LOOKUP_CAT_CODE,LOOKUP_CODE,LOOKUP_NAME,LOOKUP_DESCRIPTION,SORT_ORDER,REPORTING_YEAR,FORMULA_CALC "PART1","ACTIVITES_TO_PREVENT_HOSP_READM","Activites to prevent hospital readmission","4.2 Activites to prevent hospital readmission",240,"2012",0 "PART1","AGNTS_AND_BROKERS_FEES_COMMS","Agents and brokers fees and commissions","5.4 Agents and brokers fees and commissions",320,"2012",0 "PART1","ALLOWABLE_ICD10_EXPENSES","Allowable ICD-10 expenses (not to exceed 0.3% of premium)","4.6 Allowable ICD-10 Implementation Expenses (not to exceed 0.3% of premium)",280,"2012",0 "PART1","COMMUNITY_BENEFIT_EXP","Community benefit expenditures ","5.7 Community benefit expenditures ",360,"2012",0 "PART1","COMMUNITY_BENEFIT_EXPENDITURES","Community benefit expenditures deductible from premium in MLR calculations","3.2c Community benefit expenditures deductible from premium in MLR calculations",210,"2012",0 "PART1","ALL_OTHER_CLAIMS_ADJ_EXPENSES","All other claims adjustment expenses","5.2 All other claims adjustment expenses",300,"2012",0 "PART1","COST_CONTAINMENT_EXP_NOT_INCL","Cost containment expenses not included in quality improvement expenses in Section 4","5.1 Cost containment expenses not included in quality improvement expenses in Section 4",290,"2012",0 "PART1","DIR_SALES_SALARIES_AND_BENEFITS","Direct sales salaries and benefits","5.3 Direct sales salaries and benefits",310,"2012",0 "PART1","FEDERAL_HIGH_RISK_POOLS","Federal high risk pools","1.2 Federal high risk pools ",20,"2012",0 "PART1","FEDERAL_INCOME_TAXES","Other Federal income taxes (excluding taxes on line 3.1 above) ","9.0 Other Federal income taxes (excluding taxes on line 3.1 above) ",450,"2012",0 "PART1","FEE_FOR_SERVICE_AND_CO_PAY_REV","Fee-for-service and co-pay revenue","2.10 Fee-for-service and co-pay revenue (net of expenses)",160,"2012",0 "PART1","FINES_PENLTS_OF_REG_AUTHORITIES","Fines and penalties of regulatory authorities","5.5b Fines and penalties of regulatory authorities (not reported in Line 3.3)",340,"2012",0 "PART1","EST_REB_UNPAID_CURR_MLR_REP_YR","Estimated rebates unpaid at the end of the current MLR reporting year","2.9 Estimated rebates unpaid at the end of the current MLR reporting year",150,"2012",0 "PART1","EST_REB_UNPAID_PRIOR_MLR_REP_YR","Estimated rebates unpaid at the end of the prior MLR reporting year","2.8 Estimated rebates unpaid at the end of the prior MLR reporting year",140,"2012",0 "PART1","HITER_TO_HEALTH_IMPROVEMENT","Health Information Technology expenses related to health improvement","4.5 Health Information Technology expenses related to health improvement",270,"2012",0 "PART1","ICD10_IMPLEMENTATION_EXPENSES","ICD-10 Implementation expenses","5.8 ICD-10 implementation expenses",370,"2012",0 "PART1","IMP_PAT_SAFETY_REDUCE_MED_ERRS","Improve patient safety and reduce medical errors","4.3 Improve patient safety and reduce medical errors",250,"2012",0 "PART1","IMPROVE_HEALTH_OUTCOMES","Improve Health Outcomes","4.1 Improve Health Outcomes",230,"2012",0 "PART1","INC_FROM_FEES_OF_UNINS_PLANS","Income from fees of uninsured plans","6.0 Income from fees of uninsured plans",380,"2012",0 "PART1","NUMBER_OF_COVERED_LIVES","Number of covered lives","7.2 Number of covered lives",400,"2012",0 "PART1","NUMBER_OF_GROUPS","Number of groups","7.3 Number of groups",410,"2012",0 "PART1","NUMBER_OF_LIFE_YEARS","Number of life-years","7.5 Number of life-years",430,"2012",1 "PART1","NUMBER_OF_POLICIES_CERTIFICATES","Number of policies/certificates","7.1 Number of policies/certificates",390,"2012",0 "PART1","OTH_ADJ_DUE_TO_MLR_CALC_CLM_INC","Other adjustments due to MLR calculation – claims incurred","2.6 Other adjustments due to MLR calculation – claims incurred",120,"2012",0 "PART1","OTH_ADJ_MLR_CALC_PREMIUM","Other adjustments due to MLR calculations - premium","1.5 Other adjustments due to MLR calculations - premium",50,"2012",0 "PART1","NET_ASSUMED_CEDED_REINS_PREM","Net assumed less ceded reinsurance premium earned","1.4 Net assumed less ceded reinsurance premium earned (exclude amounts already reported in Line 1.1)",40,"2012",0 "PART1","NET_ASSUMED_LESS_CEDED_CLM_INC","Net assumed less ceded claims incurred","2.5 Net assumed less ceded claims incurred (exclude amounts reported already included in Line 2.1)",110,"2012",0 "PART1","NET_INVESTMENT_AND_OTHER_GAIN","Net investment and other gain / (loss)","8.0 Net investment and other gain / loss",440,"2012",0 "PART1","OTHER_FED_TAXES_AND_ASSESSMENTS","Other Federal Taxes (other than income tax) and assessments deductible from premium","3.1 b Other Federal Taxes (other than income tax) and assessments deductible from premium",180,"2012",0 "PART1","OTHER_GENERAL_AND_ADM_EXPENSES","Other general and administrative expenses","5.6 Other general and administrative expenses",350,"2012",0 "PART1","MEMBER_MONTHS","Member months","7.4 Member months",420,"2012",0 "PART1","PHARMACEUTICAL_REBATES","Pharmaceutical rebates ","2.3 Pharmaceutical rebates ",90,"2012",0 "PART1","FED_INCOME_TAX_DEDUCTIBLE_PREM","Federal income taxes deductible from premium in MLR calculations ","3.1 a Federal income taxes deductible from premium in MLR calculations ",170,"2012",0 "PART1","PRESCRIPTION_DRUGS","Prescription drugs ","2.2 Prescription drugs ",80,"2012",0 "PART1","REBATES_PAID","Rebates paid","2.7 Rebates paid",130,"2012",0 "PART1","RISK_REVENUE","Risk revenue","1.6 Risk revenue",60,"2012",0 "PART1","STATE_HIGH_RISK_POOLS","State high risk pools","1.3 State high risk pools ",30,"2012",0 "PART1","STATE_INCOME_EXCISE_BUSINES_OTH","State income, excise, business, and other taxes","3.2 a State income, excise, business, and other taxes",190,"2012",0 "PART1","REG_AUTHORITY_LICENSES_AND_FEES","Regulatory authority licenses and fees","3.3 Regulatory authority licenses and fees",220,"2012",0 "PART1","STATE_PREMIUM_TAXES","State premium taxes ","3.2 b State premium taxes ",200,"2012",0 "PART1","STATE_STOP_LOSS_MARKET","State stop loss, market stabilization and claim/census based assessments","2.4 State stop loss, market stabilization and claim/census based assessments",100,"2012",0 "PART1","STATE_TAXES_ASSMTS_NOT_EXC_PREM","Taxes and assessments not excluded from premium (not reported in Section 3 or Line 9)","5.5a Taxes and assessments not excluded from premium (not reported in Section 3 or Line 9)",330,"2012",0 "PART1","TOTAL_INCURRED_CLAIMS_PT1","Total incurred claims","2.1 Total incurred claims",70,"2012",1 "PART1","TOTAL_DIRECT_PREMIUM_EARNED","Total direct premium earned ","1.1 Total direct premium earned ",10,"2012",1 "PART1","WELLNESS_AND_HEALTH_PROM_ACTS","Wellness and health promotion activities","4.4 Wellness and health promotion activities",260,"2012",0 "PART2","TOTAL_FRAUD_REC_RED_PAID_CLAIMS","Total fraud recoveries that reduced paid claims in Line 2.1","2.17b Total fraud recoveries that reduced paid claims in Line 2.1",840,"2012",0 "PART2","TOTAL_FRAUD_REDUCTION_EXPENSE","Total fraud reduction expense","2.17a Total fraud reduction expense",830,"2012",0 "PART2","TOTAL_INCURRED_CLAIMS_PT2","Total incurred claims ","2.16 Total incurred claims ",810,"2012",1 "PART2","UNEARNED_PREMIUM_CURRENT_YEAR","Unearned premium MLR Reporting year","1.3 Unearned premium MLR Reporting year",480,"2012",0 "PART2","UNEARNED_PREMIUM_PRIOR_YEAR","Unearned premium prior year","1.2 Unearned premium prior year",470,"2012",0 "PART2","RES_EXP_RAT_REFUNDS_CURR_YR","Reserved in MLR reporting year regardless of incurred date","2.9a Reserved in MLR reporting year regardless of incurred date",700,"2012",0 "PART2","RES_EXP_RAT_REFUNDS_PRIOR_YR","Reserve for experience rating refunds (rate credits) prior year","2.10 Reserve for experience rating refunds (rate credits) prior year",720,"2012",0 "PART2","RES_EXP_RAT_REFUNDS_Q1","Reserves specific to the MLR reporting year through 3/31 of the following year","2.9b Reserves specific to the MLR reporting year through 3/31 of the following year",710,"2012",0 "PART2","PRE_GROUP_CONVERSION_CHARGES","Group conversion charges","1.8 Group conversion charges",540,"2012",0 "PART2","PRE_RES_EXP_RAT_REF_CURR_YR","Reserve for experience rating refunds (rate credits) MLR Reporting year","1.5 Reserve for experience rating refunds (rate credits) MLR Reporting year",510,"2012",0 "PART2","PRE_RES_EXP_RAT_REF_PRIOR_YR","Reserve for experience rating refunds (rate credits) prior year","1.6 Reserve for experience rating refunds (rate credits) prior year",520,"2012",0 "PART2","PREM_ASSUMED_UNDER_100_REINS","Premium assumed under 100% reinsurance ","1.10 Premium assumed under 100% reinsurance (informational only; already included in Line 1.1)",560,"2012",0 "PART2","PREM_CEDED_UNDER_100_REINS","Premium ceded under 100% reinsurance ","1.9 Premium ceded under 100% reinsurance (informational only; excluded from Line 1.1)",550,"2012",0 "PART2","PREMIUM_BALANCES_WRITTEN_OFF","Premium balances written off","1.7 Premium balances written off",530,"2012",0 "PART2","PAID_MED_INC_POOLS_BON_CURR_YR","Paid medical incentive pools and bonuses MLR Reporting year","2.11a Paid medical incentive pools and bonuses MLR Reporting year",730,"2012",0 "PART2","EXP_RAT_REF_INC_REP_YR_FOLL_YR","Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year","2.8b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year",690,"2012",0 "PART2","EXP_RAT_REFUNDS_INC_DATE_REP_YR","Experience rating refunds, with all incurred dates, paid in the MLR reporting year","2.8a Experience rating refunds, with all incurred dates, paid in the MLR reporting year",680,"2012",0 "PART2","EXP_RATING_REFUNDS_PAID_REP_YR","Experience rating refunds, with all incurred dates, paid in the MLR reporting year","1.4a Experience rating refunds, with all incurred dates, paid in the MLR reporting year",490,"2012",0 "PART2","EXP_RATING_REFUNDS_PAID_YR_Q1","Experience rating refunds incurred only in the reporting year and paid in the reporting year and through 3/31 of the following year","1.4b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year",500,"2012",0 "PART2","GROUP_CONVERSION_CHARGES","Group conversion charges","2.14 Group conversion charges",790,"2012",0 "PART2","HEALTHCARE_RECEIVABLES_CURR_YR","Healthcare receivables MLR Reporting year","2.12a Healthcare receivables MLR Reporting year",760,"2012",0 "PART2","HEALTHCARE_RECEIVABLES_PRIOR_YR","Healthcare receivables prior year","2.12b Healthcare receivables prior year",770,"2012",0 "PART2","DIRECT_PREMIUM_WRITTEN","Direct premium written","1.1 Direct premium written",460,"2012",0 "PART2","ALLOWABLE_FRAUD_REDUCTION_EXP","Allowable fraud reduction expense (the smaller of Lines 2.17a or 2.17b)","2.17 Allowable fraud reduction expense (the smaller of Lines 2.17a or 2.17b)",820,"2012",1 "PART2","DIR_CLAIM_LIABILITY_CURR_YR","Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date","2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date",590,"2012",0 "PART2","DIR_CLAIM_LIABILITY_PRIOR_YR","Direct claim liability prior year","2.3 Direct claim liability prior year",610,"2012",0 "PART2","DIR_CLAIM_LIABILITY_Q1","Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year","2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",600,"2012",0 "PART2","DIR_CLAIM_RESERVES_CURR_YR","Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date","2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date",620,"2012",0 "PART2","DIR_CLAIM_RESERVES_PRIOR_YR","Direct claim reserves prior year","2.5 Direct claim reserves prior year",640,"2012",0 "PART2","DIR_CLAIM_RESERVES_Q1","Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year","2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year",630,"2012",0 "PART2","DIR_CONTRACT_RESERVES_CURR_YR","Direct contract reserves 12/31 column","2.6a Direct contract reserves 12/31 column",650,"2012",0 "PART2","DIR_CONTRACT_RESERVES_PRIOR_YR","Direct contract reserves prior year","2.7 Direct contract reserves prior year",670,"2012",0 "PART2","DIR_CONTRACT_RESERVES_Q1","Direct contract reserves 3/31, dual contract, deferred columns","2.6b Direct contract reserves 3/31, dual contract, deferred columns",660,"2012",0 "PART2","CONTINGENT_BEN_LAWSUIT_RESERVE","Contingent benefit and lawsuit reserves","2.13 Contingent benefit and lawsuit reserves",780,"2012",0 "PART2","ACC_MED_INC_POOLS_BON_CURR_YR"," Accrued medical incentive pools and bonuses MLR Reporting year","2.11b Accrued medical incentive pools and bonuses MLR Reporting year",740,"2012",0 "PART2","ACC_MED_INC_POOLS_BON_PRIOR_YR","Accrued medical incentive pools and bonuses prior year","2.11c Accrued medical incentive pools and bonuses prior year",750,"2012",0 "PART2","BLENDED_RATE_ADJUSTMENT","Blended rate adjustment","2.15 Blended rate adjustment",800,"2012",0 "PART2","CLM_ALL_INCU_DATES_PAID_REP_YR","Claims paid during the MLR reporting year regardless of incurred date","2.1a Claims paid during the MLR reporting year regardless of incurred date",570,"2012",0 "PART2","CLM_INC_REP_YR_AND_FOLL_YR","Claims incurred only during the MLR reporting year, paid through 3/31 of the following year","2.1b Claims incurred only during the MLR reporting year, paid through 3/31 of the following year",580,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_1","2.c.1 Community Benefit Expenditures","2.c.1 Community Benefit Expenditures ",1170,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_2","2.c.2 Community Benefit Expenditures","2.c.2 Community Benefit Expenditures ",1180,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_3","2.c.3 Community Benefit Expenditures ","2.c.3 Community Benefit Expenditures ",1190,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_4","2.c.4 Community Benefit Expenditures","2.c.4 Community Benefit Expenditures ",1200,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_5","2.c.5 Community Benefit Expenditures","2.c.5 Community Benefit Expenditures ",1210,"2012",0 "PART4","COMM_BEN_EXP_NOT_FOR_PROFIT_6","2.c.6 Community Benefit Expenditures","2.c.6 Community Benefit Expenditures ",1220,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_1","3.b.1 Activites to prevent hospital readmission","3.b.1 Activites to prevent hospital readmission",1390,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_10","3.b.10 Activites to prevent hospital readmission","3.b.10 Activites to prevent hospital readmission",1480,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_2","3.b.2 Activites to prevent hospital readmission","3.b.2 Activites to prevent hospital readmission",1400,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_3","3.b.3 Activites to prevent hospital readmission","3.b.3 Activites to prevent hospital readmission",1410,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_4","3.b.4 Activites to prevent hospital readmission","3.b.4 Activites to prevent hospital readmission",1420,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_5","3.b.5 Activites to prevent hospital readmission","3.b.5 Activites to prevent hospital readmission",1430,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_6","3.b.6 Activites to prevent hospital readmission","3.b.6 Activites to prevent hospital readmission",1440,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_7","3.b.7 Activites to prevent hospital readmission","3.b.7 Activites to prevent hospital readmission",1450,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_8","3.b.8 Activites to prevent hospital readmission","3.b.8 Activites to prevent hospital readmission",1460,"2012",0 "PART4","ACT_PREVENT_HOSP_READM_9","3.b.9 Activites to prevent hospital readmission","3.b.9 Activites to prevent hospital readmission",1470,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_1","3.f.1 Allowable ICD-10 Expenses","3.f.1 Allowable ICD-10 Expenses",1790,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_10","3.f.10 Allowable ICD-10 Expenses","3.f.10 Allowable ICD-10 Expenses",1880,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_2","3.f.2 Allowable ICD-10 Expenses","3.f.2 Allowable ICD-10 Expenses",1800,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_3","3.f.3 Allowable ICD-10 Expenses","3.f.3 Allowable ICD-10 Expenses",1810,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_4","3.f.4Allowable ICD-10 Expenses","3.f.4Allowable ICD-10 Expenses",1820,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_5","3.f.5 Allowable ICD-10 Expenses","3.f.5 Allowable ICD-10 Expenses",1830,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_6","3.f.6 Allowable ICD-10 Expenses","3.f.6 Allowable ICD-10 Expenses",1840,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_7","3.f.7 Allowable ICD-10 Expenses","3.f.7 Allowable ICD-10 Expenses",1850,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_8","3.f.8 Allowable ICD-10 Expenses","3.f.8 Allowable ICD-10 Expenses",1860,"2012",0 "PART4","ALLOWABLE_ICD10_EXPENSES_9","3.f.9 Allowable ICD-10 Expenses","3.f.9 Allowable ICD-10 Expenses",1870,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_1","4.d.1 Agents and brokers fees and commissions","4.d.1 Agents and brokers fees and commissions",2190,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_10","4.d.10 Agents and brokers fees and commissions","4.d.10 Agents and brokers fees and commissions",2280,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_2","4.d.2 Agents and brokers fees and commissions","4.d.2 Agents and brokers fees and commissions",2200,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_3","4.d.3 Agents and brokers fees and commissions","4.d.3 Agents and brokers fees and commissions",2210,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_4","4.d.4 Agents and brokers fees and commissions","4.d.4 Agents and brokers fees and commissions",2220,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_5","4.d.5 Agents and brokers fees and commissions","4.d.5 Agents and brokers fees and commissions",2230,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_6","4.d.6 Agents and brokers fees and commissions","4.d.6 Agents and brokers fees and commissions",2240,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_7","4.d.7 Agents and brokers fees and commissions","4.d.7 Agents and brokers fees and commissions",2250,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_8","4.d.8 Agents and brokers fees and commissions","4.d.8 Agents and brokers fees and commissions",2260,"2012",0 "PART4","AGTS_AND_BRKRS_FEES_AND_COMM_9","4.d.9 Agents and brokers fees and commissions","4.d.9 Agents and brokers fees and commissions",2270,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_1","4.b.1 All other claims adjustment expenses","4.b.1 All other claims adjustment expenses",1990,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_10","4.b.10 All other claims adjustment expenses","4.b.10 All other claims adjustment expenses",2080,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_2","4.b.2 All other claims adjustment expenses","4.b.2 All other claims adjustment expenses",2000,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_3","4.b.3 All other claims adjustment expenses","4.b.3 All other claims adjustment expenses",2010,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_4","4.b.4 All other claims adjustment expenses","4.b.4 All other claims adjustment expenses",2020,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_5","4.b.5 All other claims adjustment expenses","4.b.5 All other claims adjustment expenses",2030,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_6","4.b.6 All other claims adjustment expenses","4.b.6 All other claims adjustment expenses",2040,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_7","4.b.7 All other claims adjustment expenses","4.b.7 All other claims adjustment expenses",2050,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_8","4.b.8 All other claims adjustment expenses","4.b.8 All other claims adjustment expenses",2060,"2012",0 "PART4","ALL_OTH_CLAIMS_ADJ_EXP_9","4.b.9 All other claims adjustment expenses","4.b.9 All other claims adjustment expenses",2070,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_1","4.a.1 Cost containment expenses not included in quality improvement expenses","4.a.1 Cost containment expenses not included in quality improvement expenses",1890,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_10","4.a.10 Cost containment expenses not included in quality improvement expenses","4.a.10 Cost containment expenses not included in quality improvement expenses",1980,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_2","4.a.2 Cost containment expenses not included in quality improvement expenses","4.a.2 Cost containment expenses not included in quality improvement expenses",1900,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_3","4.a.3 Cost containment expenses not included in quality improvement expenses","4.a.3 Cost containment expenses not included in quality improvement expenses",1910,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_4","4.a.4 Cost containment expenses not included in quality improvement expenses","4.a.4 Cost containment expenses not included in quality improvement expenses",1920,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_5","4.a.5 Cost containment expenses not included in quality improvement expenses","4.a.5 Cost containment expenses not included in quality improvement expenses",1930,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_6","4.a.6 Cost containment expenses not included in quality improvement expenses","4.a.6 Cost containment expenses not included in quality improvement expenses",1940,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_7","4.a.7 Cost containment expenses not included in quality improvement expenses","4.a.7 Cost containment expenses not included in quality improvement expenses",1950,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_8","4.a.8 Cost containment expenses not included in quality improvement expenses","4.a.8 Cost containment expenses not included in quality improvement expenses",1960,"2012",0 "PART4","COST_CONT_EXP_INC_QTY_IMP_EXP_9","4.a.9 Cost containment expenses not included in quality improvement expenses","4.a.9 Cost containment expenses not included in quality improvement expenses",1970,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_1","4.g.1 Community Benefit Expenditures","4.g.1 Community Benefit Expenditures",2490,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_10","4.g.10 Community Benefit Expenditures","4.g.10 Community Benefit Expenditures",2580,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_2","4.g.2 Community Benefit Expenditures","4.g.2 Community Benefit Expenditures",2500,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_3","4.g.3 Community Benefit Expenditures","4.g.3 Community Benefit Expenditures",2510,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_4","4.g.4 Community Benefit Expenditures","4.g.4 Community Benefit Expenditures",2520,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_5","4.g.5 Community Benefit Expenditures","4.g.5 Community Benefit Expenditures",2530,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_6","4.g.6 Community Benefit Expenditures","4.g.6 Community Benefit Expenditures",2540,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_7","4.g.7 Community Benefit Expenditures","4.g.7 Community Benefit Expenditures",2550,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_8","4.g.8 Community Benefit Expenditures","4.g.8 Community Benefit Expenditures",2560,"2012",0 "PART4","COMMUNITY_BENEFIT_EXP_9","4.g.9 Community Benefit Expenditures","4.g.9 Community Benefit Expenditures",2570,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_1","4.c.1 Direct sales salaries and benefits","4.c.1 Direct sales salaries and benefits",2090,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_10","4.c.10 Direct sales salaries and benefits","4.c.10 Direct sales salaries and benefits",2180,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_2","4.c.2 Direct sales salaries and benefits","4.c.2 Direct sales salaries and benefits",2100,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_3","4.c.3 Direct sales salaries and benefits","4.c.3 Direct sales salaries and benefits",2110,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_4","4.c.4 Direct sales salaries and benefits","4.c.4 Direct sales salaries and benefits",2120,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_5","4.c.5 Direct sales salaries and benefits","4.c.5 Direct sales salaries and benefits",2130,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_6","4.c.6 Direct sales salaries and benefits","4.c.6 Direct sales salaries and benefits",2140,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_7","4.c.7 Direct sales salaries and benefits","4.c.7 Direct sales salaries and benefits",2150,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_8","4.c.8 Direct sales salaries and benefits","4.c.8 Direct sales salaries and benefits",2160,"2012",0 "PART4","DIRECT_SALES_SAL_AND_BEN_9","4.c.9 Direct sales salaries and benefits","4.c.9 Direct sales salaries and benefits",2170,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_1","3.e.1 Health Information Technology expenses related to health improvement","3.e.1 Health Information Technology expenses related to healthcare quality",1690,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_10","3.e.10 Health Information Technology expenses related to health improvement","3.e.10 Health Information Technology expenses related to healthcare quality",1780,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_2","3.e.2 Health Information Technology expenses related to health improvement","3.e.2 Health Information Technology expenses related to healthcare quality",1700,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_3","3.e.3 Health Information Technology expenses related to health improvement","3.e.3 Health Information Technology expenses related to healthcare quality",1710,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_4","3.e.4 Health Information Technology expenses related to health improvement","3.e.4 Health Information Technology expenses related to healthcare quality",1720,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_5","3.e.5 Health Information Technology expenses related to health improvement","3.e.5 Health Information Technology expenses related to healthcare quality",1730,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_6","3.e.6 Health Information Technology expenses related to health improvement","3.e.6 Health Information Technology expenses related to healthcare quality",1740,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_7","3.e.7 Health Information Technology expenses related to health improvement","3.e.7 Health Information Technology expenses related to healthcare quality",1750,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_8","3.e.8 Health Information Technology expenses related to health improvement","3.e.8 Health Information Technology expenses related to healthcare quality",1760,"2012",0 "PART4","HIT_EXP_RELATED_TO_HEALTH_IMP_9","3.e.8 Health Information Technology expenses related to health improvement","3.e.9 Health Information Technology expenses related to healthcare quality",1770,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_1","2.a.1 Federal taxes and assessments","2.a.1 Federal taxes and assessments",1050,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_2","2.a.2 Federal taxes and assessments","2.a.2 Federal taxes and assessments",1060,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_3","2.a.3 Federal taxes and assessments","2.a.3 Federal taxes and assessments",1070,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_4","2.a.4 Federal taxes and assessments","2.a.4 Federal taxes and assessments",1080,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_5","2.a.5 Federal taxes and assessments","2.a.5 Federal taxes and assessments",1090,"2012",0 "PART4","FED_TAXES_AND_ASSESSMENTS_6","2.a.6 Federal taxes and assessments","2.a.6 Federal taxes and assessments",1100,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_1","4.h.1 ICD-10 implementation expenses","4.h.1 ICD-10 implementation expenses",2590,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_10","4.h.10 ICD-10 implementation expenses","4.h.10 ICD-10 implementation expenses",2680,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_2","4.h.2 ICD-10 implementation expenses","4.h.2 ICD-10 implementation expenses",2600,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_3","4.h.3 ICD-10 implementation expenses","4.h.3 ICD-10 implementation expenses",2610,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_4","4.h.4 ICD-10 implementation expenses","4.h.4 ICD-10 implementation expenses",2620,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_5","4.h.5 ICD-10 implementation expenses","4.h.5 ICD-10 implementation expenses",2630,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_6","4.h.6 ICD-10 implementation expenses","4.h.6 ICD-10 implementation expenses",2640,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_7","4.h.7 ICD-10 implementation expenses","4.h.7 ICD-10 implementation expenses",2650,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_8","4.h.8 ICD-10 implementation expenses","4.h.8 ICD-10 implementation expenses",2660,"2012",0 "PART4","ICD_10_IMPLEMENTATION_EXP_9","4.h.9 ICD-10 implementation expenses","4.h.9 ICD-10 implementation expenses",2670,"2012",0 "PART4","INCURRED_CLAIMS_1","1.1. Incurred Claims","1.1. Incurred Claims",850,"2012",0 "PART4","INCURRED_CLAIMS_10","1.10. Incurred Claims","1.10. Incurred Claims",940,"2012",0 "PART4","INCURRED_CLAIMS_11","1.11. Incurred Claims","1.11. Incurred Claims",950,"2012",0 "PART4","INCURRED_CLAIMS_12","1.12. Incurred Claims","1.12. Incurred Claims",960,"2012",0 "PART4","INCURRED_CLAIMS_13","1.13. Incurred Claims","1.13. Incurred Claims",970,"2012",0 "PART4","INCURRED_CLAIMS_14","1.14. Incurred Claims","1.14. Incurred Claims",980,"2012",0 "PART4","INCURRED_CLAIMS_15","1.15. Incurred Claims","1.15. Incurred Claims",990,"2012",0 "PART4","INCURRED_CLAIMS_16","1.16. Incurred Claims","1.16. Incurred Claims",1000,"2012",0 "PART4","INCURRED_CLAIMS_17","1.17. Incurred Claims","1.17. Incurred Claims",1010,"2012",0 "PART4","INCURRED_CLAIMS_18","1.18. Incurred Claims","1.18. Incurred Claims",1020,"2012",0 "PART4","INCURRED_CLAIMS_19","1.19. Incurred Claims","1.19. Incurred Claims",1030,"2012",0 "PART4","INCURRED_CLAIMS_2","1.2. Incurred Claims","1.2. Incurred Claims",860,"2012",0 "PART4","INCURRED_CLAIMS_20","1.20. Incurred Claims","1.20. Incurred Claims",1040,"2012",0 "PART4","INCURRED_CLAIMS_3","1.3. Incurred Claims","1.3. Incurred Claims",870,"2012",0 "PART4","INCURRED_CLAIMS_4","1.4. Incurred Claims","1.4. Incurred Claims",880,"2012",0 "PART4","INCURRED_CLAIMS_5","1.5. Incurred Claims","1.5. Incurred Claims",890,"2012",0 "PART4","INCURRED_CLAIMS_6","1.6. Incurred Claims","1.6. Incurred Claims",900,"2012",0 "PART4","INCURRED_CLAIMS_7","1.7. Incurred Claims","1.7. Incurred Claims",910,"2012",0 "PART4","INCURRED_CLAIMS_8","1.8. Incurred Claims","1.8. Incurred Claims",920,"2012",0 "PART4","INCURRED_CLAIMS_9","1.9. Incurred Claims","1.9. Incurred Claims",930,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_1","3.a.1 Improve Health Outcomes","3.a.1 Improve Health Outcomes",1290,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_10","3.a.10 Improve Health Outcomes","3.a.10 Improve Health Outcomes",1380,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_2","3.a.2 Improve Health Outcomes","3.a.2 Improve Health Outcomes",1300,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_3","3.a.3 Improve Health Outcomes","3.a.3 Improve Health Outcomes",1310,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_4","3.a.4 Improve Health Outcomes","3.a.4 Improve Health Outcomes",1320,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_5","3.a.5 Improve Health Outcomes","3.a.5 Improve Health Outcomes",1330,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_6","3.a.6 Improve Health Outcomes","3.a.6 Improve Health Outcomes",1340,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_7","3.a.7 Improve Health Outcomes","3.a.7 Improve Health Outcomes",1350,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_8","3.a.8 Improve Health Outcomes","3.a.8 Improve Health Outcomes",1360,"2012",0 "PART4","IMPROVE_HEALTH_OUTCOMES_9","3.a.9 Improve Health Outcomes","3.a.9 Improve Health Outcomes",1370,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_1","3.c.1 Improve patient safety and reduce medical errors","3.c.1 Improve patient safety and reduce medical errors",1490,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_10","3.c.10 Improve patient safety and reduce medical errors","3.c.10 Improve patient safety and reduce medical errors",1580,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_2","3.c.2 Improve patient safety and reduce medical errors","3.c.2 Improve patient safety and reduce medical errors",1500,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_3","3.c.3 Improve patient safety and reduce medical errors","3.c.3 Improve patient safety and reduce medical errors",1510,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_4","3.c.4 Improve patient safety and reduce medical errors","3.c.4 Improve patient safety and reduce medical errors",1520,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_5","3.c.5 Improve patient safety and reduce medical errors","3.c.5 Improve patient safety and reduce medical errors",1530,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_6","3.c.6 Improve patient safety and reduce medical errors","3.c.6 Improve patient safety and reduce medical errors",1540,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_7","3.c.7 Improve patient safety and reduce medical errors","3.c.7 Improve patient safety and reduce medical errors",1550,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_8","3.c.8 Improve patient safety and reduce medical errors","3.c.8 Improve patient safety and reduce medical errors",1560,"2012",0 "PART4","IMP_PAT_SAFETY_REDUCE_MED_ERR_9","3.c.9 Improve patient safety and reduce medical errors","3.c.9 Improve patient safety and reduce medical errors",1570,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_1","2.b.1 State insurance, premium and other taxes","2.b.1 State insurance, premium and other taxes",1110,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_2","2.b.2 State insurance, premium and other taxes","2.b.2 State insurance, premium and other taxes",1120,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_3","2.b.3 State insurance, premium and other taxes","2.b.3 State insurance, premium and other taxes",1130,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_4","2.b.4 State insurance, premium and other taxes","2.b.4 State insurance, premium and other taxes",1140,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_5","2.b.5 State insurance, premium and other taxes","2.b.5 State insurance, premium and other taxes",1150,"2012",0 "PART4","STATE_INS_PREM_OTH_TAXES_6","2.b.6 State insurance, premium and other taxes","2.b.6 State insurance, premium and other taxes",1160,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_1","2.d.1 Regulatory authority licenses and fees","2.d.1 Regulatory authority licenses and fees",1230,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_2","2.d.2 Regulatory authority licenses and fees","2.d.2 Regulatory authority licenses and fees",1240,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_3","2.d.3 Regulatory authority licenses and fees","2.d.3 Regulatory authority licenses and fees",1250,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_4","2.d.4 Regulatory authority licenses and fees","2.d.4 Regulatory authority licenses and fees",1260,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_5","2.d.5 Regulatory authority licenses and fees","2.d.5 Regulatory authority licenses and fees",1270,"2012",0 "PART4","REG_AUTHORITY_LIC_FEES_6","2.d.6 Regulatory authority licenses and fees","2.d.6 Regulatory authority licenses and fees",1280,"2012",0 "PART4","OTHER_TAXES_1","4.e.1 Other taxes","4.e.1 Other taxes",2290,"2012",0 "PART4","OTHER_TAXES_10","4.e.10 Other taxes","4.e.10 Other taxes",2380,"2012",0 "PART4","OTHER_TAXES_2","4.e.2 Other taxes","4.e.2 Other taxes",2300,"2012",0 "PART4","OTHER_TAXES_3","4.e.3 Other taxes","4.e.3 Other taxes",2310,"2012",0 "PART4","OTHER_TAXES_4","4.e.4 Other taxes","4.e.4 Other taxes",2320,"2012",0 "PART4","OTHER_TAXES_5","4.e.5 Other taxes","4.e.5 Other taxes",2330,"2012",0 "PART4","OTHER_TAXES_6","4.e.6 Other taxes","4.e.6 Other taxes",2340,"2012",0 "PART4","OTHER_TAXES_7","4.e.7 Other taxes","4.e.7 Other taxes",2350,"2012",0 "PART4","OTHER_TAXES_8","4.e.8Other taxes","4.e.8Other taxes",2360,"2012",0 "PART4","OTHER_TAXES_9","4.e.9 Other taxes","4.e.9 Other taxes",2370,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_1","4.f.1 Other general and administrative expenses","4.f.1 Other general and administrative expenses",2390,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_10","4.f.10 Other general and administrative expenses","4.f.10 Other general and administrative expenses",2480,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_2","4.f.2 Other general and administrative expenses","4.f.2 Other general and administrative expenses",2400,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_3","4.f.3 Other general and administrative expenses","4.f.3 Other general and administrative expenses",2410,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_4","4.f.4 Other general and administrative expenses","4.f.4 Other general and administrative expenses",2420,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_5","4.f.5 Other general and administrative expenses","4.f.5 Other general and administrative expenses",2430,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_6","4.f.6 Other general and administrative expenses","4.f.6 Other general and administrative expenses",2440,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_7","4.f.7 Other general and administrative expenses","4.f.7 Other general and administrative expenses",2450,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_8","4.f.8 Other general and administrative expenses","4.f.8 Other general and administrative expenses",2460,"2012",0 "PART4","OTH_GEN_AND_ADM_EXPENSES_9","4.f.9 Other general and administrative expenses","4.f.9 Other general and administrative expenses",2470,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_1","3.d.1 Wellness and health promotion activities","3.d.1 Wellness and health promotion activities",1590,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_10","3.d.10 Wellness and health promotion activities","3.d.10 Wellness and health promotion activities",1680,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_2","3.d.2 Wellness and health promotion activities","3.d.2 Wellness and health promotion activities",1600,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_3","3.d.3 Wellness and health promotion activities","3.d.3 Wellness and health promotion activities",1610,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_4","3.d.4 Wellness and health promotion activities","3.d.4 Wellness and health promotion activities",1620,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_5","3.d.5 Wellness and health promotion activities","3.d.5 Wellness and health promotion activities",1630,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_6","3.d.6 Wellness and health promotion activities","3.d.6 Wellness and health promotion activities",1640,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_7","3.d.7 Wellness and health promotion activities","3.d.7 Wellness and health promotion activities",1650,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_8","3.d.8 Wellness and health promotion activities","3.d.8 Wellness and health promotion activities",1660,"2012",0 "PART4","WELLNESS_AND_HEALTH_PROM_ACT_9","3.d.9 Wellness and health promotion activities","3.d.9 Wellness and health promotion activities",1670,"2012",0 "PART5","QUALITY_IMPROVEMENT_EXPENSES","Quality improvement expenses ","1.3 Quality improvement expenses ",2710,"2012",1 "PART5","REBATE_AMT_CREDIBILITY_ADJ_MLR","Rebate amount if credibility-adjusted MLR is less than MLR standard ","5.4 Rebate amount if credibility-adjusted MLR is less than MLR standard (Lines (5.1 – 5.2) x 5.3)",2900,"2012",1 "PART5","FED_STATE_TAXES_LIC_OR_REG_FEE","Federal and State taxes and licensing or regulatory fees ","2.2 Federal and State taxes and licensing or regulatory fees",2760,"2012",1 "PART5","MLR_DENOMINATOR","MLR denominator ","2.3 MLR denominator (Lines 2.1 – 2.2)",2770,"2012",1 "PART5","MLR_NUMERATOR","MLR numerator","1.5 MLR numerator ",2730,"2012",1 "PART5","MLR_NUMERATOR_MINI_MED_EXPAT","MLR numerator 'Mini-Med' and Expatriate (MLR numerator x adjustment factor)","1.6 MLR numerator 'Mini-Med' and Expatriate (MLR numerator x adjustment factor)",2740,"2012",1 "PART5","MLR_REBATES_PAID_BASED_EXP","MLR rebates paid based on 2011 or 2012 experience","1.4 MLR rebates paid based on 2011 or 2012 experience",2720,"2012",1 "PART5","MLR_STANDARD","MLR standard","5.1 MLR standard",2870,"2012",1 "PART5","PREMIUM_EARNED_INCLUDING_FSHRP","Premium earned including Federal and State high risk programs ","2.1 Premium earned including Federal and State high risk programs ",2750,"2012",1 "PART5","PRELIMINARY_MLR","Preliminary MLR (Lines 1.5 / 2.3)","4.1a Preliminary MLR (Lines 1.5 / 2.3)",2830,"2012",1 "PART5","PRELIMINARY_MLR_MINI_MED_EXPAT","Preliminary MLR: 'Mini-Med' & Expatriate ","4.1b Preliminary MLR: 'Mini-Med' and Expatriate (Lines 1.6 / 2.3)",2840,"2012",1 "PART5","LIFE_YEARS_TO_DETERMINE_CRED","Life years to determine credibility ","3.1 Life years to determine credibility ",2780,"2012",1 "PART5","AVERAGE_DEDUCTIBLE","Average deductible","3.3 Average deductible",2800,"2012",0 "PART5","BASE_CREDIBILITY_FACTOR","Base credibility factor","3.2 Base credibility factor",2790,"2012",1 "PART5","CREDIBILITY_ADJ_FACTOR_LN3_5","Credibility adjustment (Line 3.5, if applicable)","4.2 Credibility adjustment (Line 3.5, if applicable)",2850,"2012",1 "PART5","CREDIBILITY_ADJUSTED_MLR","Credibility-adjusted MLR ","4.3 Credibility-adjusted MLR (Lines 4.1a or 4.1b + 4.2)",2860,"2012",1 "PART5","CREDIBILITY_ADJUSTED_MLR_LN4_4","Credibility-adjusted MLR (Line 4.3)","5.2 Credibility-adjusted MLR (Line 4.3)",2880,"2012",1 "PART5","CREDIBILITY_ADJUSTMENT_FACTOR","Credibility adjustment factor ","3.5 Credibility adjustment factor (Lines 3.2 x 3.4)",2820,"2012",1 "PART5","DEDUCTIBLE_FACTOR","Deductible factor","3.4 Deductible factor",2810,"2012",1 "PART5","ADJ_EARNED_PREMIUM_LIC_REG_FEE","Adjusted earned premium less Federal and State taxes and licensing or regulatory fees ","5.3 Adjusted earned premium less Federal and State taxes and licensing or regulatory fees (Line 2.3, column CY only)",2890,"2012",1 "PART5","ADJ_INCURRED_CLAIMS","Adjusted incurred claims as reported on MLR Form for prior year(s)","1.1 Adjusted incurred claims as reported on MLR Form for prior year(s)",2690,"2012",0 "PART5","ADJ_INCURRED_CLAIMS_RESTATED_Q1","Adjusted incurred claims as of 3/31 of the year following the MLR reporting year ","1.2 Adjusted incurred claims as of 3/31 of the year following the MLR reporting year ",2700,"2012",1 "PART6","AMT_OF_DE_MINIMIS_REBATES","Amount of de minimis rebates","3.b Amount of de minimis rebates",2970,"2012",0 "PART6","AMT_PAID_REBATE_PRIOR_REP_YR","Amount of rebates paid in prior MLR year","4.a Amount of rebates paid in prior MLR year",3000,"2012",0 "PART6","AMT_REBATES_PAID_BY_PREM_CREDIT","Amount of rebates being paid by premium credit","3.c Amount of rebates being paid by premium credit",2980,"2012",0 "PART6","AMT_REBATES_PAID_LUMP_SUM_REIMB","Amount of rebates being paid by lump-sum reimbursement","3.d Amount of rebates being paid by lump-sum reimbursement",2990,"2012",0 "PART6","AMT_UNCLAIM_REBATE_PRIOR_REP_YR","Amount of unclaimed rebates from prior MLR reporting year","4.f Amount of unclaimed rebates from prior MLR reporting year",3050,"2012",0 "PART6","PERCENT_NOTICES_SENT_TIMELY_GRP","Percentage of notices sent timely to subscribers of group policies owed a rebate","4.c Percentage of notices sent timely to subscribers of group policies owed a rebate",3020,"2012",0 "PART6","PERCENT_NOTICES_SENT_TIMELY_IND","Percentage of notices sent timely to individual policy subscribers or group policyholders owed a rebate","4.b Percentage of notices sent timely to individual policy subscribers or group policyholders owed a rebate",3010,"2012",0 "PART6","PERCENT_REBATES_PAID_TIMELY_GRP","Percentage of rebates paid timely to subscribers of group policies owed a rebate","4.e Percentage of rebates paid timely to subscribers of group policies owed a rebate",3040,"2012",0 "PART6","PERCENT_REBATES_PAID_TIMELY_IND","Percentage of rebates paid timely to individual policy subscribers or group policyholders owed a rebate","4.d Percentage of rebates paid timely to individual policy subscribers or group policyholders owed a rebate",3030,"2012",0 "PART6","NO_OF_POL_HOLDS_REB_DE_MINIMIS","Number of policyholders whose rebate would be de minimis","2.c Number of group policyholders whose rebate is de minimis",2940,"2012",0 "PART6","NO_OF_POLICIES_CERTS","Number of policies / certificates","1.0 Number of policies / certificates (from Part 1 Line 7.1)",2910,"2012",0 "PART6","NO_OF_POLICYHOLDERS_OWN_A_REB","Number of policyholders being paid a rebate","2.a Number of group policyholders being paid a rebate",2920,"2012",0 "PART6","NO_OF_SUBSCRIBERS_OWED_A_REB","Number of subscribers being paid a rebate","2.b Number of subscribers being paid a rebate",2930,"2012",0 "PART6","NO_RECEIVE_PREMIUM_CREDIT","Number of subscribers whose rebate would be de minimis","2.d Number of subscribers whose rebate is de minimis",2950,"2012",0 "PART6","TOTAL_AMOUNT_OF_REBATES","Total amount of rebates ","3.a Total amount of rebates (from Part 4, Line 5.4)",2960,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_1","2.1 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.1 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3060,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_10","2.10 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.10 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3150,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_11","2.11 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.11 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3160,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_2","2.2 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.2 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3070,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_3","2.3 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.3 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3080,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_4","2.4 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.4 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3090,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_5","2.5 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.5 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3100,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_6","2.6 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.6 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3110,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_7","2.7 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.7 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3120,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_8","2.8 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.8 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3130,"2012",0 "PART7","AFFILIATE_NAME_BLEND_RATE_ADJ_9","2.9 Affiliate(s) name(s) with whom blended rate adjustments were made. ","2.9 Affiliate(s) name(s) with whom blended rate adjustments were made. ",3140,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_1","3.1 Affiliate(s) name(s) with whom experience is being reported. ","3.1 Affiliate(s) name(s) with whom experience is being reported. ",3170,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_10","3.10 Affiliate(s) name(s) with whom experience is being reported. ","3.10 Affiliate(s) name(s) with whom experience is being reported. ",3260,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_11","3.11 Affiliate(s) name(s) with whom experience is being reported. ","3.11 Affiliate(s) name(s) with whom experience is being reported. ",3270,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_2","3.2 Affiliate(s) name(s) with whom experience is being reported. ","3.2 Affiliate(s) name(s) with whom experience is being reported. ",3180,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_3","3.3 Affiliate(s) name(s) with whom experience is being reported. ","3.3 Affiliate(s) name(s) with whom experience is being reported. ",3190,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_4","3.4 Affiliate(s) name(s) with whom experience is being reported. ","3.4 Affiliate(s) name(s) with whom experience is being reported. ",3200,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_5","3.5 Affiliate(s) name(s) with whom experience is being reported. ","3.5 Affiliate(s) name(s) with whom experience is being reported. ",3210,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_6","3.6 Affiliate(s) name(s) with whom experience is being reported.","3.6 Affiliate(s) name(s) with whom experience is being reported.",3220,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_7","3.7 Affiliate(s) name(s) with whom experience is being reported. ","3.7 Affiliate(s) name(s) with whom experience is being reported. ",3230,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_8","3.8 Affiliate(s) name(s) with whom experience is being reported. ","3.8 Affiliate(s) name(s) with whom experience is being reported. ",3240,"2012",0 "PART7","AFFILIATE_NAME_EXPERIENCE_9","3.9 Affiliate(s) name(s) with whom experience is being reported. ","3.9 Affiliate(s) name(s) with whom experience is being reported. ",3250,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_1","4.1 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.1 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3280,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_10","4.10 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.10 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3370,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_11","4.11 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.11 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3380,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_2","4.2 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.2 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3290,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_3","4.3 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.3 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3300,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_4","4.4 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.4 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3310,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_5","4.5 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.5 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3320,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_6","4.6 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.6 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3330,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_7","4.7 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.7 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3340,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_8","4.8 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.8 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3350,"2012",0 "PART7","ENTITY_NAME_AGREEMENT_9","4.9 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ","4.9 Provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation. ",3360,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_1","5.1 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.1 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3390,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_10","5.10 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.10 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3480,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_2","5.2 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.2 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3400,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_3","5.3 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.3 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3410,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_4","5.4 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.4 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3420,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_5","5.5 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.5 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3430,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_6","5.6 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.6 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3440,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_7","5.7 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.7 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3450,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_8","5.8 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.8 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3460,"2012",0 "PART7","ENTITY_NAME_BUSINESS_SOLD_9","5.9 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.","5.9 Provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.",3470,"2012",0 "PART7","ENTITY_REPORTING_EXPERIENCE_1","6.1 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.","6.1 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.",3490,"2012",0 "PART7","ENTITY_REPORTING_EXPERIENCE_2","6.2 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.","6.2 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.",3510,"2012",0 "PART7","ENTITY_REPORTING_EXPERIENCE_3","6.3 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.","6.3 Report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.",3520,"2012",0