{"text_format":"1","workbook":"xlsx","n_sheets":6,"sheets":["TIPS","Tables","Employees & COBRA Enrollees","Waivers","Enrollment Summary","Enrollee Summary"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":25,"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"}

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["Health Net Census Enrollment Helpful Hints"]
["1)","Worksheet is for new group and renewal enrollment only - one line per person"]
["2)","All columns and rows are set and should not be altered, removed, or inserted"]
["3)","All eligible employees, COBRA enrollees, and their respective family members, selecting Health Net plans are input on \"Employees & COBRA Enrollees\" tab"]
["4)","All eligible employees and/or families NOT selecting Health Net plans are input on \"Waivers\" tab"]
["5)","Input all information directly from each employee application"]
["6)","You are required to keep all signed employee applications"]
["7)","Definitions of data listed on line 8\nRequired : Mandatory data that must be shared for all members\nRequired – if requested : Data that must be shared if requested or selected\nHealth Net : Leave blank as is\nSet :  Leave as \"Add\"\nCalculated : count of required fields found blank"]
["8)","Only two names can be listed for Group Term Life beneficiary and % must equate to 100%. For additional beneficiaries please submit a change form."]
["9)","The \"Enrollment Summary\" tab can be viewed, but not altered to ensure you have input all employees and dependents accurately"]
["10)","Refer to the Census Enrollment Guide for specifics on each tab to complete"]
["Tips"]
["A)","Please copy and paste address and date information down instead of dragging because the dragging changes the numerical values. Always paste as values ONLY."]
["B)","The employee and family all must have the same effective date of coverage"]
["C)","Make sure to indicate the gender of all individuals - this is a required field"]
["D)","It is very important to complete the Member Type for each individual and click on the drop down menu for your selection"]
["E)","The Employee SSN should be on each row for the employee and all family members"]
["F)","If you want Health Net to assign the PPG or PCP then leave both blank"]
["For assistance you can utilize the Small Group Census Enrollment Guide located on Forms & Brochures and the HUB.  You may also reach out to your Account Executive for clarification."]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,"Medical Active",null,null,"Medical Cobra",null,null,"Dental Active",null,null,"Dental Cobra",null,null,"Vision Active",null,null,"Vision Cobra"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Concatenated Network & Plan from New Employees tab","Member Type from New Employees tab",null,"Concatenated Network & Plan from New Employees tab","Member Type from New Employees tab",null,"Dental Plan from New Employees tab","Member Type from New Employees tab",null,"Dental Plan from New Employees tab","Member Type from New Employees tab",null,"Vision Plan from New Employees tab","Member Type from New Employees tab",null,"Vision Plan from New Employees tab","Member Type from New Employees tab"]
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[null,"Activity",null,null,"Full Network HMO","PlanA","Platinum $0","Platinum $0","Platinum $0","Platinum $0","Silver $2250/$50","Platinum PPO 0/15",null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!A10&\" \"&'Employees & COBRA Enrollees'!B10,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!S10,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!A10&\" \"&'Employees & COBRA Enrollees'!B10,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!S10,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!C10,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!S10,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!C10,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!S10,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!D10,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"No\",'Employees & COBRA Enrollees'!S10,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!D10,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC10=\"Yes\",'Employees & COBRA Enrollees'!S10,\"\")","v":""}]
[null,"Code",null,null,"WholeCare HMO","PlanB","Platinum $10","Platinum $10","Platinum $10","Platinum $10","Bronze $6300/$60","Platinum PPO 250/15",null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!A11&\" \"&'Employees & COBRA Enrollees'!B11,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!S11,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!A11&\" \"&'Employees & COBRA Enrollees'!B11,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!S11,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!C11,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!S11,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!C11,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!S11,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!D11,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"No\",'Employees & COBRA Enrollees'!S11,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!D11,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC11=\"Yes\",'Employees & COBRA Enrollees'!S11,\"\")","v":""}]
[null,"Hourly",null,null,"SmartCare HMO","PlanC","Platinum $20","Platinum $20","Platinum $20","Platinum $20",null,"Gold PPO 0/35",null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!A12&\" \"&'Employees & COBRA Enrollees'!B12,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!S12,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!A12&\" \"&'Employees & COBRA Enrollees'!B12,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!S12,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!C12,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!S12,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!C12,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!S12,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!D12,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"No\",'Employees & COBRA Enrollees'!S12,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!D12,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC12=\"Yes\",'Employees & COBRA Enrollees'!S12,\"\")","v":""}]
[null,"Salary",null,null,"Salud HMO y Más","PlanD","Platinum $30","Platinum $30","Platinum $30","Platinum $30",null,"Gold PPO 350/25",null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!A13&\" \"&'Employees & COBRA Enrollees'!B13,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!S13,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!A13&\" \"&'Employees & COBRA Enrollees'!B13,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!S13,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!C13,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!S13,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!C13,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!S13,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!D13,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"No\",'Employees & COBRA Enrollees'!S13,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!D13,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC13=\"Yes\",'Employees & COBRA Enrollees'!S13,\"\")","v":""}]
[null,null,null,null,"CommunityCare HMO","PlanE","Platinum $35","Platinum $35","Platinum $35","Platinum $35",null,"Gold PPO 500/20",null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!A14&\" \"&'Employees & COBRA Enrollees'!B14,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!S14,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!A14&\" \"&'Employees & COBRA Enrollees'!B14,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!S14,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!C14,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!S14,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!C14,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!S14,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!D14,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"No\",'Employees & COBRA Enrollees'!S14,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!D14,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC14=\"Yes\",'Employees & COBRA Enrollees'!S14,\"\")","v":""}]
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[null,"Declination Reason",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!A51&\" \"&'Employees & COBRA Enrollees'!B51,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!S51,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!A51&\" \"&'Employees & COBRA Enrollees'!B51,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!S51,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!C51,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!S51,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!C51,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!S51,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!D51,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"No\",'Employees & COBRA Enrollees'!S51,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!D51,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC51=\"Yes\",'Employees & COBRA Enrollees'!S51,\"\")","v":""}]
[null,"Code",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!A52&\" \"&'Employees & COBRA Enrollees'!B52,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!S52,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!A52&\" \"&'Employees & COBRA Enrollees'!B52,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!S52,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!C52,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!S52,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!C52,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!S52,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!D52,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"No\",'Employees & COBRA Enrollees'!S52,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!D52,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC52=\"Yes\",'Employees & COBRA Enrollees'!S52,\"\")","v":""}]
[null,"Valid - Other group coverage through another employer",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!A53&\" \"&'Employees & COBRA Enrollees'!B53,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!S53,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!A53&\" \"&'Employees & COBRA Enrollees'!B53,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!S53,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!C53,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!S53,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!C53,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!S53,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!D53,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"No\",'Employees & COBRA Enrollees'!S53,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!D53,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC53=\"Yes\",'Employees & COBRA Enrollees'!S53,\"\")","v":""}]
[null,"Valid - Group coverage through a spouse/domestic partner on or off the Exchange",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!A54&\" \"&'Employees & COBRA Enrollees'!B54,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!S54,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!A54&\" \"&'Employees & COBRA Enrollees'!B54,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!S54,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!C54,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!S54,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!C54,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!S54,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!D54,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"No\",'Employees & COBRA Enrollees'!S54,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!D54,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC54=\"Yes\",'Employees & COBRA Enrollees'!S54,\"\")","v":""}]
[null,"Valid - Spousal/domestic partner coverage through the same employer",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!A55&\" \"&'Employees & COBRA Enrollees'!B55,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!S55,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!A55&\" \"&'Employees & COBRA Enrollees'!B55,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!S55,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!C55,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!S55,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!C55,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!S55,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!D55,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"No\",'Employees & COBRA Enrollees'!S55,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!D55,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC55=\"Yes\",'Employees & COBRA Enrollees'!S55,\"\")","v":""}]
[null,"Valid - Group coverage through a parents plan",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!A56&\" \"&'Employees & COBRA Enrollees'!B56,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!S56,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!A56&\" \"&'Employees & COBRA Enrollees'!B56,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!S56,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!C56,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!S56,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!C56,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!S56,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!D56,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"No\",'Employees & COBRA Enrollees'!S56,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!D56,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC56=\"Yes\",'Employees & COBRA Enrollees'!S56,\"\")","v":""}]
[null,"Valid - Medicare",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!A57&\" \"&'Employees & COBRA Enrollees'!B57,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!S57,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!A57&\" \"&'Employees & COBRA Enrollees'!B57,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!S57,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!C57,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!S57,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!C57,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!S57,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!D57,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"No\",'Employees & COBRA Enrollees'!S57,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!D57,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC57=\"Yes\",'Employees & COBRA Enrollees'!S57,\"\")","v":""}]
[null,"Valid - Medi-Cal",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!A58&\" \"&'Employees & COBRA Enrollees'!B58,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!S58,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!A58&\" \"&'Employees & COBRA Enrollees'!B58,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!S58,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!C58,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!S58,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!C58,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!S58,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!D58,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"No\",'Employees & COBRA Enrollees'!S58,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!D58,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC58=\"Yes\",'Employees & COBRA Enrollees'!S58,\"\")","v":""}]
[null,"Valid - Medicaid",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!A59&\" \"&'Employees & COBRA Enrollees'!B59,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!S59,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!A59&\" \"&'Employees & COBRA Enrollees'!B59,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!S59,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!C59,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!S59,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!C59,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!S59,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!D59,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"No\",'Employees & COBRA Enrollees'!S59,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!D59,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC59=\"Yes\",'Employees & COBRA Enrollees'!S59,\"\")","v":""}]
[null,"Valid - COBRA",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!A60&\" \"&'Employees & COBRA Enrollees'!B60,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!S60,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!A60&\" \"&'Employees & COBRA Enrollees'!B60,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!S60,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!C60,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!S60,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!C60,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!S60,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!D60,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"No\",'Employees & COBRA Enrollees'!S60,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!D60,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC60=\"Yes\",'Employees & COBRA Enrollees'!S60,\"\")","v":""}]
[null,"Valid - Union employee covered through a labor fund",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!A61&\" \"&'Employees & COBRA Enrollees'!B61,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!S61,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!A61&\" \"&'Employees & COBRA Enrollees'!B61,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!S61,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!C61,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!S61,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!C61,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!S61,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!D61,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"No\",'Employees & COBRA Enrollees'!S61,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!D61,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC61=\"Yes\",'Employees & COBRA Enrollees'!S61,\"\")","v":""}]
[null,"Valid - Tricare",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!A62&\" \"&'Employees & COBRA Enrollees'!B62,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!S62,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!A62&\" \"&'Employees & COBRA Enrollees'!B62,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!S62,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!C62,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!S62,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!C62,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!S62,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!D62,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"No\",'Employees & COBRA Enrollees'!S62,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!D62,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC62=\"Yes\",'Employees & COBRA Enrollees'!S62,\"\")","v":""}]
[null,"Valid - VA",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!A63&\" \"&'Employees & COBRA Enrollees'!B63,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!S63,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!A63&\" \"&'Employees & COBRA Enrollees'!B63,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!S63,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!C63,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!S63,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!C63,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!S63,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!D63,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"No\",'Employees & COBRA Enrollees'!S63,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!D63,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC63=\"Yes\",'Employees & COBRA Enrollees'!S63,\"\")","v":""}]
[null,"Valid - Active Military Duty",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!A64&\" \"&'Employees & COBRA Enrollees'!B64,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!S64,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!A64&\" \"&'Employees & COBRA Enrollees'!B64,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!S64,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!C64,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!S64,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!C64,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!S64,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!D64,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"No\",'Employees & COBRA Enrollees'!S64,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!D64,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC64=\"Yes\",'Employees & COBRA Enrollees'!S64,\"\")","v":""}]
[null,"Valid - Individual coverage on or off the Exchange",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!A65&\" \"&'Employees & COBRA Enrollees'!B65,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!S65,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!A65&\" \"&'Employees & COBRA Enrollees'!B65,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!S65,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!C65,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!S65,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!C65,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!S65,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!D65,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"No\",'Employees & COBRA Enrollees'!S65,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!D65,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC65=\"Yes\",'Employees & COBRA Enrollees'!S65,\"\")","v":""}]
[null,"Coverage with another health insurer through the same employer on or off the Exchange",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!A66&\" \"&'Employees & COBRA Enrollees'!B66,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!S66,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!A66&\" \"&'Employees & COBRA Enrollees'!B66,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!S66,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!C66,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!S66,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!C66,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!S66,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!D66,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"No\",'Employees & COBRA Enrollees'!S66,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!D66,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC66=\"Yes\",'Employees & COBRA Enrollees'!S66,\"\")","v":""}]
[null,"Non Valid - Religious reasons",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!A67&\" \"&'Employees & COBRA Enrollees'!B67,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!S67,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!A67&\" \"&'Employees & COBRA Enrollees'!B67,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!S67,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!C67,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!S67,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!C67,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!S67,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!D67,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"No\",'Employees & COBRA Enrollees'!S67,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!D67,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC67=\"Yes\",'Employees & COBRA Enrollees'!S67,\"\")","v":""}]
[null,"Non Valid - Can't afford it",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!A68&\" \"&'Employees & COBRA Enrollees'!B68,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!S68,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!A68&\" \"&'Employees & COBRA Enrollees'!B68,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!S68,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!C68,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!S68,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!C68,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!S68,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!D68,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"No\",'Employees & COBRA Enrollees'!S68,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!D68,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC68=\"Yes\",'Employees & COBRA Enrollees'!S68,\"\")","v":""}]
[null,"Non Valid - Doesn't want it",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!A69&\" \"&'Employees & COBRA Enrollees'!B69,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!S69,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!A69&\" \"&'Employees & COBRA Enrollees'!B69,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!S69,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!C69,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!S69,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!C69,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!S69,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!D69,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"No\",'Employees & COBRA Enrollees'!S69,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!D69,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC69=\"Yes\",'Employees & COBRA Enrollees'!S69,\"\")","v":""}]
[null,"Non Valid - Doesn't care",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!A70&\" \"&'Employees & COBRA Enrollees'!B70,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!S70,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!A70&\" \"&'Employees & COBRA Enrollees'!B70,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!S70,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!C70,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!S70,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!C70,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!S70,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!D70,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"No\",'Employees & COBRA Enrollees'!S70,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!D70,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC70=\"Yes\",'Employees & COBRA Enrollees'!S70,\"\")","v":""}]
[null,"Non Valid - Coverage through an association",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!A71&\" \"&'Employees & COBRA Enrollees'!B71,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!S71,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!A71&\" \"&'Employees & COBRA Enrollees'!B71,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!S71,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!C71,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!S71,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!C71,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!S71,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!D71,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"No\",'Employees & COBRA Enrollees'!S71,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!D71,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC71=\"Yes\",'Employees & COBRA Enrollees'!S71,\"\")","v":""}]
[null,"Non Valid - Other",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!A72&\" \"&'Employees & COBRA Enrollees'!B72,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!S72,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!A72&\" \"&'Employees & COBRA Enrollees'!B72,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!S72,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!C72,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!S72,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!C72,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!S72,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!D72,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"No\",'Employees & COBRA Enrollees'!S72,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!D72,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC72=\"Yes\",'Employees & COBRA Enrollees'!S72,\"\")","v":""}]
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[null,"Dental",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!A75&\" \"&'Employees & COBRA Enrollees'!B75,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!S75,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!A75&\" \"&'Employees & COBRA Enrollees'!B75,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!S75,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!C75,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!S75,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!C75,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!S75,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!D75,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"No\",'Employees & COBRA Enrollees'!S75,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!D75,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC75=\"Yes\",'Employees & COBRA Enrollees'!S75,\"\")","v":""}]
[null,"Dental - DHMO HN Plus 150",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!A76&\" \"&'Employees & COBRA Enrollees'!B76,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!S76,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!A76&\" \"&'Employees & COBRA Enrollees'!B76,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!S76,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!C76,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!S76,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!C76,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!S76,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!D76,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"No\",'Employees & COBRA Enrollees'!S76,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!D76,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC76=\"Yes\",'Employees & COBRA Enrollees'!S76,\"\")","v":""}]
[null,"Dental - DHMO HN Plus 225",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!A77&\" \"&'Employees & COBRA Enrollees'!B77,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!S77,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!A77&\" \"&'Employees & COBRA Enrollees'!B77,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!S77,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!C77,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!S77,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!C77,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!S77,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!D77,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"No\",'Employees & COBRA Enrollees'!S77,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!D77,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC77=\"Yes\",'Employees & COBRA Enrollees'!S77,\"\")","v":""}]
[null,"Dental - DPPO Classic 4 1500",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!A78&\" \"&'Employees & COBRA Enrollees'!B78,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!S78,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!A78&\" \"&'Employees & COBRA Enrollees'!B78,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!S78,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!C78,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!S78,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!C78,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!S78,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!D78,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"No\",'Employees & COBRA Enrollees'!S78,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!D78,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC78=\"Yes\",'Employees & COBRA Enrollees'!S78,\"\")","v":""}]
[null,"Dental - DPPO Classic 5 1500 (w/ortho)",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!A79&\" \"&'Employees & COBRA Enrollees'!B79,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!S79,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!A79&\" \"&'Employees & COBRA Enrollees'!B79,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!S79,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!C79,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!S79,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!C79,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!S79,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!D79,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"No\",'Employees & COBRA Enrollees'!S79,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!D79,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC79=\"Yes\",'Employees & COBRA Enrollees'!S79,\"\")","v":""}]
[null,"Dental - DPPO Essential 2 1000",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!A80&\" \"&'Employees & COBRA Enrollees'!B80,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!S80,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!A80&\" \"&'Employees & COBRA Enrollees'!B80,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!S80,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!C80,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!S80,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!C80,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!S80,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!D80,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"No\",'Employees & COBRA Enrollees'!S80,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!D80,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC80=\"Yes\",'Employees & COBRA Enrollees'!S80,\"\")","v":""}]
[null,"Dental - DPPO Essential 5 1500 (w/ortho)",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!A81&\" \"&'Employees & COBRA Enrollees'!B81,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!S81,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!A81&\" \"&'Employees & COBRA Enrollees'!B81,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!S81,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!C81,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!S81,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!C81,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!S81,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!D81,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"No\",'Employees & COBRA Enrollees'!S81,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!D81,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC81=\"Yes\",'Employees & COBRA Enrollees'!S81,\"\")","v":""}]
[null,"Dental - DPPO Essential 6 1500",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!A82&\" \"&'Employees & COBRA Enrollees'!B82,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!S82,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!A82&\" \"&'Employees & COBRA Enrollees'!B82,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!S82,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!C82,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!S82,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!C82,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!S82,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!D82,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"No\",'Employees & COBRA Enrollees'!S82,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!D82,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC82=\"Yes\",'Employees & COBRA Enrollees'!S82,\"\")","v":""}]
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[null,"1     Termination of Employment",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!A129&\" \"&'Employees & COBRA Enrollees'!B129,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!S129,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!A129&\" \"&'Employees & COBRA Enrollees'!B129,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!S129,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!C129,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!S129,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!C129,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!S129,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!D129,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"No\",'Employees & COBRA Enrollees'!S129,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!D129,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC129=\"Yes\",'Employees & COBRA Enrollees'!S129,\"\")","v":""}]
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[null,"3     Medicare",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!A131&\" \"&'Employees & COBRA Enrollees'!B131,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!S131,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!A131&\" \"&'Employees & COBRA Enrollees'!B131,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!S131,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!C131,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!S131,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!C131,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!S131,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!D131,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"No\",'Employees & COBRA Enrollees'!S131,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!D131,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC131=\"Yes\",'Employees & COBRA Enrollees'!S131,\"\")","v":""}]
[null,"4     Death",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!A132&\" \"&'Employees & COBRA Enrollees'!B132,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!S132,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!A132&\" \"&'Employees & COBRA Enrollees'!B132,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!S132,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!C132,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!S132,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!C132,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!S132,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!D132,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"No\",'Employees & COBRA Enrollees'!S132,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!D132,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC132=\"Yes\",'Employees & COBRA Enrollees'!S132,\"\")","v":""}]
[null,"5     Divorce",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!A133&\" \"&'Employees & COBRA Enrollees'!B133,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!S133,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!A133&\" \"&'Employees & COBRA Enrollees'!B133,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!S133,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!C133,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!S133,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!C133,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!S133,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!D133,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"No\",'Employees & COBRA Enrollees'!S133,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!D133,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC133=\"Yes\",'Employees & COBRA Enrollees'!S133,\"\")","v":""}]
[null,"6     Separation",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!A134&\" \"&'Employees & COBRA Enrollees'!B134,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!S134,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!A134&\" \"&'Employees & COBRA Enrollees'!B134,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!S134,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!C134,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!S134,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!C134,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!S134,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!D134,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"No\",'Employees & COBRA Enrollees'!S134,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!D134,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC134=\"Yes\",'Employees & COBRA Enrollees'!S134,\"\")","v":""}]
[null,"7     Ineligible Child",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!A135&\" \"&'Employees & COBRA Enrollees'!B135,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!S135,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!A135&\" \"&'Employees & COBRA Enrollees'!B135,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!S135,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!C135,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!S135,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!C135,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!S135,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!D135,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"No\",'Employees & COBRA Enrollees'!S135,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!D135,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC135=\"Yes\",'Employees & COBRA Enrollees'!S135,\"\")","v":""}]
[null,"8     Bankruptcy of a Retired Employee",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!A136&\" \"&'Employees & COBRA Enrollees'!B136,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!S136,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!A136&\" \"&'Employees & COBRA Enrollees'!B136,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!S136,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!C136,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!S136,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!C136,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!S136,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!D136,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"No\",'Employees & COBRA Enrollees'!S136,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!D136,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC136=\"Yes\",'Employees & COBRA Enrollees'!S136,\"\")","v":""}]
[null,"9     Layoff",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!A137&\" \"&'Employees & COBRA Enrollees'!B137,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!S137,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!A137&\" \"&'Employees & COBRA Enrollees'!B137,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!S137,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!C137,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!S137,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!C137,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!S137,\"\")","v":""},null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!D137,\"\")","v":0},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"No\",'Employees & COBRA Enrollees'!S137,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!D137,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC137=\"Yes\",'Employees & COBRA Enrollees'!S137,\"\")","v":""}]
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["CALIFORNIA NEW GROUP SUBMISSION"]
["2024 EFFECTIVE DATES"]
["NAME OF GROUP ---",null,"(Input Company Name Here) "]
["TOTAL # ELIGIBLE EMPLOYEES",null,"(Input Eligible Count Here) "]
[]
["MEDICAL PLAN CHOICES",null,"OTHER PLAN CHOICES",null,"GROUP TERM LIFE CHOICES",null,null,null,null,null,null,"MEDICAL GROUP ID","DENTAL GROUP ID","VISION GROUP ID","ACTIVITY FLAG","EFFECTIVE DATE (mm/dd/yyyy)","EMPLOYEE SSN (123-45-6789)","MEMBER SSN / MATRICULAR ID (123-45-6789)","MEMBER TYPE","EMPLOYEE MARITAL STATUS","LAST NAME","FIRST NAME","MIDDLE INITIAL/NAME","GENDER","DOB (mm/dd/yyyy)","HIRE DATE  (mm/dd/yyyy)","EMPLOYEE TYPE","DEPT#","COBRA",null,null,null,null,null,"LANGUAGE",null,"DISABLED","DENTAL HMO PROVIDER ID","PRIMARY PHYSICAL HOME ADDRESS",null,null,null,null,null,"TELEPHONE NUMBER",null,"EMAIL ADDRESS\n(example@domain.com)","LIVE / WORK RULE (HMO) - USE WORK ADDRESS?","MAILING ADDRESS",null,null,null,null,null,"PCP LAST NAME","PCP FIRST NAME","PCP MIDDLE INITIAL","PPG ENROLLMENT ID (3 or 4 Digits)","PCP ENROLLMENT ID (6 Digits)","PRIOR PATIENT","OTHER HEALTH COVERAGE",null,null,null,"MEDICARE",null,null,null,null,"ENROLLMENT FORM SIGNED","Number of Missing Required Items"]
["PLAN TYPE","PLAN NAME","DENTAL PLAN","VISION PLAN","AMOUNT OF COVERAGE","BENEFICIARY NAME #1","BENEFICIARY RELATIONSHIP #1","BENEFICIARY PERCENTAGE #1","BENEFICIARY NAME #2","BENEFICIARY RELATIONSHIP #2","BENEFICIARY PERCENTAGE #2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Hourly or Salaried)",null,"COBRA ENROLLEE?","QUALIFYING EVENT","QUALIFYING EVENT DATE  (mm/dd/yyyy)","ORIGINAL COBRA EFFECTIVE DATE (mm/dd/yyyy)","COBRA END DATE (mm/dd/yyyy)","Enrollment Form Signature Date (mm/dd/yyyy)","WRITTEN","SPOKEN",null,null,"ADDRESS LINE 1\nDo not use any commas in this column","ADDRESS LINE 2 (APT, STE, UNIT)\nDo not use any commas in this column","CITY","STATE","ZIP","ZIP PLUS 4\n(FIPS)","NUMBER\n111-222-3333\nNo parenthesis","WORK OR HOME",null,null,"ADDRESS LINE 1\nDo not use any commas in this column","ADDRESS LINE 2 (APT, STE, UNIT)\nDo not use any commas in this column","CITY","STATE","ZIP","ZIP PLUS 4",null,null,null,null,null,"(Yes or No)","(Yes or No)","CARRIER NAME","START DATE  (mm/dd/yyyy)","END DATE  (mm/dd/yyyy)","PART A","PART B","PART A & B","PART D","MBI/HICN#"]
["Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if 2 requested","Required – if 2 requested","Required – if 2 requested","Health Net","Health Net","Health Net","Set","EMB Required","EMB Required","Required if available","EMB Required","Optional","EMB Required","EMB Required","If applicable","EMB Required","EMB Required","Required for Employees & COBRA Enrollees only","EMB Required for Employee only - will default to Hourly, if left blank","Optional","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Required – if requested","Optional","Optional","Optional","Optional","EMB Required","EMB Required if available","EMB Required","EMB Required","EMB Required","Optional","Required if available","Required – if requested","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Required – if requested","Required – if requested","Required – if requested","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","Optional","EMB Required for \nall members","Calculated"]
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{"sheet":"Waivers","index":3,"n_rows":121,"n_cols":14,"rows_kept":121,"cut":false,"hidden":false,"merged":[[5,10,5,11],[5,0,6,0],[5,3,6,3],[5,1,6,1],[5,7,6,7],[5,2,6,2],[5,8,5,9],[5,4,5,6]]}
["CALIFORNIA"]
["2024 EFFECTIVE DATES"]
["NAME OF GROUP ---",null,null,{"$f":"+'Employees & COBRA Enrollees'!C3","v":"(Input Company Name Here) "}]
["NEW GROUP SUBMISSION - DECLINATION OF COVERAGE"]
[]
[null,"ACTIVITY FLAG","PRODUCT","EMPLOYEE FORM SIGNED","EMPLOYEE",null,null,"MEMBER TYPE WAIVING COVERAGE","PERSON WAIVING COVERAGE",null,"DECLINATION REASON"]
[null,null,null,null,"LAST NAME","FIRST NAME","SSN\n (123-45-6789)",null,"LAST NAME","FIRST NAME","STANDARD REASONS","OTHER"]
[null,"Set","Required","Required","Required","Required","Required","Required","Optional","Optional","Required","Required"]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K9),\"\",IF(AND(K9=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K9=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K9))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K10),\"\",IF(AND(K10=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K10=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K10))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K11),\"\",IF(AND(K11=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K11=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K11))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K12),\"\",IF(AND(K12=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K12=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K12))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K13),\"\",IF(AND(K13=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K13=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K13))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K14),\"\",IF(AND(K14=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K14=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K14))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K15),\"\",IF(AND(K15=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K15=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K15))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K16),\"\",IF(AND(K16=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K16=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K16))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K17),\"\",IF(AND(K17=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K17=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K17))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K18),\"\",IF(AND(K18=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K18=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K18))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K19),\"\",IF(AND(K19=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K19=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K19))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K20),\"\",IF(AND(K20=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K20=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K20))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K21),\"\",IF(AND(K21=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K21=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K21))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K22),\"\",IF(AND(K22=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K22=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K22))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K23),\"\",IF(AND(K23=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K23=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K23))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K24),\"\",IF(AND(K24=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K24=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K24))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K25),\"\",IF(AND(K25=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K25=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K25))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K26),\"\",IF(AND(K26=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K26=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K26))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K27),\"\",IF(AND(K27=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K27=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K27))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K28),\"\",IF(AND(K28=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K28=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K28))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K29),\"\",IF(AND(K29=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K29=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K29))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K30),\"\",IF(AND(K30=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K30=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K30))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K31),\"\",IF(AND(K31=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K31=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K31))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K32),\"\",IF(AND(K32=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K32=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K32))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K33),\"\",IF(AND(K33=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K33=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K33))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K34),\"\",IF(AND(K34=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K34=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K34))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K35),\"\",IF(AND(K35=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K35=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K35))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K36),\"\",IF(AND(K36=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K36=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K36))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K37),\"\",IF(AND(K37=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K37=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K37))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K38),\"\",IF(AND(K38=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K38=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K38))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K39),\"\",IF(AND(K39=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K39=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K39))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K40),\"\",IF(AND(K40=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K40=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K40))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K41),\"\",IF(AND(K41=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K41=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K41))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K42),\"\",IF(AND(K42=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K42=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K42))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K43),\"\",IF(AND(K43=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K43=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K43))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K44),\"\",IF(AND(K44=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K44=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K44))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K45),\"\",IF(AND(K45=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K45=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K45))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K46),\"\",IF(AND(K46=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K46=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K46))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K47),\"\",IF(AND(K47=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K47=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K47))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K48),\"\",IF(AND(K48=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K48=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K48))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K49),\"\",IF(AND(K49=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K49=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K49))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K50),\"\",IF(AND(K50=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K50=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K50))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K51),\"\",IF(AND(K51=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K51=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K51))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K52),\"\",IF(AND(K52=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K52=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K52))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K53),\"\",IF(AND(K53=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K53=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K53))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K54),\"\",IF(AND(K54=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K54=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K54))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K55),\"\",IF(AND(K55=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K55=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K55))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K56),\"\",IF(AND(K56=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K56=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K56))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K57),\"\",IF(AND(K57=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K57=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K57))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K58),\"\",IF(AND(K58=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K58=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K58))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K59),\"\",IF(AND(K59=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K59=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K59))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K60),\"\",IF(AND(K60=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K60=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K60))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K61),\"\",IF(AND(K61=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K61=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K61))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K62),\"\",IF(AND(K62=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K62=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K62))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K63),\"\",IF(AND(K63=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K63=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K63))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K64),\"\",IF(AND(K64=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K64=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K64))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K65),\"\",IF(AND(K65=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K65=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K65))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K66),\"\",IF(AND(K66=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K66=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K66))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K67),\"\",IF(AND(K67=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K67=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K67))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K68),\"\",IF(AND(K68=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K68=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K68))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K69),\"\",IF(AND(K69=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K69=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K69))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K70),\"\",IF(AND(K70=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K70=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K70))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K71),\"\",IF(AND(K71=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K71=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K71))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K72),\"\",IF(AND(K72=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K72=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K72))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K73),\"\",IF(AND(K73=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K73=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K73))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K74),\"\",IF(AND(K74=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K74=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K74))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K75),\"\",IF(AND(K75=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K75=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K75))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K76),\"\",IF(AND(K76=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K76=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K76))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K77),\"\",IF(AND(K77=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K77=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K77))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K78),\"\",IF(AND(K78=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K78=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K78))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K79),\"\",IF(AND(K79=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K79=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K79))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K80),\"\",IF(AND(K80=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K80=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K80))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K81),\"\",IF(AND(K81=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K81=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K81))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K82),\"\",IF(AND(K82=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K82=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K82))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K83),\"\",IF(AND(K83=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K83=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K83))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K84),\"\",IF(AND(K84=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K84=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K84))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K85),\"\",IF(AND(K85=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K85=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K85))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K86),\"\",IF(AND(K86=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K86=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K86))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K87),\"\",IF(AND(K87=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K87=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K87))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K88),\"\",IF(AND(K88=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K88=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K88))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K89),\"\",IF(AND(K89=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K89=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K89))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K90),\"\",IF(AND(K90=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K90=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K90))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K91),\"\",IF(AND(K91=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K91=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K91))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K92),\"\",IF(AND(K92=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K92=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K92))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K93),\"\",IF(AND(K93=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K93=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K93))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K94),\"\",IF(AND(K94=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K94=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K94))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K95),\"\",IF(AND(K95=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K95=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K95))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K96),\"\",IF(AND(K96=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K96=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K96))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K97),\"\",IF(AND(K97=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K97=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K97))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K98),\"\",IF(AND(K98=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K98=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K98))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K99),\"\",IF(AND(K99=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K99=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K99))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K100),\"\",IF(AND(K100=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K100=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K100))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K101),\"\",IF(AND(K101=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K101=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K101))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K102),\"\",IF(AND(K102=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K102=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K102))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K103),\"\",IF(AND(K103=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K103=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K103))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K104),\"\",IF(AND(K104=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K104=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K104))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K105),\"\",IF(AND(K105=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K105=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K105))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K106),\"\",IF(AND(K106=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K106=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K106))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K107),\"\",IF(AND(K107=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K107=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K107))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K108),\"\",IF(AND(K108=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K108=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K108))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K109),\"\",IF(AND(K109=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K109=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K109))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K110),\"\",IF(AND(K110=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K110=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K110))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K111),\"\",IF(AND(K111=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K111=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K111))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K112),\"\",IF(AND(K112=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K112=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K112))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K113),\"\",IF(AND(K113=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K113=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K113))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K114),\"\",IF(AND(K114=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K114=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K114))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K115),\"\",IF(AND(K115=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K115=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K115))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K116),\"\",IF(AND(K116=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K116=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K116))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K117),\"\",IF(AND(K117=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K117=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K117))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K118),\"\",IF(AND(K118=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K118=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K118))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K119),\"\",IF(AND(K119=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K119=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K119))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K120),\"\",IF(AND(K120=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K120=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K120))))","v":""}]
[null,"Decline",null,"Yes",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K121),\"\",IF(AND(K121=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>4),1,IF(AND(K121=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",K121))))","v":""}]

{"sheet":"Enrollment Summary","index":4,"n_rows":95,"n_cols":11,"rows_kept":95,"cut":false,"hidden":false,"merged":[[2,8,2,10],[4,8,4,9],[5,8,5,9],[6,8,6,9],[7,8,7,9],[8,8,8,9],[9,8,9,9],[10,8,10,9],[2,0,2,2],[3,0,3,1],[4,0,4,1],[5,0,5,1],[6,0,6,1],[2,4,2,6],[40,0,40,2],[27,0,27,2],[7,0,7,1],[8,0,8,1],[9,0,9,1],[10,0,10,1],[28,0,28,2],[29,0,29,2],[30,0,30,2],[31,0,31,2],[72,0,72,2],[74,0,74,2],[63,0,63,2],[64,0,64,2],[46,0,46,2],[47,0,47,2],[48,0,48,2],[49,0,49,2],[58,0,58,2],[59,0,59,2],[60,0,60,2],[61,0,61,2],[62,0,62,2],[57,0,57,2],[56,0,56,2],[52,0,52,2],[53,0,53,2],[54,0,54,2],[55,0,55,2],[50,0,50,2],[51,0,51,2],[73,0,73,2],[41,0,41,2],[42,0,42,2],[43,0,43,2],[44,0,44,2],[45,0,45,2],[16,0,16,2],[17,0,17,2],[18,0,18,2],[19,0,19,2],[20,0,20,2],[21,0,21,2],[22,0,22,2],[23,0,23,2],[24,0,24,2],[32,0,32,2],[33,0,33,2],[34,0,34,2],[35,0,35,2],[36,0,36,2],[25,0,25,2],[26,0,26,2],[37,0,37,2],[38,0,38,2],[39,0,39,2],[93,0,93,2],[94,0,94,2],[79,0,79,2],[80,0,80,2],[81,0,81,2],[82,0,82,2],[83,0,83,2],[84,0,84,2],[88,0,88,2],[0,0,0,10],[12,0,13,2],[76,0,77,2],[86,0,87,2],[89,0,89,2],[90,0,90,2],[91,0,91,2],[92,0,92,2],[78,0,78,2],[66,0,66,2],[67,0,67,2],[65,0,65,2],[68,0,68,2],[70,0,70,2],[71,0,71,2],[69,0,69,2],[12,3,12,6],[12,7,12,10],[76,3,76,6],[76,7,76,10],[86,3,86,6],[86,7,86,10],[14,0,14,2],[15,0,15,2]]}
["ENROLLMENT SUMMARY"]
[]
["Medical",null,null,null,"Dental",null,null,null,"Vision"]
["Eligible Employees",null,{"$f":"IF(C5=0,0,'Employees & COBRA Enrollees'!$C$4)","v":0},null,"Eligible Employees",null,{"$f":"IF(G5=0,0,'Employees & COBRA Enrollees'!$C$4)","v":0},null,"Eligible Employees",null,{"$f":"IF(K5=0,0,'Employees & COBRA Enrollees'!$C$4)","v":0}]
["Enrolling Subscribers",null,{"$f":"SUM(F15:F75)","v":0},null,"Enrolling Subscribers",null,{"$f":"SUM(F79:F85)","v":0},null,"Enrolling Subscribers",null,{"$f":"SUM(F89:F95)","v":0}]
["Enrolling Members",null,{"$f":"SUM(G15:G75)","v":0},null,"Enrolling Members",null,{"$f":"SUM(G79:G85)","v":0},null,"Enrolling Members",null,{"$f":"SUM(G89:G95)","v":0}]
["Enrolling COBRA Subscribers",null,{"$f":"SUM(J15:J75)","v":0},null,"Enrolling COBRA Subscribers",null,{"$f":"SUM(J79:J85)","v":0},null,"Enrolling COBRA Subscribers",null,{"$f":"SUM(J89:J95)","v":0}]
["Enrolling COBRA Members",null,{"$f":"SUM(K15:K75)","v":0},null,"Enrolling COBRA Members",null,{"$f":"SUM(K79:K85)","v":0},null,"Enrolling COBRA Members",null,{"$f":"SUM(K89:K95)","v":0}]
["Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Medical\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)","v":0},null,"Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Dental and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)","v":0},null,"Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Dental and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,1)","v":0}]
["Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Medical\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)","v":0},null,"Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Dental\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Dental and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)","v":0},null,"Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$9:$C$121,\"Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Dental and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)+COUNTIFS(Waivers!$C$9:$C$121,\"Medical, Dental, and Vision\",Waivers!$H$9:$H$121,\"M - Member/Employee\",Waivers!$N$9:$N$121,5)","v":0}]
["Participation",null,{"$f":"IF(C5=0,0,(C5/(C4-C9)))","v":0},null,"Participation",null,{"$f":"IF(G5=0,0,(G5/(G4-G9)))","v":0},null,"Participation",null,{"$f":"IF(K5=0,0,K5/(K4-K9))","v":0}]
[]
["Medical",null,null,"Active",null,null,null,"Cobra"]
[null,null,null,"CA Group ID","OOS Group ID","Subscribers","Members","CA Group ID","OOS Group ID","Subscribers","Members"]
["Full Network HMO Platinum $0",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A15,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A15)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A15,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A15)","v":0}]
["Full Network HMO Platinum $10",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A16,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A16)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A16,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A16)","v":0}]
["Full Network HMO Platinum $20",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A17,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A17)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A17,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A17)","v":0}]
["Full Network HMO Platinum $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A18,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A18)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A18,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A18)","v":0}]
["Full Network HMO Platinum $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A19,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A19)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A19,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A19)","v":0}]
["Full Network HMO Gold $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A20,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A20)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A20,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A20)","v":0}]
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["WholeCare HMO Platinum $20",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A28,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A28)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A28,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A28)","v":0}]
["WholeCare HMO Platinum $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A29,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A29)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A29,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A29)","v":0}]
["WholeCare HMO Platinum $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A30,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A30)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A30,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A30)","v":0}]
["WholeCare HMO Gold $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A31,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A31)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A31,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A31)","v":0}]
["WholeCare HMO Gold $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A32,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A32)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A32,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A32)","v":0}]
["WholeCare HMO Gold $40",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A33,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A33)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A33,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A33)","v":0}]
["WholeCare HMO Gold $50",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A34,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A34)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A34,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A34)","v":0}]
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["WholeCare HMO Silver $55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A36,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A36)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A36,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A36)","v":0}]
["SmartCare HMO Platinum $0",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A37,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A37)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A37,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A37)","v":0}]
["SmartCare HMO Platinum $10",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A38,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A38)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A38,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A38)","v":0}]
["SmartCare HMO Platinum $20",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A39,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A39)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A39,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A39)","v":0}]
["SmartCare HMO Platinum $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A40,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A40)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A40,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A40)","v":0}]
["SmartCare HMO Platinum $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A41,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A41)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A41,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A41)","v":0}]
["SmartCare HMO Gold $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A42,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A42)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A42,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A42)","v":0}]
["SmartCare HMO Gold $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A43,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A43)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A43,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A43)","v":0}]
["SmartCare HMO Gold $40",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A44,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A44)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A44,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A44)","v":0}]
["SmartCare HMO Gold $50",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A45,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A45)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A45,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A45)","v":0}]
["SmartCare HMO Gold $55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A46,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A46)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A46,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A46)","v":0}]
["SmartCare HMO Silver $55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A47,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A47)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A47,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A47)","v":0}]
["Salud HMO y Más Platinum $0",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A48,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A48)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A48,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A48)","v":0}]
["Salud HMO y Más Platinum $10",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A49,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A49)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A49,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A49)","v":0}]
["Salud HMO y Más Platinum $20",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A50,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A50)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A50,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A50)","v":0}]
["Salud HMO y Más Platinum $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A51,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A51)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A51,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A51)","v":0}]
["Salud HMO y Más Platinum $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A52,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A52)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A52,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A52)","v":0}]
["Salud HMO y Más Gold $30",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A53,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A53)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A53,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A53)","v":0}]
["Salud HMO y Más Gold $35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A54,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A54)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A54,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A54)","v":0}]
["Salud HMO y Más Gold $40",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A55,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A55)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A55,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A55)","v":0}]
["Salud HMO y Más Gold $50",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A56,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A56)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A56,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A56)","v":0}]
["Salud HMO y Más Gold $55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A57,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A57)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A57,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A57)","v":0}]
["Salud HMO y Más Silver $55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A58,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A58)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A58,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A58)","v":0}]
["CommunityCare HMO Silver $2250/$50",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A59,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A59)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A59,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A59)","v":0}]
["CommunityCare HMO Bronze $6300/$60",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A60,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A60)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A60,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A60)","v":0}]
["Full Network PPO Platinum PPO 0/15",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A61,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A61)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A61,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A61)","v":0}]
["Full Network PPO Platinum PPO 250/15",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A62,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A62)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A62,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A62)","v":0}]
["Full Network PPO Gold PPO 0/35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A63,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A63)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A63,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A63)","v":0}]
["Full Network PPO Gold PPO 350/25",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A64,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A64)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A64,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A64)","v":0}]
["Full Network PPO Gold PPO 500/20",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A65,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A65)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A65,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A65)","v":0}]
["Full Network PPO Gold PPO 750/15",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A66,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A66)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A66,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A66)","v":0}]
["Full Network PPO Gold PPO 1000/35",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A67,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A67)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A67,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A67)","v":0}]
["Full Network PPO Gold PPO 1600/0",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A68,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A68)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A68,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A68)","v":0}]
["Full Network PPO Gold HDHP PPO 1600/20%",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A69,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A69)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A69,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A69)","v":0}]
["Full Network PPO Silver PPO 1700/50",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A70,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A70)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A70,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A70)","v":0}]
["Full Network PPO Silver PPO 2250/60",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A71,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A71)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A71,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A71)","v":0}]
["Full Network PPO Silver PPO 2500/55",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A72,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A72)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A72,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A72)","v":0}]
["Full Network PPO Silver HDHP PPO 1600/50%",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A73,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A73)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A73,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A73)","v":0}]
["Full Network PPO Bronze PPO 6300/60",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A74,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A74)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A74,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A74)","v":0}]
["Full Network PPO Bronze HDHP PPO 7050/0%",null,null,null,null,{"$f":"COUNTIFS(Tables!$N$3:$N$296,A75,Tables!$O$3:$O$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$N$3:$N$296,A75)","v":0},null,null,{"$f":"COUNTIFS(Tables!$Q$3:$Q$296,A75,Tables!$R$3:$R$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Q$3:$Q$296,A75)","v":0}]
[]
["Dental",null,null,"Active",null,null,null,"Cobra"]
[null,null,null,"CA Group ID","OOS Group ID","Subscribers","Members","CA Group ID","OOS Group ID","Subscribers","Members"]
["Dental - DHMO HN Plus 150",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A79,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A79)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A79,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A79)","v":0}]
["Dental - DHMO HN Plus 225",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A80,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A80)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A80,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A80)","v":0}]
["Dental - DPPO Classic 4 1500",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A81,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A81)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A81,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A81)","v":0}]
["Dental - DPPO Classic 5 1500 (w/ortho)",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A82,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A82)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A82,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A82)","v":0}]
["Dental - DPPO Essential 2 1000",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A83,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A83)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A83,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A83)","v":0}]
["Dental - DPPO Essential 5 1500 (w/ortho)",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A84,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A84)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A84,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A84)","v":0}]
["Dental - DPPO Essential 6 1500",null,null,null,null,{"$f":"COUNTIFS(Tables!$T$3:$T$296,A85,Tables!$U$3:$U$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$T$3:$T$296,A85)","v":0},null,null,{"$f":"COUNTIFS(Tables!$W$3:$W$296,A85,Tables!$X$3:$X$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS(Tables!$W$3:$W$296,A85)","v":0}]
[]
["Vision",null,null,"Active",null,null,null,"Cobra"]
[null,null,null,"CA Group ID","OOS Group ID","Subscribers","Members","CA Group ID","OOS Group ID","Subscribers","Members"]
["Vision - PPO Elite 1010-1",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A89,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A89)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A89,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A89)","v":0}]
["Vision - PPO Supreme 010-2",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A90,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A90)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A90,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A90)","v":0}]
["Vision - PPO Preferred 1025-2",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A91,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A91)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A91,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A91)","v":0}]
["Vision - PPO Preferred 1025-3",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A92,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A92)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A92,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A92)","v":0}]
["Vision - PPO Preferred Value 10-3",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A93,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A93)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A93,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A93)","v":0}]
["Vision - PPO Plus 20-1",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A94,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A94)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A94,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A94)","v":0}]
["Vision - PPO Exam Only",null,null,null,null,{"$f":"COUNTIFS(Tables!$Z$3:$Z$296,A95,Tables!$AA$3:$AA$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$Z$3:$Z$296,A95)","v":0},null,null,{"$f":"COUNTIFS(Tables!$AC$3:$AC$296,A95,Tables!$AD$3:$AD$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$AC$3:$AC$296,A95)","v":0}]

{"sheet":"Enrollee Summary","index":5,"n_rows":296,"n_cols":18,"rows_kept":296,"cut":false,"hidden":false,"merged":[[0,0,0,17]]}
["Enrollee Summary"]
["On DE9C or Legal Documents","EMPLOYEE FORM SIGNED","EFFECTIVE DATE","EMPLOYEE SSN","DOH","DOB","ENROLLEE NAME","COBRA?","Age At Effective Date","MEMBER TYPE","MEDICAL PLAN NAME","DENTAL PLAN NAME","VISION PLAN NAME","ADDRESS 1","ADDRESS 2","CITY","STATE","ZIP"]
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