{"text_format":"1","workbook":"xlsx","n_sheets":65,"sheets":["Intro","Balance sheet","P and L","Cash Flow","LOB Analysis","Nationwide Premium Volume","Warning","Authorized Premium by LOB (Agg)","ST","AK","AL","AR","AS","AZ","CA","CO","CT","DC","DE","FL","GA","GU","HI","IA","ID","IL","IN","KS","KY","LA","MA","MD","ME","MI","MN","MO","MS","MT","NC","ND","NE","NH","NJ","NM","NV","NY","OH","OK","OR","PA","PR","RI","SC","SD","TN","TX","UT","VA","VI","VT","WA","WI","WV","WY","Assumptions"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":6,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Intro","index":0,"n_rows":59,"n_cols":20,"rows_kept":59,"cut":false,"hidden":false,"merged":[]}
[null,null,null,null,null,null,null,null,null,null,null,null,false]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"AK","Alaska",{"$f":"IF(TRIM(M2)=\"TRUE\",N2,\"Z\")","v":"Z"},"NC"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"AL","Alabama",{"$f":"IF(TRIM(M3)=\"TRUE\",N3,\"Z\")","v":"Z"},"PR","Current"]
[null,null,null,null,null,null,null,null,null,null,null,null,false]
[null,null,null,"AK","Alaska",null,null,"MT","Montana",null,null,null,false,"AR","Arkansas","Z","TN",null,"Alaska","Go to AK"]
[null,null,null,"AL","Alabama",null,null,"NC","North Carolina",null,null,null,false,"AS","American Samoa","Z","WI",null,"Alabama","Go to AL"]
[null,null,null,"AR","Arkansas",null,null,"ND","North Dakota",null,null,null,false,"AZ","Arizona","Z","Z",null,"Arkansas","Go to AR"]
[null,null,null,"AS","American Samoa",null,null,"NE","Nebraska",null,null,null,false,"CA","California","Z","Z",null,"American Samoa","Go to AS"]
[null,null,null,"AZ","Arizona",null,null,"NH","New Hampshire",null,null,null,false,"CO","Colorado","Z","Z",null,"Arizona","Go to AZ"]
[null,null,null,"CA","California",null,null,"NJ","New Jersey",null,null,null,false,"CT","Connecticut","Z","Z",null,"California","Go to CA"]
[null,null,null,"CO","Colorado",null,null,"NM","New Mexico",null,null,null,false,"DC","District Of Columbia","Z","Z",null,"Colorado","Go to CO"]
[null,null,null,"CT","Connecticut",null,null,"NV","Nevada",null,null,null,false,"DE","Delaware","Z","Z",null,"Connecticut","Go to CT"]
[null,null,null,"DC","District Of Columbia",null,null,"NY","New York",null,null,null,false,"FL","Florida","Z","Z",null,"District Of Columbia","Go to DC"]
[null,null,null,"DE","Delaware",null,null,"OH","Ohio",null,null,null,false,"GA","Georgia","Z","Z",null,"Delaware","Go to DE"]
[null,null,null,"FL","Florida",null,null,"OK","Oklahoma",null,null,null,false,"GU","Guam","Z","Z",null,"Florida","Go to FL"]
[null,null,null,"GA","Georgia",null,null,"OR","Oregon",null,null,null,false,"HI","Hawaii","Z","Z",null,"Georgia","Go to GA"]
[null,null,null,"GU","Guam",null,null,"PA","Pennsylvania",null,null,null,false,"IA","Iowa","Z","Z",null,"Guam","Go to GU"]
[null,null,null,"HI","Hawaii",null,null,"PR","Puerto Rico",null,null,null,false,"ID","Idaho","Z","Z",null,"Hawaii","Go to HI"]
[null,null,null,"IA","Iowa",null,null,"RI","Rhode Island",null,null,null,false,"IL","Illinois","Z","Z",null,"Iowa","Go to IA"]
[null,"Enter  the Applicant Company Name:",null,"ID","Idaho",null,null,"SC","South Carolina",null,null,null,false,"IN","Indiana","Z","Z",null,"Idaho","Go to ID"]
[null,null,null,"IL","Illinois",null,null,"SD","South Dakota",null,null,null,false,"KS","Kansas","Z","Z",null,"Illinois","Go to IL"]
[null,"Applicant Company Name",null,"IN","Indiana",null,null,"TN","Tennessee",null,null,null,false,"KY","Kentucky","Z","Z",null,"Indiana","Go to IN"]
[null,null,null,"KS","Kansas",null,null,"TX","Texas",null,null,null,false,"LA","Louisiana","Z","Z",null,"Kansas","Go to KS"]
["Year 1:",null,null,"KY","Kentucky",null,null,"UT","Utah",null,null,null,false,"MA","Massachusetts","Z","Z",null,"Kentucky","Go to KY"]
[null,null,null,"LA","Louisiana",null,null,"VA","Virginia",null,null,null,false,"MD","Maryland","Z","Z",null,"Louisiana","Go to LA"]
["Year 2:",{"$f":"B24+1","v":1},null,"MA","Massachusetts",null,null,"VI","U.S. Virgin Islands",null,null,null,false,"ME","Maine","Z","Z",null,"Massachusetts","Go to MA"]
[null,null,null,"MD","Maryland",null,null,"VT","Vermont",null,null,null,false,"MI","Michigan","Z","Z",null,"Maryland","Go to MD"]
["Year 3:",{"$f":"B24+2","v":2},null,"ME","Maine",null,null,"WA","Washington",null,null,null,false,"MN","Minnesota","Z","Z",null,"Maine","Go to ME"]
[null,null,null,"MI","Michigan",null,null,"WI","Wisconsin",null,null,null,false,"MO","Missouri","Z","Z",null,"Michigan","Go to MI"]
[null,null,null,"MN","Minnesota",null,null,"WV","West Virginia",null,null,null,false,"MS","Mississippi","Z","Z",null,"Minnesota","Go to MN"]
[null,null,null,"MO","Missouri",null,null,"WY","Wyoming",null,null,null,false,"MT","Montana","Z","Z",null,"Missouri","Go to MO"]
[null,null,null,"MS","Mississippi",null,null,null,null,null,null,null,false,"NC","North Carolina","Z","Z",null,"Mississippi","Go to MS"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"ND","North Dakota","Z","Z",null,"Montana","Go to MT"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"NE","Nebraska","Z","Z",null,"North Carolina","Go to NC"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"NH","New Hampshire","Z","Z",null,"North Dakota","Go to ND"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"NJ","New Jersey","Z","Z",null,"Nebraska","Go to NE"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"NM","New Mexico","Z","Z",null,"New Hampshire","Go to NH"]
["Updated: January 1, 2019",null,null,null,null,null,null,null,null,null,null,null,false,"NV","Nevada","Z","Z",null,"New Jersey","Go to NJ"]
["© 2023 National Association of Insurance Commissioners",null,null,null,null,null,null,null,null,null,null,null,false,"NY","New York",{"$f":"IF(TRIM(M39)=\"TRUE\",N39,\"Z\")","v":"Z"},"Z",null,"New Mexico","Go to NM"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"OH","Ohio","Z","Z",null,"Nevada","Go to NV"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"OK","Oklahoma","Z","Z",null,"New York","Go to NY"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"OR","Oregon","Z","Z",null,"Ohio","Go to OH"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"PA","Pennsylvania","Z","Z",null,"Oklahoma","Go to OK"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"PR","Puerto Rico","Z","Z",null,"Oregon","Go to OR"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"RI","Rhode Island","Z","Z",null,"Pennsylvania","Go to PA"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"SC","South Carolina","Z","Z",null,"Puerto Rico","Go to PR"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"SD","South Dakota","Z","Z",null,"Rhode Island","Go to RI"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"TN","Tennessee","Z","Z",null,"South Carolina","Go to SC"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"TX","Texas","Z","Z",null,"South Dakota","Go to SD"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"UT","Utah","Z","Z",null,"Tennessee","Go to TN"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"VA","Virginia","Z","Z",null,"Texas","Go to TX"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"VI","U.S. Virgin Islands","Z","Z",null,"Utah","Go to UT"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"VT","Vermont","Z","Z",null,"Virginia","Go to VA"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"WA","Washington","Z","Z",null,"U.S. Virgin Islands","Go to VI"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"WI","Wisconsin","Z","Z",null,"Vermont","Go to VT"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"WV","West Virginia","Z","Z",null,"Washington","Go to WA"]
[null,null,null,null,null,null,null,null,null,null,null,null,false,"WY","Wyoming","Z","Z",null,"Wisconsin","Go to WI"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"West Virginia","Go to WV"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Wyoming","Go to WY"]

{"sheet":"Balance sheet","index":1,"n_rows":39,"n_cols":9,"rows_kept":39,"cut":false,"hidden":false,"merged":[[36,0,36,8]]}
[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
["Pro Forma Statutory Balance Sheet (Nationwide)"]
["(In Whole Numbers)"]
[null,null,null,null,{"$f":"Intro!B24","v":0},null,{"$f":"Intro!B26","v":1},null,{"$f":"Intro!B28","v":2}]
[null,"Admitted Assets"]
["1.","Bonds"]
["2.","Stocks (Preferred & Common)"]
["3.","Real Estate/Mortgage Loans on Real Estate"]
["4.","Cash/Cash Equivalents/Short-Term Investments"]
["5.","Other Invested Assets"]
["6.","Aggregate Write-Ins For Invested Assets"]
["7.","All Other Assets "]
["8.","Total Admitted Assets (1+2+3+4+5+6+7)",null,null,{"$f":"SUM(E7:E13)","v":0},null,{"$f":"SUM(G7:G13)","v":0},null,{"$f":"SUM(I7:I13)","v":0}]
[]
[null,"Liabilities"]
["9.","Losses (Unpaid Claims for Accident and Health Policies)"]
["10.","Unpaid Claims Adjustment Expenses"]
["11.","Aggregate Health Policy Reserves "]
["12.","Ceded Reinsurance Premiums Payable"]
["13.","Amounts Due To Parents, Subsidiaries & Affiliates"]
["14.","MLR Rebates"]
["15.","Premiums Received In Advance"]
["16.","All Other  Liabilites"]
["17.","Total Liabilities (9+10+11+12+13+14+15+16)",null,null,{"$f":"SUM(E17:E24)","v":0},null,{"$f":"SUM(G17:G24)","v":0},null,{"$f":"SUM(I17:I24)","v":0}]
[]
[null,"Capital and Surplus"]
["18.","Capital Stock"]
["19.","Gross Paid In And Contributed Surplus"]
["20.","Surplus Notes"]
["21.","Unassigned Funds (Surplus)"]
["22.","Aggregate Write-ins for Other-Than-Special Surplus Funds"]
["23.","Less Treasury Stock (Common and Preferred)"]
["24.","Total Capital and Surplus (18+19+20+21+22-23)",null,null,{"$f":"(SUM(E28+E29+E30+E31+E32)-E33)","v":0},null,{"$f":"(SUM(G28+G29+G30+G31+G32)-G33)","v":0},null,{"$f":"(SUM(I28+I29+I30+I31+I32)-I33)","v":0}]
["25.","Liabilities and Surplus (17+24)",null,null,{"$f":"E25+E34","v":0},null,{"$f":"G25+G34","v":0},null,{"$f":"I25+I34","v":0}]
[]
["Risk-Based Capital Analysis"]
["26.","Authorized Control Level Risk-Based Capital"]
["27.","Calculated Risk-Based Capital (24/26)",null,null,{"$f":"IF(E38=0,0,E34/E38)","v":0},null,{"$f":"IF(G38=0,0,G34/G38)","v":0},null,{"$f":"IF(I38=0,0,I34/I38)","v":0}]

{"sheet":"P and L","index":2,"n_rows":45,"n_cols":10,"rows_kept":45,"cut":false,"hidden":false,"merged":[]}
[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
["Pro Forma Statutory Profit & Loss Statement (Nationwide)"]
["(In Whole Numbers)"]
[null,null,null,null,null,{"$f":"Intro!B24","v":0},null,{"$f":"Intro!B26","v":1},null,{"$f":"Intro!B28","v":2}]
["1.","Member Months"]
["2.","Net Premium Income"]
["3.","Fee For Service"]
["4.","Risk Revenue"]
["5.","Change In Unearned Premium Reserves and Reserve for Rate Credits"]
["6.","Aggregate Write-Ins For Other Health Care Related Revenue"]
["7.","Aggregate Write-Ins For Other Non-Health Revenue"]
["8.","Total (L2+L3+L4+L5+L6+L7)",null,null,null,{"$f":"F7+F8+F9+F10+F11+F12","v":0},null,{"$f":"SUM(H7:H12)","v":0},null,{"$f":"SUM(J7:J12)","v":0}]
[]
[null,"Hospital and Medical:"]
["9.","Hospital/Medical Benefits"]
["10.","Other Professional Services"]
["11.","Prescription Drugs"]
["12.","Aggregate Write-Ins For Other Hospital and Medical"]
["13.","Subtotal (L9+L10+L11+L12)",null,null,null,{"$f":"SUM(F16:F19)","v":0},null,{"$f":"SUM(H16:H19)","v":0},null,{"$f":"SUM(J16:J19)","v":0}]
[]
[null,"     Less:"]
["14.","Net Reinsurance Recoveries"]
["15.","Total Hospital and Medical (L13 - L14)",null,null,null,{"$f":"F20-F23","v":0},null,{"$f":"H20-H23","v":0},null,{"$f":"J20-J23","v":0}]
["16.","Non-Health Claims (net)"]
["17.","Claims Adjustment Expenses   "]
["18.","General Administrative Expenses"]
["19.","Increase In Reserves For Life & Accident And Health Contacts"]
["20.","Total underwriting deductions (L15+L16+L17+L18+L19)",null,null,null,{"$f":"SUM(F24:F28)","v":0},null,{"$f":"SUM(H24:H28)","v":0},null,{"$f":"SUM(J24:J28)","v":0}]
["21.","Net underwriting gain or loss (L8 -L20)",null,null,null,{"$f":"F13-F29","v":0},null,{"$f":"H13-H29","v":0},null,{"$f":"J13-J29","v":0}]
["22.","Net investment income earned"]
["23. ","Net investment gains (losses) (L22+L26)",null,null,null,{"$f":"F31+F35","v":0},null,{"$f":"H31+H35","v":0},null,{"$f":"J31+J35","v":0}]
["24.","Aggregate write in for other income or expenses"]
["25.","Federal and Foreign Income Taxes Incurred"]
["26.","Net Realized Capital Gains (Losses)"]
["27.","Less Capital Gains Tax"]
["28.","Net Income (L21+L23+L24-L25)",null,null,null,{"$f":"F30+F32+F33-F34","v":0},null,{"$f":"H30+H32+H33-H34","v":0},null,{"$f":"J30+J32+J33-J34","v":0}]
[]
["29.","Capital and Surplus Prior Reporting Year "]
["30.","Net Income or (Loss)",null,null,null,{"$f":"F37","v":0},null,{"$f":"H37","v":0},null,{"$f":"J37","v":0}]
["31.","Capital Changes"]
["32.","Other Increases (Decreases)"]
["33.","Dividends to Stockholders"]
["34.","Capital and Surplus End of Reporting Year (L29+L30+L31+L32-L33)",null,null,null,{"$f":"F39+F40+F41+F42-F43","v":0},null,{"$f":"H39+H40+H41+H42-H43","v":0},null,{"$f":"J39+J40+J41+J42-J43","v":0}]
[null,"*Itemize in Assumptions"]

{"sheet":"Cash Flow","index":3,"n_rows":30,"n_cols":8,"rows_kept":30,"cut":false,"hidden":false,"merged":[]}
[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
["Pro Forma Statutory Cash Flow Statement"]
["(In Whole Numbers)"]
[]
[null,null,null,{"$f":"Intro!B24","v":0},null,{"$f":"Intro!B26","v":1},null,{"$f":"Intro!B28","v":2}]
[null,"Cash From Operations"]
["1.","Premiums Collected Net of Reinsurance"]
["2.","Net Investment Income"]
["3.","Miscellaneous Income"]
["4.","Benefit and Loss Related Payments"]
["5.","Net Transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts"]
["6.","Commissions, Expenses Paid and Aggregate Write-Ins for Deductions"]
["7.","Dividends Paid to Policyholders"]
["8.","Federal and Foreign Income Taxes (Paid) Recovered"]
["9.","Net Cash From Operations (L1+L2+L3-L4-L5-L6-L7-L8)",null,{"$f":"D8+D9+D10-D11-D12-D13-D14-D15","v":0},null,{"$f":"F8+F9+F10-F11-F12-F13-F14-F15","v":0},null,{"$f":"H8+H9+H10-H11-H12-H13-H14-H15","v":0}]
[]
[null,"Cash From Investments"]
["10.","Net Cash from Investments"]
[]
[null,"Cash From Financing and Miscellaneous Sources"]
["11.","Surplus Notes, Capital Notes"]
["12.","Capital and Paid in Surplus, Less Treasury Stock"]
["13.","Borrowed Funds"]
["14.","Net Deposits on Deposit-Type Contracts and Other Insurance Liabilities "]
["15.","Dividends to Stockholders"]
["16.","Other Cash Provided (Applied)"]
["17.","Net Cash from Financing and Misc Sources (L11+L12+L13+L14+L15-L16)",null,{"$f":"D22+D23+D24+D25-D26+D27","v":0},null,{"$f":"F22+F23+F24+F25-F26+F27","v":0},null,{"$f":"H22+H23+H24+H25-H26+H27","v":0}]
["18.","Net Change in Cash, Cash Equivalents and Short -Term Investments (L9+L10+L17)",null,{"$f":"D16+D19+D28","v":0},null,{"$f":"F16+F19+F28","v":0},null,{"$f":"H16+H19+H28","v":0}]
[null,"     "]

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[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
["Analysis of Operations by Line of Business"]
["(In Whole Numbers)"]
[]
["Nationwide"]
["Year 1"]
[null,null,"Total","Comprehensive (Hospital & Medical) ","Medicare Supplement","Dental Only","Vision Only","Federal Employees Health Benefit Plan","Title XVIII Medicare","Title XIX Medicaid","Other Health","Other Non-Health"]
["1.","Net Premium Income",{"$f":"SUM(D9:L9)","v":0}]
["2.","Change in Unearned Premium Reserves and Reserve For Rate Credit",0]
["3.","Fee for service",0]
["4.","Risk revenue",0]
["5.","Aggregate Write-Ins for Other Health Care Related Revenues",0]
["6.","Aggregate Write-Ins for Other Non-Health Care Related Revenues ",0,"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["7.","Total Revenues (1+2+3+4+5+6)",{"$f":"SUM(C9:C14)","v":0},0,0,0,0,0,0,0,0,{"$f":"SUM(L9:L14)","v":0}]
[]
["8.","Hospital/Medical Benefits",{"$f":"SUM(D17:L17)","v":0}]
["9.","Other Professional Services",{"$f":"SUM(D18:L18)","v":0}]
["10.","Prescription Drugs",{"$f":"SUM(D19:L19)","v":0}]
["11.","Aggregatae Write-Ins For Other Hospital and Medical",{"$f":"SUM(D20:L20)","v":0}]
["12.","Subtotal (8+9+10+11)",{"$f":"SUM(C17:C20)","v":0},0,0,0,0,0,0,0,0,0]
["13.","Net Reinsurance Recoveries",{"$f":"SUM(D22:L22)","v":0}]
["14.","Total Hospital and Medical (12-13)",{"$f":"SUM(D23:L23)","v":0},{"$f":"D21-D22","v":0},0,0,0,0,0,0,0,{"$f":"L21-L22","v":0}]
["15.","Non-Health Claims (Net)",{"$f":"L24","v":0},"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["16.","Claims Adjustment Expenses",{"$f":"SUM(D25:L25)","v":0}]
["17.","General Administrative Expenses",{"$f":"SUM(D26:L26)","v":0}]
["18.","Increase in Reserves for Accident and Health Contracts",{"$f":"SUM(D27:L27)","v":0}]
["19","Increase in Reserves for Life Contracts",{"$f":"SUM(D28:L28)","v":0}]
["20.","Aggregate write in for Other Expenses ",{"$f":"SUM(D29:L29)","v":0}]
["21.","Total Underwriting Deductions (14 to 20)",{"$f":"C23+C24+C25+C26+C27+C28+C29","v":0},{"$f":"D23+D25+D26+D27+D28+D29","v":0},{"$f":"E23+E25+E26+E27+E28+E29","v":0},0,0,0,0,0,0,0]
["22.","Net underwriting Gain or (Loss)  (7-21)",{"$f":"C15-C30","v":0},0,0,0,0,0,0,0,0,0]
[]
["Nationwide"]
["Year 2"]
[null,null,"Total","Comprehensive (Hospital & Medical) ","Medicare Supplement","Dental Only","Vision Only","Federal Employees Health Benefit Plan","Title XVIII Medicare","Title XIX Medicaid","Other Health","Other Non-Health"]
["1.","Net Premium Income",{"$f":"SUM(D36:L36)","v":0}]
["2.","Change in Unearned Premium Reserves and Reserve For Rate Credit",0]
["3.","Fee for service",0]
["4.","Risk revenue",0]
["5.","Aggregate Write-Ins for Other Health Care Related Revenues",0]
["6.","Aggregate Write-Ins for Other Non-Health Care Related Revenues ",0,"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["7.","Total Revenues (1+2+3+4+5+6)",{"$f":"SUM(C36:C41)","v":0},0,0,0,0,0,0,0,0,{"$f":"SUM(L36:L41)","v":0}]
[]
["8.","Hospital/Medical Benefits",{"$f":"SUM(D44:L44)","v":0}]
["9.","Other Professional Services",{"$f":"SUM(D45:L45)","v":0}]
["10.","Prescription Drugs",{"$f":"SUM(D46:L46)","v":0}]
["11.","Aggregatae Write-Ins For Other Hospital and Medical",{"$f":"SUM(D47:L47)","v":0}]
["12.","Subtotal (8+9+10+11)",{"$f":"SUM(C44:C47)","v":0},0,0,0,0,0,0,0,0,0]
["13.","Net Reinsurance Recoveries",{"$f":"SUM(D49:L49)","v":0}]
["14.","Total Hospital and Medical (12-13)",{"$f":"SUM(D50:L50)","v":0},{"$f":"D48-D49","v":0},0,0,0,0,0,0,0,0]
["15.","Non-Health Claims (Net)",{"$f":"L51","v":0},"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["16.","Claims Adjustment Expenses",{"$f":"SUM(D52:L52)","v":0}]
["17.","General Administrative Expenses",{"$f":"SUM(D53:L53)","v":0}]
["18.","Increase in Reserves for Accident and Health Contracts",{"$f":"SUM(D54:L54)","v":0}]
["19","Increase in Reserves for Life Contracts",{"$f":"SUM(D55:L55)","v":0}]
["20.","Aggregate write in for Other Expenses ",{"$f":"SUM(D56:L56)","v":0}]
["21.","Total Underwriting Deductions (14 to 20)",{"$f":"C50+C51+C52+C53+C54+C55+C56","v":0},{"$f":"D50+D52+D53+D54+D55+D56","v":0},{"$f":"E50+E52+E53+E54+E55+E56","v":0},0,0,0,0,0,0,0]
["22.","Net underwriting Gain or (Loss)  (7-21)",{"$f":"C42-C57","v":0},0,0,0,0,0,0,0,0,0]
[]
["Nationwide"]
["Year 3"]
[null,null,"Total","Comprehensive (Hospital & Medical) ","Medicare Supplement","Dental Only","Vision Only","Federal Employees Health Benefit Plan","Title XVIII Medicare","Title XIX Medicaid","Other Health","Other Non-Health"]
["1.","Net Premium Income",{"$f":"SUM(D63:L63)","v":0}]
["2.","Change in Unearned Premium Reserves and Reserve For Rate Credit",0]
["3.","Fee for service",0]
["4.","Risk revenue",0]
["5.","Aggregate Write-Ins for Other Health Care Related Revenues",0]
["6.","Aggregate Write-Ins for Other Non-Health Care Related Revenues ",0,"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["7.","Total Revenues (1+2+3+4+5+6)",{"$f":"SUM(C63:C68)","v":0},0,0,0,0,0,0,0,0,{"$f":"SUM(L63:L68)","v":0}]
[]
["8.","Hospital/Medical Benefits",{"$f":"SUM(D71:L71)","v":0}]
["9.","Other Professional Services",{"$f":"SUM(D72:L72)","v":0}]
["10.","Prescription Drugs",{"$f":"SUM(D73:L73)","v":0}]
["11.","Aggregatae Write-Ins For Other Hospital and Medical",{"$f":"SUM(D74:L74)","v":0}]
["12.","Subtotal (8+9+10+11)",{"$f":"SUM(C71:C74)","v":0},0,0,0,0,0,0,0,0,0]
["13.","Net Reinsurance Recoveries",{"$f":"SUM(D76:L76)","v":0}]
["14.","Total Hospital and Medical (12-13)",{"$f":"SUM(D77:L77)","v":0},{"$f":"D75-D76","v":0},0,0,0,0,0,0,0,0]
["15.","Non-Health Claims (Net)",{"$f":"L78","v":0},"XXX","XXX","XXX","XXX","XXX","XXX","XXX","XXX"]
["16.","Claims Adjustment Expenses",{"$f":"SUM(D79:L79)","v":0}]
["17.","General Administrative Expenses",{"$f":"SUM(D80:L80)","v":0}]
["18.","Increase in Reserves for Accident and Health Contracts",{"$f":"SUM(D81:L81)","v":0}]
["19","Increase in Reserves for Life Contracts",{"$f":"SUM(D82:L82)","v":0}]
["20.","Aggregate write in for Other Expenses ",{"$f":"SUM(D83:L83)","v":0}]
["21.","Total Underwriting Deductions (14 to 20)",{"$f":"C77+C78+C79+C80+C81+C82+C83","v":0},{"$f":"D77+D79+D80+D81+D82+D83","v":0},{"$f":"E77+E79+E80+E81+E82+E83","v":0},0,0,0,0,0,0,0]
["22.","Net underwriting Gain or (Loss)  (7-21)",{"$f":"C69-C84","v":0},0,0,0,0,0,0,0,0,0]

{"sheet":"Nationwide Premium Volume","index":5,"n_rows":51,"n_cols":15,"rows_kept":51,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[2,0,2,1],[3,0,3,1],[5,0,5,9]]}
[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
["Planned Premium Volume by Line of Business"]
["(Amounts in Whole Dollars)"]
[]
["The Nationwide page will include projected premiums by line of business for a three year period for those states in which the company is already licensed and authorized to write business and three years of projected premiums by line of business for those states in which the company is applying to be licensed and authorized. The projected premiums for the lines of business in those states in which the company is authorized to write will be pulled in from the Authorized Premium By LOB tab and the projected premiums for the lines of business in which the Applicant Company is applying for will pull in from the individual state tabs.            \n                  \n"]
[]
["Nationwide"]
["Year 1"]
[null,"Description",null,"Direct Business",null,"Reinsurance Assumed",null,"Reinsurance Ceded",null,"Net Premium",null,"MULTI PLIER","ADJUSTED ","ADJUSTED "]
["1.","Comprehensive (Hospital and Medical)",null,{"$f":"'Authorized Premium by LOB (Agg)'!D9+AK!D9+AL!D9+AR!D9+AS!D9+AZ!D9+CA!D9+CO!D9+CT!D9+DC!D9+DE!D9+FL!D9+GA!D9+GU!D9+HI!D9+IA!D9+ID!D9+IL!D9+IN!D9+KS!D9+KY!D9+LA!D9+MA!D9+MD!D9+ME!D9+MI!D9+MN!D9+MO!D9+MS!D9+MT!D9+NC!D9+ND!D9+NE!D9+NH!D9+NJ!D9+NM!D9+NV!D9+NY!D9+OH!D9+OK!D9+OR!D9+PA!D9+PR!D9+RI!D9+SC!D9+SD!D9+TN!D9+TX!D9+UT!D9+VA!D9+VI!D9+VT!D9+WA!D9+WI!D9+WV!D9+WY!D9","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!F9+AK!F9+AL!F9+AR!F9+AS!F9+AZ!F9+CA!F9+CO!F9+CT!F9+DC!F9+DE!F9+FL!F9+GA!F9+GU!F9+HI!F9+IA!F9+ID!F9+IL!F9+IN!F9+KS!F9+KY!F9+LA!F9+MA!F9+MD!F9+ME!F9+MI!F9+MN!F9+MO!F9+MS!F9+MT!F9+NC!F9+ND!F9+NE!F9+NH!F9+NJ!F9+NM!F9+NV!F9+NY!F9+OH!F9+OK!F9+OR!F9+PA!F9+PR!F9+RI!F9+SC!F9+SD!F9+TN!F9+TX!F9+UT!F9+VA!F9+VI!F9+VT!F9+WA!F9+WI!F9+WV!F9+WY!F9","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!H9+AK!H9+AL!H9+AR!H9+AS!H9+AZ!H9+CA!H9+CO!H9+CT!H9+DC!H9+DE!H9+FL!H9+GA!H9+GU!H9+HI!H9+IA!H9+ID!H9+IL!H9+IN!H9+KS!H9+KY!H9+LA!H9+MA!H9+MD!H9+ME!H9+MI!H9+MN!H9+MO!H9+MS!H9+MT!H9+NC!H9+ND!H9+NE!H9+NH!H9+NJ!H9+NM!H9+NV!H9+NY!H9+OH!H9+OK!H9+OR!H9+PA!H9+PR!H9+RI!H9+SC!H9+SD!H9+TN!H9+TX!H9+UT!H9+VA!H9+VI!H9+VT!H9+WA!H9+WI!H9+WV!H9+WY!H9","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!J9+AK!J9+AL!J9+AR!J9+AS!J9+AZ!J9+CA!J9+CO!J9+CT!J9+DC!J9+DE!J9+FL!J9+GA!J9+GU!J9+HI!J9+IA!J9+ID!J9+IL!J9+IN!J9+KS!J9+KY!J9+LA!J9+MA!J9+MD!J9+ME!J9+MI!J9+MN!J9+MO!J9+MS!J9+MT!J9+NC!J9+ND!J9+NE!J9+NH!J9+NJ!J9+NM!J9+NV!J9+NY!J9+OH!J9+OK!J9+OR!J9+PA!J9+PR!J9+RI!J9+SC!J9+SD!J9+TN!J9+TX!J9+UT!J9+VA!J9+VI!J9+VT!J9+WA!J9+WI!J9+WV!J9+WY!J9","v":0},null,{"$error":"#N/A"},{"$f":"(D11+F11)*L11","v":{"$error":"#N/A"}},{"$f":"(D11+F11-H11)*L11","v":{"$error":"#N/A"}}]
["2.","Medicare Supplement",null,{"$f":"'Authorized Premium by LOB (Agg)'!D10+AK!D10+AL!D10+AR!D10+AS!D10+AZ!D10+CA!D10+CO!D10+CT!D10+DC!D10+DE!D10+FL!D10+GA!D10+GU!D10+HI!D10+IA!D10+ID!D10+IL!D10+IN!D10+KS!D10+KY!D10+LA!D10+MA!D10+MD!D10+ME!D10+MI!D10+MN!D10+MO!D10+MS!D10+MT!D10+NC!D10+ND!D10+NE!D10+NH!D10+NJ!D10+NM!D10+NV!D10+NY!D10+OH!D10+OK!D10+OR!D10+PA!D10+PR!D10+RI!D10+SC!D10+SD!D10+TN!D10+TX!D10+UT!D10+VA!D10+VI!D10+VT!D10+WA!D10+WI!D10+WV!D10+WY!D10","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!F10+AK!F10+AL!F10+AR!F10+AS!F10+AZ!F10+CA!F10+CO!F10+CT!F10+DC!F10+DE!F10+FL!F10+GA!F10+GU!F10+HI!F10+IA!F10+ID!F10+IL!F10+IN!F10+KS!F10+KY!F10+LA!F10+MA!F10+MD!F10+ME!F10+MI!F10+MN!F10+MO!F10+MS!F10+MT!F10+NC!F10+ND!F10+NE!F10+NH!F10+NJ!F10+NM!F10+NV!F10+NY!F10+OH!F10+OK!F10+OR!F10+PA!F10+PR!F10+RI!F10+SC!F10+SD!F10+TN!F10+TX!F10+UT!F10+VA!F10+VI!F10+VT!F10+WA!F10+WI!F10+WV!F10+WY!F10","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!H10+AK!H10+AL!H10+AR!H10+AS!H10+AZ!H10+CA!H10+CO!H10+CT!H10+DC!H10+DE!H10+FL!H10+GA!H10+GU!H10+HI!H10+IA!H10+ID!H10+IL!H10+IN!H10+KS!H10+KY!H10+LA!H10+MA!H10+MD!H10+ME!H10+MI!H10+MN!H10+MO!H10+MS!H10+MT!H10+NC!H10+ND!H10+NE!H10+NH!H10+NJ!H10+NM!H10+NV!H10+NY!H10+OH!H10+OK!H10+OR!H10+PA!H10+PR!H10+RI!H10+SC!H10+SD!H10+TN!H10+TX!H10+UT!H10+VA!H10+VI!H10+VT!H10+WA!H10+WI!H10+WV!H10+WY!H10","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!J10+AK!J10+AL!J10+AR!J10+AS!J10+AZ!J10+CA!J10+CO!J10+CT!J10+DC!J10+DE!J10+FL!J10+GA!J10+GU!J10+HI!J10+IA!J10+ID!J10+IL!J10+IN!J10+KS!J10+KY!J10+LA!J10+MA!J10+MD!J10+ME!J10+MI!J10+MN!J10+MO!J10+MS!J10+MT!J10+NC!J10+ND!J10+NE!J10+NH!J10+NJ!J10+NM!J10+NV!J10+NY!J10+OH!J10+OK!J10+OR!J10+PA!J10+PR!J10+RI!J10+SC!J10+SD!J10+TN!J10+TX!J10+UT!J10+VA!J10+VI!J10+VT!J10+WA!J10+WI!J10+WV!J10+WY!J10","v":0},null,{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"}]
["3.","Dental only",null,{"$f":"'Authorized Premium by LOB (Agg)'!D11+AK!D11+AL!D11+AR!D11+AS!D11+AZ!D11+CA!D11+CO!D11+CT!D11+DC!D11+DE!D11+FL!D11+GA!D11+GU!D11+HI!D11+IA!D11+ID!D11+IL!D11+IN!D11+KS!D11+KY!D11+LA!D11+MA!D11+MD!D11+ME!D11+MI!D11+MN!D11+MO!D11+MS!D11+MT!D11+NC!D11+ND!D11+NE!D11+NH!D11+NJ!D11+NM!D11+NV!D11+NY!D11+OH!D11+OK!D11+OR!D11+PA!D11+PR!D11+RI!D11+SC!D11+SD!D11+TN!D11+TX!D11+UT!D11+VA!D11+VI!D11+VT!D11+WA!D11+WI!D11+WV!D11+WY!D11","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!F11+AK!F11+AL!F11+AR!F11+AS!F11+AZ!F11+CA!F11+CO!F11+CT!F11+DC!F11+DE!F11+FL!F11+GA!F11+GU!F11+HI!F11+IA!F11+ID!F11+IL!F11+IN!F11+KS!F11+KY!F11+LA!F11+MA!F11+MD!F11+ME!F11+MI!F11+MN!F11+MO!F11+MS!F11+MT!F11+NC!F11+ND!F11+NE!F11+NH!F11+NJ!F11+NM!F11+NV!F11+NY!F11+OH!F11+OK!F11+OR!F11+PA!F11+PR!F11+RI!F11+SC!F11+SD!F11+TN!F11+TX!F11+UT!F11+VA!F11+VI!F11+VT!F11+WA!F11+WI!F11+WV!F11+WY!F11","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!H11+AK!H11+AL!H11+AR!H11+AS!H11+AZ!H11+CA!H11+CO!H11+CT!H11+DC!H11+DE!H11+FL!H11+GA!H11+GU!H11+HI!H11+IA!H11+ID!H11+IL!H11+IN!H11+KS!H11+KY!H11+LA!H11+MA!H11+MD!H11+ME!H11+MI!H11+MN!H11+MO!H11+MS!H11+MT!H11+NC!H11+ND!H11+NE!H11+NH!H11+NJ!H11+NM!H11+NV!H11+NY!H11+OH!H11+OK!H11+OR!H11+PA!H11+PR!H11+RI!H11+SC!H11+SD!H11+TN!H11+TX!H11+UT!H11+VA!H11+VI!H11+VT!H11+WA!H11+WI!H11+WV!H11+WY!H11","v":0},null,{"$f":"'Authorized Premium by LOB (Agg)'!J11+AK!J11+AL!J11+AR!J11+AS!J11+AZ!J11+CA!J11+CO!J11+CT!J11+DC!J11+DE!J11+FL!J11+GA!J11+GU!J11+HI!J11+IA!J11+ID!J11+IL!J11+IN!J11+KS!J11+KY!J11+LA!J11+MA!J11+MD!J11+ME!J11+MI!J11+MN!J11+MO!J11+MS!J11+MT!J11+NC!J11+ND!J11+NE!J11+NH!J11+NJ!J11+NM!J11+NV!J11+NY!J11+OH!J11+OK!J11+OR!J11+PA!J11+PR!J11+RI!J11+SC!J11+SD!J11+TN!J11+TX!J11+UT!J11+VA!J11+VI!J11+VT!J11+WA!J11+WI!J11+WV!J11+WY!J11","v":0},null,{"$error":"#N/A"},{"$error":"#N/A"},{"$error":"#N/A"}]
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[]
["Nationwide"]
["Year 2"]
[null,"Description",null,"Direct Business",null,"Reinsurance Assumed",null,"Reinsurance Ceded",null,"Net Premium",null,"MULTI PLIER","ADJUSTED ","ADJUSTED "]
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[]
["Nationwide"]
["Year 3"]
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{"sheet":"Warning","index":6,"n_rows":25,"n_cols":11,"rows_kept":25,"cut":false,"hidden":true,"merged":[[0,0,0,10]]}
["Are you sure you want to delete the selected states?"]
[]
[]
[]
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[{"$f":"IF(Intro!M13=TRUE,\"X\",\"\")","v":""},"FL","Florida",null,{"$f":"IF(Intro!M31=TRUE,\"X\",\"\")","v":""},"MT","Montana",null,{"$f":"IF(Intro!M50=TRUE,\"X\",\"\")","v":""},"UT","Utah"]
[{"$f":"IF(Intro!M14=TRUE,\"X\",\"\")","v":""},"GA","Georgia",null,{"$f":"IF(Intro!M32=TRUE,\"X\",\"\")","v":""},"NC","North Carolina",null,{"$f":"IF(Intro!M51=TRUE,\"X\",\"\")","v":""},"VA","Virginia"]
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[null,null,null,null,{"$f":"IF(Intro!M39=TRUE,\"X\",\"\")","v":""},"NY","New York"]
[]
["X - Indicates the state is selected to be deleted."]

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[]
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[]
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[]
["Year 3"]
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[{"$f":"Intro!B22","v":"Applicant Company Name"}]
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[]
[{"$f":"Intro!E5","v":"Alaska"}]
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[]
[{"$f":"A6","v":"Alaska"}]
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[]
[{"$f":"A21","v":"Alaska"}]
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[]
[{"$f":"Intro!E6","v":"Alabama"}]
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["3.","Dental only",null,null,null,null,null,null,null,0,0,0]
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["5.","Federal Employees Health Benefits Plan",null,null,null,null,null,null,null,0,0,0]
["6.","Title XVIII - Medicare",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D9:D18)","v":0},null,{"$f":"SUM(F9:F18)","v":0},null,{"$f":"SUM(H9:H18)","v":0},null,{"$f":"SUM(J9:J18)","v":0}]
[null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(K10:K17)","v":0},{"$f":"SUM(L10:L17)","v":0},{"$f":"IF(SUM(M10:M17)=0,\" \",SUM(M10:M17))","v":" "}]
[{"$f":"A6","v":"Alabama"}]
["Year 2",null,{"$f":"Intro!B$26","v":1}]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D25+F25-H25","v":0}]
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["6.","Title XVIII - Medicare",null,null,null,null,null,null,null,0,0,0]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D39:D48)","v":0},null,{"$f":"SUM(F39:F48)","v":0},null,{"$f":"SUM(H39:H48)","v":0},null,{"$f":"SUM(J39:J48)","v":0},0,0]

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[{"$f":"Intro!E7","v":"Arkansas"}]
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[{"$f":"A6","v":"Arkansas"}]
["Year 2",null,{"$f":"Intro!B$26","v":1}]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
[{"$f":"A21","v":"Arkansas"}]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D39:D48)","v":0},null,{"$f":"SUM(F39:F48)","v":0},null,{"$f":"SUM(H39:H48)","v":0},null,{"$f":"SUM(J39:J48)","v":0},0,0]

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[{"$f":"Intro!E8","v":"American Samoa"}]
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[{"$f":"A6","v":"American Samoa"}]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
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[{"$f":"A6","v":"Arizona"}]
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[]
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[{"$f":"Intro!E10","v":"California"}]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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[]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
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[]
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[null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(K10:K17)","v":0},{"$f":"SUM(L10:L17)","v":0},{"$f":"IF(SUM(M10:M17)=0,\" \",SUM(M10:M17))","v":" "}]
[{"$f":"A6","v":"Wisconsin"}]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
[{"$f":"A21","v":"Wisconsin"}]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D39:D48)","v":0},null,{"$f":"SUM(F39:F48)","v":0},null,{"$f":"SUM(H39:H48)","v":0},null,{"$f":"SUM(J39:J48)","v":0},0,0]

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[{"$f":"Intro!B22","v":"Applicant Company Name"}]
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[]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D9:D18)","v":0},null,{"$f":"SUM(F9:F18)","v":0},null,{"$f":"SUM(H9:H18)","v":0},null,{"$f":"SUM(J9:J18)","v":0}]
[]
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["Year 2",null,{"$f":"Intro!B$26","v":1}]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
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["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
[{"$f":"A21","v":"West Virginia"}]
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["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
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[{"$f":"Intro!B22","v":"Applicant Company Name"}]
["(Health Company)"]
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[]
[{"$f":"Intro!I31","v":"Wyoming"}]
["Year 1",null,{"$f":"Intro!B$24","v":0}]
[null,"Description",null,"Direct Business",null,"Reinsurance Assumed",null,"Reinsurance Ceded",null,"Net Premium"]
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["6.","Title XVIII - Medicare",null,null,null,null,null,null,null,0,0,0]
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[null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(K10:K17)","v":0},{"$f":"SUM(L10:L17)","v":0},{"$f":"IF(SUM(M10:M17)=0,\" \",SUM(M10:M17))","v":" "}]
[{"$f":"A6","v":"Wyoming"}]
["Year 2",null,{"$f":"Intro!B$26","v":1}]
[null,"Description",null,"Direct Business",null,"Reinsurance Assumed",null,"Reinsurance Ceded",null,"Net Premium"]
["1.","Comprehensive (Hospital and Medical)",null,null,null,null,null,null,null,{"$f":"D24+F24-H24","v":0}]
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["5.","Federal Employees Health Benefits Plan",null,null,null,null,null,null,null,0,0,0]
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["9.","Life",null,null,null,null,null,null,null,0,0,0]
["10. ","Property/Casualty",null,null,null,null,null,null,null,0,0,0]
["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D24:D33)","v":0},null,{"$f":"SUM(F24:F33)","v":0},null,{"$f":"SUM(H24:H33)","v":0},null,{"$f":"SUM(J24:J33)","v":0}]
[]
[{"$f":"A21","v":"Wyoming"}]
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["1.","Comprehensive (Hospital and Medical)",null,null,null,null,null,null,null,{"$f":"D39+F39-H39","v":0}]
["2.","Medicare Supplement",null,null,null,null,null,null,null,{"$f":"D40+F40-H40","v":0}]
["3.","Dental only",null,null,null,null,null,null,null,0]
["4.","Vision only",null,null,null,null,null,null,null,0,{"$f":"(C42+D42)*J42","v":0},{"$f":"(C42+D42-F42)*J42","v":0}]
["5.","Federal Employees Health Benefits Plan",null,null,null,null,null,null,null,0,0,0]
["6.","Title XVIII - Medicare",null,null,null,null,null,null,null,0,0,0]
["7.","Title XIX - Medicaid",null,null,null,null,null,null,null,0,0,0]
["8.","8. Other health ",null,null,null,null,null,null,null,0,0,0]
["9.","Life",null,null,null,null,null,null,null,0,0,0]
["10. ","Property/Casualty",null,null,null,null,null,null,null,0,0,0]
["11.","Total  (L1+L2+L3+L4+L5+L6+L7+L8+L9+L10)",null,{"$f":"SUM(D39:D48)","v":0},null,{"$f":"SUM(F39:F48)","v":0},null,{"$f":"SUM(H39:H48)","v":0},null,{"$f":"SUM(J39:J48)","v":0},0,0]

{"sheet":"Assumptions","index":64,"n_rows":10,"n_cols":1,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
[]
[]
[]
[]
[]
[]
[]
[]
["List all of the relevant assumptions used to create the proformas.  "]
["Note, assumptions enclosed within the Plan of Operation need not be disclosed again here."]