f":"+V47","v":0},1014865,388681,116912,0,0,0,4193010,5713468,10413082,null,0,0,0]
[null,null,null,"Life Years (Line 5.3)",null,{"$f":"+F48","v":""},{"$f":"+G48","v":""},"","","","",0,0,34517.583333333336,34517.583333333336,82524.416666666672,82524.416666666672,null,117042,267098.91666666669,7493.583333333333,{"$f":"+V48","v":0},84572.083333333328,32390.083333333332,9742.6666666666661,0,0,0,349417.5,476122.33333333331,867756.83333333337,null,0,0,0]
[{"$f":"IF(AJ82=0,\"\",IF(AJ82=1,AJ82&\" FAILURE\",AJ82&\" FAILURES\"))","v":""},null,null,"Question 4: Why is a membership indicator negative?",null,{"$f":"IF(OR(F79<0,F80<0,F81<0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"IF(OR(G79<0,G80<0,G81<0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"IF(OR(V79<0,V80<0,V81<0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F82:AI82,\"FAIL\")","v":0},{"$f":"IF(AJ82>0,\"x\",\"\")","v":""}]

{"sheet":"EB PT 2","index":10,"n_rows":62,"n_cols":43,"rows_kept":62,"cut":false,"hidden":true,"merged":[[0,17,0,18]]}
["Part","Ln","Year",{"$f":"\"Account\"","v":"Account"},{"$f":"\"IDB Period\"","v":"IDB Period"},{"$f":"\"Period\"","v":"Period"},{"$f":"\"Reinsurance\"","v":"Reinsurance"},{"$f":"\"Project\"","v":"Project"},1,2,3,4,5,6,7,8,"DBP Blank Cust","GRIC",null,"Other Health MLR Total","Vision","Life/Disability","Stop Loss (1)","Stop Loss (1)","Stop Loss (1)","Stop Loss (2)","Stop Loss (2)","Stop Loss (2)","Stop Loss (2)","Supp Hospital","Supp Hospital","Supp Hospital","Supp Hospital","Medicare Supp","Medicare Supp","Medicare Supp","Medicare Supp","Student Health","Student Health","Wrap","Ind Short Term","Other Health Business","Other Differences"]
[{"$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","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views","Views"]
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[{"$f":"\"Separate Rows\"","v":"Separate Rows"},null,null,null,null,null,null,null,"Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments","Departments"]
["Ties Out",null,null,null,null,null,null,null,{"$f":"'EB PT 1'!I5","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":"M5","v":"NAIC Supp HC Exhibit"},{"$f":"O5","v":"NAIC Supp HC Exhibit"},{"$f":"'EB PT 1'!Q5","v":"NAIC Supp HC Exhibit"},{"$f":"M5","v":"NAIC Supp HC Exhibit"},{"$f":"R5","v":"NAIC Supp HC Exhibit"},{"$f":"P5","v":"NAIC Supp HC Exhibit"},{"$f":"T5","v":"NAIC Supp HC Exhibit"},"NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit","NAIC Supp HC Exhibit",{"$f":"AC5","v":"NAIC Supp HC Exhibit"},{"$f":"AP5","v":"NAIC Supp HC Exhibit"}]
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[2,"2.1b","2018","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2018","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[2,"2.1b","2018","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2018","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$8)","v":"IDB 2017"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[null,"Department of Managed Health Care/Department of Insurance"]
[null,"Medical Loss Ratio Reporting Form: Dental Coverage"]
[null,"Part 2 - Premium and Claims"]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 2"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Subtotal of CA Dental Business","Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Health","Total Other Health","Federal MLR Other Health Total","Ties to","LE","Other Difference Subtotal","CA Dental MLR vs. Fed Other Health"]
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[null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium:"]
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[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
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2.1a, Change in 2.6a, 2.7 and change in 2.12a and 2.12b",{"$f":"'EB PT 2'!Q20-'EB PT 2'!Q21-'EB PT 2'!Q22-'EB PT 2'!Q23-'EB PT 2'!Q24+'EB PT 2'!Q25-'EB PT 2'!Q26+'EB PT 2'!Q27-'EB PT 2'!Q29-AG31+AG33-AG35+AG37-AG39-AG42+AG44-AG46-AG47+AG48-AG49","v":0},{"$f":"SUM(AG28:AG28)","v":0},{"$f":"ROUND((S28+T28+U28+AC28+V28+W28+X28+Y28+Z28+AA28+AB28)-AE28+AH28,0)","v":24}]
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[null,null,2.2000000000000002,"Direct claim liability"]
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[null,null,2.2999999999999998,"Direct claim liability prior year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!I44)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!K44)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!M44)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),-'EB PT 2'!R44,-'EB PT 2'!I44))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!K44))","v":458539.88999999996},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!M44))","v":1385605.7599999998},null,null,{"$f":"IF(P33=\"\",0,P33)+IF(N33=\"\",0,N33)+IF(L33=\"\",0,L33)+IF(J33=\"\",0,J33)+IF(H33=\"\",0,H33)+IF(F33=\"\",0,F33)","v":1844145.6499999997},{"$f":"-'EB PT 2'!U44","v":357115.28000000009},{"$f":"-'EB PT 2'!V44","v":181100.7200000002},{"$f":"-'EB PT 2'!W44-'EB PT 2'!X44-'EB PT 2'!Y44","v":0},{"$f":"-'EB PT 2'!AA44-'EB PT 2'!AB44-'EB PT 2'!Z44-'EB PT 2'!AC44","v":13041.69},{"$f":"-'EB PT 2'!AE44-'EB PT 2'!AF44-'EB PT 2'!AG44-'EB PT 2'!AD44","v":836745.5},{"$f":"-'EB PT 2'!AI44-'EB PT 2'!AJ44-'EB PT 2'!AH44-'EB PT 2'!AK44","v":79611337.819999993},{"$f":"-'EB PT 2'!AM44-'EB PT 2'!AL44","v":-612448.5199999999},{"$f":"-'EB PT 2'!AN44","v":2033766.7899999998},{"$f":"-'EB PT 2'!AO44","v":568378.35000000009},{"$f":"-'EB PT 2'!AP44-SUM(V33:AB33)","v":26516.310000002384},{"$f":"SUM(V33:AC33)","v":82477337.939999998},{"$f":"-'EB PT 2'!T44","v":84859292.50999999}," Sec 2 - 2.3a",{"$f":"-'EB PT 2'!Q44","v":0},{"$f":"SUM(AG33:AG33)","v":0},{"$f":"ROUND((S33+T33+U33+AC33+V33+W33+X33+Y33+Z33+AA33+AB33)-AE33+AH33,0)","v":407}]
[null,null,2.4,"Direct claim reserves"]
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[null,null,2.5,"Direct claim reserves prior year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!I47)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!K47)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!M47)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),-'EB PT 2'!R47,-'EB PT 2'!I47))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!K47))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!M47))","v":0},null,null,{"$f":"IF(P37=\"\",0,P37)+IF(N37=\"\",0,N37)+IF(L37=\"\",0,L37)+IF(J37=\"\",0,J37)+IF(H37=\"\",0,H37)+IF(F37=\"\",0,F37)","v":0},{"$f":"-'EB PT 2'!U47","v":0},{"$f":"-'EB PT 2'!V47","v":3026672.18},{"$f":"-'EB PT 2'!W47-'EB PT 2'!X47-'EB PT 2'!Y47","v":0},{"$f":"-'EB PT 2'!AA47-'EB PT 2'!AB47-'EB PT 2'!Z47-'EB PT 2'!AC47","v":4749534.4399999995},{"$f":"-'EB PT 2'!AE47-'EB PT 2'!AF47-'EB PT 2'!AG47-'EB PT 2'!AD47","v":100425.2},{"$f":"-'EB PT 2'!AI47-'EB PT 2'!AJ47-'EB PT 2'!AH47-'EB PT 2'!AK47","v":20653762.859999999},{"$f":"-'EB PT 2'!AM47-'EB PT 2'!AL47","v":0},{"$f":"-'EB PT 2'!AN47","v":0},{"$f":"-'EB PT 2'!AO47","v":0},{"$f":"-'EB PT 2'!AP47-SUM(V37:AB37)","v":0},{"$f":"SUM(V37:AC37)","v":25503722.5},{"$f":"-'EB PT 2'!T47","v":28530394.68}," Sec 2 - 2.5",{"$f":"-'EB PT 2'!Q47","v":0},{"$f":"SUM(AG37:AG37)","v":0},{"$f":"ROUND((S37+T37+U37+AC37+V37+W37+X37+Y37+Z37+AA37+AB37)-AE37+AH37,0)","v":0}]
[null,null,2.6,"Experience rating refunds (rate credits) paid"]
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[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
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[null,null,"2.8","Reserve for experience rating refunds (rate credits) prior year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!I51+'EB PT 2'!I52)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!K51+'EB PT 2'!K52)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!M51+'EB PT 2'!M52)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),-'EB PT 2'!R51+'EB PT 2'!R52,-'EB PT 2'!I51+'EB PT 2'!I52))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!K51+'EB PT 2'!K52))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!M51+'EB PT 2'!M52))","v":0},null,null,{"$f":"IF(P44=\"\",0,P44)+IF(N44=\"\",0,N44)+IF(L44=\"\",0,L44)+IF(J44=\"\",0,J44)+IF(H44=\"\",0,H44)+IF(F44=\"\",0,F44)","v":0},{"$f":"-'EB PT 2'!U51+'EB PT 2'!U52","v":0},{"$f":"-'EB PT 2'!V51+'EB PT 2'!V52","v":0},{"$f":"(-'EB PT 2'!W51+'EB PT 2'!W52)+(-'EB PT 2'!X51+'EB PT 2'!X52)+(-'EB PT 2'!Y51+'EB PT 2'!Y52)","v":0},{"$f":"(-'EB PT 2'!AA51+'EB PT 2'!AA52)+(-'EB PT 2'!AB51+'EB PT 2'!AB52)+(-'EB PT 2'!Z51+'EB PT 2'!Z52)+(-'EB PT 2'!AC51+'EB PT 2'!AC52)","v":1885396.79},{"$f":"(-'EB PT 2'!AE51+'EB PT 2'!AE52)+(-'EB PT 2'!AF51+'EB PT 2'!AF52)+(-'EB PT 2'!AG51+'EB PT 2'!AG52)+(-'EB PT 2'!AD51+'EB PT 2'!AD52)","v":-299909.76000000001},{"$f":"(-'EB PT 2'!AI51+'EB PT 2'!AI52)+(-'EB PT 2'!AJ51+'EB PT 2'!AJ52)+(-'EB PT 2'!AH51+'EB PT 2'!AH52)+(-'EB PT 2'!AK51+'EB PT 2'!AK52)","v":-29010634.02},{"$f":"(-'EB PT 2'!AM51+'EB PT 2'!AM52)+(-'EB PT 2'!AL51+'EB PT 2'!AL52)","v":0},{"$f":"-'EB PT 2'!AN51+'EB PT 2'!AN52","v":0},{"$f":"-'EB PT 2'!AO51+'EB PT 2'!AO52","v":0},{"$f":"-'EB PT 2'!AP51+'EB PT 2'!AP52-SUM(V44:AB44)","v":0},{"$f":"SUM(V44:AC44)","v":-27425146.989999998},{"$f":"-'EB PT 2'!T51+'EB PT 2'!T52","v":-27425146.989999998}," Sec 2 - 2.10",{"$f":"-'EB PT 2'!Q51+'EB PT 2'!Q52","v":0},{"$f":"SUM(AG44:AG44)","v":0},{"$f":"ROUND((S44+T44+U44+AC44+V44+W44+X44+Y44+Z44+AA44+AB44)-AE44+AH44,0)","v":0}]
[null,null,2.9,"Incurred dental incentive pool and bonuses"]
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[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!I62)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!K62)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",-'EB PT 2'!M62)","v":""},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),-'EB PT 2'!R62,-'EB PT 2'!I62))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!K62))","v":0},null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",-'EB PT 2'!M62))","v":0},null,null,{"$f":"IF(P48=\"\",0,P48)+IF(N48=\"\",0,N48)+IF(L48=\"\",0,L48)+IF(J48=\"\",0,J48)+IF(H48=\"\",0,H48)+IF(F48=\"\",0,F48)","v":0},{"$f":"-'EB PT 2'!U62","v":0},{"$f":"-'EB PT 2'!V62","v":0},{"$f":"-'EB PT 2'!W62-'EB PT 2'!X62-'EB PT 2'!Y62","v":0},{"$f":"-'EB PT 2'!AA62-'EB PT 2'!AB62-'EB PT 2'!Z62-'EB PT 2'!AC62","v":0},{"$f":"-'EB PT 2'!AE62-'EB PT 2'!AF62-'EB PT 2'!AG62-'EB PT 2'!AD62","v":0},{"$f":"-'EB PT 2'!AI62-'EB PT 2'!AJ62-'EB PT 2'!AH62-'EB PT 2'!AK62","v":0},{"$f":"-'EB PT 2'!AM62-'EB PT 2'!AL62","v":0},{"$f":"-'EB PT 2'!AN62","v":0},{"$f":"-'EB PT 2'!AO62","v":0},{"$f":"-'EB PT 2'!AP62-SUM(V48:AB48)","v":0},{"$f":"SUM(V48:AC48)","v":0},{"$f":"-'EB PT 2'!T62","v":0}," Sec 2 - 2.11c",{"$f":"-'EB PT 2'!Q62","v":0},{"$f":"SUM(AG48:AG48)","v":0},{"$f":"ROUND((S48+T48+U48+AC48+V48+W48+X48+Y48+Z48+AA48+AB48)-AE48+AH48,0)","v":0}]
[null,null,"2.10","Contingent benefit and lawsuit reserves",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",0)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",0)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",0)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",0))","v":0},null,{"$f":"IF(P49=\"\",0,P49)+IF(N49=\"\",0,N49)+IF(L49=\"\",0,L49)+IF(J49=\"\",0,J49)+IF(H49=\"\",0,H49)+IF(F49=\"\",0,F49)","v":0},0,0,0,0,0,0,0,0,0,0,{"$f":"SUM(V49:AC49)","v":0},0," Sec 2 - 2.13",0,{"$f":"SUM(AG49:AG49)","v":0},{"$f":"ROUND((S49+T49+U49+AC49+V49+W49+X49+Y49+Z49+AA49+AB49)-AE49+AH49,0)","v":0}]
[null,null,"2.11","Total incurred claims ",null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",F28+F31-F33+F35-F37+F39+F42-F44+F46+F47-F48+F49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",G29+G32+G36+G40+G43+G46+G47+G49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",H28+H31-H33+H35-H37+H39+H42-H44+H46+H47-H48+H49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",I29+I32+I36+I40+I43+I46+I47+I49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",J28+J31-J33+J35-J37+J39+J42-J44+J46+J47-J48+J49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",K29+K32+K36+K40+K43+K46+K47+K49)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",L28+L31-L33+L35-L37+L39+L42-L44+L46+L47-L48+L49)","v":2318.35},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",M29+M32+M36+M40+M43+M46+M47+M49)","v":2517},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",N28+N31-N33+N35-N37+N39+N42-N44+N46+N47-N48+N49))","v":9261613.6400000006},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",O29+O32+O36+O40+O43+O46+O47+O49))","v":9257288.4499999993},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",P28+P31-P33+P35-P37+P39+P42-P44+P46+P47-P48+P49))","v":28372068.010000005},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",Q29+Q32+Q36+Q40+Q43+Q46+Q47+Q49))","v":28383427.830000002},null,{"$f":"S28+S31-S33+S35-S37+S39+S42-S44+S46+S47-S48+S49","v":37636000.000000007},7044731.8500000006,1481723.1400000001,{"$f":"V28+V31-V33+V35-V37+V39+V42-V44+V46+V47-V48+V49","v":0},27927366.150000006,{"$f":"X28+X31-X33+X35-X37+X39+X42-X44+X46+X47-X48+X49","v":3794940.640000063},683749908.35000002,{"$f":"Z28+Z31-Z33+Z35-Z37+Z39+Z42-Z44+Z46+Z47-Z48+Z49","v":30031.579999999976},168762806.33000001,{"$f":"AB28+AB31-AB33+AB35-AB37+AB39+AB42-AB44+AB46+AB47-AB48+AB49","v":-4054.2199999999721},-628.70999970589764,884260370.12000048,{"$f":"AE28+AE31-AE33+AE35-AE37+AE39+AE42-AE44+AE46+AE47-AE48+AE49","v":930422825.11000037}," Sec 2 - 2.16",{"$f":"AG28+AG31-AG33+AG35-AG37+AG39+AG42-AG44+AG46+AG47-AG48+AG49","v":0},{"$f":"SUM(AG50:AG50)","v":0},{"$f":"SUM(AH50:AH50)","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)"]
[]
["Business Rules:"]
[null,null,null,"Line 2.9",null,{"$f":"+F45","v":0},{"$f":"+G45","v":0},0,0,0,0,0,0,0,0,0,0,null,0,0,0,{"$f":"+V45","v":0},0,0,0,0,0,0,0,{"$f":"+AD45","v":0},0,null,0,0,0]
[null,null,null,"Line 2.1a",null,{"$f":"+F28","v":""},{"$f":"+G28","v":0},"",0,"",0,2306.4,0,9265486.0800000019,0,28264088.440000005,0,null,37531880.920000009,7018413.1900000004,546593.53999999957,{"$f":"+V28","v":0},27970478.570000008,4236574.1700000083,654513314.44000018,39017.749999999978,164831898.83000001,967.73000000009779,19746.710000276566,{"$f":"+AD28","v":851611998.20000052},896708862.20000052,null,0,0,24]
[null,null,null,"Line 2.1b",null,{"$f":"+F29","v":0},"",0,"",0,"",0,2517,0,9143601.6399999987,0,28012808.640000001,null,0,0,0,{"$f":"+V29","v":0},0,0,0,0,0,0,0,{"$f":"+AD29","v":0},0,null,0,0,0]
[{"$f":"IF(AJ63=0,\"\",IF(AJ63=1,AJ63&\" FAILURE\",AJ63&\" FAILURES\"))","v":""},null,null,"Question 1: Why is there incurred medical incentive pools and bonuses data on Line 2.9, when there is no paid claims data on Line 2.1?",null,{"$f":"+IF(AND(F60<>0,SUM(F61:F62)=0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"+IF(AND(G60<>0,SUM(G61:G62)=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"+IF(AND(V60<>0,SUM(V61:V62)=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS",{"$f":"+IF(AND(AD60<>0,SUM(AD61:AD62)=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F63:AI63,\"FAIL\")","v":0},{"$f":"IF(AJ63<>0,x,\"\")","v":""}]

{"sheet":"Pt 2 Premium and Claims - Adj","index":12,"n_rows":57,"n_cols":31,"rows_kept":57,"cut":false,"hidden":true,"merged":[[11,5,11,6],[11,11,11,12],[14,5,14,10],[14,11,14,16],[5,1,5,3],[5,5,10,6],[5,11,5,12],[7,1,7,3],[7,11,7,12],[9,1,9,3],[9,11,9,12],[14,19,14,30],[15,19,16,19],[15,20,16,20],[15,29,16,29],[16,5,16,6],[16,7,16,8],[16,9,16,10],[16,11,16,12],[16,13,16,14],[16,15,16,16],[15,5,15,10],[15,11,15,16],[15,28,16,28],[0,1,1,3],[17,1,18,3],[17,4,18,4],[53,3,53,4],[56,3,56,4],[11,1,11,3]]}
[null,"UHG Adjustments"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-1490.2399999999998]
[]
[null,"Health Plan ID"]
[null,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 2"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,null,"Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Health","Total Other Health","LE"]
[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,"Prdct Range 322000","Prdct Range 150000","Prdct Range 204000","Prdct Range 203000","Prdct Rng 112/3000","Prdct 202080","Prdct 106410",null,null,"Blank Customers"]
[null,"Part 2\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",null,null,null,{"$f":"+'Pt 2 Premium and Claims'!F18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!G18","v":"Total as of 3/31/18"},{"$f":"+'Pt 2 Premium and Claims'!H18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!I18","v":"Total as of 3/31/18"},{"$f":"+'Pt 2 Premium and Claims'!J18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!K18","v":"Total as of 3/31/18"},{"$f":"+'Pt 2 Premium and Claims'!L18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!M18","v":"Total as of 3/31/18"},{"$f":"+'Pt 2 Premium and Claims'!N18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!O18","v":"Total as of 3/31/18"},{"$f":"+'Pt 2 Premium and Claims'!P18","v":"Total as of 12/31/17"},{"$f":"+'Pt 2 Premium and Claims'!Q18","v":"Total as of 3/31/18"},null,null,{"$f":"+$P$18","v":"Total as of 12/31/17"},{"$f":"+$P$18","v":"Total as of 12/31/17"},"Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17","Total as of 12/31/17"]
[null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,"1.","Premium:"]
[null,null,1.1000000000000001,"Direct premium written",null,null,null,null,null,null,null,-4552.08,null,{"$f":"-P21+55541.78","v":194050.13999999998},{"$f":"-Q21+55541.78+27.23","v":-50922.829999999994},{"$f":"-243211.06+104702.7","v":-138508.35999999999},{"$f":"1785.11+104702.7+4.03","v":106491.84},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V21:AC21)","v":0}]
[null,null,1.2,"Unearned premium prior year",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,{"$f":"SUM(V22:AC22)","v":0}]
[null,null,1.3,"Unearned premium MLR Reporting year",null,null,null,null,null,null,null,-1750,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V23:AC23)","v":0}]
[null,null,1.4,"Premium balances written off",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,{"$f":"SUM(V24:AC24)","v":0}]
[]
[null,"2.","Claims:"]
[null,null,2.1,"Claims Paid"]
[null,null,null,"2.1a  Claims paid during the MLR reporting year regardless of incurred date",null,null,null,null,null,null,null,-2306.4,null,{"$f":"-P28","v":135087.48000000001},null,-135087.48000000001,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V28:AC28)","v":0}]
[null,null,null,"2.1b  Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",null,null,null,null,null,null,null,null,-2517,null,{"$f":"-Q29","v":-1572.14},null,1572.14]
[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,-11.95,null,{"$f":"-94309.02+4973.91","v":-89335.11},null,{"$f":"94341.5700000003-4973.91-32.55","v":89335.110000000292},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V31:AC31)","v":0}]
[null,null,null,"2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",null,null,null,null,null,null,null,null,null,null,{"$f":"-21233.3+1490.24","v":-19743.059999999998},null,{"$f":"42169.2299999999-1490.24","v":40678.989999999903}]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V33:AC33)","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V35:AC35)","v":0}]
[null,null,null,"2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year"]
[null,null,2.5,"Direct claim reserves prior year",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V37:AC37)","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V39:AC39)","v":0}]
[null,null,null,"2.6b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year"]
[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
[null,null,null,"2.7a Reserved in MLR reporting year regardless of incurred date",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V42:AC42)","v":0}]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V44:AC44)","v":0}]
[null,null,2.9,"Incurred dental incentive pool and bonuses"]
[null,null,null,"2.9a  Paid dental incentive pools and bonuses MLR Reporting year",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V46:AC46)","v":0}]
[null,null,null,"2.9b  Accrued dental incentive pools and bonuses MLR Reporting year",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,{"$f":"SUM(V47:AC47)","v":0}]
[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(V48:AC48)","v":0}]
[null,null,"2.10","Contingent benefit and lawsuit reserves",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,{"$f":"SUM(V49:AC49)","v":0}]
[null,null,"2.11","Total incurred claims ",null,{"$f":"F28+F31-F33+F35-F37+F39+F42-F44+F46+F47-F48+F49","v":0},{"$f":"G29+G32+G36+G40+G43+G46+G47+G49","v":0},0,{"$f":"I29+I32+I36+I40+I43+I46+I47+I49","v":0},0,{"$f":"K29+K32+K36+K40+K43+K46+K47+K49","v":0},-2318.35,{"$f":"M29+M32+M36+M40+M43+M46+M47+M49","v":-2517},45752.37000000001,{"$f":"O29+O32+O36+O40+O43+O46+O47+O49","v":-21315.199999999997},-45752.369999999719,{"$f":"Q29+Q32+Q36+Q40+Q43+Q46+Q47+Q49","v":42251.129999999903},null,null,{"$f":"T28+T31-T33+T35-T37+T39+T42-T44+T46+T47-T48+T49","v":0},{"$f":"U28+U31-U33+U35-U37+U39+U42-U44+U46+U47-U48+U49","v":0},0,0,0,0,0,0,0,0,0,{"$f":"AE28+AE31+AE32-AE33+AE35-AE37+AE39+AE42-AE44+AE46+AE47-AE48+AE49","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":13,"n_rows":63,"n_cols":37,"rows_kept":63,"cut":false,"hidden":false,"merged":[[14,18,14,34],[5,1,5,3],[5,5,10,6],[5,11,5,12],[7,1,7,3],[7,11,7,12],[9,1,9,3],[9,11,9,12],[11,1,11,3],[11,5,11,6],[11,11,11,12],[14,5,14,10],[14,11,14,16],[15,33,16,33],[15,34,16,34],[16,5,16,6],[16,7,16,8],[16,9,16,10],[16,11,16,12],[16,13,16,14],[16,15,16,16],[15,5,15,10],[15,11,15,16],[15,18,16,18],[15,19,16,19],[15,20,16,20],[15,29,16,29],[15,28,16,28],[17,1,18,3],[17,4,18,4],[53,3,53,4],[56,3,56,4],[15,30,16,30]]}
[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,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 2"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,"Health Insurance Coverage",null,null,null,null,null,null,"UHG Other Health Reconciliation"]
[null,null,null,null,null,"DHMO Products",null,null,null,null,null,"DPPO & Indemnity Products",null,null,null,null,null,null,"Subtotal of CA Dental Business","Vision","Life/Disability","Stop Loss","Stop Loss","Supp Hospital","Medicare Supp","Student Health","Wrap","Ind Short Term","Other Health","Total Other Health","Federal MLR Other Health Total","Ties to","LE","Other Difference Subtotal","CA Dental MLR vs. Fed Other Health"]
[null,null,null,null,null,"Individual",null,"Small Group",null,"Large Group",null,"Individual",null,"Small Group",null,"Large Group",null,null,null,null,null,"Prdct Range 322000","Prdct Range 150000","Prdct Range 204000","Prdct Range 203000","Prdct Rng 112/3000","Prdct 202080","Prdct 106410",null,null,null,"Fed MLR Lines","Blank Customers"]
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[null,"1.","Premium:"]
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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,{"$f":"IF('Pt 2 Premium and Claims'!G29=\"\",\"\",'Pt 2 Premium and Claims'!G29+'Pt 2 Premium and Claims - Adj'!G29)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!I29=\"\",\"\",'Pt 2 Premium and Claims'!I29+'Pt 2 Premium and Claims - Adj'!I29)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!K29=\"\",\"\",'Pt 2 Premium and Claims'!K29+'Pt 2 Premium and Claims - Adj'!K29)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!M29=\"\",\"\",'Pt 2 Premium and Claims'!M29+'Pt 2 Premium and Claims - Adj'!M29)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!O29=\"\",\"\",'Pt 2 Premium and Claims'!O29+'Pt 2 Premium and Claims - Adj'!O29)","v":9142029.4999999981},null,{"$f":"IF('Pt 2 Premium and Claims'!Q29=\"\",\"\",'Pt 2 Premium and Claims'!Q29+'Pt 2 Premium and Claims - Adj'!Q29)","v":28014380.780000001}]
[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,{"$f":"IF('Pt 2 Premium and Claims'!F31=\"\",\"\",'Pt 2 Premium and Claims'!F31+'Pt 2 Premium and Claims - Adj'!F31)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H31=\"\",\"\",'Pt 2 Premium and Claims'!H31+'Pt 2 Premium and Claims - Adj'!H31)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J31=\"\",\"\",'Pt 2 Premium and Claims'!J31+'Pt 2 Premium and Claims - Adj'!J31)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L31=\"\",\"\",'Pt 2 Premium and Claims'!L31+'Pt 2 Premium and Claims - Adj'!L31)","v":1.7763568394002505E-15},null,{"$f":"IF('Pt 2 Premium and Claims'!N31=\"\",\"\",'Pt 2 Premium and Claims'!N31+'Pt 2 Premium and Claims - Adj'!N31)","v":365332.33999999997},null,{"$f":"IF('Pt 2 Premium and Claims'!P31=\"\",\"\",'Pt 2 Premium and Claims'!P31+'Pt 2 Premium and Claims - Adj'!P31)","v":1582920.4400000002},null,null,{"$f":"IF(P31=\"\",0,P31)+IF(N31=\"\",0,N31)+IF(L31=\"\",0,L31)+IF(J31=\"\",0,J31)+IF(H31=\"\",0,H31)+IF(F31=\"\",0,F31)","v":1948252.7800000003},{"$f":"+'Pt 2 Premium and Claims'!T31+'Pt 2 Premium and Claims - Adj'!T31","v":383433.94000000006},{"$f":"+'Pt 2 Premium and Claims'!U31+'Pt 2 Premium and Claims - Adj'!U31","v":389898.52000000072},{"$f":"+'Pt 2 Premium and Claims'!V31+'Pt 2 Premium and Claims - Adj'!V31","v":0},{"$f":"+'Pt 2 Premium and Claims'!W31+'Pt 2 Premium and Claims - Adj'!W31","v":15299.930000000004},{"$f":"+'Pt 2 Premium and Claims'!X31+'Pt 2 Premium and Claims - Adj'!X31","v":338621.5600000181},{"$f":"+'Pt 2 Premium and Claims'!Y31+'Pt 2 Premium and Claims - Adj'!Y31","v":83610396.559999973},{"$f":"+'Pt 2 Premium and Claims'!Z31+'Pt 2 Premium and Claims - Adj'!Z31","v":-621434.66999999993},{"$f":"+'Pt 2 Premium and Claims'!AA31+'Pt 2 Premium and Claims - Adj'!AA31","v":5964674.2899999991},{"$f":"+'Pt 2 Premium and Claims'!AB31+'Pt 2 Premium and Claims - Adj'!AB31","v":563356.4},{"$f":"+'Pt 2 Premium and Claims'!AC31+'Pt 2 Premium and Claims - Adj'!AC31","v":6140.8700000196695},{"$f":"+'Pt 2 Premium and Claims'!AD31+'Pt 2 Premium and Claims - Adj'!AD31","v":89877054.940000013},{"$f":"-'EB PT 2'!T42","v":92598268.699999943}," Sec 2 - 2.2a",{"$f":"+'Pt 2 Premium and Claims'!AG31+'Pt 2 Premium and Claims - Adj'!AE31","v":0},{"$f":"SUM(AG31:AG31)","v":0},{"$f":"ROUND((S31+T31+U31+AD31)-AE31+AH31,0)","v":371}]
[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,{"$f":"IF('Pt 2 Premium and Claims'!G32=\"\",\"\",'Pt 2 Premium and Claims'!G32+'Pt 2 Premium and Claims - Adj'!G32)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!I32=\"\",\"\",'Pt 2 Premium and Claims'!I32+'Pt 2 Premium and Claims - Adj'!I32)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!K32=\"\",\"\",'Pt 2 Premium and Claims'!K32+'Pt 2 Premium and Claims - Adj'!K32)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!M32=\"\",\"\",'Pt 2 Premium and Claims'!M32+'Pt 2 Premium and Claims - Adj'!M32)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!O32=\"\",\"\",'Pt 2 Premium and Claims'!O32+'Pt 2 Premium and Claims - Adj'!O32)","v":93943.75},null,{"$f":"IF('Pt 2 Premium and Claims'!Q32=\"\",\"\",'Pt 2 Premium and Claims'!Q32+'Pt 2 Premium and Claims - Adj'!Q32)","v":411298.17999999993}]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,{"$f":"IF('Pt 2 Premium and Claims'!F33=\"\",\"\",'Pt 2 Premium and Claims'!F33+'Pt 2 Premium and Claims - Adj'!F33)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H33=\"\",\"\",'Pt 2 Premium and Claims'!H33+'Pt 2 Premium and Claims - Adj'!H33)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J33=\"\",\"\",'Pt 2 Premium and Claims'!J33+'Pt 2 Premium and Claims - Adj'!J33)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L33=\"\",\"\",'Pt 2 Premium and Claims'!L33+'Pt 2 Premium and Claims - Adj'!L33)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N33=\"\",\"\",'Pt 2 Premium and Claims'!N33+'Pt 2 Premium and Claims - Adj'!N33)","v":458539.88999999996},null,{"$f":"IF('Pt 2 Premium and Claims'!P33=\"\",\"\",'Pt 2 Premium and Claims'!P33+'Pt 2 Premium and Claims - Adj'!P33)","v":1385605.7599999998},null,null,{"$f":"IF(P33=\"\",0,P33)+IF(N33=\"\",0,N33)+IF(L33=\"\",0,L33)+IF(J33=\"\",0,J33)+IF(H33=\"\",0,H33)+IF(F33=\"\",0,F33)","v":1844145.6499999997},{"$f":"+'Pt 2 Premium and Claims'!T33+'Pt 2 Premium and Claims - Adj'!T33","v":357115.28000000009},{"$f":"+'Pt 2 Premium and Claims'!U33+'Pt 2 Premium and Claims - Adj'!U33","v":181100.7200000002},{"$f":"+'Pt 2 Premium and Claims'!V33+'Pt 2 Premium and Claims - Adj'!V33","v":0},{"$f":"+'Pt 2 Premium and Claims'!W33+'Pt 2 Premium and Claims - Adj'!W33","v":13041.69},{"$f":"+'Pt 2 Premium and Claims'!X33+'Pt 2 Premium and Claims - Adj'!X33","v":836745.5},{"$f":"+'Pt 2 Premium and Claims'!Y33+'Pt 2 Premium and Claims - Adj'!Y33","v":79611337.819999993},{"$f":"+'Pt 2 Premium and Claims'!Z33+'Pt 2 Premium and Claims - Adj'!Z33","v":-612448.5199999999},{"$f":"+'Pt 2 Premium and Claims'!AA33+'Pt 2 Premium and Claims - Adj'!AA33","v":2033766.7899999998},{"$f":"+'Pt 2 Premium and Claims'!AB33+'Pt 2 Premium and Claims - Adj'!AB33","v":568378.35000000009},{"$f":"+'Pt 2 Premium and Claims'!AC33+'Pt 2 Premium and Claims - Adj'!AC33","v":26516.310000002384},{"$f":"+'Pt 2 Premium and Claims'!AD33+'Pt 2 Premium and Claims - Adj'!AD33","v":82477337.939999998},{"$f":"-'EB PT 2'!T44","v":84859292.50999999}," Sec 2 - 2.3a",{"$f":"+'Pt 2 Premium and Claims'!AG33+'Pt 2 Premium and Claims - Adj'!AE33","v":0},{"$f":"SUM(AG33:AG33)","v":0},{"$f":"ROUND((S33+T33+U33+AD33)-AE33+AH33,0)","v":407}]
[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,{"$f":"IF('Pt 2 Premium and Claims'!F35=\"\",\"\",'Pt 2 Premium and Claims'!F35+'Pt 2 Premium and Claims - Adj'!F35)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H35=\"\",\"\",'Pt 2 Premium and Claims'!H35+'Pt 2 Premium and Claims - Adj'!H35)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J35=\"\",\"\",'Pt 2 Premium and Claims'!J35+'Pt 2 Premium and Claims - Adj'!J35)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L35=\"\",\"\",'Pt 2 Premium and Claims'!L35+'Pt 2 Premium and Claims - Adj'!L35)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N35=\"\",\"\",'Pt 2 Premium and Claims'!N35+'Pt 2 Premium and Claims - Adj'!N35)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!P35=\"\",\"\",'Pt 2 Premium and Claims'!P35+'Pt 2 Premium and Claims - Adj'!P35)","v":0},null,null,{"$f":"IF(P35=\"\",0,P35)+IF(N35=\"\",0,N35)+IF(L35=\"\",0,L35)+IF(J35=\"\",0,J35)+IF(H35=\"\",0,H35)+IF(F35=\"\",0,F35)","v":0},{"$f":"+'Pt 2 Premium and Claims'!T35+'Pt 2 Premium and Claims - Adj'!T35","v":0},{"$f":"+'Pt 2 Premium and Claims'!U35+'Pt 2 Premium and Claims - Adj'!U35","v":3753003.98},{"$f":"+'Pt 2 Premium and Claims'!V35+'Pt 2 Premium and Claims - Adj'!V35","v":0},{"$f":"+'Pt 2 Premium and Claims'!W35+'Pt 2 Premium and Claims - Adj'!W35","v":4621611.5599999996},{"$f":"+'Pt 2 Premium and Claims'!X35+'Pt 2 Premium and Claims - Adj'!X35","v":93631.400000000052},{"$f":"+'Pt 2 Premium and Claims'!Y35+'Pt 2 Premium and Claims - Adj'!Y35","v":22483353.600000005},{"$f":"+'Pt 2 Premium and Claims'!Z35+'Pt 2 Premium and Claims - Adj'!Z35","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA35+'Pt 2 Premium and Claims - Adj'!AA35","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB35+'Pt 2 Premium and Claims - Adj'!AB35","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC35+'Pt 2 Premium and Claims - Adj'!AC35","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD35+'Pt 2 Premium and Claims - Adj'!AD35","v":27198596.560000006},{"$f":"-'EB PT 2'!T45","v":30951600.540000003}," Sec 2 - 2.4a",{"$f":"+'Pt 2 Premium and Claims'!AG35+'Pt 2 Premium and Claims - Adj'!AE35","v":0},{"$f":"SUM(AG35:AG35)","v":0},{"$f":"ROUND((S35+T35+U35+AD35)-AE35+AH35,0)","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,{"$f":"IF('Pt 2 Premium and Claims'!G36=\"\",\"\",'Pt 2 Premium and Claims'!G36+'Pt 2 Premium and Claims - Adj'!G36)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!I36=\"\",\"\",'Pt 2 Premium and Claims'!I36+'Pt 2 Premium and Claims - Adj'!I36)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!K36=\"\",\"\",'Pt 2 Premium and Claims'!K36+'Pt 2 Premium and Claims - Adj'!K36)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!M36=\"\",\"\",'Pt 2 Premium and Claims'!M36+'Pt 2 Premium and Claims - Adj'!M36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!O36=\"\",\"\",'Pt 2 Premium and Claims'!O36+'Pt 2 Premium and Claims - Adj'!O36)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!Q36=\"\",\"\",'Pt 2 Premium and Claims'!Q36+'Pt 2 Premium and Claims - Adj'!Q36)","v":0}]
[null,null,2.5,"Direct claim reserves prior year",null,{"$f":"IF('Pt 2 Premium and Claims'!F37=\"\",\"\",'Pt 2 Premium and Claims'!F37+'Pt 2 Premium and Claims - Adj'!F37)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H37=\"\",\"\",'Pt 2 Premium and Claims'!H37+'Pt 2 Premium and Claims - Adj'!H37)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J37=\"\",\"\",'Pt 2 Premium and Claims'!J37+'Pt 2 Premium and Claims - Adj'!J37)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L37=\"\",\"\",'Pt 2 Premium and Claims'!L37+'Pt 2 Premium and Claims - Adj'!L37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N37=\"\",\"\",'Pt 2 Premium and Claims'!N37+'Pt 2 Premium and Claims - Adj'!N37)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!P37=\"\",\"\",'Pt 2 Premium and Claims'!P37+'Pt 2 Premium and Claims - Adj'!P37)","v":0},null,null,{"$f":"IF(P37=\"\",0,P37)+IF(N37=\"\",0,N37)+IF(L37=\"\",0,L37)+IF(J37=\"\",0,J37)+IF(H37=\"\",0,H37)+IF(F37=\"\",0,F37)","v":0},{"$f":"+'Pt 2 Premium and Claims'!T37+'Pt 2 Premium and Claims - Adj'!T37","v":0},{"$f":"+'Pt 2 Premium and Claims'!U37+'Pt 2 Premium and Claims - Adj'!U37","v":3026672.18},{"$f":"+'Pt 2 Premium and Claims'!V37+'Pt 2 Premium and Claims - Adj'!V37","v":0},{"$f":"+'Pt 2 Premium and Claims'!W37+'Pt 2 Premium and Claims - Adj'!W37","v":4749534.4399999995},{"$f":"+'Pt 2 Premium and Claims'!X37+'Pt 2 Premium and Claims - Adj'!X37","v":100425.2},{"$f":"+'Pt 2 Premium and Claims'!Y37+'Pt 2 Premium and Claims - Adj'!Y37","v":20653762.859999999},{"$f":"+'Pt 2 Premium and Claims'!Z37+'Pt 2 Premium and Claims - Adj'!Z37","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA37+'Pt 2 Premium and Claims - Adj'!AA37","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB37+'Pt 2 Premium and Claims - Adj'!AB37","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC37+'Pt 2 Premium and Claims - Adj'!AC37","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD37+'Pt 2 Premium and Claims - Adj'!AD37","v":25503722.5},{"$f":"-'EB PT 2'!T47","v":28530394.68}," Sec 2 - 2.5",{"$f":"+'Pt 2 Premium and Claims'!AG37+'Pt 2 Premium and Claims - Adj'!AE37","v":0},{"$f":"SUM(AG37:AG37)","v":0},{"$f":"ROUND((S37+T37+U37+AD37)-AE37+AH37,0)","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,{"$f":"IF('Pt 2 Premium and Claims'!F39=\"\",\"\",'Pt 2 Premium and Claims'!F39+'Pt 2 Premium and Claims - Adj'!F39)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H39=\"\",\"\",'Pt 2 Premium and Claims'!H39+'Pt 2 Premium and Claims - Adj'!H39)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J39=\"\",\"\",'Pt 2 Premium and Claims'!J39+'Pt 2 Premium and Claims - Adj'!J39)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L39=\"\",\"\",'Pt 2 Premium and Claims'!L39+'Pt 2 Premium and Claims - Adj'!L39)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N39=\"\",\"\",'Pt 2 Premium and Claims'!N39+'Pt 2 Premium and Claims - Adj'!N39)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!P39=\"\",\"\",'Pt 2 Premium and Claims'!P39+'Pt 2 Premium and Claims - Adj'!P39)","v":0},null,null,{"$f":"IF(P39=\"\",0,P39)+IF(N39=\"\",0,N39)+IF(L39=\"\",0,L39)+IF(J39=\"\",0,J39)+IF(H39=\"\",0,H39)+IF(F39=\"\",0,F39)","v":0},{"$f":"+'Pt 2 Premium and Claims'!T39+'Pt 2 Premium and Claims - Adj'!T39","v":0},{"$f":"+'Pt 2 Premium and Claims'!U39+'Pt 2 Premium and Claims - Adj'!U39","v":0},{"$f":"+'Pt 2 Premium and Claims'!V39+'Pt 2 Premium and Claims - Adj'!V39","v":0},{"$f":"+'Pt 2 Premium and Claims'!W39+'Pt 2 Premium and Claims - Adj'!W39","v":825049.68000000017},{"$f":"+'Pt 2 Premium and Claims'!X39+'Pt 2 Premium and Claims - Adj'!X39","v":-236625.54999996367},{"$f":"+'Pt 2 Premium and Claims'!Y39+'Pt 2 Premium and Claims - Adj'!Y39","v":-5511011.4400000833},{"$f":"+'Pt 2 Premium and Claims'!Z39+'Pt 2 Premium and Claims - Adj'!Z39","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA39+'Pt 2 Premium and Claims - Adj'!AA39","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB39+'Pt 2 Premium and Claims - Adj'!AB39","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC39+'Pt 2 Premium and Claims - Adj'!AC39","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD39+'Pt 2 Premium and Claims - Adj'!AD39","v":-4922587.3100000471},{"$f":"'EB PT 2'!T53-(-'EB PT 2'!T49+'EB PT 2'!T50-(-'EB PT 2'!T51+'EB PT 2'!T52))","v":-4922587.3100000434}," Sec 2 - 2.8a",{"$f":"+'Pt 2 Premium and Claims'!AG39+'Pt 2 Premium and Claims - Adj'!AE39","v":0},{"$f":"SUM(AG39:AG39)","v":0},{"$f":"ROUND((S39+T39+U39+AD39)-AE39+AH39,0)","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,{"$f":"IF('Pt 2 Premium and Claims'!G40=\"\",\"\",'Pt 2 Premium and Claims'!G40+'Pt 2 Premium and Claims - Adj'!G40)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!I40=\"\",\"\",'Pt 2 Premium and Claims'!I40+'Pt 2 Premium and Claims - Adj'!I40)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!K40=\"\",\"\",'Pt 2 Premium and Claims'!K40+'Pt 2 Premium and Claims - Adj'!K40)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!M40=\"\",\"\",'Pt 2 Premium and Claims'!M40+'Pt 2 Premium and Claims - Adj'!M40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!O40=\"\",\"\",'Pt 2 Premium and Claims'!O40+'Pt 2 Premium and Claims - Adj'!O40)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!Q40=\"\",\"\",'Pt 2 Premium and Claims'!Q40+'Pt 2 Premium and Claims - Adj'!Q40)","v":0}]
[null,null,2.7,"Reserve for experience rating refunds (rate credits)"]
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[null,null,null,"2.9c  Accrued dental incentive pools and bonuses prior year",null,{"$f":"IF('Pt 2 Premium and Claims'!F48=\"\",\"\",'Pt 2 Premium and Claims'!F48+'Pt 2 Premium and Claims - Adj'!F48)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!H48=\"\",\"\",'Pt 2 Premium and Claims'!H48+'Pt 2 Premium and Claims - Adj'!H48)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!J48=\"\",\"\",'Pt 2 Premium and Claims'!J48+'Pt 2 Premium and Claims - Adj'!J48)","v":""},null,{"$f":"IF('Pt 2 Premium and Claims'!L48=\"\",\"\",'Pt 2 Premium and Claims'!L48+'Pt 2 Premium and Claims - Adj'!L48)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!N48=\"\",\"\",'Pt 2 Premium and Claims'!N48+'Pt 2 Premium and Claims - Adj'!N48)","v":0},null,{"$f":"IF('Pt 2 Premium and Claims'!P48=\"\",\"\",'Pt 2 Premium and Claims'!P48+'Pt 2 Premium and Claims - Adj'!P48)","v":0},null,null,{"$f":"IF(P48=\"\",0,P48)+IF(N48=\"\",0,N48)+IF(L48=\"\",0,L48)+IF(J48=\"\",0,J48)+IF(H48=\"\",0,H48)+IF(F48=\"\",0,F48)","v":0},{"$f":"+'Pt 2 Premium and Claims'!T48+'Pt 2 Premium and Claims - Adj'!T48","v":0},{"$f":"+'Pt 2 Premium and Claims'!U48+'Pt 2 Premium and Claims - Adj'!U48","v":0},{"$f":"+'Pt 2 Premium and Claims'!V48+'Pt 2 Premium and Claims - Adj'!V48","v":0},{"$f":"+'Pt 2 Premium and Claims'!W48+'Pt 2 Premium and Claims - Adj'!W48","v":0},{"$f":"+'Pt 2 Premium and Claims'!X48+'Pt 2 Premium and Claims - Adj'!X48","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y48+'Pt 2 Premium and Claims - Adj'!Y48","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z48+'Pt 2 Premium and Claims - Adj'!Z48","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA48+'Pt 2 Premium and Claims - Adj'!AA48","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB48+'Pt 2 Premium and Claims - Adj'!AB48","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC48+'Pt 2 Premium and Claims - Adj'!AC48","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD48+'Pt 2 Premium and Claims - Adj'!AD48","v":0},{"$f":"-'EB PT 2'!T62","v":0}," Sec 2 - 2.11c",{"$f":"+'Pt 2 Premium and Claims'!AG48+'Pt 2 Premium and Claims - Adj'!AE48","v":0},{"$f":"SUM(AG48:AG48)","v":0},{"$f":"ROUND((S48+T48+U48+AD48)-AE48+AH48,0)","v":0}]
[null,null,"2.10","Contingent benefit and lawsuit reserves",null,{"$f":"IF('Pt 2 Premium and Claims'!F49=\"\",\"\",'Pt 2 Premium and Claims'!F49+'Pt 2 Premium and Claims - Adj'!F49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!G49=\"\",\"\",'Pt 2 Premium and Claims'!G49+'Pt 2 Premium and Claims - Adj'!G49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!H49=\"\",\"\",'Pt 2 Premium and Claims'!H49+'Pt 2 Premium and Claims - Adj'!H49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!I49=\"\",\"\",'Pt 2 Premium and Claims'!I49+'Pt 2 Premium and Claims - Adj'!I49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!J49=\"\",\"\",'Pt 2 Premium and Claims'!J49+'Pt 2 Premium and Claims - Adj'!J49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!K49=\"\",\"\",'Pt 2 Premium and Claims'!K49+'Pt 2 Premium and Claims - Adj'!K49)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!L49=\"\",\"\",'Pt 2 Premium and Claims'!L49+'Pt 2 Premium and Claims - Adj'!L49)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!M49=\"\",\"\",'Pt 2 Premium and Claims'!M49+'Pt 2 Premium and Claims - Adj'!M49)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!N49=\"\",\"\",'Pt 2 Premium and Claims'!N49+'Pt 2 Premium and Claims - Adj'!N49)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!O49=\"\",\"\",'Pt 2 Premium and Claims'!O49+'Pt 2 Premium and Claims - Adj'!O49)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!P49=\"\",\"\",'Pt 2 Premium and Claims'!P49+'Pt 2 Premium and Claims - Adj'!P49)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!Q49=\"\",\"\",'Pt 2 Premium and Claims'!Q49+'Pt 2 Premium and Claims - Adj'!Q49)","v":0},null,{"$f":"IF(P49=\"\",0,P49)+IF(N49=\"\",0,N49)+IF(L49=\"\",0,L49)+IF(J49=\"\",0,J49)+IF(H49=\"\",0,H49)+IF(F49=\"\",0,F49)","v":0},{"$f":"+'Pt 2 Premium and Claims'!T49+'Pt 2 Premium and Claims - Adj'!T49","v":0},{"$f":"+'Pt 2 Premium and Claims'!U49+'Pt 2 Premium and Claims - Adj'!U49","v":0},{"$f":"+'Pt 2 Premium and Claims'!V49+'Pt 2 Premium and Claims - Adj'!V49","v":0},{"$f":"+'Pt 2 Premium and Claims'!W49+'Pt 2 Premium and Claims - Adj'!W49","v":0},{"$f":"+'Pt 2 Premium and Claims'!X49+'Pt 2 Premium and Claims - Adj'!X49","v":0},{"$f":"+'Pt 2 Premium and Claims'!Y49+'Pt 2 Premium and Claims - Adj'!Y49","v":0},{"$f":"+'Pt 2 Premium and Claims'!Z49+'Pt 2 Premium and Claims - Adj'!Z49","v":0},{"$f":"+'Pt 2 Premium and Claims'!AA49+'Pt 2 Premium and Claims - Adj'!AA49","v":0},{"$f":"+'Pt 2 Premium and Claims'!AB49+'Pt 2 Premium and Claims - Adj'!AB49","v":0},{"$f":"+'Pt 2 Premium and Claims'!AC49+'Pt 2 Premium and Claims - Adj'!AC49","v":0},{"$f":"+'Pt 2 Premium and Claims'!AD49+'Pt 2 Premium and Claims - Adj'!AD49","v":0},0," Sec 2 - 2.13",{"$f":"+'Pt 2 Premium and Claims'!AG49+'Pt 2 Premium and Claims - Adj'!AE49","v":0},{"$f":"SUM(AG49:AG49)","v":0},{"$f":"ROUND((S49+T49+U49+AD49)-AE49+AH49,0)","v":0}]
[null,null,"2.11","Total incurred claims ",null,{"$f":"IF('Pt 2 Premium and Claims'!F50=\"\",\"\",'Pt 2 Premium and Claims'!F50+'Pt 2 Premium and Claims - Adj'!F50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!G50=\"\",\"\",'Pt 2 Premium and Claims'!G50+'Pt 2 Premium and Claims - Adj'!G50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!H50=\"\",\"\",'Pt 2 Premium and Claims'!H50+'Pt 2 Premium and Claims - Adj'!H50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!I50=\"\",\"\",'Pt 2 Premium and Claims'!I50+'Pt 2 Premium and Claims - Adj'!I50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!J50=\"\",\"\",'Pt 2 Premium and Claims'!J50+'Pt 2 Premium and Claims - Adj'!J50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!K50=\"\",\"\",'Pt 2 Premium and Claims'!K50+'Pt 2 Premium and Claims - Adj'!K50)","v":""},{"$f":"IF('Pt 2 Premium and Claims'!L50=\"\",\"\",'Pt 2 Premium and Claims'!L50+'Pt 2 Premium and Claims - Adj'!L50)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!M50=\"\",\"\",'Pt 2 Premium and Claims'!M50+'Pt 2 Premium and Claims - Adj'!M50)","v":0},{"$f":"IF('Pt 2 Premium and Claims'!N50=\"\",\"\",'Pt 2 Premium and Claims'!N50+'Pt 2 Premium and Claims - Adj'!N50)","v":9307366.0099999998},{"$f":"IF('Pt 2 Premium and Claims'!O50=\"\",\"\",'Pt 2 Premium and Claims'!O50+'Pt 2 Premium and Claims - Adj'!O50)","v":9235973.25},{"$f":"IF('Pt 2 Premium and Claims'!P50=\"\",\"\",'Pt 2 Premium and Claims'!P50+'Pt 2 Premium and Claims - Adj'!P50)","v":28326315.640000004},{"$f":"IF('Pt 2 Premium and Claims'!Q50=\"\",\"\",'Pt 2 Premium and Claims'!Q50+'Pt 2 Premium and Claims - Adj'!Q50)","v":28425678.960000001},null,{"$f":"S28+S31-S33+S35-S37+S39+S42-S44+S46+S47-S48+S49","v":37633681.650000013},{"$f":"+'Pt 2 Premium and Claims'!T50+'Pt 2 Premium and Claims - Adj'!T50","v":7044731.8500000006},{"$f":"+'Pt 2 Premium and Claims'!U50+'Pt 2 Premium and Claims - Adj'!U50","v":1481723.1400000001},{"$f":"+'Pt 2 Premium and Claims'!V50+'Pt 2 Premium and Claims - Adj'!V50","v":0},{"$f":"+'Pt 2 Premium and Claims'!W50+'Pt 2 Premium and Claims - Adj'!W50","v":27927366.150000006},{"$f":"+'Pt 2 Premium and Claims'!X50+'Pt 2 Premium and Claims - Adj'!X50","v":3794940.640000063},{"$f":"+'Pt 2 Premium and Claims'!Y50+'Pt 2 Premium and Claims - Adj'!Y50","v":683749908.35000002},{"$f":"+'Pt 2 Premium and Claims'!Z50+'Pt 2 Premium and Claims - Adj'!Z50","v":30031.579999999976},{"$f":"+'Pt 2 Premium and Claims'!AA50+'Pt 2 Premium and Claims - Adj'!AA50","v":168762806.33000001},{"$f":"+'Pt 2 Premium and Claims'!AB50+'Pt 2 Premium and Claims - Adj'!AB50","v":-4054.2199999999721},{"$f":"+'Pt 2 Premium and Claims'!AC50+'Pt 2 Premium and Claims - Adj'!AC50","v":-628.70999970589764},{"$f":"+'Pt 2 Premium and Claims'!AD50+'Pt 2 Premium and Claims - Adj'!AD50","v":884260370.12000048},{"$f":"AE28+AE31-AE33+AE35-AE37+AE39+AE42-AE44+AE46+AE47-AE48+AE49","v":930422825.11000037}," Sec 2 - 2.16",{"$f":"+'Pt 2 Premium and Claims'!AG50+'Pt 2 Premium and Claims - Adj'!AE50","v":0},{"$f":"SUM(AG50:AG50)","v":0},{"$f":"ROUND((S50+T50+U50+AD50)-AE50+AH50,0)","v":-2318}]
[]
[]
[null,null,"Cell Keys:"]
[null,null,null,"Blank cells require input from Health plan or Health insurer"]
[null,null,null,"Grey cells require no data input"]
[null,null,null,"Pink cells require no data input - locked down"]
[null,null,null,"Blue cells: computed cell (formula cell)"]
[]
["Business Rules:"]
[null,null,null,"Line 2.9",null,{"$f":"+F45","v":0},{"$f":"+G45","v":0},0,0,0,0,0,0,0,0,0,0,null,0,0,0,{"$f":"+V45","v":0},0,0,0,0,0,0,0,0,0,null,0,0,0]
[null,null,null,"Line 2.1a",null,{"$f":"+F28","v":""},{"$f":"+G28","v":0},"",0,"",0,0,0,9400573.5600000024,0,28129000.960000005,0,null,37529574.520000011,7018413.1900000004,546593.53999999957,{"$f":"+V28","v":0},27970478.570000008,4236574.1700000083,654513314.44000018,39017.749999999978,164831898.83000001,967.73000000009779,19746.710000276566,851611998.20000052,896708862.20000052,null,0,0,-2283]
[null,null,null,"Line 2.1b",null,{"$f":"+F29","v":0},{"$f":"+G29","v":""},0,"",0,"",0,0,0,9142029.4999999981,0,28014380.780000001,null,0,0,0,{"$f":"+V29","v":0},0,0,0,0,0,0,0,0,0,null,0,0,0]
[{"$f":"IF(AJ63=0,\"\",IF(AJ63=1,AJ63&\" FAILURE\",AJ63&\" FAILURES\"))","v":""},null,null,"Question 1: Why is there incurred medical incentive pools and bonuses data on Line 2.9, when there is no paid claims data on Line 2.1?",null,{"$f":"+IF(AND(F60<>0,SUM(F61:F62)=0),\"FAIL\",\"PASS\")","v":"PASS"},{"$f":"+IF(AND(G60<>0,SUM(G61:G62)=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"+IF(AND(V60<>0,SUM(V61:V62)=0),\"FAIL\",\"PASS\")","v":"PASS"},"PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS","PASS",null,"PASS","PASS","PASS",{"$f":"COUNTIF(F63:AI63,\"FAIL\")","v":0},"x"]

{"sheet":"Pt 3 Expense Allocation","index":14,"n_rows":87,"n_cols":4,"rows_kept":87,"cut":false,"hidden":false,"merged":[[17,3,17,11],[1,3,1,4],[5,3,9,5],[14,3,14,11],[15,3,15,11],[16,3,16,11],[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],[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],[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],[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],[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],[78,3,78,11],[79,3,79,11],[80,3,80,11],[83,1,83,2],[86,1,86,2]]}
[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,{"$f":"'Cover Page'!C7","v":""},null,"Part 3"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[null,"Description of Expense Element (by Type)","NEW","Detailed Description of Expense Allocation Methods"]
[null,1,2,3]
[null,"1.  Incurred Claims"]
[null,"Paid Claims - Adjudicated claim activity for fee for service claims from source system.  ",null,"Transactions are allocated  to legal entity, state, product, and group size (where applicable) directly from policyholder/member information obtained during case installation."]
[null,"Change in IBNR - Incurred but not reported claim activity (IBNR) for service claims not yet adjudicated for current and prior periods.   ",null,"Reserves for IBNR are developed using historical fee for service claims development triangles at a legal entity, state, product, and group size (where applicable) level."]
[null,"Capitation - Payments to dental care providers and clinical risk bearing entities (as defined in HHS Guidance) for patient services.",null,"Capitation payments recorded to legal entity, state, product, and group size based on actual membership (pmpm) within these aggregations who have access to these services."]
[null,"Provider Settlements - Provider settlement cost for specifically known and identified in-network and out-of-network provider settlements paid/payable/reserve due to extra-contractual negotiated settlements, fee schedule errors, contracts with disputed calculations, etc.  ",null,"Settlement expense is allocated to legal entity, state, product, and group size in the following manner:  Paids and known payables are based on membership, while the IBNR component is allocated based on paid claims, or there is a direct charge and no allocation is required.  "]
[null,"State Assessments",null,"Assessment is calculated and allocated to the legal entity, state, product, and group size for which the assessment applies.  Allocation based on legal entity, state, product, and group size membership or fee for service claim experience, depending on assessment type.  "]
[]
[null,"2.  Federal and State Taxes and Licensing or Regulatory Fees"]
[null,"2.a Federal taxes and assessments"]
[null,"Federal Income Tax",null,"Federal income tax, excluding tax on investment income and the MLR rebate, is allocated across each state and column (line of business) based on the respective portion of pre-tax income or loss to the issuer’s total pre-tax income or loss."]
[null,"Other Federal Taxes (other than income tax) and assessments deductible from premium",null,"These taxes are booked to the legal entity or are included in the management fees paid to the contract company.  They are allocated within the legal entity to the various states and columns based on membership, revenue, or largest financial cross section depending on the legal entity."]
[]
[]
[]
[]
[null,"2.b State insurance, premium and other taxes"]
[null,"State income, excise, business, and other taxes",null,"State income tax (where applicable), excluding tax on the MLR rebate, is allocated first to states that impose income tax and then to the columns (lines of business) based on the respective portion of pre-tax income or loss to the issuer’s total pre-tax income or loss in that state."]
[null,"State premium taxes ",null,"Premium tax (where applicable), excluding premium tax on the MLR rebate, is calculated based on member situs and reconfigured to be reported based on employer situs."]
[]
[]
[]
[]
[null,"2.c Community benefit expenditures "]
[null,"Community Benefit Expenditures",null,"Not applicable."]
[]
[]
[]
[]
[]
[null,"2.d Regulatory authority licenses and fees"]
[null,"Regulatory authority licenses and fees",null,"Regulatory authority licenses and fees are direct charges incurred by the legal entity from various regulatory agencies. These expenses are recorded to the legal entity charged and then allocated within the legal entity to the various states and columns based on membership, revenue, or largest financial aggregation depending on the legal entity."]
[]
[]
[]
[]
[]
[null,"3.  Non-Claims costs"]
[null,"3.a Direct sales salaries and benefits"]
[null,"Direct sales salaries and benefits",null,"Direct sales salaries and benefits are part of the management fees paid to the contract company. Direct sales salaries and benefits were allocated to each state and column through multiple drivers which include programs, employees, revenue, selling, general, and administrative expenses, and membership."]
[]
[]
[]
[]
[]
[null,"3.b Agents and brokers fees and commissions"]
[null,"Agents and brokers fees and commissions",null,"Agents and brokers fees and commissions expenses are booked at the various states and columns based on policy level information and/or membership."]
[]
[]
[]
[]
[]
[null,"3.c Other taxes"]
[null,"Other Taxes",null,"Other taxes are direct charges incurred by the legal entity. These expenses are booked to the legal entity charged and then allocated within the legal entity to the various states and columns based on membership, revenue, or largest financial aggregation depending on the legal entity."]
[]
[]
[]
[]
[]
[null,"3.d Other general and administrative expenses"]
[null,"Other general and administrative expenses",null,"Other general and administrative expenses are part of vendor services paid either to the regulated entities contract company, UnitedHealth Group Incorporated (UnitedHealth Group) affiliates or non affiliated external vendors. Management fee other general and administrative expenses were allocated to each state and column through multiple drivers which include claims volume, call volume, programs, employees, revenue, medical expense, selling, general, and administrative expenses, and membership. Any general and administrative expenses provided through direct arrangements with UnitedHealth Group affiliates or non affiliates are based on the vendor provided percentage of overall spending purchased by this entity for each state and line of business."]
[]
[]
[]
[]
[]
[]
[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":15,"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,{"$f":"'EB PT 1'!I5","v":"NAIC Supp HC Exhibit"},{"$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"},{"$f":"'EB PT 1'!O5","v":"NAIC Supp HC Exhibit"},{"$f":"O5","v":"NAIC Supp HC Exhibit"},{"$f":"O5","v":"NAIC Supp HC Exhibit"},{"$f":"P5","v":"NAIC Supp HC Exhibit"},{"$f":"Q5","v":"NAIC Supp HC Exhibit"},{"$f":"R5","v":"NAIC Supp HC Exhibit"}]
[{"$f":"\"Question\"","v":"Question"},null,null,null,null,null,null,null,{"$f":"'EB PT 1'!I6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"'EB PT 1'!O6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"},{"$f":"$I$6","v":"UnitedHealthcare Domestic"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!I7","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'!O7","v":"Stand Alone Dental"},{"$f":"O7","v":"Stand Alone Dental"},{"$f":"O7","v":"Stand Alone Dental"},{"$f":"Q7","v":"Stand Alone Dental"},{"$f":"Q7","v":"Stand Alone Dental"},{"$f":"S7","v":"Stand Alone Dental"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!$I$8","v":"Individual"},{"$f":"I8","v":"Individual"},{"$f":"'EB PT 1'!$K$8","v":"Small Group Employer"},{"$f":"K8","v":"Small Group Employer"},{"$f":"'EB PT 1'!$M$8","v":"Large Group Employer"},{"$f":"M8","v":"Large Group Employer"},{"$f":"'EB PT 1'!$I$8","v":"Individual"},{"$f":"O8","v":"Individual"},{"$f":"'EB PT 1'!$K$8","v":"Small Group Employer"},{"$f":"Q8","v":"Small Group Employer"},{"$f":"'EB PT 1'!$M$8","v":"Large Group Employer"},{"$f":"S8","v":"Large Group Employer"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!I9","v":"UnitedHealthcare Ins Co"},{"$f":"I9","v":"UnitedHealthcare Ins Co"},{"$f":"J9","v":"UnitedHealthcare Ins Co"},{"$f":"K9","v":"UnitedHealthcare Ins Co"},{"$f":"L9","v":"UnitedHealthcare Ins Co"},{"$f":"M9","v":"UnitedHealthcare Ins Co"},{"$f":"'EB PT 1'!O9","v":"UnitedHealthcare Ins Co"},{"$f":"O9","v":"UnitedHealthcare Ins Co"},{"$f":"P9","v":"UnitedHealthcare Ins Co"},{"$f":"Q9","v":"UnitedHealthcare Ins Co"},{"$f":"R9","v":"UnitedHealthcare Ins Co"},{"$f":"S9","v":"UnitedHealthcare Ins Co"}]
[null,null,null,null,null,null,null,null,{"$f":"'EB PT 1'!I10","v":"California - CA"},{"$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"},{"$f":"'EB PT 1'!O10","v":"California - CA"},{"$f":"O10","v":"California - CA"},{"$f":"P10","v":"California - CA"},{"$f":"Q10","v":"California - CA"},{"$f":"R10","v":"California - CA"},{"$f":"S10","v":"California - CA"}]
[null,null,null,null,null,null,null,null,{"$f":"'Essbase Input'!$C15","v":"2015"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C15","v":"2015"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C15","v":"2015"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C13","v":"2017"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C13","v":"2017"},{"$f":"'Essbase Input'!$C14","v":"2016"},{"$f":"'Essbase Input'!$C13","v":"2017"}]
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[2,"2.1b","2016","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
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[2,"2.1a","2015","Rate Credits NonTaxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
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[2,"2.1b","2016","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","50307 - Pharmacy Non-MLR Claims",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b","2016","Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.1b",{"$f":"$I$11","v":"2015"},"Direct Contract Reserve","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,4916.97,-101362.13,0,0,0,0,-101362.13,-138420.58999999997]
[2,"2.1b",{"$f":"$J$11","v":"2016"},"Healthcare Receivables",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
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[2,"2.2b","2016","Direct Claim Liability",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,37.200000000000045,0,-293277.50999999989,0,-758739.61999999988,37.200000000000045,0,-293277.50999999989,-200129.11999999997,-758739.61999999988,-648175.11]
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[2,"2.4a",{"$f":"$I$11","v":"2015"},"Direct Claim Reserves","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.4b",{"$f":"$J$11","v":"2016"},"Direct Claim Reserves",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,2.5,{"$f":"$I$11","v":"2015"},"Direct Claim Reserves","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a",{"$f":"$I$11","v":"2015"},"Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a",{"$f":"$I$11","v":"2015"},"Reserve for Rate Credits","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a",{"$f":"$I$11","v":"2015"},"Estimated Rebates Unpaid","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2015","Reserve for Rate Credits","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6a","2015","Estimated Rebates Unpaid","IDB Periods","Begin Balance","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$I$11","v":"2015"},"Rate Credits Taxable","IDB Periods","Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2016"},"Rate Credits Taxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2016"},"Reserve for Rate Credits",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.6b",{"$f":"$J$11","v":"2016"},"Estimated Rebates Unpaid",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$I$11","v":"2015"},"Inc Med Inc Pools & Bonuses","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2016"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"December_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9a",{"$f":"$J$11","v":"2016"},"Inc Med Inc Pools & Bonuses",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_YTD","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2015"},"Incurred Med Inc Pools & Bonus","IDB Periods","December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$J$11","v":"2016"},"Incurred Med Inc Pools & Bonus",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0]
[2,"2.9b",{"$f":"$I$11","v":"2015"},"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]

{"sheet":"Pt 4 Claims Calcs for PYs","index":16,"n_rows":57,"n_cols":17,"rows_kept":57,"cut":false,"hidden":true,"merged":[[5,1,5,3],[5,5,10,6],[7,1,7,3],[9,1,9,3],[14,11,14,16],[11,1,11,3],[11,5,11,6],[14,5,14,10],[47,3,47,4],[50,3,50,4],[16,15,16,16],[15,5,15,10],[15,11,15,16],[17,1,18,3],[17,4,18,4],[16,5,16,6],[16,7,16,8],[16,9,16,10],[16,11,16,12],[16,13,16,14]]}
[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,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 2"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[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,{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C15,2))","v":"Total as of 12/31/15"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 3/31/16"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C15,2))","v":"Total as of 12/31/15"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 3/31/16"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C15,2))","v":"Total as of 12/31/15"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 3/31/16"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 12/31/16"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C13,2))","v":"Total as of 3/31/17"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 12/31/16"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C13,2))","v":"Total as of 3/31/17"},{"$f":"CONCATENATE(\"Total as of 12/31/\",RIGHT('Essbase Input'!$C14,2))","v":"Total as of 12/31/16"},{"$f":"CONCATENATE(\"Total as of 3/31/\",RIGHT('Essbase Input'!$C13,2))","v":"Total as of 3/31/17"}]
[null,null,null,null,null,1,2,3,4,5,6,1,2,3,4,5,6]
[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,{"$f":"'EB PT 4 P&C Calcs'!I22+'EB PT 4 P&C Calcs'!J23-'EB PT 4 P&C Calcs'!I24-'EB PT 4 P&C Calcs'!J25-'EB PT 4 P&C Calcs'!I26-'EB PT 4 P&C Calcs'!J27-'EB PT 4 P&C Calcs'!I28-'EB PT 4 P&C Calcs'!J29-'EB PT 4 P&C Calcs'!I32-'EB PT 4 P&C Calcs'!J31-'EB PT 4 P&C Calcs'!J33-'EB PT 4 P&C Calcs'!I32-G26-G30-G34-G37-G40-G41-G43","v":-37.200000000000003},null,{"$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":9602139.2599999998},null,{"$f":"+'EB PT 4 P&C Calcs'!M22+'EB PT 4 P&C Calcs'!N23-'EB PT 4 P&C Calcs'!M24-'EB PT 4 P&C Calcs'!N25-'EB PT 4 P&C Calcs'!M26-'EB PT 4 P&C Calcs'!N27-'EB PT 4 P&C Calcs'!M28-'EB PT 4 P&C Calcs'!N29-'EB PT 4 P&C Calcs'!M30-'EB PT 4 P&C Calcs'!N31-'EB PT 4 P&C Calcs'!N33-'EB PT 4 P&C Calcs'!M32-K26-K30-K34-K37-K40-K41-K43","v":16019235.01},null,{"$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":0},null,{"$f":"'EB PT 4 P&C Calcs'!Q65+'EB PT 4 P&C Calcs'!R66-'EB PT 4 P&C Calcs'!Q67-'EB PT 4 P&C Calcs'!R68-'EB PT 4 P&C Calcs'!Q69-'EB PT 4 P&C Calcs'!R70-'EB PT 4 P&C Calcs'!Q71-'EB PT 4 P&C Calcs'!R72-'EB PT 4 P&C Calcs'!Q75-'EB PT 4 P&C Calcs'!R74-'EB PT 4 P&C Calcs'!R76-'EB PT 4 P&C Calcs'!Q75-O26-O30-O34-O37-O40-O41-O43","v":9106260.0299999993},null,{"$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":22706362.309999999}]
[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":53138.279999999933},null,{"$f":"-'EB PT 4 P&C Calcs'!M34","v":248523.77000000014},null,{"$f":"-'EB PT 4 P&C Calcs'!O77","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!Q77","v":458539.89},null,{"$f":"-'EB PT 4 P&C Calcs'!S77","v":1385605.76}]
[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,{"$f":"-'EB PT 4 P&C Calcs'!J35","v":37.200000000000003},null,{"$f":"-'EB PT 4 P&C Calcs'!L35","v":263280.31},null,{"$f":"-'EB PT 4 P&C Calcs'!N35","v":524110.95},null,{"$f":"-'EB PT 4 P&C Calcs'!P78","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!R78","v":200129.11999999997},null,{"$f":"-'EB PT 4 P&C Calcs'!T78","v":648175.11}]
[null,null,2.2999999999999998,"Direct claim liability prior year",null,{"$f":"-'EB PT 4 P&C Calcs'!I36","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!K36","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!M36","v":0},null,{"$f":"-'EB PT 4 P&C Calcs'!O79","v":158.10999999999999},null,{"$f":"-'EB PT 4 P&C Calcs'!Q79","v":576899.13},null,{"$f":"-'EB PT 4 P&C Calcs'!S79","v":1107309.2199999997}]
[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,{"$f":"F22+F25-F27+F29-F31+F33+F36-F38+F40+F41-F42+F43","v":0},{"$f":"G23+G26+G30+G34+G37+G40+G41+G43","v":0},{"$f":"H22+H25-H27+H29-H31+H33+H36-H38+H40+H41-H42+H43","v":9881270.3200000003},{"$f":"I23+I26+I30+I34+I37+I40+I41+I43","v":9865419.5700000003},{"$f":"J22+J25-J27+J29-J31+J33+J36-J38+J40+J41-J42+J43","v":16579844.639999999},{"$f":"K23+K26+K30+K34+K37+K40+K41+K43","v":16543345.959999999},{"$f":"L22+L25-L27+L29-L31+L33+L36-L38+L40+L41-L42+L43","v":0},{"$f":"M23+M26+M30+M34+M37+M40+M41+M43","v":0},{"$f":"N22+N25-N27+N29-N31+N33+N36-N38+N40+N41-N42+N43","v":9466951.8399999999},{"$f":"O23+O26+O30+O34+O37+O40+O41+O43","v":9306389.1499999985},{"$f":"P22+P25-P27+P29-P31+P33+P36-P38+P40+P41-P42+P43","v":23100213},{"$f":"Q23+Q26+Q30+Q34+Q37+Q40+Q41+Q43","v":23354537.419999998}]
[]
[]
[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)"]
[]
["Business Rules:"]
[null,null,null,"Line 2.9",null,{"$f":"+F39","v":0},{"$f":"+G39","v":0},0,0,0,0]
[null,null,null,"Line 2.1a",null,{"$f":"+F22","v":0},{"$f":"+G22","v":0},9828132.040000001,0,16331320.869999999,0]
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[56,4,1.2,{"$f":"$K$11","v":"2016"},"50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[57,4,1.2,{"$f":"$K$11","v":"2016"},"50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"December_Bal","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[58,4,1.2,{"$f":"$K$11","v":"2016"},"50010 - Physician Cap Paid - External",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","0000003413 - General Administrative",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[59,4,1.2,{"$f":"$K$11-1","v":2015},"50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[60,4,1.2,{"$f":"$K$11-1","v":2015},"50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[61,4,1.2,{"$f":"$K$11-1","v":2015},"50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[62,4,1.2,{"$f":"$K$11","v":"2016"},"50619 - Internal Capitation Pd - Other",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[66,4,1.2,2015,"50611 - Intrsg Med Vision Cap",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[71,4,1.2,2015,"Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[72,4,1.2,2015,"Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"December_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[73,4,1.2,2015,"Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
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[76,4,1.2,{"$f":"$K$11","v":"2016"},"Rate Credits NonTaxable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[77,4,1.3,{"$f":"$K$11-1","v":2015},"General & Admin Expenses","IDB Dates","Total Year","NO REINSURANCE","Improving HC Quality Expenses",0,0,0,0,0,0,0,0,120743.75,165499.32999999999,223926.52,115570.49,223926.52,115570.49]
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[87,4,2.2000000000000002,2015,"92010 - Other Premium Assessments","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,15888.76,601230.49999999988,17264.80000000009,-27971.74,19039.800000000003,763682.76,51859.430000000182,-34741.340000000004,69124.229999999865,-62713.080000000009]
[87,4,2.2000000000000002,2015,"Reg Authority Licenses & Fees","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,135.32999999999998,148.21,1240.45,76.160000000000025,2379.58,1585.15,3112.1899999999996,-1335.2299999999996,4352.6399999999994,-1259.0699999999997]
[87,4,2.2000000000000002,"2016","Fed Tax & Assess - Nontaxable","IDB Periods","Total Year","Reinsurance","All Other Projects",1.0000000000019327E-2,0,0,0,291137.76,284531.02,0,1.0280429285636217E-11,3105244.5900000003,2268474.7099999995,2330375.08,4.5653337013562556E-11,2330375.08,5.5933766299198773E-11]
[87,4,2.2000000000000002,"2016","Fed Tax & Assess - Taxable","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[87,4,2.2000000000000002,"2016","State Ins & Other Taxes","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,7.4600000000000009,-17.71,20.54,21.95,359.70000000000005,687.29999999999984,649.91999999999996,5.8699999999999672,670.45999999999992,27.819999999999968]
[87,4,2.2000000000000002,"2016","State Local Taxes","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,8646.25,11059.86,10656.800000000001,0,10656.800000000001,0]
[87,4,2.2000000000000002,"2016","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]
[87,4,2.2000000000000002,"2016","State Premium Taxes","IDB Periods","Total Year","Reinsurance","All Other Projects",0.68999999999999773,0,0.1,0,376945.89,900862.00999999989,18251.740000000103,-44677.260000000009,478930.52999999991,1232031.8199999998,54057.920000000166,-127754.22,72309.759999999893,-172431.48]
[87,4,2.2000000000000002,"2016","92010 - Other Premium Assessments","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,15888.76,601230.49999999988,17264.80000000009,-27971.74,19039.800000000003,763682.76,51859.430000000182,-34741.340000000004,69124.229999999865,-62713.080000000009]
[87,4,2.2000000000000002,"2016","Reg Authority Licenses & Fees","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,135.32999999999998,148.21,1240.45,76.160000000000025,2379.58,1585.15,3112.1899999999996,-1335.2299999999996,4352.6399999999994,-1259.0699999999997]
[87,4,3.1,{"$f":"$K$11-1","v":2015},"SHCE Member Months",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,402999,454,0,0,568551,94,0,0,0,0]
[87,4,3.1,{"$f":"$K$11-1","v":2015},"SHCE Member Months",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$15)","v":"IDB 2015"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,86527,1371,0,0,234354,707,0,0,0,0]
[87,4,3.1,"2016","SHCE Member Months",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,393703,0,0,0,771540,0,0,0,0]
[87,4,3.1,"2016","SHCE Member Months",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"March_Bal","NO REINSURANCE","All Other Projects",0,0,0,0,0,105573,0,0,0,239294,0,0,0,0]
[87,4,5.0999999999999996,{"$f":"$K$11-1","v":2015},"RC016 - Standard & Exception MLR Pct","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[87,4,5.0999999999999996,"2016","RC016 - Standard & Exception MLR Pct","IDB Periods","Total Year","Reinsurance","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[87,5,"4b",2012,"23048 - MLR Rebate Payable",{"$f":"CONCATENATE(\"IDB \",'Essbase Input'!$C$14)","v":"IDB 2016"},"Total Year","NO REINSURANCE","All Other Projects",0,0,0,0,0,0,0,0,0,0,0,0,0,0]

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[null,"Department of Managed Health Care/Department of Insurance"]
[null,"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,{"$f":"'Cover Page'!C7","v":""},null,null,null,"Part 4"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[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,"DHMO Products",null,null,null,null,null,null,null,null,null,null,null,"DPPO & Indemnity Products"]
[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,"Part 4\nNOTE: REFER TO MLR INSTRUCTIONS FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.",null,null,"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,null,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,"3.",3.1,"Life-years (Part 1 Line 5.3)",{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!J106+'EB PT 4'!K107)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!K108+'EB PT 4'!L109)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 1 Summary of Data - Final'!G48)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(E30:G30))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!N106+'EB PT 4'!O107)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!O108+'EB PT 4'!P109)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 1 Summary of Data - Final'!I48)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(I30:K30))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!R106+'EB PT 4'!S107)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",ROUND(SUM('EB PT 4'!S108+'EB PT 4'!T109)/12,0))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",'Pt 1 Summary of Data - Final'!K48)","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",SUM(M30:O30))","v":""},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",ROUND(SUM('EB PT 4'!J106+'EB PT 4'!K107)/12,0))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",ROUND(SUM('EB PT 4'!K108+'EB PT 4'!L109)/12,0))","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",'Pt 1 Summary of Data - Final'!M48)","v":0},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",SUM(Q30:S30))","v":0},24365.833333333332,33457.75,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 1 Summary of Data - Final'!O48))","v":34517.583333333336},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(U30:W30)))","v":92341.166666666657},56596.666666666664,63691.5,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",'Pt 1 Summary of Data - Final'!Q48))","v":82524.416666666672},{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",SUM(Y30:AA30)))","v":202812.58333333331}]
[]
[null,"4.","MLR Calculation (for Health plans or health insurers with at least 1,000 life years in the Total column of Line 3.1)"]
[null,null,4.0999999999999996,"MLR",null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",IF(H28=0,0,H23/H28))","v":""},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",IF(L28=0,0,L23/L28))","v":""},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DPPO\",\"\",IF(P28=0,0,P23/P28))","v":""},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",IF(T28=0,0,T23/T28)))","v":0},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",IF(X28=0,0,X23/X28)))","v":0.61247829676524701},null,null,null,{"$f":"IF(VLOOKUP('Essbase Input'!$C$4,Tables!$B$3:$F$7,5,FALSE)=\"DHMO\",\"\",IF(OR('Essbase Input'!$C$4=\"Golden Rule Insurance Company\",'Essbase Input'!$C$4=\"UnitedHealthcare Life Ins Co\"),\"\",IF(AB28=0,0,AB23/AB28)))","v":0.84647513168384081}]
[]
[]
[]
[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":19,"n_rows":50,"n_cols":5,"rows_kept":50,"cut":false,"hidden":false,"merged":[[43,1,43,4],[40,1,40,2],[40,3,40,4],[41,1,41,2],[41,3,41,4],[42,1,42,2],[42,3,42,4],[37,1,37,2],[37,3,37,4],[38,1,38,2],[38,3,38,4],[39,1,39,2],[39,3,39,4],[34,1,34,2],[34,3,34,4],[35,1,35,2],[35,3,35,4],[36,1,36,2],[36,3,36,4],[33,1,33,2],[33,3,33,4],[23,1,23,4],[24,1,24,4],[25,1,25,4],[26,1,26,4],[27,1,27,4],[28,1,28,4],[29,1,29,4],[30,1,30,4],[31,1,31,4],[32,1,32,2],[32,3,32,4],[20,1,20,4],[21,1,21,4],[22,1,22,4],[6,3,9,4],[16,1,16,3],[17,1,17,4],[18,1,18,4],[19,1,19,4]]}
[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,{"$f":"'Cover Page'!C7","v":""}]
[null,"Legal Name",null,"Part 5"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[]
[null,null,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,null,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,"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",null,"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":20,"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,{"$f":"'Cover Page'!C7","v":""},null,null,null,null,"Attestation"]
[null,"Legal Name"]
[null,{"$f":"'Cover Page'!C8","v":"UnitedHealthcare Insurance Company"}]
[null,"dBA"]
[null,{"$f":"'Cover Page'!C9","v":"N/A"}]
[null,"MLR Reporting Year"]
[null,{"$f":"'Cover Page'!C6","v":"2017"}]
[]
[]
[]
[]
[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"]